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. Prismical: Open-source AI note taker that transcribes meetings, lectures, and voice notes locally without bots, then organizes them into structured, actionable 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 Prismical when capturing voice notes and turning them into structured, searchable notes 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 AI note taker that transcribes meetings, lectures, and voice notes locally without bots, then organizes them into structured, actionable 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
Prismical is an open-source AI note taker, from the Amical project, that transcribes meetings, lectures, and voice notes using local AI and without an invasive bot joining the call. It captures system audio in the background and processes it locally with Whisper and Parakeet models, while optionally connecting to cloud providers such as OpenAI, Claude, or Gemini using the user's own API keys. The project is MIT-licensed and actively maintained, with a Prismical Desktop v0.1.0 release in May 2026 and beta mobile apps for iOS and Android. Built with Electron, Next.js, TailwindCSS, and Ollama integration, it provides real-time meeting transcription via system audio capture and a floating widget that shows live transcripts as a conversation happens. Beyond capture, Prismical generates AI-powered summaries and extracts action items, and it keeps notes organized, structured, and searchable with full-text search across captured content. It also exposes an MCP server integration for connecting the tool into broader AI workflows. The combination of bot-free local capture, structured summaries, and free-forever positioning makes it a privacy-oriented alternative to cloud meeting notetakers for individuals who want their recordings to stay on their own devices. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Prismical is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Prismical |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Bot-free real-time meeting transcription via system audio capture |
| Standout feature | Automatic transcription and structured clinical note generation | Local-first processing using Whisper and Parakeet models |
| Team usage | Multi-speaker and multilingual support with dictation | AI-powered summaries and action-item extraction |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Floating widget for live transcripts during a conversation |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Full-text search across captured notes |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Optional cloud providers (OpenAI, Claude, Gemini) with user API keys |
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.
Prismical
Choose Prismical if you need individuals transcribing and summarizing meetings or lectures without inviting a bot — strengths include captures meetings and voice notes locally without a bot joining calls.
Empathia AI
Prismical
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Prismical is strong for individuals transcribing and summarizing meetings or lectures without inviting a bot. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Prismical is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
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