serious harms a year from diagnostic error in the US. bmj q&s 2023
Clinical reasoning, live in the consultation.
What the case still asks for — while deciding is still possible.

Why we need precision care.
A note is just a record of decisions already made.
Medical scribes get the note right. Evidence tools answer what you ask, citation attached. But the note comes after the decisions, and the answer only comes when you already knew what to ask.
What the case still needed lives between the two — and it has a deadline inside the room.
Man in his 60s, hypertensive, off one of his pills for weeks. This morning his right arm went heavy, then recovered.
“Heaviness, went away on its own” — a resolved focal deficit is a transient event until proven otherwise. Imaging within 24h.
abcd² ≥4 pending onset · aha/asa 2023 · class i“One of the pills” matches three on record. Last fill dates point to lisinopril — stopped ~5 weeks, unconfirmed.
rxnorm 314076 · fill history · 3 candidatesCreatinine 1.9 mg/dL sat in a lab pdf from April — eGFR 38, never in the problem list. It changes today’s imaging contrast.
loinc 2160-0 · 2026-04-12 · egfr 38An expert beside you, in real time.
Not a scribe, not a search box, but the reasoning layer of the visit — one case screen that evolves as you work.
Frontier models, for your clinical workflow.
Chart intelligence
Finds the history, medications, results, and forgotten details that matter now.
Live clinical coding
Turns the visit into structured clinical concepts while the conversation happens.
Differential reasoning
Keeps hypotheses visible, updates them with every finding, and shows what could change the decision.
Evidence at the assertion
Places the source beside each recommendation, where it can be judged.
Longitudinal memory
Carries the patient’s relevant story across encounters without losing provenance.
The note, downstream
Documents the decisions that were actually made, ready for physician review and signature.
Interoperability in both directions.
It works inside the system of record you already run — nothing to migrate, nothing to double-key.
Sofya reads the patient chart
- Problem list
- Medications
- Labs and vitals
- Prior notes
- Imaging reports
Sofya writes decisions and note
- Coded entities
- Analyses, with state and source
- Patient memory
- The signed note
Nothing you have to re-key.
designed to work with the systems you already run
Security as the floor.
Trust is not a feature to sell — it is the condition for being in the room at all.
HIPAA compliant
SOC 2 Type II and BAA.
Consent
Transparent, revocable, and scoped to the clinical purpose.
Retention
Policy-controlled data lifecycle with auditable boundaries.
Training
Your clinical data is not used to train shared models.
The reasoning, written down.
Cases by specialty, the studies behind the suggestions, and what we learn inside deployments.


What 795,000 serious harms say about diagnostic error

When the old laboratory result changes today’s plan

Why guideline-complete care cannot fit in a clinic day

Eight medicines, three falls, one missing connection
medical services processed, each one signed by a physician.
Published. Validated. At scale.
talk to us about your institution →Published
AAAI 2024 paper, with seven papers behind it.
Validated
Mayo Clinic Platform Accelerator, Stanford AIMI 2024, Meta LlamaConf 2025 keynote.
At scale
In routine use across Latin America, Einstein among them.
