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case study

AI-Powered Medical Scribe Solution for Multi-Specialty and Veterinary Practices

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This platform automates clinical documentation for medical and veterinary practices. It turns doctor–patient conversations into structured notes in real time, reducing administrative work and improving accuracy. It also meets healthcare data rules like HIPAA, GDPR, and SOC 2.

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USA
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6 Months
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Healthcare
Team Members
1 Team Lead
1 Gen AI/ML Engineer
1 Fullstack Engineer
1 Backend Engineer
1 Project Manager
1 QA Engineer

Learn how our client got:

  • Documentation time reduced from 12–15 minutes to under 2 minutes per patient
  • Real-time transcription and structured SOAP notes for human and veterinary consultations
  • Error rate in notes reduced from 7–10% to under 2%
  • Automated workflows that cut administrative overhead and improved clinician productivity
  • A scalable, secure platform ready for multi-specialty and veterinary EMR integration

TECHNOLOGY STACK

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REACT

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NEXT.JS

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TAILWIND CSS

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MICROSOFT TEAMS

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WEB PUBSUB

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CHALLENGE

Healthcare organizations and veterinary hospitals face growing administrative burdens. Manual note-taking and post-visit documentation can consume hours each day, leading to inefficiency, burnout, and increased risk of errors in patient records. The client needed an AI-powered medical scribe platform that could:

  • Automate clinical documentation across human and veterinary specialties
  • Integrate seamlessly with existing Electronic Medical Record (EMR) systems
  • Maintain strict compliance with HIPAA, GDPR, and SOC 2 standards

For our development team, this meant creating a solution that could handle both medical and veterinary workflows with accurate terminology, deliver real-time transcription and structured summaries using multimodal AI, and provide a modular, secure, and scalable platform that could be customized for diverse practices.

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Solution requirements

  • Automate clinical documentation with real-time speech-to-text transcription and structured medical summaries.
  • Ensure accurate medical and veterinary terminology across multiple languages and accents.
  • Improve operational efficiency by automatically generating SOAP notes, discharge summaries, and other structured documents.
  • Provide a scalable and secure platform for enterprise-grade deployments, fully compliant with healthcare regulations.
  • Enable cross-platform access, including a mobile app for telemedicine and remote consultations.

OUR APPROACH

We designed the system as a cloud-native SaaS platform, built for scalability, security, and high performance. The solution had to support multi-specialty medical and veterinary environments, adapting to a wide range of workflows, from human clinical consultations to equine and small-animal care. Our architecture was built to handle 300+ concurrent users, enabling large hospitals, specialty clinics, and distributed healthcare networks to operate efficiently and securely.

Key features delivered

  • Real-Time Transcription Dashboard

    Provides live transcription with speaker identification and the ability to make corrections in real time.

  • Automated Documentation Assistant

    Generates structured summaries, SOAP notes, and recommendations immediately after each consultation.

  • Multilingual Output

    Supports English, Spanish, and Arabic, with automatic translation of notes for multilingual teams.

  • Analytics Module

    Monitors clinician productivity, patient interaction times, and key quality indicators.

  • Onboarding & Support

    Includes a dedicated implementation manager, a 4–6 week rollout plan, and a self-service training portal.

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FUNCTIONAL SCOPE

The platform was designed around the following capabilities:

AI-driven transcription & summarization

The platform converts doctor–patient conversations, surgeries, and consultations into structured medical documentation in real time. It leverages advanced speech recognition models fine-tuned on medical corpora such as ICD-10 and SNOMED CT to ensure accuracy and domain relevance.

It also automatically generates SOAP notes, discharge summaries, and diagnostic documentation, streamlining clinical workflows and reducing manual documentation time.

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Veterinary-specific workflows

The platform supports equine, feline, canine, and exotic animal data, with templates for dental charts, anatomical diagrams, and procedure logs.

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Multi-device & telemedicine enablement

  • Cross-device synchronization across web, tablet, and mobile
  • Offline transcription caching with delayed upload and automatic synchronization
  • Built-in teleconsultation mode for voice or video sessions with automatic summary generation

Template customization & knowledge adaptation

Clinics and doctors can configure specialty-specific note templates, while the AI learns clinician-specific phrasing and shorthand using contextual few-shot learning.

Smart data interaction

The platform allows search, summarization, and history extraction from PDF, DOCX, and spreadsheet files. It also provides a conversational interface to quickly review patient history and prior notes.

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Compliance & auditability

  • Full adherence to HIPAA, GDPR, and SOC 2 standards
  • Data encryption (AES-256), secure access roles, and a complete audit trail for all edits
  • Fine-grained RBAC (Role-Based Access Control) by user group and role (e.g., Veterinarian, Technician, Admin)

RESULTS & BUSINESS IMPACT

Clinics reported 35–45% efficiency gains and significant improvement in patient engagement due to reduced administrative tasks.

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The AI Medical Scribe solution successfully bridges the gap between clinical practice and digital efficiency. By automating transcription and documentation across both human and veterinary settings, it empowers healthcare providers to focus on patient outcomes while maintaining full compliance and scalability. This deployment demonstrates how AI, NLP, and domain-driven engineering can come together to create a transformative SaaS product, customizable for any healthcare environment.

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Volodymyr Hodiak

CTO, OTAKOYI

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Volodymyr Hodiak
CTO
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