The note is done before you leave the room.
AXIFI Ambient Scribe listens to the clinical encounter, understands context, and delivers a structured, EHR-ready note — reviewed in under 60 seconds.
Built on the Synaptis trust layerHIPAASOC 2 Type IIFDA 21 CFR Part 11Trust Center
Physicians spend more time on documentation than on patients.
US physicians spend 4.5 hours per 8-hour shift on EHR tasks. After-hours documentation — pejoratively called 'pajama time' — costs an average of 1.4 additional hours per day. The result is accelerating burnout, shorter visits, and documentation that is thorough in length but thin in clinical accuracy.
- 65% of physician burnout is directly attributed to administrative burden (AMA, 2023)
- Average note is copy-forwarded or templated — not reflective of the actual encounter
- Billing accuracy suffers when documentation is rushed or delegated to scribes of variable quality
- After-hours charting time has doubled since 2018 in primary care settings
Capture the encounter. Structure the note. Deliver it ready to sign.
AXIFI Ambient Scribe uses multi-model AI to transcribe, comprehend, and structure clinical encounters into notes that match your facility's templates and specialty-specific requirements.
Passive ambient capture
A HIPAA-compliant audio stream captures the encounter. Nothing is stored permanently — audio is processed in memory and discarded after note generation.
Clinical context parsing
The encounter transcript is parsed for presenting complaint, history, examination findings, assessment, and plan — mapped to CPT documentation requirements by specialty.
Note generation and formatting
AXIFI generates a draft note in your facility's preferred format — SOAP, H&P, DAP, or custom. It is returned to your EHR within 90 seconds of encounter end.
Physician review and sign-off
The note surfaces in your EHR with an AXIFI confidence indicator. Edits average under 60 seconds. The physician signs; the note is complete.
Two hours back per physician, per day.
Clinical note accuracy
vs. gold-standard physician review
Hours of charting time saved per week
per full-time physician
Same-day note completion rate
up from 54% pre-deployment
Daily charting time per physician
Before AXIFI
After AXIFI
What is inside Ambient Scribe.
Ambient audio capture
Always-on, consent-gated capture. Audio never touches a third-party server. Processed in your tenant's isolated compute layer.
Multi-specialty note generation
Supports primary care, hospital medicine, psychiatry, surgery, ED, and more. Templates updated quarterly with specialty society guidance.
Billing compliance layer
Maps documented content to E&M coding criteria (CMS 2024). Flags MDM complexity levels and surfaces documentation gaps before sign-off.
Addendum and amendment support
Generates addenda from follow-up notes, messages, or order changes. Maintains a full audit trail for compliance review.
Drops into your existing EHR workflow.
- EHR
- Epic (App Orchard certified)
- Cerner / Oracle Health
- Meditech
- athenahealth
- DrChrono
- Capture device
- iOS app
- Android app
- Web browser (no install)
- Dedicated bedside hardware
- Output format
- FHIR R4 DocumentReference
- HL7 MDM^T02
- Direct EHR note creation
- PDF export
- Specialties
- Primary care
- Hospital medicine
- ED
- Psychiatry / behavioral health
- Surgery
Common questions.
Ready to deploy Ambient Documentation in your environment?
See how Synaptis fits into your stack — no generic demos, just your workflow.