AI scribe / therapy notes
Words without the body
Transcript and note generation — what was said. Physiological stress points never enter the chart.
SeroState
Session PhysiologyPlatform
The category for biological ground truth from the therapy hour — fused to dialogue, delivered after the session as reviewable FHIR R4 evidence.
The product object
QOAX Clinical Session Report
This is Session Physiology in the chart — redacted wearable-present sample. Clinician review required; share with client or supervisor when care calls for it.
QOAX Clinical Session Report
1. Executive summary: clinical note
Client [redacted] presented for follow-up regarding occupational stress. The session moved from frustration and feeling stuck toward identifying a concrete workplace resolution path. No safety or crisis indicators were present. Recommend follow-up to assess implementation of the agreed strategy.
2. Clinician flags
- No safety, self-harm, or crisis indicators in session.
- Say/body gap at 00:18–00:22 during supervisor topic (HR spike; verbal affect flat).
- Presenting issue is situational stress; no co-occurring diagnoses discussed.
- Strong self-directed problem-solving. Reinforce in follow-up.
3. Session statistics
- Words
- 1,680
- Active speaking
- 460s
- Silence (>2s)
- 16 events · 8.7%
- Speakers
- 2
- Signal quality
- 0.91
- Arousal score
- 0.78
4. Affect timeline
30-second windows · green positive · red negative · grey neutral
5. Topics & clinical analysis
Workplace workflow conflict anger
Uncertainty markers detected in self-advocacy with supervisors. Session arc: stuck → brainstorming → reduced frustration. Physiological corroboration present for the mid-session arousal peak.
Sample is illustrative and redacted. Not a clinical claim about accuracy.
- Session Physiology
- FHIR R4 evidence
- HIPAA + 42 CFR Part 2 posture
- Partner holds PHI
- Post-session only
- Clinician decides
- Hardware-agnostic
Adjacent categories
What they own.What Session Physiology adds.
More than an AI scribe — and still chart-ready. We do not replace note tools; we complete the encounter record.
Wearables / continuous RPM
Signal without a session object
Streams and day averages — not a clinician-reviewable encounter fused to dialogue.
Surveys / MBC
Self-report between visits
Essential outcomes tracking — too coarse to meet a sentence inside the therapy hour.
SeroState
Session Physiology
Body + dialogue fused into post-session evidence — documentation-ready, clinician-finalized, API-delivered.
The category
Session Physiology is what the note never held.
SeroState coined Session Physiology: physiological and vocal signals from a consented behavioral-health encounter, time-aligned to conversation, converted into structured evidence the clinician reviews and finalizes.
- Encounter-scoped — the clinical hour, not a day-long wellness export.
- Body + dialogue — heart rate primary; vocal biomarkers; EDA when the wearable provides it.
- Post-session object — QOAX report and FHIR R4 payload into the partner stack.
Where it sits
The missing layer beside notes and surveys.
Session Physiology does not replace the scribe or measurement-based care. It supplies the encounter physiology those tools never produce.
- Clinical note / AI scribe What was said — transcript and documentation
- Session Physiology SeroState How the body responded — say/body gaps, treatment-period arc
- Surveys / MBC Between-visit self-report and outcomes tracking
- Partner EHR / care platform FHIR R4 evidence in — clinician finalizes
Session
41:12
“No, I’m fine.”
Heart rate
Arousal event
Output
{
"risk_flags": ["physio_spike_no_verbal_ack"],
"arousal_event": "41:12",
"verbal_ack": "none_in_window"
}Same evidence frame — annotated say/body gap that feeds the report above.
Integration: POST /v1/session · works alongside note tools · does not author the clinical note
Platform capabilities
Log. Conduct. Report. Monitor. Supervise.
Five institutional moves. One Session Physiology layer — hardware-agnostic, API-ingestible, finalized by the licensed clinician.
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Log
Capture session-dense wearable heart rate — and EDA when the device provides it — plus session audio. Scoped to the clinical encounter, dense enough to align with conversation moments.
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Conduct
Conduct the measured encounter — not the therapy itself. Consent, BYOD or clinic-pool capture, then fuse body signals and dialogue on one timeline so stress points surface as reviewable say/body gaps.
BYOD
Patient wearable via HealthKit for established patients and RPM paths.
Clinic pool
Checkout hardware for intakes and equity access; EDA when that device supplies it.
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Report
Deliver the QOAX Clinical Session Report and FHIR R4 payload: documentation support and CMS-aligned code positioning context. Not CMS endorsement. Final coding remains with the licensed provider.
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Monitor
Treatment-period monitoring across the care course. Each consented session adds a measured point — quantified stress and recovery session-to-session. Not a real-time wellness feed.
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Supervise
Share the measured session with a supervisor when oversight is needed — physiological ground truth beside the note, under consent and role-scoped access. SeroState does not supervise clinicians; it makes evidence-based oversight possible.
Governance & boundaries
Built for healthcare.Bound for honesty.
Sensitive data stays with the care relationship. Clear limits protect clinicians, patients, and institutional partners.
- Not a medical device pitch Intelligence layer only. Hardware-agnostic — we do not sell or lock partners to a band.
- Not real-time monitoring Signals are logged during the session and reported after. Treatment monitoring is session-to-session.
- Not diagnosis or supervision We do not diagnose, conduct therapy, or supervise clinicians. We supply biological ground truth for human decision.
- Not a scribe replacement Works alongside note tools. Does not author the clinical note. No public product accuracy percentages.
Independent field context — therapists catch about 1 in 8 deteriorating clients (Østergård et al., 2024; not a SeroState study). Session Physiology makes the hour measurable beside forms and notes.
Deploy the Session Physiology category in your stack.
For clinical platforms, health systems, and research partners building the evidence layer behavioral health has been missing.