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

MedScrub — the morning briefing, always current
The briefing, always current. Synthetic patient data.

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.

At a Glance● OnlinePHI protected

RAN LAST NIGHT

Follow Up Visit Summary150
New Patient History2
Wound Care Visit Note10
Sick Visit Prep6

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 eCW

LAST 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.

MedScrub desktop app — Marv's active problems mapped onto the anatomy body map
Marv's active problems on the body map, markers glowing by status. Synthetic patient data.
Anatomy view switched to the Digestive system, a marker opened to its ICD-10 detail
Switch to a system — here Digestive, a marker opened to its ICD-10 detail.
Anatomy view on the Cardiovascular system alongside the open-plan tracker
Cardiovascular, beside the open-plan tracker — each plan and its latest result.

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.

Marv Murchins · Follow-up · 8:00 AMPHI protected

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.

Skill Builder✓ Save skill

✦ 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.

+ Find overdue mammograms+ Draft a referral letter
✦ Build it for me

✓ 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.

An assistant's page in the desktop app — quality scores and the run output
An assistant's page in the app: quality scores from nine test fixtures — rule pass, faithfulness, guards — then the run output, ready to copy or write back to eCW. Synthetic patient data.

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.

Marv's assistant · Chart-aware⛨ De-identified on this device

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):

ParameterCurrentTargetStatus
A1c8.2%<7%✕ Above goal
BP148/92<130/80✕ Stage 2 HTN
eGFR58CKD 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.

Background sync · eClinicalWorksLast sync 4:58 AM
"name": "Marv Murchins""[NAME_1]"
"dob": "1951-08-04""[DATE_1]"
"mrn": "MRN-77213""[MRN_1]"

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+

Unavailable

Windows

Windows 10 / 11 · x64

Unavailable

Linux

Ubuntu 20.04+ · .deb / .rpm

Unavailable

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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

Monarch Health · Sandpoint, ID

Read the full case study →

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

EpicOracle CernerathenahealtheClinicalWorks