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Powered by Watson Protocol
How to Use
Built-in efficiencies
History source
ChartLock will automatically insert statements about who the history came from (patient, family, paramedics) based on what you dictate.
Narcotics
If you prescribe narcotics at discharge, the chart will auto-populate appropriate compliance language (database search, counseling, consent, etc.).
Procedures
You can add procedures by simple commands such as add chest tube, add central line, add intubation. If you paste your own procedure note from Dragon, M-Modal, or any dictation system, ChartLock will respect it and not override it.
Familiar commands and presets
Your familiar commands or dot phrases from Dragon or M-Modal will flow in seamlessly. ChartLock will respect them and never override them.
Avoids the Pitfalls of Generic AI Scribes
ChartLock™, powered by the Watson Protocol, is designed to work the way emergency physicians already think and speak. Dictate naturally, paste into ChartLock, and let the system structure it into a thorough, compliant, and medicolegally protective chart.
Speak naturally. Commas and periods are optional. Just talk as you would to a colleague. ChartLock will do the rest.
✅ This workflow eliminates unnecessary re-editing, keeps charts compliant and medicolegally protective, and drastically reduces documentation time.
ChartLock™ is built on direct physician input and avoids the shortcomings of ambient listening systems. Physicians spend years learning to interpret body language, tone, hesitation, and what patients communicate between the words. Ambient systems cannot capture these subtleties and often reduce the encounter to a surface-level transcript. Inaccurate transcription or translation of audio recordings further increases the risk of incomplete, misleading, or unsafe documentation. These systems also lose utility when patients are unable to give consent, are altered, or otherwise incapable of providing a coherent history.
Privacy and HIPAA concerns add another layer of risk when audio files containing protected health information are stored or processed by outside vendors. ChartLock™ avoids these pitfalls by relying on physician-directed dictation and structuring it into accurate, defensible, and compliant documentation.
Workflow
1)
Dictate your history with review of systems
2)
Dictate pertinent information for physical exam or use your own exam templates
3)
State your labs, studies, EKG, and Pulse Ox
4)
State your medications
5)
Give a short disposition
6)
Paste into ChartLock and let the Watson Protocol structure it
ChartLock™ is built on direct physician input and avoids the shortcomings of ambient listening systems. Physicians spend years learning to interpret body language, tone, hesitation, and what patients communicate between the words. Ambient systems cannot capture these subtleties and often reduce the encounter to a surface-level transcript. Inaccurate transcription or translation of audio recordings further increases the risk of incomplete, misleading, or unsafe documentation. These systems also lose utility when patients are unable to give consent, are altered, or otherwise incapable of providing a coherent history.
Privacy and HIPAA concerns add another layer of risk when audio files containing protected health information are stored or processed by outside vendors. ChartLock™ avoids these pitfalls by relying on physician-directed dictation and structuring it into accurate, defensible, and compliant documentation.
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Step 1
Dictate a proper history
Dictate a legitimate, detailed history that includes pertinent positives and negatives, as well as a review of systems relevant to the case. This program will not invent a history for you. You are the clinician, and you must dictate the chart you want.
You can also insert dot phrases or presets from Dragon, M-Modal, or any existing dictation system. ChartLock™ will recognize them and flow them seamlessly into the chart.
Example:
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Patient is a 37-year-old male with two days of productive cough, low-grade fever, pleuritic chest pain, and body aches, no leg swelling, abdominal pain, diarrhea, vomiting, no unusual travel.
Step 2
Dictate the physical exam
Dictate pertinent positives and include key negatives if they matter. You don’t have to dictate a full exam — the program captures what you say and structures it automatically. You can also paste preset physicals from Dragon, M-Modal, or any system, and ChartLock will format them. If you don’t use presets, just state your findings and a full exam is imported.
The default is a basic neuro exam, since most patient encounters do not require more detail. If needed, say “add full neuro,” “detailed neuro,” “complete neuro,” or “big neuro,” and ChartLock will substitute a comprehensive exam.
Built-in options include trauma exam, cardiac arrest exam, newborn exam, pediatric exam, and many other options you will discover as you use the program.
Example:
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Change exam to somnolent four-centimeter left forehead laceration and use big neuro.
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Add complete neuro exam, but edit to unsteady gait and positive nystagmus.
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Use trauma exam add crepitus left knee and large laceration over dorsum of the foot.
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Change exam to skin diaphoretic, tachycardic.
Step 3
Document labs, studies, EKG, and Pulse Ox
You can either summarize the findings in your own words, or copy and paste directly from radiology and ChartLock will pull out the key details.
Examples (Labs/Studies):
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Labs white count 17, creatinine 1.6, potassium 3.1
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Chemistry notable for mild hyponatremia, glucose 144
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Chest X-ray left basilar infiltrate
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CT brain no intracranial hemorrhage
EKG:
For billing, documentation must include rate, rhythm, axis, QRS, ST segments, and T waves. By default, ChartLock generates a normal EKG (rate 76) if you mention an EKG. If you don’t mention one, none will be added. When you do, ChartLock inserts a complete, billable EKG statement with your edits incorporated.
Examples (EKG):
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Change EKG to rate 80
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Edit EKG left axis deviation, rate 64
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Change EKG to left bundle branch block and frequent PVCs
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Change EKG to ventricular paced rhythm, rate 70
Pulse Ox:
By default, ChartLock documents “97% on room air within normal limits.” Always check the patient’s Pulse Ox — if it differs, simply state it. If you dictate a Pulse Ox that reflects hypoxia (e.g., 85 or 91), ChartLock will automatically insert the appropriate interpretation. Simply state what the actual Pulse Ox is.
Step 4
Document medications
Simply list what you gave. If you state the dose and route, ChartLock will keep them. If you do not, it will automatically default to doses and routes per MAR for billing and compliance.
Example:
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Meds Vancomycin and Zosyn (defaults to doses and routes per MAR)
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Meds Vancomycin 1.5 g IV and Zofran 4 mg IV (no ChartLock edits needed)
Step 5
Disposition
Once your workup is done and you have the data, dictate your disposition. You don’t need to be meticulous. Just state the essentials.
Example:
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Patient presents hypotensive and hypoxic, labs show leukocytosis and pneumonia
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IV antibiotics, recommend admission to ICU, discussed with Dr. X
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Patient presents with STEMI, transfer arranged for higher level of care
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Patient is stable with negative workup, safe for discharge with follow-up
Workflow
1)
Dictate your history with review of systems
2)
Dictate pertinent information for physical exam or use your own exam templates
3)
State your labs, studies, EKG, and Pulse Ox
4)
State your medications
5)
Give a short disposition
6)
Paste into ChartLock and let the Watson Protocol structure it
ChartLock™ is built on direct physician input and avoids the shortcomings of ambient listening systems. Physicians spend years learning to interpret body language, tone, hesitation, and what patients communicate between the words. Ambient systems cannot capture these subtleties and often reduce the encounter to a surface-level transcript. Inaccurate transcription or translation of audio recordings further increases the risk of incomplete, misleading, or unsafe documentation. These systems also lose utility when patients are unable to give consent, are altered, or otherwise incapable of providing a coherent history.
Privacy and HIPAA concerns add another layer of risk when audio files containing protected health information are stored or processed by outside vendors. ChartLock™ avoids these pitfalls by relying on physician-directed dictation and structuring it into accurate, defensible, and compliant documentation.