MINIM.
You talk. It charts. You sign.
AMBIENT CLINICAL DOCUMENTATION
MINIM drafts. Clinicians sign.
Documentation is the tax clinicians pay for care they have already given. The note writes itself, and the clinician still signs it: MINIM listens to the encounter that was going to happen anyway, drafts the note in the unit's own structure, and hands it back for review. Nothing reaches the chart unsigned.
The name
Named for the minim: a note in music, a measure in pharmacy, a stroke of the pen in old manuscripts. The smallest unit of the record, which is exactly what must never be lost. The name sets the ambition deliberately low. MINIM does not practise medicine and does not decide anything. It puts down the strokes, in the shape the unit already uses, so a clinician can read, correct, and sign in seconds instead of typing for an hour.
How it works
Three steps, and a signature at the end
01
Capture
The encounter is transcribed on the unit's own compute. No audio leaves the institution, and none is retained once the draft exists.
02
Draft
The transcript becomes a structured note in the template the unit already approves, with anything unsupported left blank rather than guessed.
03
Sign
The clinician reads, edits, and signs. Until that signature, the draft is a draft: it is not in the record and no downstream system can see it.
Audio is processed on unit compute and discarded once the draft exists.
In the unit
A draft, clearly marked as one
Progress note · Bed 04
Draft, unsignedSigned 19:12 · RNSubjective
VoiceFamily reports overnight settling. No new complaints reported at handover.
Objective
MonitorRecordVentilator settings unchanged. Vitals within unit thresholds through the shift.
09:42 brief bradycardia, self-resolved in 20 seconds.Monitor
Assessment
VoiceInfant settled comfortable through the shift. No escalation criteria met.
Plan
VoiceContinue current plan. Reassess weaning readiness at morning rounds.
A record, only once signed.
Capabilities
What it drafts
- Progress notes, handover summaries, and discharge drafts
- The unit's own templates and section structure, not a generic format
- Coding-ready terminology drawn from standard clinical vocabularies
- Draft-only status until a named clinician signs
- Every draft, edit, and signature written to the audit trail
Boundaries
What it will not do
- No autonomous filing to the record and no unsigned content downstream
- No retained audio once the draft has been produced
- No diagnosis, no orders, and no clinical recommendation
- No content invented to fill a section the encounter did not cover
Deployment
Where it runs, and on what
- PlacementUnit or hospital node inside the institution's network
- Speech processingOn premises, on the institution's own compute
- Data egressNone. Transcripts and drafts stay inside the boundary
- Audio retentionDiscarded once the draft is produced
- IdentityInstitutional single sign-on with role-based access
- Record integrationHL7 FHIR write on signature only
- GovernanceRuns under SALVEA policy, audit, and evaluation
Compliance
Designed to operate within PIPEDA and provincial health-information acts.
- PIPEDA
- Provincial health-information acts
- HL7 FHIR
- SNOMED CT
- ICD-10-CA
Why institutions adopt it
Hours back, without loosening control
01 / Time returned
The documentation burden moves from typing to reviewing. The clinician's attention goes back to the bedside instead of the keyboard.
02 / Consistent records
Every note lands in the unit's approved structure, so handover, coding, and audit read the same way across shifts.
03 / Signature-gated
A signature is the single route into the chart, which keeps accountability exactly where it already sits.
04 / Inside the boundary
Speech, drafts, and models all run on the institution's own infrastructure, with no third-party cloud dependency.
The safety property built into the platform, not a setting on top of it. A qualified human holds the judgement and the accountability: every model, agent, and workflow is designed to inform that person and stop at them.
A clinician decides
The system surfaces evidence, risk, and reasoning. It does not order, prescribe, or act on a patient. Every clinically consequential step waits on a named person with the authority to take it.
Approval before action
Anything sensitive routes to explicit human approval before it takes effect. The approval gate is enforced in the platform itself, not left to policy documents or user discipline.
Reasoning shown, not hidden
Every output carries what it drew on, what it was missing, and how it was formed, so the reviewing clinician can accept, question, or reject it on the evidence rather than on trust.
Accountability stays human
The operator, the custodian, the key-holder, and the approver are the institution's own people. Clinical accountability is never transferred to a model or to us.
CELSUS governs the content. CECI answers from it. MINIM writes the record. A clinician signs everything.