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AI Scribe — ambient clinical documentation agent
Healthcare Agent

AI Scribe — Ambient Clinical Documentation

AI Scribe turns the patient encounter into structured, EHR-ready SOAP notes with suggested codes — automatically, and inside your own environment.

Give Clinicians Back Their Evenings

Charting is the single biggest driver of clinician burnout. AI Scribe removes it — capturing the visit ambiently, drafting the note, and suggesting codes — so documentation is a quick review instead of hours of after-hours work.

2+ hrs

Saved per day

Documentation time returned to each clinician

<60s

Note ready

Draft SOAP note generated moments after the visit

Real-time

Ambient capture

Streams and structures the conversation live

HIPAA

Ready by design

Runs inside your own environment

AI Scribe Architecture

The Platform, Specialized for Scribing

AI Scribe runs on the same base Vervelo Agents Platform architecture as every other agent — here, the streaming runtime hosts the Scribe Agent for live transcription and note generation, a durable runtime handles coding and QA, and the connected tools are the speech, EHR, and coding systems a scribe needs.

AI Scribe Ambient clinical documentation — on the Vervelo Agents Platform DURABLE EXECUTION · CODING & QA SYNC EXECUTION · LIVE TRANSCRIPTION Clinician App / Recorder FastAPI Service Coding Agent Scribe Agent Observability Speech-to-Text (ASR Model) EHR via FHIR (MCP) Medical Coding ICD-10 / CPT Note Store (Agents DB) Audio & Transcript Store Database Agent Definition Agent State Encounter Memory Visit Sessions Coding Tools EHR MCP Clinical Vectors Prompt Development Flow ITERATE FEEDBACK LOOP Define Task & Success Criteria Note quality, coding accuracy Draft Structure & Prompt SOAP format, specialty style Manual Testing Sample encounters & transcripts Automated Evaluation Note & coding eval suite Refine & Iterate Fix hallucinations, omissions Deploy & Monitor Track edits & sign-off rate

Context Engineering

Engineered Context, Every Turn

Reliable agents aren't a single clever prompt — they're the product of context engineering: assembling exactly the right information into the model's context window on every turn. It's the discipline we build every Vervelo agent around. Here's what the AI Scribe works from on each turn, and how we engineer it.

AI Scribe context window

Assembled fresh on every turn

System Instructions

The clinical-documentation persona — specialty, SOAP note format, tone, and hard rules like never inventing findings and always flagging uncertainty for the clinician to review.

Persona & roleBehavioral rulesOutput format

Tool Definitions

The scribe's tools — transcription, EHR write-back over FHIR, and coding lookups — each with a strict schema so notes and codes land in exactly the right fields.

Name & descriptionI/O schemaUsage examples

Memory & User State

The clinician's preferences — favored templates and macros, note style, and standing corrections learned from past edits and sign-offs.

PreferencesPast decisionsStanding instructions

Conversation History

The live encounter transcript and prior turns, so the note reflects the whole visit rather than just the last exchange.

User turnsAssistant turnsTool-call traces

Retrieved Knowledge

Clinical vectors — specialty templates, medical terminology, and the patient's prior notes — retrieved to ground an accurate, relevant draft.

Vector search hitsKeyword matchesDoc snippets

Environment Results

Tool results — the ASR transcript, EHR write confirmations, and coding suggestions — with any errors or gaps surfaced for review.

API responsesFunction returnsErrors & status

Capabilities

Everything a Scribe Does, Automated

Ambient Voice Capture

Records the patient encounter in the background from any device — no dictation commands, no template wrangling.

Real-Time Transcription

Streaming speech-to-text with speaker diarization separates clinician and patient turns as they speak.

Structured SOAP Notes

Generates clean Subjective / Objective / Assessment / Plan notes in your preferred format and specialty style.

Auto Medical Coding

Suggests ICD-10 and CPT/E&M codes from the encounter, with supporting evidence for every code.

EHR Sync (FHIR / HL7)

Writes the finalized note and codes straight back into Epic, athenahealth, eClinicalWorks, and other EHRs.

Clinician Review & Edit

Every note is a draft for sign-off — the clinician stays in control, with edits fed back to improve the agent.

How it works

From Conversation to Signed Note

01

Capture

The clinician starts a visit in the app; audio streams to the Sync runtime in real time.

02

Transcribe

The ASR model transcribes and diarizes the conversation into a clean, speaker-labeled transcript.

03

Structure

The Scribe Agent drafts a structured SOAP note, grounded in clinical vectors and note templates.

04

Code

The Coding Agent suggests ICD-10 / CPT codes with supporting evidence from the encounter.

05

Review & Sync

The clinician reviews, edits, and signs off; the note and codes sync back to the EHR over FHIR.

Powered by the Vervelo Agents Platform

Open Source. On Your Infrastructure.

AI Scribe is built on our open-source platform — deployable in your cloud, on-prem, or air-gapped — so patient audio and notes never leave your environment.

Explore the Platform →
Compliance-First Software

Compliance-First, Protecting Patient Data

AI Scribe is built with HIPAA-ready security, audit logging, PHI redaction, and safe data handling from the start — aligned to HIPAA, GDPR, SOC 2, and HL7 FHIR — so you can automate documentation without putting patient trust at risk.

HIPAA Compliant GDPR SOC 2 HL7 FHIR
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Vervelo is a digital-health software partner blending deep clinical insight with world-class engineering to build tailored, secure, interoperable healthcare platforms.

Benefits of custom software solutions
  • Software delivered ownership benefit

    You fully own IT consulting and software delivered

  • Highly personalized solution benefit

    You get a highly personalized solution

  • Integration capability benefit

    Customize and integrate seamlessly

  • Scalability benefit

    On-demand scalability is always possible