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The Fastest Way to Bring AI Into Your EHR

Steno API is a secure, clinically-aware AI infrastructure layer for post-acute care. We handle orchestration, reliability, compliance, and deletion so you can ship AI features inside your EHR in weeks, not years.

Steno API infrastructure diagram showing orchestration layers

The AI Infrastructure Layer for Your Platform

Modular AI capabilities delivered via a single secure API.

AI-powered clinical documentation with structured field population and evidence linking.

POST /api/v1/tasks

{ "type": "documentation", "data": {...}, "webhook": "https://your-ehr.com/callback" }

RESTful API

Webhooks

Tenant Isolation

SLA-backed Performance

Enterprise-Grade Reliability

Healthcare AI must meet production standards — not startup demos.

99.9% Platform Availability SLA

Guaranteed uptime with comprehensive monitoring and automated failover systems.

Asynchronous Task Execution

Complete lifecycle tracking with retries and callbacks for every request.

AI Quality Scorecards

Evidence coverage, omission rate, and inference validation metrics.

Multi-AZ Automatic Failover

Distributed infrastructure across multiple availability zones.

Cross-Region Disaster Recovery

See up to 90% reduction in incoming chargebacks across all reason codes.

Globe illustration representing cross-region disaster recovery infrastructure

Subprocessor Redundancy

Multiple AI provider integrations prevent single points of failure.

AI radar diagram showing Steno at the center with multiple AI provider integrations

99.9% Platform Availability SLA

Guaranteed uptime with comprehensive monitoring and automated failover systems.

Asynchronous Task Execution

Complete lifecycle tracking with retries and callbacks for every request.

AI Quality Scorecards

Evidence coverage, omission rate, and inference validation metrics.

Multi-AZ Automatic Failover

Distributed infrastructure across multiple availability zones.

Cross-Region Disaster Recovery

See up to 90% reduction in incoming chargebacks across all reason codes.

Globe illustration representing cross-region disaster recovery infrastructure

Subprocessor Redundancy

Multiple AI provider integrations prevent single points of failure.

AI radar diagram showing Steno at the center with multiple AI provider integrations

99.9% Platform Availability SLA

Guaranteed uptime with comprehensive monitoring and automated failover systems.

Asynchronous Task Execution

Complete lifecycle tracking with retries and callbacks for every request.

AI Quality Scorecards

Evidence coverage, omission rate, and inference validation metrics.

Multi-AZ Automatic Failover

Distributed infrastructure across multiple availability zones.

Cross-Region Disaster Recovery

See up to 90% reduction in incoming chargebacks across all reason codes.

Globe illustration representing cross-region disaster recovery infrastructure

Subprocessor Redundancy

Multiple AI provider integrations prevent single points of failure.

AI radar diagram showing Steno at the center with multiple AI provider integrations

AI Subservice outages don't become your outage.

More Than a Model - A Healthcare AI Runtime

AI in healthcare isn't just prompting a model. It requires orchestration, auditability, retries, compliance boundaries, and deletion controls. Steno is the infrastructure layer that makes AI production-ready inside enterprise EHRs.

Clinically-Aware AI Engine

Domain-specific modeling for OASIS, home health, and post-acute workflows. Built to handle structured fields, evidence capture, confidence scoring, and abstain behavior not just text generation.

Database container icon

OASIS-E

HOPE

CMS

Asynchronous, Task-Based API

Every request becomes a tracked task with lifecycle management, retries, and callbacks. Built for reliability inside real clinical workflows — not demo environments.

TASK QUEUE

T-1847

T-1848

T-1849

Lightning bolt representing async processing

ASYNC

CALLBACKS

task.started

1.2s

task.completed

45.6s

task.retry

67.8s

Compliance-First Architecture

  • HIPAA-aligned architecture
  • SOC 2 Type II controls
  • Multi-AZ production deployment
  • Cross-region disaster recovery
  • Full audit logging
  • Subprocessor governance
Concentric circles with a shield icon representing HIPAA and SOC 2 compliance

Developer-First Integration

RESTful APIs, robust Webhooks, and white-label SDKs designed to sit natively within your existing UI.

Built for Enterprise EHR Integration

We are an AI enrichment layer — not an EHR. Steno integrates into your existing platform via REST APIs and webhooks.

We do not:

Store longitudinal patient charts

Act as a system of record

Build patient-level databases

Train models on your data

We do:

Process discrete tasks securely

Return structured outputs with evidence

Track AI quality metrics

Provide performance SLAs

Operate under strict retention controls

Data Minimization as a Principle, Not a Feature

Steno processes healthcare data under a strict minimum-necessary philosophy.

No training or fine-tuning on customer data

Audio excluded from any training corpus

Configurable short retention windows

Automated deletion enforcement

Optional customer-controlled PHI architectures

De-identification pathways for any approved secondary use

We prefer to delete your data as soon as the task is complete.

Because retained PHI is liability.

Ship AI Features Without Building AI Infrastructure

Your team shouldn't need to:

  • Build AI retry logic

  • Monitor hallucination patterns

  • Design abstain behavior

  • Manage LLM provider failover

  • Build quality scoring pipelines

  • Implement PHI deletion workflows

  • Design disaster recovery for AI workloads

We already did.

You integrate once.

Get in touch today

Curious about how Steno Health can enhance your business? Share your detail, and we'll reach out to you soon.

Healthcare provider with patientHealthcare provider with patientHealthcare provider with patient

Get in touch today

Curious about how Steno Health can enhance your business? Share your detail, and we'll reach out to you soon.