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.
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.
The reasoning layer of the visit — one case screen that evolves as you work.
Frontier models, for your clinical workflow.
A growing set of analyses over the same case — each with its state and its source.
ambient capture
Listening, hands free — the note is written along the way.
clinical coding
Everything said becomes coded ground — ICD, LOINC, SNOMED-CT.
evidence beside the claim
Named, dated, versioned — at the point of decision, not seventeen years later.
a growing set of analyses
A growing set of analyses on the same consultation — each with state, cost and source.
longitudinal memory
The next visit starts where this one stopped, not from memory.
back into the record
What Sofya structures lands in the record as data, not prose — native to MV, FHIR in both directions.
Interoperability in both directions.
Inside the system of record you already run. Nothing to migrate.
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
Security as the floor.
Not a feature to sell — the condition for being in the room.
HIPAA compliant
SOC 2 Type II and BAA.
Consent
Said in plain words, in the room — and recorded with the case.
Retention
The institution controls it — policy, window and deletion.
Training
Never on identified data. No exception to sell.
The reasoning, written down.
Cases, studies and what we learn in deployment.


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
Foundation-model paper at AAAI 2024 — seven 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.
