Case study 05 · Healthcare

Esperwise

An AI assistant that learns each doctor's own style. It interviews the patient before the visit, listens during it, and has the note ready to sign in under a minute.

Product
AI medical assistant and scribe
Industry
Healthcare, specialist clinics
What we did
Product design, AI pipeline, web platform
Languages
English and Dutch
Esperwise · OrthopaedicsPatient, 47 · Right knee
The patient answers on their phone, at home

Try it: follow one visit from start to finish, switch the transcript to Dutch, sign the note. The patient is fictional.

<60s

from the end of the visit to a note ready for the doctor to review.

40%

less time on paperwork, the time doctors used to spend typing.

1 assistant

per doctor, trained on their own questions and their own way of writing.

0

notes saved to the record without the doctor's signature.

01The problem

Doctors were typingwhile patients talked.

A big part of every appointment went on intake questions and notes instead of the patient. Generic AI tools did not help much: their notes did not sound like the doctor, so every one was rewritten by hand.

Before
  • The same intake questions asked at every visit
  • Eyes on the keyboard during the consultation
  • Notes finished at the end of the day, from memory
  • AI drafts that had to be rewritten anyway
With Esperwise
  • Intake done by the patient before they sit down
  • The consultation transcribed while the doctor listens
  • A note ready to review in under a minute
  • Written the way that doctor writes
02How it works

The assistant writes.The doctor signs.

Tap any step to see what happens there. The doctor stands between the AI and the patient record, so nothing is saved that a doctor has not read.

Step 2

Interview. The patient chats with the assistant on their phone before the appointment. It asks the doctor's questions and follows up when an answer needs more detail.

03The detail that matters

Same visit.Three different doctors.

Doctors do not write alike. One wants three lines of shorthand with the plan first. Another writes in full sentences because the note becomes a letter to the GP. Another writes in Dutch, in SOAP format.

A note in the wrong style gets rewritten, and then the time saved is lost. So each doctor's assistant learns from their own example notes, and drafts the way they would.

Same visit · Doctor A's note

PLAN: XR R knee. R/v 2/52.

PC: R knee pain 3/52, twisting inj (football).

Hx: swelling post-walking, 1x locking.

O/E: medial joint line tender.

04Built for the whole practice

One assistant per specialty.One place for the practice.

Around the assistant sits everything a clinic runs on: patients, appointments, scanned documents and transcripts, with each person seeing only what their role allows.

Assistants

A specialist for each clinic

General practiceOrthopaedicsNeurologyUrology

Each assistant asks the questions that specialty needs, and politely steers patients back when they drift off topic.

Practice

Patients, appointments, documents

  • Patient records with intake and visit history
  • Appointment calendar by day, week or month
  • Scanned letters and results, searchable
  • Satisfaction and usage per assistant
Permissions

Each role sees its own part

DoctorNurseDesk
Create assistants✓––
Transcribe visits✓✓–
Add patients✓✓✓
Scan documents✓✓✓
Book appointments✓✓✓

Example setup. Each practice decides its own.

05How we built it

Suggestions,never decisions.

An assistant that suggests next steps in a medical note is useful, and it is also the part that can do harm if it is presented wrongly. So suggestions are always marked as suggestions, kept apart from the note, and nothing reaches the record until a doctor signs.

The same rule shaped the intake: the assistant collects and organises what the patient says. It does not tell the patient what is wrong with them.

Step 1

Map the visit

How each doctor runs a visit, what they ask, and how they write their notes.

Step 2

Patient interview

Specialty assistants that follow each doctor's questions and stay on topic.

Step 3

Listen and write

Live transcription in English and Dutch, turned into notes in each doctor's style.

Step 4

The practice around it

Patients, appointments, documents, roles and permissions, and the review-and-sign step.

Private by design.

Doctor signs every note

AI drafts stay drafts until a doctor reviews and signs them.

Role-based access

Doctors, nurses and front desk each see only what their role allows.

Built for health data

Designed with HIPAA in mind: patient data protected in storage and in transit.

Fictional data here

Every patient, visit and note on this page is made up for the demo.

For the technical reader.

Whisper

Speech-to-text for the consultation, in English and Dutch.

RAG on the doctor's notes

Each assistant retrieves from that doctor's own protocols and example notes.

GPT-4o

The patient interview, note drafting, summaries and suggestions.

FHIR-ready

Structured notes that can be sent on to an electronic health record.

Common questions

What is Esperwise?

An AI assistant for specialist clinics that interviews patients before the visit, transcribes the consultation and drafts the note in each doctor's own style.

Which languages does it support?

English and Dutch, for transcription and notes.

How does it match each doctor's style?

Each doctor's assistant retrieves from their own protocols and example notes, so drafts read the way that doctor writes.

Is anything saved without the doctor?

No. AI drafts stay drafts until a doctor reviews and signs them.

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