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. ownscribe: Local-first command-line tool that records, transcribes, and summarizes meetings on macOS entirely on-device, with natural-language search across notes. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and ownscribe when keeping fully on-device transcripts and summaries for privacy-sensitive discussions matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Local-first command-line tool that records, transcribes, and summarizes meetings on macOS entirely on-device, with natural-language search across notes.
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
ownscribe is a local-first meeting transcription and summarization command-line tool that records, transcribes, and summarizes meetings entirely on the user's own machine without sending data to external servers. It is MIT-licensed and actively maintained, with v0.12.0 released in June 2026, and is written primarily in Python with a Swift component for system audio capture. On macOS 14.2 and later it captures system audio through Core Audio, and it transcribes with WhisperX to produce word-level timestamps, with optional speaker diarization via PyAnnote. For summaries it ships with a built-in local model (Phi-4-mini) and can also connect to Ollama or OpenAI-compatible backends, offering multiple templates tailored to meetings, lectures, and brief summaries. A standout feature is its natural-language search: the ask command lets users query across their stored meeting notes to retrieve relevant information. Quality-of-life features include silence-based auto-stop so recordings end cleanly when a meeting goes quiet. Because it is a CLI distributed through GitHub and runs entirely on local hardware, ownscribe targets developers and privacy-focused users who prefer scriptable, terminal-driven workflows over a graphical meeting notetaker while keeping all audio and transcripts on-device. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); ownscribe is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | ownscribe |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Local-first recording, transcription, and summarization via CLI |
| Standout feature | Automatic transcription and structured clinical note generation | System audio capture on macOS 14.2+ through Core Audio |
| Team usage | Multi-speaker and multilingual support with dictation | WhisperX transcription with word-level timestamps |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Optional speaker diarization via PyAnnote |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Local summarization with a built-in Phi-4-mini model, plus Ollama and OpenAI-compatible backends |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Natural-language search across meeting notes with the ask command |
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.
ownscribe
Choose ownscribe if you need developers capturing and summarizing meetings from the terminal on a mac — strengths include runs entirely on-device with no data sent to external servers.
Empathia AI
ownscribe
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while ownscribe is strong for developers capturing and summarizing meetings from the terminal on a mac. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and ownscribe is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
You can — some teams pair them when each covers a different part of the meeting workflow.
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