OpenMedicine — Help

Ask anything about how the app works and the assistant will explain.

Prefer to read? The full written guide is below.

What it is

OpenMedicine listens to an in-office visit through the microphone, writes a live clinical note and assessment & plan, and can copy the note or write it into the Healthie chart.

Each doctor logs in with their email + password on the home screen (Log in).
Admins can instead use the shared access code (kept as a fallback during the pilot).
Forgot a password? An admin resets it — there is no email reset link yet.

On the home screen choose Start an in-office consultation and allow microphone access.
It listens through your computer/phone's default microphone and builds a live, speaker-separated transcript. There is no in-app mic picker yet — change the default mic in your operating system's sound settings if needed.
Recording never stops on its own. It only stops when you press Pause recording or Back.

Pause recording mutes the mic; press again to resume.
Only one app can use the mic at a time. Running another dictation app (e.g. Wispr Flow) during a visit will fight for the mic.
If the mic is taken, the connection drops, or you switch browser tabs, the app auto-reconnects and resumes when the mic is free. You can also press Resume mic to force it.

Left — Live Patient Context: the structured patient context, the live transcript, and detected actions.
Middle — Interpretation + Working Clinical Note: today's focus, key findings, a top differential, must-not-miss concerns, and suggested questions/exams; below it the live note (chief complaint, HPI, PMH/PSH, family & social history, medications, allergies, review of systems, exam). Both update live on their own.
Right — Assessment & Plan + Final Note.

Differentials are numbered and the leading ones are shown in bold, with a red MUST NOT MISS flag for dangerous-but-less-likely diagnoses.
Press Find evidence on an item to pull supporting references, or Update reasoning to re-run it against the latest dialogue.

The Working Clinical Note drafts itself during the visit; press Copy on it to grab the plain-text note.
Press Assemble Assessment & Plan for a problem-based A&P. Each problem has a one-line summary, a short assessment, and proposed actions as checkboxes. Uncheck actions or remove a problem; press Copy to grab it.
The A&P is a snapshot — press Assemble again any time to refresh it with new dialogue.

Press Assemble Final Note to combine the note with the approved problems and checked actions into an editable note (#Problem headings, [] action items). Assemble it after the A&P — it will warn you if the A&P isn't ready yet.
Pick the note type before assembling: H&P gives a comprehensive initial note (full history, exam, labs/imaging, and A&P); Progress Note gives a focused interval/SOAP note (brief interval history + current status + updated A&P). Assemble again after switching to reformat. Use Shorten / Expand / certainty to adjust, edit freely, then Copy Final Note to paste into Epic, or Send to chart to write it into Healthie as a draft you then sign (the type also picks the Healthie form).

Ask the assistant to “prepare the pre-chart for <patient>”; it pulls the chart from Healthie and shows a short pre-visit summary.

Start a visit on the phone — a 3-digit Session ID appears at the top and is saved with the visit.
On a computer, sign in with the same account, choose Open a phone session, type the Session ID, and the saved note opens to review, assemble, and copy.
Visits auto-save every ~45 seconds, so nothing is lost if something interrupts.

Every visit is saved. Find past ones under Past consultations; open one to review it (read-only) and copy its note.

If you signed in with the shared access code, a Manage users button appears — add a doctor (email, name, password), remove one, or reset a password.

Still stuck? Ask the chatbot above, or reach the team.