Product

Everything it does — and how honestly it does it.

Akoua 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.

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

Tells your voice from everyone else's — and no stored voiceprint ever leaves Akoua. When it's unsure, it says so rather than mislabelling.

An editorial transcript

Speaker names in the margin, 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 · liveBinary attribution
Clinician
00:02

Any giving way or locking?

Patient
00:06

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

Clinician
00:14

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

Clinician
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.
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 draft of likely item numbers from the consult — you confirm. 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…

RACGP 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, pocket, wrist and desk — one subscription.

WebiOSApple WatchMac & WindowsAndroid — coming soon
Get the apps →
Integrations

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

At launch, notes and letters export as clean text and PDF/A you paste or attach. On the roadmap: Best Practice, Medical Director, Cliniko, HealthLink, Medical Objects and My Health Record.

Best Practice — comingMedical Director — comingCliniko — comingMy Health Record — coming

See it flag its first doubt.

Launching soon. Lock in founders pricing — A$79/month + GST — for as long as your subscription stays active.