The clinical note may be AI-generated.
The signature is still yours.

Deterministic review of AI-generated clinical documentation before provider signature.
Vaultus helps providers and healthcare organizations establish governance, visibility, and defensibility around AI-assisted documentation workflows.
Deterministic oversight between AI-generated documentation and provider signature.
Free for individual providers.
Governance infrastructure for healthcare organizations.
You still sign the note.
“Although this document has been carefully reviewed, there may still be some phonetic and typographical errors. These errors do not reflect any compromise in the care of this patient. In addition, the EMR automatically adds information into the patient’s chart that I cannot remove or edit.”
— Actual clinical note disclaimer, in use today

This disclaimer doesn’t protect you.

It documents that you knew errors were possible and signed anyway.

When an AI scribe hallucinates a dangerous drug combination into your Plan — and you sign it — this disclaimer becomes evidence of negligence, not defense against it.

“Doctor, what specific steps did you take to verify the accuracy of this note before you signed it?”

Vaultus is the answer to that question.
Why Governance Matters

Clinical AI usage is already occurring across healthcare — often before governance, visibility, and sign-moment safeguards are fully established.

AI-generated documentation is probabilistic. Human review is often assumed but not evidenced. Accuracy is not the same as governance. AI-assisted workflows are arriving faster than governance frameworks.

Vaultus is built for the reality that AI-assisted documentation may arrive through formal scribe deployment, informal provider workflows, or near-term organizational adoption.

How Vaultus Works
Before every signature.
01 — PASTE
Paste SOAP note
AI-generated note enters Vaultus via browser extension or direct paste.
02 — VERIFY
Run verification
79 active rule categories evaluate the note against national guidelines. Deterministic. Never an AI guess.
03 — REVIEW
Review catches
Safety and documentation concerns surface with guideline citations. Each catch identifies a specific risk.
04 — RESOLVE
Resolve with logged action
The provider resolves each finding with clinical judgment. Every resolution is logged with timestamp and rationale.
05 — HARDEN
Harden documentation
Documentation completeness is strengthened. Ownership and clinical reasoning are evidenced in the final note.
06 — ATTEST
Sign with attestation
Timestamped safety attestation created. Verification evidenced. The provider signs with governance in place.
79
Active rule categories
83/83
Self-test before every deploy
18
HIPAA identifiers removed per note
65
Safer-alternatives registry entries
Clinical AI Governance Infrastructure

Vaultus is more than a catch tool. It is a governance layer for organizations navigating AI-assisted documentation workflows — built to evidence review, ownership, and defensibility before signature.

AI proposes, deterministic code disposes. The safety layer uses hard-coded rules only. No language model. No probabilistic output. No hallucination possible in governance.

Built on Guidelines. Not Guesses.
Every safety rule is sourced from a national guideline or FDA labeling. Binary. Pass or fail.
FDA LabelingCDC 2022ADA 2024AGS Beers 2023KDIGO 2024ACC/AHAACOGAAPIDSAAAAAIAUAACR

SAFETY CATCHES

  • Drug interactions
  • Renal dosing violations
  • Beers Criteria medications
  • Opioid safety documentation
  • Pregnancy contraindications
  • Allergy cross-reactivity
  • Pediatric contraindications

DOCUMENTATION GOVERNANCE

  • Uncontrolled conditions without plan
  • Missing monitoring documentation
  • Order closure gaps
  • Anticoagulation monitoring
  • ICD-10 specificity gaps
  • Follow-up interval verification

WHAT VAULTUS NEVER DOES

  • Never stores patient information
  • Never makes clinical decisions
  • Never alters notes post-signature
  • Never adds clinical facts
  • Never uses AI in the safety layer
  • Never sends PHI to any LLM
Vaultus Advisory
Clinical AI governance guidance for organizations establishing safe, defensible AI-assisted documentation workflows.

Governance Readiness Assessments

Evaluate organizational preparedness for AI documentation oversight, identify governance gaps, and establish sign-moment verification protocols.

Executive Briefings

Structured presentations for clinical and administrative leadership on AI documentation risk, liability exposure, and governance requirements.

Documentation Safety Workshops

Hands-on sessions for clinical teams working with AI-assisted documentation. Emphasis on verification workflow, catch resolution, and attestation discipline.

Clinical AI Policy Guidance

Assistance developing institutional policies for AI-assisted documentation: acceptable use, verification requirements, and governance accountability structures.

Assess Your Medical Group's AI Governance
The Vaultus Sign-Moment Governance Framework
The highest-risk moment in AI-assisted documentation is not generation — it is signature.

DETERMINISTIC OVERSIGHT

AI proposes, deterministic code disposes. No probabilistic reasoning in the safety path.

PROVIDER ACCOUNTABILITY

Provider review must be evidenced, not assumed. Timestamped attestation at every signature.

INDEPENDENT VERIFICATION

Governance credibility requires separation from generation. Vaultus is independent from scribes and EHRs by design.

AUDIT VISIBILITY

Every verification, every catch, every resolution — recorded with cryptographic integrity. Append-only.

DE-IDENTIFIED TELEMETRY

Safety signals without patient data. PHI is stripped and destroyed post-processing. We cannot leak what we do not keep.

GOVERNANCE BEFORE AUTOMATION

Vaultus does not add clinical facts. Vaultus does not alter signed notes. Vaultus is not a medical decision-maker.

Independent by Design

Vaultus does not generate clinical documentation. Vaultus does not add clinical facts. Vaultus does not modify signed notes. Vaultus operates independently from AI scribes and EHR systems because governance credibility requires separation from generation.

This independence is architectural, not aspirational. The entity that verifies cannot be the entity that generates.

HIPAA COMPLIANT

Patient information never persists on Vaultus servers. Note content is processed and destroyed immediately. No patient data is sent to any language model. We cannot leak what we do not keep.

DETERMINISTIC — NOT AI

The safety layer uses hard-coded rules only. No language model. No probabilistic output. No hallucination possible. Binary pass or fail.

CRYPTOGRAPHIC INTEGRITY

Every verification event is hash-chained and append-only. Safety attestations are tamper-evident by design. Governance records cannot be silently altered.

Beyond Documentation Verification

As the Vaultus network grows, aggregate de-identified governance signals may help illuminate broader trends in documentation safety, workflow instability, and emerging clinical anomalies.

De-identified aggregate safety intelligence may support future research, quality, and public health use cases.