The desktop app · For clinicians
Every patient walks in with their story already on screen.
A daily workspace that syncs your EHR in the background, preps every chart, and answers questions about any patient — with names swapped for tokens on your own machine before any AI sees the record.
Windows, macOS and Ubuntu · Epic, Oracle Cerner, athenahealth and eClinicalWorks


Your day, already in order.
Open the app and every scheduled patient is summarized: last three MD visits, problem-based summary, lab trends with source dates. The day is read before anyone's in the building.
RAN LAST NIGHT
Marv Murchins
68y · MRN-MARV-0001
3 open plans · A1c 8.2% (07/10/2026)
Dana Whitfield
2 open plans · A1c 6.2%
Marv Murchins Follow-up
↗ Push to eCWLAST 3 MD VISITS
07/10/2026 provider, Monarch Health
T2DM — metformin 1000mg BID; A1c 8.2% (07/10), up from 7.8% (04/02)
HTN — lisinopril 20mg daily; BP 148/92 in office
HLD — atorvastatin 40mg qHS; LDL 138 (07/10); eGFR 58 — CKD 3a
OPEN PLANS · 3 OF 5 PLANS UNRESOLVED
Type 2 diabetes — suboptimal control
PLAN Recheck A1c in 3 months; discuss SGLT2i if above goal · 04/02/2026
07/10/2026 A1c 8.2% — above goal, no follow-up scheduled
Anatomy view
Every problem, on the body that owns it.
The Anatomy view maps each active diagnosis to its anatomical site, glowing by status. Toggle any body system — cardiovascular, digestive, skeletal — to see just that system's findings, and click a marker for its ICD-10 codes, HCC tags, and a one-tap question to the chart-aware assistant.






Did the plan actually happen?
Every visit ends with a plan; then the next patient is roomed, and nobody looks back until the patient returns. If they return. MedScrub reads each returning chart ahead of the visit and flags every plan that never happened — before the patient is in the room.
Open plans · 3 of 5 plans unresolved
OPEN PLANS · 3 OF 5 PLANS UNRESOLVED
Type 2 diabetes — suboptimal control
PLAN Recheck A1c in 3 months; discuss SGLT2i if above goal · 04/02/2026
07/10/2026 A1c 8.2% — above goal, no follow-up scheduled
OPEN PLANS · 3 OF 5 PLANS UNRESOLVED
Hypertension — home monitoring
PLAN Start home BP log, review at next visit · 04/02/2026
No home readings in the chart; office BP 148/92 on 07/10/2026
Written in your own words. Run automatically.
An assistant is a page of plain-English instructions the AI follows for every chart — what to include, what to skip, how the note should read. Describe it the way you'd brief a new hire and the assistant builder sets up the data, prompt, output and guardrails itself.
Assistants run in the background against the synced charts — 150+ a day.
✦ Just describe what you want
Write it the way you'd explain it to a colleague. No settings required.
Compare the last two wound visits and summarize progression — measurements, tissue, drainage, procedures performed. Documented findings only; if it isn't in the chart, say so.
✓ Here's what this skill will do
✓ Read the relevant information from each patient's chart, de-identified before any AI sees it
✓ Use the AI to produce a written summary
✓ Show you the result to copy or share by hand
⛨ Nothing is sent or written to a chart until you review and approve it.


Ask the chart anything. The chart never leaves.
Some questions don't fit an assistant. Pull up any patient and just ask — what changed since March, am I missing anything on this med list. The answer comes from the record itself, and you can put the question to whichever LLM you prefer.
Marv's name never leaves the computer.
How should we plan for the patient's next visit?
Next Visit Planning
Suboptimal control across all three cardiometabolic conditions, plus early CKD (Stage 3a):
1. Medication intensification — add SGLT2i (renal protection given eGFR 58) or GLP-1 RA (BMI 31.4); suboptimal A1c on metformin monotherapy.
The chart stays in your EMR. The leverage doesn't.
The sync leaves you with your own FHIR copy of the practice's records, on your own machine. Assistants, chat and briefings all run against that copy — any AI tool can, not just the ones your EMR vendor decides to sell you. eCW syncs nightly; Epic, Cerner and athenahealth refresh sub-hourly.
Your own FHIR copy of the record, on your own machine. Assistants, chat and briefings all run against it.
Download the desktop app
One install. PHI never leaves your machine.
The PHI proxy is built into the app — no Docker, no separate server, no extra setup. Install it, connect your EHR, and patient data stays on your computer while AI does the work.
macOS
Apple Silicon & Intel · macOS 11+
UnavailableWindows
Windows 10 / 11 · x64
UnavailableLinux
Ubuntu 20.04+ · .deb / .rpm
UnavailableLoading the latest release…
The app updates itself automatically once installed. Companion apps for iOS and Android are on the App Store and Google Play.
“The open plans are the part we can't give up. It remembers the plans we made and tells us whether they actually happened.”

Monarch Health · Sandpoint, ID
Walk in tomorrow with every chart already prepped.
Set up is self-service: sign up, download the app, follow the connectivity guide for your EMR, connect the LLM you prefer, and run your first sync — the insights start with it.
Works with your EMR