Input
Scribe draft plus source context
Clinical Copilot starts after a draft, transcript, referral letter, or operational artifact exists. It does not capture room audio, transcribe encounters, or separate speakers.
Clinical Review Copilot
The review workflow and intelligence layer after the scribe.
Clinical Copilot is Vitruviana's bounded source-anchored review layer over draft documentation from Dr. Vita Scribe and operational artifacts from ER Admin OS. It is not the clinician scribe surface, not the core scribe, and not a scribe replacement. It does not record or transcribe encounters. It surfaces review prompts, transcript anchors, known/unknown panels, documentation gaps, and audit trails before a clinician approves, copies, or exports the draft.
Product hierarchy
Product hierarchy: product surfaces -> Operations OS, Dr. Vita Scribe, and Compliance Copilot; guided sample-data entrypoint -> Demo Library.
Review intelligence includes
- Review prompts
- Source anchors
- Known / unknowns
- Documentation gaps
- Draft packet
- Audit trail
- Review workflow
- Clinician approval gates
- Canada / PHIPA deployment-review cues
Documentation gaps
Flags missing vitals, medications, ROS details, history, consent notes, or follow-up context instead of filling gaps by inference.
Source anchors
Pairs prompts and suggestions with the transcript turn, draft section, or operational artifact that triggered them.
Known / unknowns
Keeps confirmed facts separate from unresolved items so a reviewer can see what is known, what is missing, and what needs correction.
Draft packet
Assembles a clinician-review draft packet from existing notes, letters, source anchors, knowns, unknowns, and documentation gaps without replacing the source artifact.
Audit trail design
Preserves the review pattern for what was suggested, accepted, edited, rejected, and approved once deployment logging is configured.
Canada / PHIPA deployment-review preparation
Supports customer-specific review of hosting/data residency, retention, access, audit logging, agreements, subprocessor disclosure, consent/disclosure workflows, and applicable PHIPA and provincial privacy role mapping for health information custodian, agent, electronic service provider, or HINP roles only where customer counsel determines those roles apply. It is not a PHIPA compliance determination.
Primary surface vs. review layer
Scribe captures the encounter. Copilot helps review it.
Dr. Vita Scribe
Daily visit capture to SOAP and referral drafts: browser-based ambient recording with no install, doctor/patient speech separation, multilingual capture, SOAP default, custom templates, and referral letters before copy/export after required clinician review.
View scribe productClinical Copilot
Review workflow for prompts, known/unknowns, source anchors, documentation gaps, and audit trail design for existing drafts. It is the review and intelligence layer, not the core scribe, not the scribe surface, and not a scribe replacement; it does not capture daily visits, produce SOAP or referral drafts, separate speakers, or replace clinical judgment.
Review sample draftReview
Source-anchored review workflow
It points clinicians to source anchors, unresolved gaps, known and unknown items, and documentation risks that need human review.
Output
Guarded approval workflow
Every suggestion remains review-only until a clinician edits, accepts, rejects, and approves the final artifact for its intended use.
Explicit boundaries
Review-only support for draft summaries, source checks, and clinician approval workflows.
- Does not record ambient visits
- Does not transcribe or perform speaker separation
- Does not diagnose
- Does not make or initiate treatment decisions
- Does not prescribe, order, or bill. Export and filing require an approved deployment workflow and licensed clinician approval.
- Does not determine PHIPA compliance. PHIPA deployment-review language means preparation for customer legal, privacy, security, and operational review.
Source anchors
Review prompts and draft suggestions are paired with the transcript, artifact, or data point that triggered them.
Known / Unknowns
Missing vitals, medications, ROS items, or history details are surfaced as unresolved gaps instead of inferred.
Review + audit trail design
Prototype pattern for tracking what was suggested, accepted, edited, or rejected once deployment logging is configured.
Safety boundaries
Clinical Copilot provides draft review and source-check support only. It is not an independent clinical decision system, prescribing tool, emergency-use tool, medical device claim, or replacement for clinician judgment. Clinicians must review and approve all notes, letters, prompts, and exports before use.
Clinician demo
See the review layer after a scribe draft.
Open the cockpit, load a demo patient, and inspect anchors, gaps, and approval controls after the scribe draft exists.