Introducing Endear Intelligence Cloud: The AI Scribe and Coding Assistant Built Into OpenEHR

Introduction

Every clinician knows the second shift. The one that starts after the last patient has left, when the day's visits still have to become finished notes, defensible assessments, and clean claims. Industry surveys have put two hours of documentation behind every one hour of direct patient care — time that comes out of evenings, weekends, and, eventually, out of the people who chose medicine because they wanted to spend that time with patients instead.

Today we're introducing **Endear Intelligence Cloud**, the AI scribe and coding assistant from endear.ai, now built natively into OpenEHR. It listens to the visit, drafts the note, and suggests the codes — so clinicians can review, edit, and approve in minutes instead of authoring from a blank page.

This isn't a bolt-on transcription tool or a separate app to log into. It's embedded directly in the EMR you already chart in, invoked from wherever you're standing in the patient's record, with the context of that visit already in hand.

Invoke It From Anywhere in the Chart

The friction in most ambient-scribing tools starts before the recording even begins: switching applications, re-identifying the patient, copying context back and forth between two systems that don't know about each other.

Endear Intelligence Cloud removes that step entirely. Because it's built natively into OpenEHR, a clinician invokes the AI note taker directly from whatever page they're already on — the encounter, the visit summary, the problem list — and the patient's context comes with it automatically. No separate login, no re-entering demographics, no toggling between windows mid-visit. The tool meets the clinician inside the workflow they already have open.

From Conversation to Clinical Note

Once invoked, Endear Intelligence Cloud can capture the visit in either of two ways: it can listen to the natural conversation between clinician and patient, or it can take a clinician's spoken dictation directly. Either path feeds the same pipeline.

The audio is transcribed, and the transcript is then summarized by the Endear Intelligence Cloud into a draft clinical note — organized into the structure clinicians already think in: history, assessment, and plan. Rather than a wall of raw transcript, the output is a working draft that reads like a note a clinician would write, built to be reviewed rather than reconstructed.

The goal isn't to replace clinical judgment. It's to remove the blank page, so clinical judgment is what the clinician's time goes toward.

Review, Edit, Approve — Clinicians Stay in Control

Every draft note, assessment, and plan that Endear Intelligence Cloud produces is exactly that: a draft. Nothing is written to the permanent record without a clinician reviewing it first. Clinicians can edit any part of the draft, adjust language, add detail the AI missed, or remove anything that doesn't belong — and only once they explicitly approve it does it become part of the patient's record.

This matters for two reasons. Clinically, it keeps a human accountable for every word in the chart, which is where accountability belongs. Practically, it means the AI's job is to get a clinician most of the way there quickly, not to be perfect — every review is also an opportunity to correct and refine, and the system is built around that loop rather than around the fiction that AI output should go untouched.

From Note to Claim: Automated ICD, CPT & HCPCS Coding

Documentation is only half of the administrative burden. The other half is turning that documentation into an accurate, billable claim — a task that has its own specialized vocabulary, its own error-prone manual lookups, and its own downstream consequences when it's done wrong: denied claims, delayed reimbursement, and compliance risk.

Once a note is approved, Endear Intelligence Cloud goes a step further than most AI scribes: it analyzes the approved note and suggests relevant **ICD-10 diagnosis codes**, **CPT procedure codes**, and **HCPCS codes**, drawn directly from what was actually documented. The clinician selects the codes that apply, and they're inserted directly into the fee sheet — ready to move into billing without a separate coding pass.

That closes a loop that, in most practices, still runs through a person cross-referencing a note against code books or a coding team working from documentation days after the visit happened. Faster, more consistent coding means claims go out sooner, with fewer errors, and with better alignment between what was documented and what was billed.

HIPAA Compliant and BAA Ready, By Design

None of this matters to a healthcare organization if it can't be trusted with patient data. Endear Intelligence Cloud is **HIPAA compliant** and **BAA ready** — built from the ground up for the regulatory and security obligations that come with handling protected health information, not retrofitted onto a general-purpose AI product.

That means organizations adopting Endear Intelligence Cloud can execute a Business Associate Agreement as part of onboarding, with the audit trails, access controls, and data handling practices that HIPAA compliance requires already in place. For OpenEHR customers, this compliance posture extends the same HIPAA and ONC-aligned foundation the platform is already built on — AI capability layered onto infrastructure that was already designed to be audit-ready.

Native to OpenEHR. Open to Everything Else.

Endear Intelligence Cloud is built natively into OpenEHR, which is where most of our customers will meet it first. But the underlying platform — Endear Intelligence Cloud itself — isn't limited to one EMR.

It's designed to integrate with other EMR systems and clinical applications through the same transcription, summarization, and coding pipeline, and it can also run as a standalone application for organizations that want ambient scribing and coding assistance without a full EMR migration. Whether it's embedded in OpenEHR, connected to another system your organization already runs, or deployed on its own, the clinical and coding intelligence underneath is the same.

The Math: Hours Back, Every Day

The specific number varies by specialty and visit volume, but the shape of the outcome doesn't: less time spent typing after the last patient leaves, less time spent manually looking up codes, and fewer notes started from a blank page. For a clinician seeing patients all day, that adds up to real hours back — hours that go to patients, to sleep, or simply to going home on time.

That's the point of building this natively into OpenEHR rather than shipping it as a separate product clinicians have to remember to open. The best administrative tooling is the tooling you don't have to think about using, because it's already where you're working.

Conclusion

Endear Intelligence Cloud is available now, built into OpenEHR, HIPAA compliant and BAA ready from day one. It listens, drafts, and suggests codes — and leaves every clinical decision exactly where it belongs, with the clinician.

If you're an OpenEHR customer, Endear Intelligence Cloud is ready to turn on in your environment. If you run a different EMR, or want to evaluate it standalone first, we'd like to show you what it can do with your own workflows.