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TherapyScribe AI
TECHNICAL SPECIFICATION

Engineered for Outpatient Therapy Specialties

TherapyScribe AI is not a generic voice-to-text dictation application. It is a HIPAA-aligned ambient clinical intelligence console that understands complex orthopedic examinations, segmental restrictions, and functional daily limitations.

Run the Live Demo Explore Pipeline
SYSTEM SPECIFICATION MATRIX
  • LLM Architecture CoreStyl-Clinical-V2 (Fine-tuned)
  • NER Specialty Coverage Orthopedic tests, ROM, MMT, Segmental, ADL
  • Avg. Processing Latency < 45 seconds (SOAP compilation)
  • Audio Capture Channel Mono 16kHz, Opus compression
  • Security Infrastructure TLS 1.3 in-transit, AES-256 local & cloud
  • HIPAA Certification SOC 2 Type I mapped database isolation
  • EHR Writeback Methods HL7/FHIR, Chrome Extension, CSV, Copy/Paste
* Illustrative model based on clinic averages.
STEP 01

Voice Field Capture

The therapist starts capture. The system maps audio via high-frequency local channels.

Input: Ambient clinical room audio
Method: 16kHz local browser recording channel
Output: Encrypted raw audio stream
STEP 02

Spectral De-noising

Filters local gym echoes, equipment impacts, and separates therapist from patient dialogue.

Input: Raw audio stream
Method: Spectral subtraction & speaker diarization
Output: Diarized clean audio segments
STEP 03

Clinical Entity Recognition (NER)

Specialized NLP registers orthopedic testing, joint angles, muscle scores, and scale indices.

Input: Diarized text transcript
Method: CoreStyl Orthopedic NLP pipeline
Output: Structured entity dataset (ROM, MMT, ODI)
STEP 04

Small-Talk Reduction Engine

Locates non-clinical conversations (weather, plans, sports) and drops formatting weight by 40%.

Input: Full text transcription
Method: Non-clinical conversational classification model
Output: Purged clinical transcription draft
STEP 05

Clinical SOAP Synthesis

Maps extracted data blocks into structured Subjective, Objective, Assessment, and Plan fields.

Input: Purged transcript + entity dataset
Method: CoreStyl-Clinical LLM template engine
Output: Structured SOAP note draft
STEP 06

Denial Guard Validation

Cross-references Medicare guidelines to check that note justifications prove medical necessity.

Input: Synthesized SOAP note
Method: Insurance policy mapping checker
Output: Error flag dataset or clear validation pass
STEP 07

Secure EHR Writeback

Pushes signed, formatted records into clinic databases (WebPT, Epic, Jane) over secure transit channels.

Input: Clinician e-signed SOAP document
Method: HL7-FHIR REST api writeback pipeline
Output: Success code confirmation index

Subjective (S) // Patient History

"Patient reports right knee pain has decreased to a 3/10 (previously 6/10) over the last two days. Notes transient effusion (swelling) after squat exercises at home, which resolves completely with ice application."

Captures the patient's subjective feedback regarding pain, functionality, and daily compliance. Integrates qualitative statements that back up functional progression.

AUDITOR VALIDATION NODE

Subjective Audits

Medicare inspectors check subjective logs to ensure notes record pain scores relative to activities. TherapyScribe AI captures actual numerical indices linked to physical exercises, establishing medical relevance.

AUTO-VERIFICATION CHECKS
  • ROM Delta: Checks for active joint range degrees (e.g. flexion 115° vs baseline).
  • Strength Progression: Verifies manual muscle testing scores use standard 5-point systems.
  • Objective Assessment: Blocks copy-paste assessment templates that do not contain current findings.
  • Functional Links: Validates clinical updates are tied to daily tasks like walking or dressing.

modeled rejections reduced from 12% to <2%

If Denial Guard detects a gap—such as mentioning shoulder restriction without listing active abduction degrees—it flags the therapist with a subtle, non-intrusive console alert. This allows correction before signing off.

SAMPLE SYSTEM WARNING "Note contains active shoulder flexion but lacks degree measurements. Insert ROM metric to avoid insurer denials."
WebPT
Direct API
Jane App
Chrome Link
Epic Systems
HL7-FHIR
Clinicient
Direct Link
Cerner
FHIR API
CSV / PDF
Export Files
{
  "event_id": "evt_908f21bc9e",
  "client_origin": "mumbai_node_01",
  "therapist_id": "PT-2901-MH",
  "session_timestamp": "2026-08-06T19:58:28Z",
  "audio_channel": {
    "codec": "opus",
    "frequency": 16000,
    "encryption": "AES-256-GCM"
  },
  "pipeline_status": "ACTIVE_STREAMING"
}
        
POSITION 01 // TABLET

Treatment Desks

Place the tablet or phone on your side desk, angled toward the patient. Avoid covering the microphone vents with clinic clipboards.

POSITION 02 // LAPTOP

Gym Floor Stands

When working on gym floor exercises, set your mobile device on an elevated stand within 6 feet of the treatment region.

POSITION 03 // SMARTPHONE

Wall Mounts

Magnetic wall mounts situated at shoulder height offer solid sound clearance, away from direct physical contact.

Functional Factor Manual Keyboarding Generic Voice Dictation TherapyScribe AI
Therapist Focus Degraded (Typing mid-session) Interrupted (Must dictate keywords) 100% ambient (Hands-on care)
Average Charting Time 10-15 minutes per session 5-8 minutes (Requires layout edits) < 1 minute (Draft auto-builds)
Objective Data Tagging Manual transcription None (General word rendering) Automatic NER (Flexion, MMT)
Medicare Audit Check No safeguard controls No safeguard controls Denial Guard active mapping
Clinic Admin Savings $0 (Max admin cost) Minimal reduction $15,000+ per clinician / yr
* Illustrative model based on clinic averages.
Feature Deliverable Solo Practitioner Multi-Therapist Clinic Enterprise Health System
Ambient Capture Audio Included Included Included (Priority allocation)
Specialty Lexicons Single (PT or OT or Chiro) All specialities unlocked All specialties + Custom models
Denial Guard Standard checklist Policy automated mapping Custom commercial policy logic
Business BAA signed Yes (On signup) Yes (Custom clinic BAA) Yes (Enterprise agreement)
Audit Ledgers Local console logs Shared manager dashboard API logs export (Splunk/SIEM)
EHR Writeback Chrome extension link Direct EHR API endpoints Custom HL7-FHIR middleware integration
SOAP Note

Standardized chart format (Subjective, Objective, Assessment, Plan) that clinicians use to document medical interactions.

AROM (Active Range of Motion)

The range of movement a patient can achieve using their own muscular contraction, measured in degrees using a goniometer.

MMT (Manual Muscle Testing)

A clinical grading system (0 to 5) evaluating the strength of specific muscle groups against resistance.

ODI & LEFS Scales

Oswestry Disability Index (ODI) and Lower Extremity Functional Scale (LEFS) are standardized questionnaires tracking progress.

PHI (Protected Health Information)

Any demographic or physical health data that can identify an individual patient, regulated under HIPAA.

BAA (Business Associate Agreement)

A legally binding contract that establishes HIPAA liability safeguards between healthcare practices and software providers.

READY TO INTEGRATE

Experience TherapyScribe AI in your clinic

Start your 14-day sandboxed trial. BAA signed immediately upon deployment.

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