Open Medical Scribe

Real-Time Transcription

Stream audio from the browser via WebSocket for live speech-to-text. Powered by Whisper ONNX running entirely on your local machine -- no audio ever leaves your network.

AI Note Generation

Transform raw transcripts into structured clinical notes using Ollama (local), OpenAI, Anthropic Claude, or Google Gemini. Choose quality, cost, and privacy tradeoffs per deployment.

Multiple Note Formats

Generate SOAP, H&P, Progress, DAP, and Procedure notes out of the box. Swedish journal format supported alongside international standards.

Privacy-First Design

Run the entire pipeline on your own hardware. In local mode, no patient data ever leaves your machine. Configurable PHI handling for every deployment environment.

Modular CLI Tools

Use scribe-transcribe and scribe-note as standalone binaries for scripting and batch workflows. Build pipelines without the web server.

Pluggable Providers

Swap transcription and LLM backends via settings or environment variables. Run fully local, fully cloud, or any hybrid combination for your needs.

SOAP

The standard four-section format: Subjective (patient-reported symptoms and history), Objective (clinician observations and vitals), Assessment (diagnosis and clinical reasoning), and Plan (treatment, follow-up, referrals). Widely used in primary care and general practice.

History & Physical

Comprehensive intake documentation with sections for Chief Complaint, History of Present Illness, Past Medical History, Medications, Allergies, Family History, Social History, Review of Systems, Physical Examination, Assessment, and Plan. Ideal for new patient encounters and hospital admissions.

Progress Note

Follow-up visit documentation structured as Interval History (changes since last visit), Current Medications, Examination Findings, Assessment, and Plan. Designed for ongoing care where a full H&P is not required.

DAP (Behavioral Health)

A three-section format for mental health and counseling sessions: Data (objective and subjective information from the session), Assessment (clinical interpretation and progress toward therapeutic goals), and Plan (next steps, homework assignments, next session agenda).

Procedure Note

Structured documentation for clinical procedures with sections for Procedure Name, Indication, Pre-procedure Diagnosis, Anesthesia, Description of Procedure, Findings, Specimens, Complications, Post-procedure Condition, and Plan.

Swedish Journal / Journalanteckning

Documentation following Swedish clinical standards and Patientdatalagen (PDL). Sections: Aktuellt (presenting concern in the patient's own words), Anamnes (medical history, heredity, current symptoms), Status (physical examination and clinical findings), Bedömning (clinical assessment and diagnosis with ICD-10 codes), and Planering (treatment plan, prescriptions, referrals, follow-up). Written in Swedish using standard medical abbreviations (AT, BT, Cor, Pulm, Buk).

scribe-transcribe

Transcribes audio files to text. Accepts an audio file path as an argument, or reads from stdin. Outputs plain text to stdout.

Flags: --provider (transcription backend), --language (language hint, e.g. "sv"), --country (country code, e.g. "SE"), --locale (full locale, e.g. "sv-SE"), --mime-type (audio MIME type, auto-detected from extension), --model (override provider model)

scribe-note

Generates a structured clinical note from a transcript. Reads transcript text from stdin, --transcript, or --transcript-file. Outputs JSON to stdout with noteText, sections, codingHints, followUpQuestions, and warnings.

Flags: --provider (note backend), --note-style (soap, hp, progress, dap, procedure, journal), --specialty (medical specialty), --custom-prompt (override system prompt), --model (override provider model)