Why OpenScribe exists

[sammargolis]

OpenScribe exists because AI medical scribes are becoming commodity infrastructure, but most implementations are closed, cloud-first, and opaque.

This project treats the medical scribe as developer infrastructure:

• Local-first by default
• Explicit, auditable data flows
• No analytics or telemetry
• Modular, provider-agnostic pipeline
• MIT license with no restrictions

The goal is not to compete on features with commercial scribes.
The goal is to provide a transparent, extensible base that teams can self-host, audit, and build on.

If you are here to:

• Try it locally
• Audit the architecture
• Extend the pipeline
• Contribute tests, docs, or adapters

You are in the right place.

[cacpmw]

Hi @sammargolis
I just came across your project and wanted to say that it’s really impressive — congratulations on the work.

I’m a former software engineer (over 10 years in the field), and today I’m an entrepreneur running a small neurology clinic together with my wife. While exploring open-source tools that could help us in our day-to-day clinical workflow, your project immediately stood out as something potentially very useful.

I had a couple of questions:

Does the project currently support transcription in languages other than English? If so, which ones, and how mature is that support?

Would you be open to the idea of providing an official Docker image (or docker-compose setup) to simplify deployment and adoption? That would make experimentation and self-hosting significantly easier for teams like ours.

Thanks again for sharing this — I’d be happy to provide feedback from a real clinical environment if that’s useful.

Best regards,
Carlos

[sammargolis]

Hi Carlos,

Thank you so much. I would love to set up both. Currently, transcription to other languages is fairly nascent, but if you hop into the Discord and drop that as a feature request, I can prioritize that for the next week (esp if you have specific languages you want).

For the official docker image, I definitely can set that up and would love to support.

The discord is here: https://discord.gg/gJvJWBwB