Product · AI medical scribe

Everything it does — and how honestly it does it.

Akoua is a private, Australian AI medical scribe. It turns a consented conversation into a confirmed clinical note — with every uncertainty flagged, every statement grounded to the transcript, and nothing saved until you say so.

A clinician sitting with a patient in a consulting room, listening to him with her hands folded, the computer on the desk behind her unused.
During the consult

It listens the way you'd want a colleague to.

Near-live transcription

Words appear about 1–1.5 s after they're spoken; confirmed text follows within 3–5 s.

Speaker attribution, after capture

Tells your voice from everyone else's once capture ends, on Akoua's own infrastructure. When it's unsure, it says so rather than mislabelling.

An editorial transcript

Speaker names in the margin of the final transcript, timestamps, a comfortable reading measure — a document, not a chat log.

Meetings & MDT

Capture the discussion; get minutes, decisions and dated action items — confirmed before they're saved.

Transcript · liveUnattributed until finalised
00:02

Any giving way or locking?

00:06

No locking. It still aches after a long day on my feet.

00:14

Let's keep the programme going I'll review you in six weeks↺ listen.

00:19

…and we'll repeat the imaging if anything

Real interface behaviour, simulated consult — words land ~1.5 s after speech.

The honesty system

Six ways it refuses to guess.

All of it advisory — these systems surface, they never decide. The signature refrain holds everywhere: only what was said.

Two kinds of uncertainty flags

A dotted underline means "not sure I heard this" — listen back. A highlighted block means "heard it, couldn't place it" — re-read. Same honey family, two clear actions.

The [not stated] token

Anything absent from the transcript is marked explicitly — never padded with plausible filler. Safety-critical gaps become a visible flag, not a silent drop.

Statement-level grounding

An independent verifier checks every drafted statement against the transcript — grounding precision 1.00 on our gold set — and confirmed notes carry a provenance seal.

Critical-value & laterality guardian

Left/right, doses and critical values get an extra advisory check before you sign — surfaced for your eye, never auto-corrected.

Medication reconciliation

Deterministic reconciliation plus a capture guard: garbled drug names are recovered transparently — shown, revertible, and structurally unable to invent a drug that wasn't spoken.

Confirm before save

A consequence-ranked review queue puts the riskiest flags first, the open-flag count sits beside the Confirm button, and nothing is saved or exported until you confirm.

Draft note · what the flags look likeSOAP · review before saving
History

Improved stability since commencing physiotherapy. Denies lockingattribution unclear · review

Examination

[ not stated ]

Plan

Continue physiotherapy. Review in six weeks↺ listen. Repeat imaging if symptoms persist.

Unsure it heard — listen backHeard, couldn't structure — re-read[ ]Absent — marked, never invented
2 flaggedNothing is saved until you confirm.
Confirm & export
Clinical vocabulary

It can't invent a drug that wasn't there.

A ~2,900-drug Australian gazetteer (PBS/AMH) recovers garbled medication names transparently — every correction is shown, revertible, and structurally unable to introduce a drug that wasn't spoken. Brand names normalise to generics as you'd write them.

0 fabricated medication names across 158 adversarial sound-alike recordings.

Vocabulary recoveryShown · revertible
"a torva statin"atorvastatin 40 mgrecovered · ↺ revert
"candy sartan"candesartan 16 mgrecovered · ↺ revert
"Lipitor"atorvastatinbrand → generic
A drug-free consult stays drug-free — the corrector altered zero transcripts on sound-alike audio without medications.

Internal benchmarks on synthetic Australian-accent clinical audio and public speech corpora. We publish our methodology — and we'd rather show you a flag than a wrong note.

After the consult

The note — and the paperwork around it.

Structured notes, your template

SOAP by default, with must-document safety nets — a safety-critical gap becomes a visible [not stated] + flag.

Referrals & letters

RACGP-aware completeness gates, your letterhead and signature, PDF/A export. Letter dictation included.

Tasks from what you said

Spoken follow-ups become dated action items — reviewed and confirmed like everything else.

MBS billing hints

A deterministic, read-only draft of likely item numbers from the consult, with its reasoning shown. An Australian-only touch.

TemplatesSOAPProblem-basedDetailed history & examMental healthGPCCMPHealth assessmentsAntenatalProcedure note
Referral letterPDF/A · letterhead

Dear Dr [specialist],
Thank you for seeing [patient] regarding persistent right-knee instability following physiotherapy…

Completeness — 9/9Your signature
Gated on completeness — it won't send a letter missing its reason.
Tasks · from the consultDated · confirmed
Order right-knee MRI and chase report
Due Fri 17 Jul
Recall — review knee in six weeks
24 Aug
Spoken follow-ups become dated items — nothing self-saves.
MBS hints · draftDeterministic
Item 23Level B attendance — suggested from consult length & content
+1 possibleShown with its reasoning — needs your confirmation
A draft, never a claim — you confirm before anything is billed.
Where it runs

Web, desktop, pocket and wrist — one subscription.

WebWindowsiPhone & Apple WatchMacAndroid
Get the apps →
Integrations

We'll say "integrated" only when it is.

Cliniko, yes — Australian practices can connect it today, choosing the appointment and patient each time, with nothing written back until you confirm. Nookal is currently disabled ahead of its activation approvals. Everything else still exports as clean text and PDF you paste or attach: Best Practice, Medical Director, HealthLink, Medical Objects and My Health Record are on the roadmap, and we’ll say “integrated” only when it actually is.

Allied health too. Physiotherapy, chiropractic, podiatry and psychology as much as general practice. Cliniko — the practice software many allied health clinics already run — connects directly today. Nookal is currently disabled. The clinical tuning is Australian and GP-shaped today, with no discipline-specific note or letter formats yet.

Best Practice — AU roadmapMedical Director — AU roadmapCliniko — live (AU)Nookal — currently disabledMy Health Record — AU roadmap

See it flag its first doubt.

Akoua is open. Individuals and two-seat practices get 14 days free — card required, cancel anytime; practices of three or more clinicians are charged from day one. Founders pricing — A$79/month + GST — is held for as long as your subscription stays active.