PodlekarClinic scribe

Help for clinic staff

Podlekar drafts a physiotherapy note after a consented recording. You always review and approve. Full clinic guides also live in the product folder docs/public/.

A visit in four steps

  1. Open Session. Add customer or pick one from the list — or leave blank so Start creates a Walk-in.
  2. Obtain verbal consent, then tick the short consent box. Start stays off until consent is ticked. Full scripts are below.
  3. Start → treat and talk → Pause anytime (then Resume) → End when finished. Language is detected automatically; you do not pick it first.
  4. Edit the AU physio note (Subjective, Medical History, Objective, Assessment, Plan, Treatment Today, HEP/follow-up, Precautions/red-flags). Drafts aim to keep clinical content only (not personal chit-chat) and may note when history came from a companion rather than the patient. Copy or Download for your practice software. Approve & delete audio when you are finished.

Privacy — speech vendors & operator attestation

Live sessions send audio to the speech provider configured in Settings for transcription. Podlekar drafts a note for you to check; it does not replace your clinical judgment.

  • Eka Care: audio goes to Eka in India for speech-to-text (outside Australia). The clinic has confirmed with Eka that processing for this arrangement is in India and that training is off. Podlekar cannot independently verify Eka’s account settings or region (the app still calls api.eka.care). Do not tell patients the recording stays in Australia.
  • Shunya Labs: only when ASR provider is shunya. Audio is sent outside Australia. Public cloud regions are the US, EU, and India — Australia is not listed. A successful Test ASR only means the API key can mint a token.
  • OpenAI: audio is sent outside Australia for speech-to-text.
  • Operator attestation (Settings only): before live patients on Eka, complete the training + India-processing checklist and tick the attestation in Settings. That is a local clinic record — not an API guarantee. Test ASR only checks login. Re-attest if you previously ticked under Australia-hosting wording.
  • Default: Approve deletes audio on this machine. Retention ON keeps local audio under data/audio/ for product review (gitignored). Never upload recordings to chat or git.

Practical guidance: docs/public/privacy-and-consent.md. Research vs clinical consent: docs/privacy/research-consent.md.

If something looks wrong

  • Start greyed out — tick consent (customer is optional; blank creates Walk-in).
  • Transcript says demo / mock — live speech is not connected. Ask whoever manages Settings. Do not file that text as the patient’s words.
  • Invented measurements — delete them. You own the record.
  • Patient declines — do not record; document as usual.
  • Eka training + India processing — Settings must show the checklist completed before live patients. Test connection does not mean training is off or region is verified.

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