What SkyScribe does

SkyScribe is a clinical operating system for multi-specialty hospitals and clinics. It covers a patient visit end to end: registration, the consultation itself, the orders that come out of it, the work those orders create for pharmacy, laboratory, nursing and theatre, the results that come back, and the bill at the end.

The clinician's part is to speak and to approve. Everything between those two acts — structuring the note, computing scores, checking the prescription for harm, routing work to the right department, assembling the discharge summary — is what the software is for.

Clinical documentation

  • Ambient dictation turns a spoken consultation into a structured note — history, examination, vitals, assessment and plan — in the format the specialty expects.
  • Specialty-aware output: OPD notes, admission notes, progress notes, operative notes, procedure notes, discharge summaries, referral letters, consent forms and prescriptions.
  • Depth past the specialty: 31 specialties and superspecialties, each carrying its own subspecialty profiles — stroke, epilepsy, movement disorders and neuromuscular under neurology; interventional, electrophysiology and heart failure under cardiology; haemato-oncology and solid tumours under medical oncology. Every level has its own sections, examination template, common-diagnosis and procedure catalogues.
  • Operative and procedure notes start pre-filled from a vetted template — the clinician subtracts what did not happen rather than typing what did.
  • Every document is a draft until a qualified clinician approves it; the approval is recorded permanently against their name and digital signature.

Deterministic clinical safety

  • 66 clinical scores computed in tested code — CHA₂DS₂-VASc, GCS, qSOFA, Wells, DAS28, Child-Pugh, GRACE and others — each verified against published worked examples. Never estimated by a language model.
  • Medication safety checked in code: allergy cross-reactivity, drug–drug interactions and renal-dose contraindications. A contraindicated drug is refused, not merely flagged, unless a clinician records an explicit override.
  • Panic values on confirmed laboratory results raise an alert into the record automatically.

Hospital operations

  • 20 role-scoped workspaces: reception, pharmacy, laboratory, radiology, nursing, ICU, ward, operation theatre, procedure room, admission, discharge and billing.
  • Orders route themselves — an investigation ordered in the consultation appears in the laboratory queue; a drug reaches pharmacy; an admission reaches the ward. Results flow back into the patient record as they are entered.
  • Inter-specialty referrals and consults, including structured pre-operative fitness clearances.
  • Appointments, walk-in registration, and a collision-proof per-hospital patient ID.

Revenue and insurance

  • Per-hospital chargemaster, charge capture during the visit, payments and a revenue view.
  • Indian insurer, TPA and government-scheme catalogue with coverage split and claim lifecycle.

Patients and records

  • A secure patient portal view of their own record, and patient communication over WhatsApp with a clinician approval step before anything is sent.
  • FHIR R4 export of the patient record.
  • Append-only clinical timeline: entries are added, never silently rewritten.

Privacy and safety by construction

Every call to an external AI model passes through a privacy gateway that removes patient identifiers before the request leaves and restores them only in the response, within the hospital's own system. The gateway fails closed — if de-identification cannot be completed, the call does not happen. There is no configuration that bypasses it.

Access is role-scoped and hospital-scoped: operational staff can see only their own department's work queue, and every query is bounded by the hospital in the signed session token rather than by anything the browser sends. Clinical records are never cascade-deleted; removing a person's access does not remove what they documented.

Who it is for

Multi-specialty hospitals, nursing homes and clinics. A hospital buys a licence seat for each clinician who documents; reception, nursing, pharmacy, laboratory and billing accounts are included at no additional cost, so a hospital is never choosing between paying for a receptionist and leaving the front desk unstaffed. The hospital administrator assigns and revokes seats, and receives a single invoice.

Scope and limitations

SkyScribe is documentation and workflow software. It is not a medical device, it does not make diagnoses, and it does not issue prescriptions on its own authority. Its outputs are drafts prepared for a qualified, registered clinician who remains solely responsible for every clinical decision and for the content of anything they approve. See the full disclaimer.