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Singaporean doctors develop agentic AI-powered scribe

In recent times, scientific documentation enchancment instruments have more and more grow to be a staple companion for medical doctors.

This assistive device, which helps tackle clinician burnout, has advanced from simply automating transcriptions throughout scientific encounters or consultations to additionally being able to ambiently listening within the background and offering sensible suggestions, all powered by AI.

The adoption of smarter, extra correct scientific documentation instruments – popularly known as digital or AI scribes – has grown over the previous two years amid the rave over generative AI. 

Now, as AI builders are engaged on a more moderen type of AI – agentic, which is able to performing by itself – it’s extremely probably that scientific documentation could be certainly one of the rising AI’s first use purposes.

And certainly, a squad of Singaporean medical doctors is already making this occur.

AIGP Well being, a startup based by 4 medical doctors in Singapore, gives an agentic AI-powered scientific assistant that additionally features as a real-time copilot supporting scientific judgment. Of their phrases, they mentioned the AI engine, known as Anzu, autonomously initiates structured historical past taking, triage, and affected person follow-up earlier than a clinician picks up a case. 

The AI assistant, deployed by way of net and WhatsApp cellular software, passively listens earlier than and through a affected person session, processes structured and unstructured scientific enter, after which generates “correct, audit-compliant, and context-aware” session notes.

Moreover enhancing notes completeness, Anzu reportedly reduces scientific documentation time “by as much as 40%” and “surfaces crucial patterns that handbook workflows usually miss.”

An answer to clinicians’ frustrations

In an interview with Mobihealth Information, every of the AIGP founders detailed how they began looking for an AI-powered answer to an all-too-familiar wrestle amongst well being professionals: time taken away by administrative duties. 

“In emergency settings, each minute issues. But, I usually spent as a lot time documenting circumstances as I did treating them. It is irritating when documentation takes priority over affected person presence. I’ve seen how this delay impacts triage accuracy, discharge planning, and follow-up adherence. AIGP Well being was born from this  urgency – to provide that point again.”

Dr Nicholas Chia, CEO, emergency drugs specialist

“As a major care doctor, I might spend 15-20 minutes per affected person – of which 30%-40% went to notes, summaries, and follow-up scheduling. That is time I did not should pay attention deeply or personalise care. Worse, sufferers with complicated power situations usually slipped by way of. This device provides us the area to be clinicians once more, not simply knowledge entry operators.”

Dr Prateet Singh Narula, Medical Lead, major care and power illness specialist

“I’ve labored on the frontline and in AI labs. The disconnect was clear: instruments have been being constructed with out scientific actuality in thoughts. That is why our assistant was designed not simply to perform, however to suit. We centered on creating an AI that medical doctors belief and that learns from real-life utilization. It is not nearly decreasing workload; it is enabling higher, quicker choices.”

Dr Yudara Kularathne, CTO, emergency doctor and AI Professional

“As a clinician, startup founder, part-time Grasp of Science pupil, affected person advocate, and mother or father, I’ve needed to undertake an AI-first mindset simply to remain afloat. From managing analysis, staff workflows, to even structuring my very own studying, AI has grow to be my co-pilot. So on the subject of scientific care, the logic is similar. Sufferers with autoimmune ailments do not current with textbook flares; they evolve subtly, unpredictably. If we do not monitor that nuance – medical modifications, serologies, lived expertise – we threat lacking what issues. But, the psychological bandwidth it takes to doc all of this, by hand, isn’t any small factor. AIGP wasn’t simply born out of comfort. It is about reclaiming cognitive area, so we are able to suppose clinically, act decisively, and give attention to what truly modifications outcomes: the affected person in entrance of us.”

Dr Anindita Santosa, Product Improvement, major care and rheumatology

Not one other AI scribe

The market is already inundated with numerous choices for scientific documentation (together with those who incorporate AI), with some well being programs growing in-house options. 

“You are completely proper. There are a lot of AI scribes and documentation instruments getting into the market 1750146049. However most of them have been constructed for general-purpose transcription, retrofitted for healthcare, or developed outdoors scientific environments,” mentioned Dr Narula.

The marketplace for scientific documentation enchancment instruments could possibly be value over $10 billion by 2034, rising from round $5 billion as we speak, based mostly on the latest projections. This progress is pushed by the rising quantity of affected person knowledge healthcare suppliers accumulate, compliance with authorities rules, and adoption of EMR/EHR programs. 

A serious participant on this area is Nuance, which Microsoft absolutely acquired in 2022. In Asia-Pacific, Heidi Health from Melbourne, Australia, is rising in reputation; the startup not too long ago raised $17 million in funding to additional broaden its AI scribe’s capabilities. In the meantime, huge well being programs throughout Asia, together with SingHealth in Singapore, South Korea’s largest hospital, Asan Medical Center, and the personal healthcare supplier group Ramsay Health Care in Australia, have developed their very own AI-powered, ambient scientific note-taking device. 

“We’re not constructing one other AI scribe; we’re constructing a scientific cognition layer,” Dr Narula maintained.

By scientific cognition layer, he implies that what they provide just isn’t a passive transcription device however “an energetic scientific assistant that thinks by way of illness trajectories, flare patterns, and resolution assist surfacing insights that transcend what was mentioned within the session.”

That is in contrast to present scientific documentation instruments that use generic speech-to-text wrapped in templated SOAP formatting, he added. 

AIGP additionally plans to develop a hybrid structure that helps on-device edge processing for privacy-sensitive consultations, low latency, and offline resilience – one thing that cloud-only scribes have but to do, in keeping with Dr Narula.

Anzu, he additional defined, is about “redefining what an assistant will be – an clever co-pilot that restores scientific focus, enhances affected person continuity, and adapts to real-world healthcare challenges with context, care, and scientific integrity.” 

Initially designed for normal practitioners in high-volume major care settings, Anzu may also be utilized by:

  • major care physicians and household drugs practitioners; 

  • specialists with power case hundreds, comparable to in endocrinology, rheumatology, geriatrics; 

  • nurse practitioners, allied well being professionals, and care coordinators; 

  • public well being groups conducting outreach, screening, or group follow-ups.

It may also be deployed within the following settings: 

  • outpatient clinics and polyclinics 

  • telemedicine platforms and hybrid digital clinics 

  • group well being centres and cellular well being models 

  • home-based power care applications 

  • post-discharge care coordination models

  • rural well being outreach applications

“As a result of Anzu is designed to be platform-agnostic and accessible by way of low-barrier interfaces like WhatsApp, it adapts properly to each tech-forward city well being programs and resource-constrained environments,” Dr Narula famous. For now, the AI assistant will be built-in into EMR programs by way of safe APIs whereas the corporate works to adjust to broadly adopted knowledge requirements, comparable to HL7 FHIR. 

Moreover, the Anzu co-pilot is likely one of the few AI-powered instruments educated for the Asia-Pacific healthcare surroundings. It supplies multilingual and code-switching assist for localised care and tailor-made documentation kinds and alignment with native billing workflows.

Assistive, not authoritative

AIGP defined that its platform is constructed by taking a privacy-by-design and security-by-default method, which ensures well being knowledge safety at each stage of interplay throughout platforms or gadgets. 

It options end-to-end encryption, role-based entry, and safe audit trails. Connections with exterior programs are carried out by way of safe, authenticated API integrations with strict token-based entry and knowledge isolation protocols. It additionally requires specific permission to permit third-party programs to entry affected person knowledge.

In the meantime, its pure language processing system consists of confidence scoring, escalation triggers, and automated handover to clinicians if ambiguity, threat, or incomplete enter is detected

“Anzu by no means acts autonomously on scientific choices. All outputs are reviewed, accepted, or edited by a clinician earlier than being recorded or actioned, guaranteeing that AI stays assistive, not authoritative,” Dr Narula careworn. 

The AIGP platform can be aligned with Singapore’s Private Knowledge Safety Act and configurable to adjust to different jurisdictions, just like the European Union’s (EU) Common Knowledge Safety Regulation. 

Moreover, the startup will pursue a voluntary SOC 2 cybersecurity certification to “future-proof in opposition to scale and coverage necessities.” 

AIGP is ending a pilot research with two major care clinics, with early suggestions from scientific employees being “extremely optimistic,” significantly round workflow effectivity and ease of integration. 

“Preliminary outcomes point out a measurable impression, with clinics reporting a minimum of a ten% discount in time spent on routine documentation and administrative duties,” Dr Narula shared.

Approaching change

Pushing the uptake of many digital and technological instruments amid digital transformation could spook and overwhelm medical doctors, particularly those that are much less digitally savvy.  

“We perceive that many senior medical doctors aren’t proof against innovation – they’re proof against complexity. Most have skilled tech that over-promised and under-delivered, usually including extra steps to their workflow fairly than eradicating them,” famous Dr Narula. 

“Medical doctors don’t want extra dashboards—they want extra time,” he emphasised.

With their AI-powered scientific co-pilot, AIGP says they take a modular method to adoption. “Senior medical doctors can begin with one perform, like automated history-taking, and step by step broaden to scientific summarisation and follow-up instruments as consolation builds.”

Anzu is on the market on WhatsApp, which many clinicians are already conversant in and are utilizing every day. “This instantly lowers the barrier to entry and quickens onboarding,” Dr Narula claimed. 

The assistant additionally gives transparency: it permits medical doctors to see, edit, and approve each output earlier than they’re saved or despatched, “restoring a way of management fairly than forcing a brand new workflow,” Dr Narula defined. 

Furthermore, it supplies explainable AI outputs, audit trails, and clear documentation protocols.

“Our aim is to not digitise healthcare for its personal sake, however to amplify the clinician’s experience with out asking them to vary who they’re or how they suppose. The perfect tech is the sort that quietly helps – with out getting in the best way.

“We see AI not as an add-on, however as a scientific infrastructure: purpose-built to revive cognitive area, cut back administrative drag, and allow extra exact, steady care. 

“In the end, our aim is to empower any healthcare supplier burdened by documentation and follow-up, and any well being system trying to scale personalised care with out scaling burnout,” Dr Narula mentioned.

Within the subsequent 12 months, AIGP plans to safe the Singapore Well being Sciences Authority’s regulatory clearance and conduct remaining pilots and technical validation with outpatient and GP clinics earlier than commercially launching its agentic AI-powered platform. It would even be getting ready for entry into Australia. 

The corporate additionally shared that within the subsequent three years, it should search clearance from the Therapeutic Items Administration of Australia, deploy its AI answer to major care and telehealth clinics in Singapore and Australia, broaden its software to cowl extra power care and documentation use circumstances, and pursue safer integrations with third-party EHRs. The corporate additionally appears to be like to acquire CE marking from the EU.

AIGP additionally expects to step by step develop from clinic-level rollouts to well being network-level implementations inside regulated markets.

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