Meet Yakko · Ambient clinical scribe
Your doctors didn't train to type.
Yakko sits in the room and listens to the consult the way it actually happens — in தமிழ் and English, interrupted, with a son chipping in — and drafts a structured note straight into the Harvis HIS record. Forty seconds after the patient stands up, there is something to sign.
Chief complaint
History & risk factors
Assessment & plan
One consult, minute by minute
Nine minutes of talking. Zero minutes of typing.
This is Murugan's consultation on the morning of his visit — who spoke, in which language, what was clinical and what was about the traffic, and when each section of the note filled in. The doctor's only keyboard moment is the signature.
Interface vignettes show illustrative data, not real patients or records.
From what was said to what gets signed
A transcript is not a note. This is the difference.
Left: what was actually said, with the speaker, the language and the bit about the traffic. Right: the draft the doctor signs. In between, the five things Yakko does that "transcribe it" never did.
"Come in, Murugan sir. Traffic bad today?"
Dropped · small talk"ரெண்டு வாரமா மார்பு வலி… படிக்கேறப்போ மூச்சு வாங்குது."
Chief complaint"Any pain at rest? Any swelling in the legs?"
Question · context"இல்ல டாக்டர், ரெஸ்ட் எடுத்தா சரியாகிடுது. கால் வீக்கம் இல்ல."
Negatives · preserved"அப்பாவுக்கு 61 வயசுல ஹார்ட் அட்டாக் வந்துச்சு."
Reported history"Metformin 500 ரெண்டு வேளை சாப்பிடறேன்… இன்னொரு [unclear] tablet-um."
Medication · one unclear"Probably stable angina — let's rule out IHD. ECG, troponin, lipids, HbA1c. Start aspirin 75. Cardiology."
Assessment & planChief complaint
Exertional chest discomfort × 2 weeks; breathless climbing stairs.
from 0:42 · patientHistory
Central chest tightness on exertion, relieved by rest. No rest pain. No pedal oedema. Known T2DM × 6 yrs, hypertension. As reported by son: father — MI at 61.
from 1:38 · 2:10Medications
Metformin 500 mg BD — matched to formulary. [unclear 3:05] second tablet — please confirm
from 3:05 · patient · one item flaggedExamination
BP 138/86 · HR 82 · SpO₂ 97% · chest clear · no pedal oedema.
from 3:30–5:30 · exam narration + HIS vitalsAssessment & plan
? Stable angina — rule out IHD. ECG, Troponin-I, lipids, HbA1c. Aspirin 75 mg OD. Cardiology referral.
from 7:40 · doctorInterface vignettes show illustrative data, not real patients or records.
The bilingual problem
Real consults do not happen in one language.
A doctor asks in English, the patient answers in தமிழ், and the drug name is English inside a Tamil sentence. Systems built for monolingual dictation fall apart on the first sentence of an Indian OPD. Here is what one sentence looks like from the inside.
↓ Understood as
↓ Understood as
- Code-switching mid-sentence — "சர்க்கரை tablet சாப்பிடறேன்"
- Symptom idiom with no dictionary equivalent — "நெஞ்சு எரிச்சல்" is not simply heartburn
- Drug and brand names in English inside a Tamil clause
- Negation carried by a Tamil suffix, not a separate word
- Family members answering on the patient's behalf
- Bilingual by design — one model handles both, rather than switching between two
- Clinical idiom mapped to structured findings, not literal translation
- Drug names recognised in either script and matched to your formulary
- Negation preserved through morphology, then written as a denial
- Speaker attribution — a relative's account is recorded as reported history
The mistakes a scribe must never make
Fluent is easy. Faithful is the job.
A note that reads beautifully and says "chest pain" where the patient said "no chest pain" is worse than no note at all. These are the six places a scribe goes wrong — and what Yakko writes instead.
"மார்பு வலி இல்ல"
Denies chest pain
"இடது முழங்கால் வலிக்குது"
Left knee pain
"Metformin 500 ரெண்டு வேளை"
Metformin 500 mg BD
"ரெண்டு வாரமா"
× 2 weeks
Son: "அப்பாவுக்கு 61 வயசுல ஹார்ட் அட்டாக்"
As reported by son: father — MI at 61
"இன்னொரு [inaudible] tablet-um"
[unclear 3:05] second tablet — please confirm
The arithmetic
Two hours a day, per doctor, compounding.
Documentation is the largest recoverable block in a clinician's week — and unlike most efficiency claims, it is measurable from the day you switch it on. Here is the same OPD day, twice.
What the hours turn into
Reclaimed clinical time becomes additional consultations and OPD revenue — no longer days required.
No after-clinic charting means doctors finish on time — easing the biggest driver of physician attrition.
Complete, structured notes make coding accurate and cut claim rejections and medico-legal exposure.
Eye contact instead of keyboards during the consult — a visible lift in patient-experience scores.
Illustrative day. Documentation figures are typical of the OPD clinicians we work with; yours depend on specialty, case mix and how much charting already happens after hours — we measure them with you before go-live.
Where the line is
It drafts. It does not decide.
Four rules that are not settings. They are how Yakko is built, and there is no configuration that switches them off.
Works with
Where the note comes from, and where it goes
Yakko is the middle of a chain. It only works because the record in front of it is complete — and its output is what the next engine reads. Walk the whole morning on the home page →
Vitals, allergies, six years of history and the active prescription list are already on screen when the consult starts. Yakko drafts against a full chart, not a blank page.
Explore → 🔎Hands off to Gooseberry second-reads itThe signed note is the trigger. Gooseberry re-reads the chart behind it and says what it found — quoting the lab line and the prescription line by name.
Explore → 🧾Hands off to Billing stops guessingComplete structured notes are what make coding accurate. Fewer claim rejections downstream is the quiet second return on ambient documentation.
Explore →Book a 20-minute demo
Bring a consult. Leave with the note.
No slide decks. We run Yakko on a live consultation in your specialty and your language — then you read the draft and tell us what it got wrong.