Empathia AI: Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians. Minutes: Open-source, local-first conversation memory layer that records and transcribes meetings, diarizes speakers, and stores searchable notes as markdown for AI agents. Which one wins depends on your platform mix, budget, and how hands-off you want notes to be.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Minutes when recording and transcribing calls locally for users who refuse cloud meeting tools matters most. Run both through a week of actual calls to see which suits your workflow.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Open-source, local-first conversation memory layer that records and transcribes meetings, diarizes speakers, and stores searchable notes as markdown for AI agents.
Empathia AI is an AI medical scribe built for clinicians and healthcare practices. Its core engine, EMMA, uses ambient AI to listen to doctor-patient interactions across in-person visits, telehealth, and phone calls, then transcribes the conversation and generates structured, customizable clinical notes. Beyond note-taking, it produces chart summaries, referral and consult letters, form autofill, patient instructions, and suggested ICD/CPT/service billing codes. The platform supports multi-speaker conversations, dictation, and multilingual encounters, and offers specialty-tuned templates across 20+ medical specialties. It works on desktop and mobile and integrates with numerous EMR/EHR systems, including Epic, Athenahealth, eClinicalWorks, NextGen, DrChrono, Practice Fusion, Elation, and Canadian systems such as Accuro, OSCAR, and Juno. Empathia emphasizes compliance, citing HIPAA, PHIPA, PIPEDA, and GDPR alignment, and notes pre-qualified vendor status with Canada Health Infoway's national AI scribe program. It targets individual practitioners and clinics seeking to reduce documentation time and refocus attention on patient care.
Best suited for
Minutes, built by Mat Silverstein, is an open-source, privacy-first conversation memory layer that captures meetings, calls, voice memos, and dictation and turns them into searchable, AI-accessible notes. It transcribes audio locally using whisper.cpp or Parakeet so audio never has to leave the machine, performs speaker diarization to separate voices, and extracts decisions and action items, writing everything to the user's own disk as plain markdown files with structured YAML frontmatter. Because the output lives in a local folder (for example ~/meetings/), the notes can sync across devices through iCloud, Dropbox, or Google Drive and can be read directly by AI tools. A central design goal is integration with AI assistants: Minutes runs an MCP server exposing a large set of tools so coding and chat agents such as Claude, Codex, Gemini CLI, and others can query past conversations, track relationships across meetings, and surface what was promised to whom. It ships as a macOS desktop app with a menu-bar recorder and AI assistant, plus a cross-platform command-line interface, and includes a dictation hotkey mode. The project is MIT licensed, installable via Homebrew, and actively maintained with frequent releases, making it a fully self-hostable option for people who want durable, private, searchable meeting memory rather than a cloud subscription. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Minutes is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Minutes |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Local transcription with whisper.cpp or Parakeet, no cloud audio upload |
| Standout feature | Automatic transcription and structured clinical note generation | Speaker diarization to attribute who said what |
| Team usage | Multi-speaker and multilingual support with dictation | Plain-markdown output with YAML frontmatter stored on your own disk |
| Integrations | Specialty-tuned templates across 20+ medical specialties | MCP server exposing tools so AI agents can query meeting history |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Cross-meeting search, relationship tracking, and action-item extraction |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | macOS desktop app plus cross-platform CLI and dictation hotkey mode |
Empathia AI
Choose Empathia AI if you need clinicians automating post-visit charting and clinical note documentation — strengths include purpose-built for clinical documentation with deep emr integration.
Minutes
Choose Minutes if you need building a private, searchable memory of meetings and voice notes that ai agents can query — strengths include fully local-first and mit licensed, keeping conversation data private and portable.
Empathia AI
Minutes
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Minutes is strong for building a private, searchable memory of meetings and voice notes that ai agents can query. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Minutes is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Sure. Running both makes sense when their strengths don't overlap and the budget allows.
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