PSYGIL
Comparison

When the report is challenged, what stands behind it?

Most tools draft. Psygil enforces a clinical workflow you can defend in court. Compare what stands behind your final report when opposing counsel asks how it was made.

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Shape of fit

Two shapes. Pick the one your work needs.

Each axis is a priority for forensic and high-stakes clinical work. Psygil leads on the axes where the record has to hold up. Cloud-first competitors lead on cloud and portal breadth. Read the shape, not the area.

Comparison radar: Psygil vs typical cloud drafter Six-axis comparison on a 0 to 10 buyer-priority scale. Psygil leads on forensic defensibility, audit traceability, clinical workflow integrity, and local data control. The typical cloud drafter leads on integrations and portal breadth. 10 0 Forensic defensibility Audit traceability Clinical workflow Local data control Assessment breadth Integrations / portal
Psygil Typical cloud drafter

Psygil trades cloud and portal breadth for clinical control. The question is whether the shape lines up with what your work demands.

  • Forensic defensibilitySigned diagnostic gates and an integrity hash on the final report. Cloud drafters do not enforce either.
  • Audit traceabilityHash-chained log of every material decision, exportable for testimony. Drafters keep cloud-side activity logs.
  • Clinical workflow integrityThe writer is blocked until the clinician signs the diagnosis. Drafters draft on demand.
  • Local data controlThe case workspace lives on your machine. PHI is redacted before any model call.
  • Assessment breadthComparable. Psygil ships 43 instruments and imports more.
  • Integrations / portalThe deliberate concession. Cloud SaaS leads on EHR connectors and patient portals.
The market

Three approaches to AI-assisted reports.

Each category serves a different job.

Cloud AI drafters

Best forVolume drafting in low-stakes clinical settings.
StrengthsFast onboarding. Cheap monthly. Good speech-to-text. EHR add-ons.
LimitsNo diagnostic gate. Cloud-only PHI. No clinician-signed audit chain. Drafts run unconstrained.
Typical cost$30 - $60 / user / month

Practice-management + AI add-ons

Best forPractices that want AI scribing inside their existing EHR or PM stack.
StrengthsSingle vendor. Patient portal. Integrated billing. Established trust.
LimitsAssistive tools are a feature, not a workflow. Forensic capability and audit transparency vary widely by vendor.
Typical costFrom $1,000 / seat / month + enterprise platform fees

Psygil for clinical and forensic work

Best forClinical and forensic workflows where the record has to withstand scrutiny.
StrengthsSigned diagnostic gates. Hash-chained audit. Local case control. Report integrity hash. Style-trained writer.
LimitsNot a patient portal. Not an EHR. Cloud breadth is a deliberate tradeoff against local control.
Psygil Pro$599 / month
Decision pressure

The deposition test.

Imagine opposing counsel has your report and is asking how it was generated. Here is what each category produces under that pressure.

"Doctor, walk me through how this report was created."

This is the moment that decides whether your engagement holds up. Your defense rests on the evidence behind your decisions.

Cloud AI drafter

A cloud activity log, transcript fragments, the prompts you typed, and the final draft. Diagnoses can be generated by the model on demand. There is no signed clinical decision separate from the prose.

Psygil

Clinician-signed diagnostic decisions with timestamps. Hash-chained audit trail across every material event. Local PHI handling, with redaction before any model call. Report integrity hash on the final document. Exportable testimony folder.

Where Psygil leads

Clinical authority with a record you can stand behind.

Diagnostic gates

You render, defer, or reject each candidate before report drafting proceeds.

UNID redaction

Supported model calls pass through local identifier redaction first.

Hash audit

Every material event is written to an append-only chain.

Style profile

Drafts in your vocabulary from your signed decisions.

Peer review

Structured signed review exchange is planned for v1.1.

What Psygil isn't.

Psygil makes these tradeoffs deliberately.

  • Not a patient portal.Patient-facing scheduling, intake, and messaging belong elsewhere in your stack.
  • Not an EHR.Use your EHR for chart of record. Export the Psygil report into it.
  • Not the cheapest drafter.For volume drafting in low-stakes settings, cloud SaaS is the right buy.
  • Image and handwritten input is limited.Roadmap item. Today, intake forms work better as typed text or supported imports.

Need a vendor-by-vendor comparison?

The full 14-product matrix with citations is available as a sales document. We send the latest version directly so it stays accurate to current public claims.

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Ready to test the workflow

Start with a local workspace and a signed gate.

Install Psygil, create a synthetic case, and watch the report wait for your clinical decision.

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