Anviam
Case Study · Healthcare AI

HealthOrbit AI.
Clinical workflows.
Connected by AI.

Anviam developed HealthOrbit AI's web application and Flutter mobile app, implemented AI workflows and connected healthcare systems, with LLMs, RAG, prompt engineering, voice APIs and EHR integration.

HealthOrbit AI website homepage: the AI platform for healthcare operations
The Project at a Glance

From Clinical Conversation to a Reviewable Draft

  • The productAn AI-assisted documentation and healthcare workflow platform.
  • Anviam's contributionWeb app, Flutter mobile, AI implementation and EHR integration.
  • The purposeConnect clinical input, AI-assisted drafting and clinician-led record workflows.
ClientHealthOrbit AI
SectorHealthcare / Clinical AI
ProductWeb & Flutter mobile
Our roleEnd-to-end development
Overview

Clinical Assistance Across Web, Mobile and Existing Systems

HealthOrbit AI supports healthcare documentation and related workflows. Its public app listings describe transcription, clinical summaries and reviewable drafts for doctors, clinicians and clinic teams.

Project Overview

Anviam's role covered web application development, Flutter mobile development, AI implementation and EHR integration, including LLMs, RAG, prompt engineering, model-provider and voice APIs, and work on hallucination reduction and AI-scribe speed.

Users and Decision-Makers

Clinicians need a draft they can verify, edit and use. Practice teams need connected systems, while technical and governance stakeholders need clear data boundaries. Patients are affected participants, not substitutes for clinical review.

Challenges

Clinical Documentation Needs More Than Fluent Text

Requirements that follow from the product purpose and engineering priorities, not a reconstructed history of customer incidents.

Clinically Grounded AI Drafts

A polished summary can still contain an unsupported detail or omit important context. The product preserves what was provided, flags uncertainty and makes review practical.

AI That Fits the Consultation

Recording, processing and drafting need understandable states: uploading, transcribing, generating or ready for review. Reducing waiting time is an engineering objective.

Connecting the Right Patient Record

Clinical information must reach the intended patient, encounter and organisation, with clear feedback for pending or failed transfers.

Resilient Mobile and Voice Workflows

Mobile permissions, network interruptions and voice-service failures can interrupt a workflow. Recovery preserves context and avoids duplicated actions.

Our Role

Applications, AI and Healthcare Integration

The confirmed scope spans the user-facing applications and the AI and healthcare-system connections behind them.

Web Application

A coherent interface for clinical input, generated content and workflow actions, with clear boundaries between a draft and a reviewed record.

Flutter Mobile App

iOS and Android apps built with Flutter, handling recording permissions, connectivity changes and review on smaller screens.

AI and Prompt Engineering

LLM and RAG work with OpenAI and Google Vertex AI, plus prompt engineering focused on reducing hallucination and improving AI-scribe speed.

EHR and API Integration

Connections with EMIS, SystmOne, Cadence, Klinik and Lifeline, plus Twilio, Vapi, text-to-speech and voice AI services.

Functionality

AI Assistance Within a Clinician-Led Workflow

Public product descriptions give feature context; marketing claims are not presented as measured project results.

Consultation Input and Transcription

Audio or note input with AI-assisted transcription, designed around clear recording state, source association and recovery when an upload or processing step fails.

Structured, Editable Clinical Drafts

Clinical summaries and templates with clinician review before use. It supports documentation; it does not replace professional judgement.

LLM, RAG and Prompt Workflows

RAG adds permitted reference context to generation, but retrieval alone does not make output correct. Source relevance and unsupported statements need evaluation.

EHR, Telephony and Voice Connections

A successful voice exchange, AI draft and EHR transfer stay separately observable states across Twilio, Vapi, text-to-speech, OpenAI and Vertex AI.

User Journey

Record the Consultation. Create SOAP Notes. Review and Connect.

Based on HealthOrbit's public ambient AI scribe description. Screen order and integration behaviour depend on the deployment.

01

Record the consultation

Capture the clinical conversation through ambient recording on web or mobile.

02

Transcribe

Convert spoken consultation content into text for the documentation workflow.

03

Process with AI scribe

Prepare a structured clinical draft in the chosen format.

04

Generate SOAP notes

Organise the draft into Subjective, Objective, Assessment and Plan, or another template.

05

Prepare related documents

Draft referral letters, discharge summaries or handover notes where needed.

06

Review and edit

The clinician checks meaning, corrects omissions and removes unsupported content.

07

Approve the final note

Approval separates the generated draft from documentation ready for the record.

08

Connect to EHR / EPR

Send approved documentation through an authorised, configured integration.

09

Confirm the handoff

Check transfer status and resolve failures before treating the update as complete.

What goes into a SOAP note?

Subjective
Symptoms and history reported by the patient.
Objective
Observed findings and available measurements.
Assessment
The clinician's interpretation.
Plan
Agreed next steps. Missing information stays explicit, never invented.
Engineering

Grounding, Latency and Interoperability

Engineering considerations relevant to the confirmed scope. They do not describe an unverified internal implementation or a clinical validation result.

Prompt engineering and hallucination reduction

Clear output structure, separation of source content from instructions and explicit handling of missing information. Evaluation checks unsupported additions, omissions and changes in clinical meaning.

RAG and context boundaries

Retrieved context needs provenance, access control and relevance to the current task. Patient-specific information is never mixed across records, and retrieved text is treated as data.

Improving AI-scribe speed

Latency work separates capture, upload, transcription, retrieval, generation and rendering, and optimises the slowest stage using traces. Faster output is assessed alongside completeness.

Integration integrity and sensitive data

EHR mappings agree on patient identity, encounter context, document type, authorship and approval state. Voice and model APIs add data boundaries that need permission, retention and audit review.

Business Value

Delivered Capability, With Quality as a Measurable Objective

The scope combines web and Flutter applications with LLM/RAG workflows, voice services and healthcare-system connections.

To assess value, measure time to a reviewable draft, clinician editing effort, unsupported statements, omissions, transfer failures and end-to-end latency. No percentages, time savings or clinical outcomes are claimed.

Connected Clinical-Software Development

Less fragmented documentation and a more useful review workflow, across clinical documentation, mobile delivery, voice services and integration boundaries.

Privacy & Compliance

Data Privacy, Clinical Safety and Assurance

Relevant obligations and review priorities. Certification, completed assessments and individual controls have not been independently verified.

UK GDPR and Patient Privacy

Health data is special-category data, needing an Article 6 lawful basis and an Article 9 condition, plus minimisation, retention, rights, processors, transfers and a DPIA.

Clinical Safety: DCB0129 / DCB0160

Manufacturer and deploying-organisation clinical risk management, evidenced by a clinical safety case and hazard management. Conformity is not independently verified.

NHS Assurance: DTAC and DSPT

DTAC covers clinical safety, data protection, security, interoperability, usability and accessibility; DSPT covers information governance. No NHS approval is asserted.

AI Governance and Clinician Oversight

Generated content stays reviewable, and drafts stay distinct from approved records. These are governance priorities, not a clinical validation result.

Secure EHR, AI and Voice Integrations

Least privilege, patient matching, encryption, audit trails, retention and third-party terms, including whether recordings and prompts are retained or used for training.

HIPAA: Applicable US Deployments

HIPAA applies to covered entities and business associates, not every health app. US deployments need PHI and BAA assessment. No HIPAA compliance claim is made.

Why Anviam

Why Anviam for Your Healthcare AI Project?

Bring your clinical application, AI workflows and healthcare integrations together with a partner experienced across all three. See our AI medical scribe development and healthcare technology services.

Talk Through Your Project
  • Connected web and mobile delivery across the web app and Flutter apps for iOS and Android.
  • AI scribe workflow experience from consultation capture to SOAP notes and clinician review.
  • LLM and RAG implementation with OpenAI and Google Vertex AI.
  • Prompt engineering for clinical drafts, focused on reducing hallucination.
  • EHR integration with EMIS, SystmOne, Cadence, Klinik and Lifeline.
  • Voice AI and communication APIs through Twilio, Vapi and text-to-speech.
  • Quality and speed considered together, with completeness checks kept visible.
  • Privacy and compliance-aware planning for access, data flows, retention and review.
Sources and evidence

Development scope was confirmed by project information supplied for this case study. Public product pages and Android/iOS listings were reviewed. No consultation, patient record, source code, model evaluation or live integration was accessed, and no clinical-outcome verification was performed.

Build AI Around Your Clinical Workflow

Discuss AI medical scribe workflows, healthcare AI agents, Flutter applications and EHR integration with the team behind HealthOrbit AI.

Discuss Your Healthcare Project