AI Ambient Scribe#

The AI Ambient Scribe listens to your consultation, transcribes it in real time, and produces a structured draft note mapped to your template sections. You review the draft, edit as needed, and accept — appending the AI content to your note without overwriting anything you have already written.

The scribe is designed for practitioners who find the documentation burden of modern clinical practice frustrating. It handles the transcription so you can focus on the patient.

Prerequisites#

Before using the scribe, two things must be in place:

1. Patient consent — the patient must consent to being recorded. Check the Recording consent obtained checkbox on the appointment before starting.
2. An active note — the scribe must be linked to an open consult note. Start a note before starting the scribe.

Starting a recording#

The ScribeBar appears at the bottom of every consult note page.

1. Open the consult note for the current appointment
2. At the bottom of the page, click Start Recording in the ScribeBar
3. Your browser will ask permission to use your microphone — click Allow
4. The ScribeBar turns red to indicate recording is active
5. Proceed with your consultation as normal

During the recording#

Audio is processed securely in 5-second chunks. Each chunk is transcribed server-side using Deepgram's clinical speech recognition model — your browser never sends audio to a third-party service directly.

You will see a live word count updating in the ScribeBar as the transcript grows. You do not need to watch this — continue your consultation naturally.

Important behaviours during recording:

• Do not close or refresh the browser tab — this will end the recording session
• If you need to pause (e.g. for a physical examination), click Pause in the ScribeBar
• Resume by clicking Resume

Stopping the recording#

When the consultation is complete, click Stop in the ScribeBar.

Qliva will:

1. Finalise the transcript
2. Send it to the AI section mapper
3. Map the transcript content to your note template sections (Subjective, Objective, Assessment, Plan — or your custom template)

This takes approximately 5–15 seconds depending on the length of the consultation.

Reviewing the AI draft#

After processing, the Scribe Review Overlay opens automatically. This shows each section of your note template alongside the AI-generated draft for that section.

For each section:

• Read the AI draft carefully
• Edit the text directly in the text area — the overlay is fully editable
• Add, remove, or reword content as needed
• If a section is empty (the AI did not capture relevant content), leave it blank or type your own content

Accepting the draft#

When you are satisfied with all sections, click Accept and Apply.

The AI content is appended to your existing note — it never overwrites anything you have already typed. If you have existing content in a section, the AI draft is added below it with a blank line separator.

The Scribe Review Overlay closes and you return to the note, where you can continue editing normally before signing.

Privacy and data handling#

• Raw audio is not stored after transcription. Once the audio chunk has been converted to text, it is discarded.
• The transcript (text only) is stored against the consult note for your records and audit purposes.
• All processing occurs within Australia — audio and transcript data do not leave Australian infrastructure.
• Patient data is subject to the same Privacy Act 1988 protections as all other clinical data in Qliva.

Speaker diarisation#

Deepgram's diarisation feature attempts to distinguish between speakers in the transcript. The AI mapper uses this to appropriately assign patient statements to Subjective and practitioner statements to Assessment and Plan.

Diarisation accuracy depends on audio quality. For best results:

• Use a quality microphone
• Ensure the room is reasonably quiet
• Speak clearly and avoid talking over the patient

The note after scribe#

A note that used the scribe displays a small AI badge in the note list. This is visible only to practitioners — it does not appear on any patient-facing output.

The note behaves identically to any other note once the AI content has been applied. It must be signed by the practitioner before it becomes a clinical record.