PsychScribe Local
A local-first clinical-scribe concept for a solo psychiatrist — capture sessions, produce clinician-reviewed notes, strictly offline by default.
The Problem
Clinical documentation eats a private-practice psychiatrist’s day, and the cloud “AI scribe” tools that promise relief route patient audio and notes through someone else’s servers. For a solo clinician handling sensitive psychiatric sessions, strict local/offline operation isn’t a nice-to-have — it’s the precondition for using the tool at all.
What I Built
PsychScribe Local is a macOS desktop concept for capturing clinical sessions and producing clinician-reviewed notes, with strict offline operation as the default. The shared architecture is a local-first clinical scribe for physicians and therapists; the first specialty pack is psychiatry, optimized for medication-management and therapy visits.
Locked Defaults
- Platform — macOS desktop first (iPhone/iPad later), sized for an M1 MacBook Pro running back-to-back visits across a full clinical day.
- PHI posture — strict local/offline by default; audio retained encrypted only until the transcript and note are approved, then deleted.
- Clinician in the loop — notes are drafted for review, never auto-filed.
Status and Boundaries
This repo is currently a product and specification scaffold — design, decisions, and fixtures. It is not clinical software, is not HIPAA certified, and must not be used with real patient data until the compliance-evidence package and clinical-validation gates are complete. The portfolio entry documents the product direction and the privacy-first architecture, not a shipping medical device.