ClinicOS / Developmental paediatrics
Everyone works for the same child. Now everyone sees the same picture.
In a doctor-led therapy clinic, a developmental paediatrician sets the goals, programme leads design the therapy, therapists deliver it, and parents carry it home. Each of them sees a different part of the child. ClinicOS gives them one plan, one record of progress and one next step, and it takes the paperwork off the people doing the therapy.
ClinicOS in 90 seconds. The people are characters; the screens are the product, running on demo data.
Four people work for one child. None of them sees the whole picture.
The clinical work is rarely the problem. What goes wrong is everything around it: who knows what, and when they find out.
Drops the child at the door and wonders what is changing.
Therapy carries on at home, but a parent can only practise what they can see. Usually that is a folder of paper and a few words in the corridor.
Six sessions a day, then six notes in the evening.
Every session ends in a write-up. The note is written from memory, after the child has gone, in time that should be rest or more therapy.
Reads everything the morning of the review.
Session reports, results, a message from the family, two or three programmes. A target that stopped moving weeks ago shows up only now.
Pays for therapist hours that go into typing.
Every hour a therapist spends writing up is an hour not spent with a child, and hard to bill. Burnout also drives turnover, which a clinic pays for in recruitment.
Everyone on the same page
2 min 22 s. Noura, Saif’s mother, reads his plan on her phone; Dr Layla Haddad and Dr Karim Nasser see the same child from the clinic.
The family sees the plan in plain words. The doctor and the programme lead see the whole journey, years of it, in one picture.
- The family’s plan, in English or Arabic. Each goal in words the doctor wrote for the family, how each programme is going, sessions done and still to go, and the next sessions booked.
- “Ask the clinic” from home. A parent’s message reaches the plan’s clinicians and becomes a front-desk task. A due review can be booked from the plan itself.
- Needs attention, first. The child whose therapist raised a fatigue flag, whose mother wrote in and whose target is slipping is already highlighted at the top of the list.
- The whole journey. Every assessment, plan, programme and goal reached since the first referral. Staff see scores against the typical range; the family sees bands in words, never a number.
The note writes itself
2 min 3 s. Claire Dubois, a speech and language therapist, records a session and signs the note before Saif leaves the room.
The therapist’s eyes stay on the child. The tablet sits beside them.
- Start the session; the targets are already there. They come straight from the programme the senior therapist designed.
- One tap per try. A tick for each correct try, a cross for each miss, and the level of help the child needed. The percentages work themselves out.
- Say what happened. The therapist dictates in their own words: mood, what worked, what to practise at home.
- The note is drafted from their taps and their words. Every number comes from what was recorded, laid out the way the payer expects. The therapist reads it, fixes a word and confirms. Nothing is signed without them.
What AI-drafted notes have done elsewhere
263 clinicians in six US health systems, surveyed before and 30 days after an ambient AI scribe. These are physicians, not therapists; we show it because the documentation problem is the same, not because the figures transfer exactly.
Source: Olson et al., “Use of Ambient AI Scribes to Reduce Administrative Burden and Professional Burnout”, JAMA Network Open 8(10):e2534976 (October 2025), doi:10.1001/jamanetworkopen.2025.34976.
Ahead of the review
2 min 31 s. Review day for Dr Layla Haddad, a developmental paediatrician, and Dr Karim Nasser, the programme lead.
Nobody reads everything any more. The flags come to them.
- Flags between sessions, not at the review. Open concerns, targets going backwards, a plateau starting to form, a target mastered: each worked out by one rule, the day it happens.
- “Update summary”. Every session report, every result and the family’s message, read and summarised, with the numbers checked against what was actually recorded.
- It all ties back. The baseline assessment to the goals, the goals to the targets, the targets to the tasks handed to each person on the team.
- Dictate the decision. The doctor says what they think; the review summary is drafted from their words and the child’s results. They read it, change a line and save: continue, change, pause or stop each programme.
At scale
7,260 physicians of The Permanente Medical Group; a physician setting, shown for scale.
Source: Tierney et al., “Ambient Artificial Intelligence Scribes: Learnings after 1 Year and over 2.5 Million Uses”, NEJM Catalyst (2025).
For the clinic: run your own numbers
We would rather you trusted your own figures than ours. Move the sliders to your clinic’s sessions and the minutes you think a drafted note saves.
Illustrative arithmetic, not a measured result. The default of 6 sessions × 10 minutes is the example used in Film 2.
What changes, person by person
| Who | Before | With ClinicOS |
|---|---|---|
| Parent | A folder of paper and a few words at pick-up. | The plan, progress and next sessions on their phone, in English or Arabic; a way to ask the clinic; the review booked from the plan. |
| Therapist | Notes written from memory in the evening. | Results tapped during the session, a few sentences dictated, a drafted note checked and signed in the room. |
| Programme lead | Finds out a target has stalled when someone mentions it. | Each target’s trend, with plateau and mastery flagged, and hand-off tasks for each step of the programme. |
| Doctor | Reads every report the morning of the review. | Flags first, a summary with checked numbers before the review, and a dictated decision drafted for them. |
| Clinic owner | Therapist hours lost to typing; insurance cover tracked in a spreadsheet. | Time back for therapy; insurance pre-authorisation and prepaid packages shown on each programme, with warnings before cover runs out. |
What the AI does not do
A clinic should know where the line is before it lets software near a child’s record. In ClinicOS it is drawn like this.
It never rates or decides.
The clinician records every result and makes every decision. The AI writes from what they entered; it does not suggest a rating or judge progress.
Every number is checked.
A drafted note or summary whose figures do not match what was recorded is rejected and written in the standard layout instead. A clinician reads and signs every document.
The family sees what the doctor allows.
Families see goals in family wording and progress in words. Never a diagnosis, a score, a session note or a hidden goal. Every view of a record is audited.
Signed documents are kept as PDFs (Arabic included). Where your EMR holds the record, ClinicOS queues each signed document for it, and sends it over FHIR where the EMR allows.
How do you buy it?
The way that suits your clinic. Take a licence for your own instance, single-tenant, on your infrastructure and under your brand. Or take it under Outcome-as-a-Service: Xamun funds the build and you pay a fee per therapy session the system records, the unit your clinic is paid on. A quiet month is a small invoice; if it does not run, you do not pay. Either way, it is configured to your services, your payers and the way your team already works.
Questions clinics ask
Who is this for?
ClinicOS for developmental paediatrics is for doctor-led therapy clinics: a developmental paediatrician sets the goals and reviews progress, and speech, occupational, behavioural and physiotherapy programmes are delivered as repeating sessions. It was designed around clinics in the UAE.
Does the AI write clinical notes on its own?
No. The therapist records each result and dictates what happened; ClinicOS drafts the session note from those taps and words, with every number taken from what was recorded. The therapist reads, edits and confirms it. The AI never rates a child or decides on a plan.
What can parents see?
Parents see their child’s plan in plain words, in English or Arabic: each goal in the wording the doctor wrote for the family, how each programme is going, sessions done and to come, and the next review. They never see a diagnosis, a score, a session note or a goal the doctor has hidden. The clinic decides when to switch the family view on.
How does ClinicOS spot a plateau?
Each target’s results are tracked session by session, and one rule flags a target as plateaued, regressing or mastered as soon as the data shows it. The flag reaches the programme lead and the doctor between sessions, not at the review.
Does it work with our EMR?
Yes. The clinic chooses whether its EMR or ClinicOS holds the clinical record. Where the EMR holds it, each signed session report, progress report and review is queued for it as a document, and sent over FHIR where the EMR allows; otherwise staff copy it or download the PDF and mark it entered.
Does it handle insurance and prepaid packages?
Yes. Each programme can be linked to an insurance pre-authorisation or a prepaid package, showing units approved, used and left, with a warning when a booking falls outside cover.
Is there evidence that AI-drafted notes help?
In physicians, yes. A JAMA Network Open study of 263 clinicians found burnout fell from 52% to 39% within 30 days of using an ambient AI scribe, and The Permanente Medical Group reported 15,791 hours of documentation saved across 2.5 million visits in a year. Evidence for therapists specifically is still being gathered.
Sources: Olson et al., JAMA Network Open 8(10):e2534976 (2025); Tierney et al., NEJM Catalyst (2025).
Can we try it?
Yes. The demo at clinicos.xamun.ai runs on sample data, with sign-ins for the doctor, the senior therapist, the therapist and the parent. Or book a walkthrough and bring one of your own programmes.
All studies cited on this page:
1. Leadbitter et al., “Parent perceptions of participation in a parent-mediated communication-focussed intervention”, Autism (2020), PACT Consortium.
2. APTA, ASHA & AOTA joint workload document, citing local time studies (school-based practice).
3. Daman, “Coverage and medical indications of Speech therapy” adjudication guideline (2025).
4. Olson et al., “Use of Ambient AI Scribes to Reduce Administrative Burden and Professional Burnout”, JAMA Network Open 8(10):e2534976 (2025), doi:10.1001/jamanetworkopen.2025.34976.
5. Tierney et al., “Ambient Artificial Intelligence Scribes: Learnings after 1 Year and over 2.5 Million Uses”, NEJM Catalyst (2025), The Permanente Medical Group.
Less paperwork. More therapy. Everyone on the same page.
Bring one child’s programme, anonymised, and we will show it running in ClinicOS: the therapist’s session, the doctor’s review and the family’s view.