somaCura

A physician workspace for inpatient medicine.
Your census, your patients, your reasoning — held together across problems, days, and handoffs.

The note is reasoning

Not a transcript of what was said. A structured argument for a care plan, organized by problem, grounded in evidence.

The physician directs

AI operates on clinical data, scoped per-problem. You dictate the assessment, route the evidence, compile the note. The reasoning is yours.

Clinical memory persists

What changed overnight, what trended, what was handed off. The system holds the thread so you can focus on the patient.

Twenty patients, twelve hours, three handoffs. Hospital medicine has an attention problem that transcription cannot solve.

Beyond the AI Scribe

A research-grounded argument for physician-oriented clinical intelligence — and against the reduction of medical documentation to ambient transcription.

79%

Hybrid human-AI note
approval rate

vs 23% AI-only · Hack 2025

23%

Patients lacking any
clinical impression

n=432 · Egerton-Warburton 2025

44%

Hallucination reduction
with knowledge graphs

5 medical datasets · Chen 2025

0.90

F1 score for RAG-based
problem identification

n=5,118 utterances · Zhang 2025

Two Models of Clinical AI

The AI Scribe Model

Passive Listener

Records conversation ambient. AI is a silent third party in the room.

Transcript → Note

LLM formats speech into clinical prose. No reasoning — word arrangement, not judgment.

Doctor as Proofreader

Physician reviews AI-generated text for errors. Anchoring bias risk compounds.

→

Physician-Oriented Intelligence

Active Collaborator

System tracks problems, routes evidence, maintains clinical course across hospital days.

Evidence → Reasoning → Note

Structured clinical assertions compiled into prose only at finalization. LLM is scoped per-problem.

Doctor Directs Reasoning

The physician IS the reasoning engine. The system is structured clinical memory.

The Core Thesis

Ambient scribes treat documentation as a transcription problem — the note as a record of what was said. somaCURA treats documentation as a clinical reasoning artifact — the note as a structured argument for a care plan, grounded in evidence, organized by problem, and directed by the physician who owns the patient.

Peer-Reviewed Evidence

Hybrid > AI-Only

Human-AI Notes Outperform Pure AI 3.4:1

“Hybrid notes written by an attending surgeon with GPT assistance received the highest ‘as is’ approval rate (79%), outperforming all other groups. GPT-only notes had the lowest approval rate (23%).”

Hack et al. (2025) · The Laryngoscope, 136(2), 605-615

Anchoring Risk

Ambient Scribes Introduce Diagnostic Error

“Clinicians may struggle to proofread and correct inconsistencies in ambient AI scribe output. Excessive trust risks introducing anchoring bias around AI differentials.”

Taylor et al. (2024) · Acad Emerg Med, 32(3), 327-339

The Original Vision

POMR: Making Reasoning Visible

“Essential to the POMR was that patients had ‘problems’ which would be enumerated and defined to the best of a physician’s ability — a scientific framework for clinical reasoning.”

Rodman et al. (2023) · J Hosp Med, 18(10), 957-961

Read the full research position

Census snapshot

Live refresh · severity sorted

Total

Critical

Watch

Sort

Welcome back to somaNotes

Select a patient to open their chart or add a new one to your census.

Press / to search N to add note A to add patient Switch tabs during generation Streaming auto-recovers dropped connections

Voice & Audio

Live Dictation

Select a patient, open the note rail
Click the mic on the floating bar at bottom, or press Ctrl+Shift+V
Speak — words appear in the clinical update box in real time
Click the mic again to stop

Upload Audio File

Open the note rail for any patient
Click Upload Audio — select MP3, M4A, WAV, or WebM (up to 75MB)
Choose a preset (Auto, General, ICU, Cardio) for better accuracy
Toggle the speakers icon for multi-speaker diarization
Transcript appears in the clinical update box

iPhone Pairing

Select a patient
Click iPhone in the header — QR code appears
Scan with iPhone camera — no app needed
Dictate at bedside — transcripts stream live to desktop

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Stable

-- y/o MRN: -- Room --

Hospital Day Day --

Admitted for --

Progress Stable

Clinical Data

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Problem List

0 problems

Labs

Vitals

Last: --

Medications

0 active

🦠 Cultures

No cultures

📊 Clinical Scores

📊

Select a patient to see clinical scores

Longitudinal Tracking

📈 Select a patient to see longitudinal tracking

Hospitalization Timeline

Day view

Diagnosis

Procedure

Consult

Med Change

Critical Lab

Status Change

Changes Today vs yesterday

📋 Problems --

🧪 Labs --

💓 Vitals --

💊 Meds --

Idle

📄

Open to generate AI note while reviewing chart

Create Note

Select a template to begin

Saved Notes

Patient

0 notes

Select a note to preview

Note Patient Date

Service Date

Clinical Update

0 / 50,000

Mic: Floating bar at bottom or Ctrl+Shift+V | Upload: Drop in a voice memo (MP3/WAV/M4A) | Preset: Pick specialty for better accuracy | : Multi-speaker mode

Knowledge Sources

Reference Only

Knowledge sources will appear here after generating a note

Analyzing clinical data 0s

Reading clinical data

Detecting problems

Analyzing merges

Ready for review

Problems

Review Progress Note

Something went wrong

Saved Notes

Loading notes...

somaCura

Beyond the AI Scribe

Two Models of Clinical AI

The AI Scribe Model

Physician-Oriented Intelligence

Peer-Reviewed Evidence

Human-AI Notes Outperform Pure AI 3.4:1

Ambient Scribes Introduce Diagnostic Error

POMR: Making Reasoning Visible

Capabilities

Census-First Workflow

AI Note Generation

Live Dictation

Audio File Upload

Mobile Pairing

Clinical Reasoning Tree

Transfer Center

Interactive Charts

Welcome back to somaNotes

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Reasoning Tree

Clinical Data

Problem List

Labs

Vitals

Medications

🦠 Cultures

📸 Objective Snapshots

📊 Clinical Scores

Longitudinal Tracking

Hospitalization Timeline

Knowledge Sources

HyperDrive State Inspector

Problem Detection

Confirm History & Physical

Quick Note

somaCura

Beyond the AI Scribe

Two Models of Clinical AI

The AI Scribe Model

Physician-Oriented Intelligence

Peer-Reviewed Evidence

Human-AI Notes Outperform Pure AI 3.4:1

Ambient Scribes Introduce Diagnostic Error

POMR: Making Reasoning Visible

Capabilities

Census-First Workflow

AI Note Generation

Live Dictation

Audio File Upload

Mobile Pairing

Clinical Reasoning Tree

Transfer Center

Interactive Charts

Welcome back to somaNotes

--

Reasoning Tree

Clinical Data

Problem List

Labs

Vitals

Medications

🦠 Cultures

📸 Objective Snapshots

📊 Clinical Scores

Longitudinal Tracking

Hospitalization Timeline

Knowledge Sources

HyperDrive State Inspector

Problem Detection

Confirm History & Physical

H&P Content Preview

Assessment & Plan Problems

Review AI Edit

AI-Powered Edit

Quick Note