Capture
AGIMINION records the room
The AGIMINION device captures the visit audio in the exam room. Audio and the transcript stay on the appliance on your practice network, with no internet connection needed to transcribe.
EHR and PM integration
AGIMAN runs on an appliance inside your practice network. It captures each visit, drafts the chart note in the clinician's style, and suggests ICD and CPT codes. After the clinician reviews and signs, the approved note and codes sync to the patient's chart in AdvancedMD.

The connection
What AdvancedMD is
AdvancedMD is a cloud EHR, practice management, and medical billing system based in South Jordan, Utah. It is built for independent and small group practices and for the third-party billing companies that work their claims. It exposes data two ways: a read-only FHIR R4 API for certified interoperability, and the proprietary Connect APIs (REST and XML-RPC) for real-time read and write access to charts, codes, and billing records.
Who runs it
Independent and small group practices, plus the medical billing companies that serve them
The access path
AGIMAN reads patient and encounter context through the FHIR R4 API, which AdvancedMD provides as read-only under its Drummond g10 certification. To write the reviewed note and codes back, AGIMAN uses the AdvancedMD Connect APIs, the proprietary REST and XML-RPC set that supports real-time create and update against the chart. truesilver registers through the developer portal, builds in the AdvancedMD sandbox, and demonstrates the integration to the InterOps team before production credentials and an appname are issued. That first export path is scoped to your fields and tested against your own AdvancedMD instance before it is turned on.
AGIMAN connects through AdvancedMD's published Connect API and FHIR R4 access; the export path is scoped to your fields and tested against your own AdvancedMD instance before go-live.
The workflow
Capture
The AGIMINION device captures the visit audio in the exam room. Audio and the transcript stay on the appliance on your practice network, with no internet connection needed to transcribe.
Draft
AGIMAN drafts the chart note in the clinician's own style and suggests ICD and CPT codes for the encounter. It can also prepare referral letters, patient handouts, and intake or visit forms.
Review and sign
Nothing leaves the appliance until a clinician reviews the draft, edits it, and signs off. AGIMAN keeps a review log of what changed before sign-off.
Sync
On sign-off, the approved note and the ICD and CPT codes are mapped to the encounter and written to the patient's chart through the AdvancedMD Connect APIs, ready for the practice or billing company to work the claim.
After sign-off
The reviewed and signed note is mapped to the matching encounter and written to the patient chart in AdvancedMD through the Connect API.
After the clinician confirms them, the suggested ICD and CPT codes land on the encounter so the practice or billing company can finish the claim in AdvancedMD.
Referral letters, patient handouts, and intake or visit forms are drafted for the clinician to confirm, then saved against the patient for the practice to send.
On your network
Questions
On the appliance on your practice network. Room audio, transcripts, and drafts stay local, and AGIMAN does not need an internet connection to transcribe or draft. Only the approved note and codes are sent to AdvancedMD, over the access path you approve. A BAA is available.
It reads patient and encounter context through the read-only FHIR R4 API, and writes the signed note and confirmed codes back through the AdvancedMD Connect APIs, which support real-time create and update. truesilver builds and tests in the AdvancedMD sandbox and demonstrates the integration to the InterOps team before production credentials are issued.
No. AGIMAN drafts and suggests, and a clinician reviews, edits, and signs every note and confirms every ICD and CPT code before anything reaches the chart. Clinical judgment stays with the clinician, and AGIMAN only removes the administrative drafting and data entry.
Get started
Buy the appliance and room devices, then scope the AdvancedMD export path with us. We test it against your instance before it is turned on.