We buildLocal AI · Clinics

Local AI for clinics

WhisperLlama 3.3Qwen 2.5vLLMOCREHR integrationon-premise GPU server
Local AI offeverything by handLocal AI onthe model does the work
92h18h
difference74 h back every week
Who it is for

Who private medical AI
is built for.

01 Private clinics and group practices

Doctors finish notes at night, and patient data must not go to a third-party cloud.

02 Dental, physio and diagnostic centres

Structured reports and letters written by hand after every appointment.

03 Clinic managers and owners

You want AI scribes, but not a new data processor for every patient record.

04 Clinics in strict jurisdictions

GDPR special-category health data, HIPAA, or national rules that keep records in the country.

The problem

Why documentation
eats the working day.

Doctors spend more time on the record than with the patient — and health data is the most expensive data to lose.

01 2 h

of EHR and desk work for every hour of direct patient time; in the office, 49% of a doctor’s day goes to screens and paperwork.

02 1–2 h

of after-hours work every night, mostly in the electronic record — the documentation that did not fit into the day.

03 15,791 h

of documentation time saved in one year by ambient AI scribes across 7,260 physicians and 2.5 million visits.

04 $9.77M

average cost of a healthcare data breach — the most expensive industry for the 14th year in a row.

05 48%

of organisations say non-public information has already been typed into public GenAI tools — in a clinic that means patient data.

→ Your
numbers

Put your monthly volume into the calculator and see hours and dollars.

How it runs

Private AI scribe:
11 steps inside the clinic.

The path of one appointment. The recording never leaves the building, and the doctor signs every note before it reaches the record.

Every step

Every step of the
private AI scribe.

Record01 / 11
Trigger

Consent and start

The doctor starts a recording on a tablet or desk mic after the patient agrees; the visit ID comes from the schedule.

Record
Model call

Transcribe on site

Whisper runs on the clinic’s GPU and turns speech into text, telling the doctor and the patient apart.

Record
Code

Remove the small talk

Greetings and side conversation are dropped; medical content is kept with timestamps.

Record
Model call

Fill your note template

A local model writes the note in the clinic’s format — complaints, history, findings, assessment, plan.

Write
Set

Codes and medicines

Diagnoses and prescriptions are matched to your code lists and formulary, as suggestions for the doctor.

Write
IF

Anything unclear?

Inaudible doses, contradictions or missing findings are highlighted instead of guessed.

Write
Trigger

Doctor reviews and signs

The draft opens next to the transcript; the doctor edits, accepts and signs — only then does it go to the record.

Write
HTTP

Write to the EHR

The signed note is saved to the patient record through the EHR’s API or HL7/FHIR interface.

Send
Model call

Letters and instructions

Referral letters and patient instructions are drafted from the signed note in plain language.

Send
Model call

Ask the record

Staff ask questions across the patient’s history and get answers with the visit date and document.

Send
Code

Delete the audio

After the note is signed, the recording is deleted on schedule; the audit log keeps who did what and when.

Send

What is a local AI scribe for clinics?

A local AI scribe records the consultation with the patient’s consent, transcribes it and writes the visit note in the clinic’s own template — all on a server inside the clinic. The doctor reads the draft, corrects it and signs it; only the signed note goes into the medical record. The same model drafts referral letters and answers questions across a patient’s history.

Documentation is the biggest time sink in outpatient care: a well-known time-and-motion study found two hours of record and desk work for every hour with patients. Ambient AI scribes give that time back — and running them locally means patient audio and records never go to a new cloud processor.

What changes in the clinic

Doctors look at the patient instead of the keyboard, notes are finished before the next visit, and letters are drafted in seconds. The clinic keeps the data, the model and the audit trail.

Before / after

Visit documentation with local AI:
before and after.

Typical minutes per consultation in a private outpatient clinic. Your own numbers go into the calculator below.

visit
1.5 min 8 min Type the visit note during and after the visit
30 sec 3 min Look up earlier visits and results
1 min 5 min Write the referral or discharge letter
30 sec 2 min Write instructions for the patient
30 sec 2 min Code the diagnoses and procedures
One visit · by hand → with local AI 20 min 4 min −80% per visit
Your numbers

What a private AI scribe
saves at your volume.

Based on 20 min by hand and 4 min with local AI per item, from the table above.

Every month0 hof hands-on work back
0 working days
$0 a month 0 a year 0 h instead of 0 h
You stay in control

Local AI writes the draft,
doctors make the medicine.

The model listens, writes and searches. Diagnosis, treatment and every signature stay with the doctor.

Local AI does11 steps · every run
Consent and start
AI
Transcribe on site
AI
Remove the small talk
AI
Fill your note template
AI
Codes and medicines
AI
Anything unclear?
AI
Doctor reviews and signs
AI
Write to the EHR
AI
Letters and instructions
AI
Ask the record
AI
Delete the audio
AI
You decide5 steps · always a person
Diagnosis and treatment

The model never decides; it writes down what the doctor said and found.

you
Signing the note

Nothing enters the record until the doctor has read and signed it.

you
Patient consent

Recording starts only after the patient agrees; they can say no.

you
Prescriptions

Suggested from the conversation, confirmed and issued by the doctor.

you
Difficult conversations

Bad news and sensitive talks can be left out of recording entirely.

you

Flip a switch to hand a step to the model or take it back.

Connects to

Runs next to your EHR,
PACS and scheduling.

Results

What a private AI scribe looks like
when it works.

The Permanente Medical Group’s rollout shows the size of the prize: tens of thousands of hours of documentation returned to doctors. A local setup brings the same idea without a new cloud processor for patient data.

0 h
of record and desk work for every hour with patients (Sinsky, 2016)
0 h
of documentation saved in a year by AI scribes at TPMG
0 years
in a row healthcare has had the costliest data breaches (IBM, 2024)
How we work

How a private AI scribe project
runs, week by week.

Week 1Audit

We look at the documents and the work, agree what the model may and may not do, and size the hardware.

Weeks 2–3Pilot

The model on a server in your network, on your real documents, with a small group of users.

Weeks 3–6Roll-out

Access rules, logging and integrations, then the whole team — with the old way kept as a fallback.

AfterSupport

Model updates in maintenance windows, monitoring and a monthly report of use and time saved.

FAQ

Private medical AI questions
clinics ask first.

Is it compliant with GDPR or HIPAA?

Running the model on your own hardware means no new external processor for patient data, which removes the hardest part of the assessment. You still need consent for recording, access rules and a retention policy — we set them up with your data protection officer.

How accurate is the transcription?

Whisper large models are accurate on clear speech in most languages; medical terms improve with a short custom vocabulary. Anything the model is not sure of is highlighted for the doctor rather than guessed.

Does it work in Ukrainian or other languages?

Yes. Whisper and modern open models handle Ukrainian, English, German and many other languages, including a mix of two in one consultation.

Does the doctor have to check every note?

Yes, and that is the point: the model writes the draft, the doctor reads, edits and signs. Notes never enter the record unsigned.

What hardware does a clinic need?

For a clinic with 5–15 doctors, one server with a single 24–48 GB GPU handles transcription and note writing during the day. We size it on your visit volume.

Can it connect to our EHR?

Through the EHR’s API or an HL7/FHIR interface where one exists; otherwise the signed note is copied in one click. We check your system in the first week.

Other industries

Local AI
for other industries.

Available for new projects

Keep the AI.
Keep the data.

Describe your use case in two sentences — we reply within a day with a hardware and model recommendation.

hello@wireclad.com →