EkaScribe

A Swift package for voice-to-prescription functionality with floating UI components, audio recording, and real-time transcription capabilities for medical consultation applications.

Overview

EkaScribe empowers healthcare applications with advanced voice recording and transcription capabilities. It provides a seamless integration for medical consultation workflows, enabling doctors to record patient interactions and automatically generate prescriptions through AI-powered voice analysis.

Key Features

🎙️ Voice Activity Detection (VAD) - Intelligent audio recording with automatic speech detection
🔄 Real-time Transcription - Live audio-to-text conversion during consultations
📱 Floating UI Interface - Picture-in-picture recording interface that stays accessible
🏥 Medical Context Aware - Specialized for healthcare terminology and prescription generation
📊 Session Management - Complete recording session lifecycle management
☁️ Cloud Integration - Automatic audio upload and processing

Requirements
Installation
Quick Start
Core Components
Integration Guide
Configuration
Usage Examples
Best Practices
API Reference

Requirements

iOS: 14.0+
Swift: 5.5+
Xcode: 13.0+

System Permissions

Add the following permissions to your app’s Info.plist:

<key>NSMicrophoneUsageDescription</key>
<string>This app needs microphone access to record medical consultations</string>
<key>NSLocalNetworkUsageDescription</key>
<string>This app needs network access to upload and process audio recordings</string>

Installation

Swift Package Manager

Add EkaScribe to your project using Swift Package Manager:

In Xcode, select File → Add Package Dependencies

Enter the repository URL:

https://github.com/eka-care/EkaVoiceToRx.git

Choose the version or branch
Add to your target

Package.swift

dependencies: [
    .package(url: "https://github.com/eka-care/EkaVoiceToRx.git", from: "1.0.0")
]

Quick Start

Here’s a minimal example to get you started:

import EkaScribe
import SwiftUI

class ConsultationViewController: UIViewController {
    private var viewModel: VoiceToRxViewModel?
    
    override func viewDidLoad() {
        super.viewDidLoad()
        setupVoiceToRx()
    }
    
    private func setupVoiceToRx() {
        // Configure the package
        configureEkaScribe()
        
        // Initialize view model
        viewModel = VoiceToRxViewModel(
            voiceToRxInitConfig: V2RxInitConfigurations.shared,
            voiceToRxDelegate: self
        )
        
        // Show floating interface
        Task {
            await showFloatingRecordingInterface()
        }
    }
    
    private func configureEkaScribe() {
        let config = V2RxInitConfigurations.shared
        config.ownerName = "Dr. Smith"
        config.ownerOID = "doctor123"
        config.subOwnerName = "John Doe"
        config.subOwnerOID = "patient456"
        config.appointmentID = "appointment789"
    }
    
    private func showFloatingRecordingInterface() async {
        await FloatingVoiceToRxViewController.shared.showFloatingButton(
            viewModel: viewModel!,
            conversationType: .conversation,
            liveActivityDelegate: nil
        )
    }
}

// MARK: - FloatingVoiceToRxDelegate
extension ConsultationViewController: FloatingVoiceToRxDelegate {
    func onCreateVoiceToRxSession(id: UUID?, params: VoiceToRxContextParams?) {
        print("Session created with ID: \(id?.uuidString ?? "unknown")")
    }
    
    func moveToDeepthoughtPage(id: UUID) {
        // Navigate to prescription results page
        print("Moving to results page for session: \(id)")
    }
    
    func errorReceivingPrescription(id: UUID, errorCode: VoiceToRxErrorCode, transcriptText: String) {
        print("Error in session \(id): \(errorCode)")
    }
    
    func updateAppointmentsData(appointmentID: String, voiceToRxID: String) {
        print("Updated appointment \(appointmentID) with voice session \(voiceToRxID)")
    }
}

Core Components

VoiceToRxViewModel

The central view model that manages the entire voice recording and processing workflow.

public class VoiceToRxViewModel: ObservableObject {
    @Published public var screenState: RecordConsultationState
    @Published public var filesProcessed: Set<String>
    @Published public var uploadedFiles: Set<String>
    
    public var sessionID: UUID?
    public var contextParams: VoiceToRxContextParams?
}

Recording States

public enum RecordConsultationState {
    case retry                          // Ready to retry after error
    case startRecording                 // Initial state, ready to start
    case listening(conversationType: VoiceConversationType) // Currently recording
    case paused                        // Recording paused
    case processing                    // Processing audio/generating prescription
    case resultDisplay(success: Bool)  // Showing results
    case deletedRecording             // Recording deleted
}

Conversation Types

public enum VoiceConversationType: String, CaseIterable {
    case conversation = "consultation"  // Doctor-patient conversation
    case dictation                     // Direct prescription dictation
}

FloatingVoiceToRxViewController

Provides a system-wide floating interface for recording control, similar to FaceTime’s picture-in-picture.

public class FloatingVoiceToRxViewController: UIViewController {
    public static let shared = FloatingVoiceToRxViewController()
    
    public func showFloatingButton(
        viewModel: VoiceToRxViewModel,
        conversationType: VoiceConversationType,
        liveActivityDelegate: LiveActivityDelegate?
    ) async
    
    public func hideFloatingButton()
}

Configuration Classes

V2RxInitConfigurations

Central configuration object for session parameters:

public class V2RxInitConfigurations {
    public static let shared = V2RxInitConfigurations()
    
    public var modelContainer: ModelContainer?
    public var ownerName: String?          // Doctor name
    public var ownerOID: String?           // Doctor ID
    public var ownerUUID: String?          // Doctor UUID
    public var subOwnerOID: String?        // Patient ID
    public var appointmentID: String?      // Appointment identifier
    public var subOwnerName: String?       // Patient name
}

Integration Guide

Step 1: Configure Dependencies

Set up authentication and core configurations:

private func configureAuthentication() {
    // Set up authentication tokens
    AuthTokenHolder.shared.authToken = KeychainHelper.fetchAuthToken()
    AuthTokenHolder.shared.refreshToken = KeychainHelper.fetchRefreshToken()
    AuthTokenHolder.shared.bid = JWTDecoder.shared.businessId
}

private func configureSessionParameters() {
    let config = V2RxInitConfigurations.shared
    
    // Doctor information
    config.ownerName = doctorName
    config.ownerOID = doctorOID
    config.ownerUUID = doctorUUID
    
    // Patient information
    config.subOwnerName = patientName
    config.subOwnerOID = patientOID
    
    // Appointment context
    config.appointmentID = appointmentID
    
    // Database context
    config.modelContainer = SwiftDataRepoContext.modelContext.container
}

Step 2: Implement Required Delegates

FloatingVoiceToRxDelegate (Required)

extension YourViewController: FloatingVoiceToRxDelegate {
    func onCreateVoiceToRxSession(id: UUID?, params: VoiceToRxContextParams?) {
        guard let sessionId = id,
              let patientId = params?.patient?.id else {
            print("Failed to create session - missing required parameters")
            return
        }
        
        // Create local database entry
        createLocalSessionRecord(sessionId: sessionId, patientId: patientId)
        
        // Update UI to reflect active session
        updateUIForActiveSession(sessionId)
    }
    
    func moveToDeepthoughtPage(id: UUID) {
        // Navigate to prescription review/edit page
        let storyboard = UIStoryboard(name: "Prescription", bundle: nil)
        guard let prescriptionVC = storyboard.instantiateViewController(
            withIdentifier: "PrescriptionViewController"
        ) as? PrescriptionViewController else { return }
        
        prescriptionVC.sessionID = id
        prescriptionVC.isEditMode = true
        
        navigationController?.pushViewController(prescriptionVC, animated: true)
    }
    
    func errorReceivingPrescription(id: UUID, errorCode: VoiceToRxErrorCode, transcriptText: String) {
        handleTranscriptionError(
            sessionId: id,
            error: errorCode,
            transcript: transcriptText
        )
    }
    
    func updateAppointmentsData(appointmentID: String, voiceToRxID: String) {
        // Update appointment record with voice session reference
        Task {
            await AppointmentService.shared.updateAppointment(
                id: appointmentID,
                voiceSessionId: voiceToRxID
            )
        }
    }
}

LiveActivityDelegate (Optional)

For iOS Live Activities support during recording:

extension YourViewController: LiveActivityDelegate {
    func startLiveActivity(patientName: String) async {
        guard #available(iOS 16.1, *) else { return }
        
        let attributes = RecordingActivityAttributes(patientName: patientName)
        let initialState = RecordingActivityState(
            status: "Recording consultation...",
            startTime: Date()
        )
        
        do {
            let activity = try Activity<RecordingActivityAttributes>.request(
                attributes: attributes,
                content: .init(state: initialState, staleDate: nil)
            )
            print("Live Activity started: \(activity.id)")
        } catch {
            print("Failed to start Live Activity: \(error)")
        }
    }
    
    func endLiveActivity() async {
        guard #available(iOS 16.1, *) else { return }
        
        for activity in Activity<RecordingActivityAttributes>.activities {
            await activity.end(nil, dismissalPolicy: .immediate)
        }
    }
}

Step 3: Initialize and Control Recording

class ConsultationViewController: UIViewController {
    private var viewModel: VoiceToRxViewModel?
    private var cancellables = Set<AnyCancellable>()
    
    override func viewDidLoad() {
        super.viewDidLoad()
        setupVoiceToRx()
        observeRecordingStates()
    }
    
    private func setupVoiceToRx() {
        viewModel = VoiceToRxViewModel(
            voiceToRxInitConfig: V2RxInitConfigurations.shared,
            voiceToRxDelegate: self
        )
    }
    
    private func observeRecordingStates() {
        viewModel?.$screenState
            .receive(on: DispatchQueue.main)
            .sink { [weak self] state in
                self?.handleStateChange(state)
            }
            .store(in: &cancellables)
    }
    
    private func handleStateChange(_ state: RecordConsultationState) {
        switch state {
        case .startRecording:
            updateUI(status: "Ready to record")
            
        case .listening(let conversationType):
            updateUI(status: "Recording \(conversationType.rawValue)...")
            
        case .paused:
            updateUI(status: "Recording paused")
            
        case .processing:
            updateUI(status: "Processing audio...")
            showProcessingIndicator()
            
        case .resultDisplay(let success):
            hideProcessingIndicator()
            if success {
                showSuccessMessage()
            } else {
                showErrorMessage()
            }
            
        case .deletedRecording:
            updateUI(status: "Recording deleted")
            
        case .retry:
            updateUI(status: "Ready to retry")
        }
    }
    
    // MARK: - Recording Controls
    
    @IBAction func startRecordingTapped(_ sender: UIButton) {
        Task {
            await startRecording()
        }
    }
    
    @IBAction func pauseRecordingTapped(_ sender: UIButton) {
        viewModel?.pauseRecording()
    }
    
    @IBAction func resumeRecordingTapped(_ sender: UIButton) {
        do {
            try viewModel?.resumeRecording()
        } catch {
            showError("Failed to resume recording: \(error.localizedDescription)")
        }
    }
    
    @IBAction func stopRecordingTapped(_ sender: UIButton) {
        Task {
            await viewModel?.stopRecording()
        }
    }
    
    private func startRecording() async {
        // Show floating interface first
        await FloatingVoiceToRxViewController.shared.showFloatingButton(
            viewModel: viewModel!,
            conversationType: .conversation,
            liveActivityDelegate: self
        )
        
        // Start the actual recording
        await viewModel?.startRecording(conversationType: .conversation)
    }
}

Configuration

Audio Configuration

EkaScribe automatically configures optimal audio settings, but you can customize them:

// Access the recording configuration
let audioConfig = RecordingConfiguration.shared

// Customize audio parameters (optional)
audioConfig.sampleRate = 48000           // Default: 48kHz
audioConfig.audioBufferSize = 4800       // Default: 4800 samples
audioConfig.requiredSampleRate = 16000   // Processing rate: 16kHz

Network Configuration

Configure upload and processing endpoints:

// These are typically configured automatically through your app's backend integration
// Contact your backend team for the proper endpoint configuration

Usage Examples

Basic Recording Session

// Start a consultation recording
await viewModel.startRecording(conversationType: .conversation)

// The floating UI will appear automatically
// User can control recording through the floating interface

### Dictation Mode

```swift
// For direct prescription dictation
await viewModel.startRecording(conversationType: .dictation)

// This mode is optimized for single-speaker medical dictation
// Less background noise filtering, more focused on medical terminology

Session Management

// Delete current recording
if let sessionID = viewModel.sessionID {
    viewModel.deleteRecording(id: sessionID)
}

// Clear session data
viewModel.clearSession()

// Retry failed operations
viewModel.retryIfNeeded()

Custom UI Integration

// Create custom SwiftUI view with EkaScribe
struct CustomRecordingView: View {
    @ObservedObject var viewModel: VoiceToRxViewModel
    
    var body: some View {
        VStack {
            // Recording status
            Text(recordingStatusText)
                .font(.headline)
                .foregroundColor(statusColor)
            
            // Control buttons
            HStack {
                Button(action: startRecording) {
                    Image(systemName: "mic.circle.fill")
                        .font(.system(size: 50))
                        .foregroundColor(.red)
                }
                
                Button(action: pauseRecording) {
                    Image(systemName: "pause.circle.fill")
                        .font(.system(size: 50))
                        .foregroundColor(.orange)
                }
                
                Button(action: stopRecording) {
                    Image(systemName: "stop.circle.fill")
                        .font(.system(size: 50))
                        .foregroundColor(.gray)
                }
            }
            
            // Progress indicator
            if case .processing = viewModel.screenState {
                ProgressView("Processing audio...")
                    .padding()
            }
        }
        .padding()
    }
    
    private var recordingStatusText: String {
        switch viewModel.screenState {
        case .startRecording: return "Ready to Record"
        case .listening(let type): return "Recording \(type.rawValue.capitalized)"
        case .paused: return "Paused"
        case .processing: return "Processing..."
        case .resultDisplay(let success): return success ? "Complete" : "Error"
        case .deletedRecording: return "Deleted"
        case .retry: return "Ready to Retry"
        }
    }
    
    private var statusColor: Color {
        switch viewModel.screenState {
        case .listening: return .red
        case .paused: return .orange
        case .processing: return .blue
        case .resultDisplay(let success): return success ? .green : .red
        default: return .primary
        }
    }
}

Best Practices

Memory Management

class ConsultationViewController: UIViewController {
    private var viewModel: VoiceToRxViewModel?
    private var cancellables = Set<AnyCancellable>()
    
    deinit {
        // Clean up resources
        viewModel?.clearSession()
        cancellables.removeAll()
        
        // Hide floating interface
        Task {
            await FloatingVoiceToRxViewController.shared.hideFloatingButton()
        }
    }
    
    override func viewWillDisappear(_ animated: Bool) {
        super.viewWillDisappear(animated)
        
        // Pause recording when leaving screen
        if case .listening = viewModel?.screenState {
            viewModel?.pauseRecording()
        }
    }
}

Network Optimization

private func setupNetworkMonitoring() {
    // Monitor network connectivity for reliable uploads
    let monitor = NWPathMonitor()
    monitor.pathUpdateHandler = { [weak self] path in
        DispatchQueue.main.async {
            if path.status == .satisfied {
                // Network available - retry failed uploads
                self?.viewModel?.retryIfNeeded()
            } else {
                // Network unavailable - inform user
                self?.showNetworkUnavailableWarning()
            }
        }
    }
    
    let queue = DispatchQueue(label: "NetworkMonitor")
    monitor.start(queue: queue)
}

Performance Optimization

// Optimize for long recording sessions
private func optimizeForLongSessions() {
    // Configure audio session for extended use
    let audioSession = AVAudioSession.sharedInstance()
    try? audioSession.setCategory(
        .playAndRecord,
        mode: .voiceChat,
        options: [.defaultToSpeaker, .allowBluetooth]
    )
    
    // Enable low-power mode optimizations
    ProcessInfo.processInfo.performActivity(
        options: .automaticTerminationDisabled,
        reason: "Recording medical consultation"
    ) { /* recording activity */ }
}

API Reference

VoiceToRxViewModel

Properties

// Published properties for UI binding
@Published public var screenState: RecordConsultationState
@Published public var filesProcessed: Set<String>
@Published public var uploadedFiles: Set<String>

// Session information
public var sessionID: UUID?
public var contextParams: VoiceToRxContextParams?

Methods

// Core recording methods
public func startRecording(conversationType: VoiceConversationType) async
public func stopRecording() async
public func pauseRecording()
public func resumeRecording() throws

// Session management
public func deleteRecording(id: UUID)
public func clearSession()
public func retryIfNeeded()

// Initialization
public init(
    voiceToRxInitConfig: V2RxInitConfigurations,
    voiceToRxDelegate: FloatingVoiceToRxDelegate
)

FloatingVoiceToRxViewController

Methods

// Show/hide floating interface
public func showFloatingButton(
    viewModel: VoiceToRxViewModel,
    conversationType: VoiceConversationType,
    liveActivityDelegate: LiveActivityDelegate?
) async

public func hideFloatingButton()

Delegate Protocols

FloatingVoiceToRxDelegate

protocol FloatingVoiceToRxDelegate {
    func onCreateVoiceToRxSession(id: UUID?, params: VoiceToRxContextParams?)
    func moveToDeepthoughtPage(id: UUID)
    func errorReceivingPrescription(id: UUID, errorCode: VoiceToRxErrorCode, transcriptText: String)
    func updateAppointmentsData(appointmentID: String, voiceToRxID: String)
}

LiveActivityDelegate

protocol LiveActivityDelegate {
    func startLiveActivity(patientName: String) async
    func endLiveActivity() async
}

Configuration Classes

V2RxInitConfigurations

public class V2RxInitConfigurations {
    public static let shared: V2RxInitConfigurations
    
    // Core identifiers
    public var ownerName: String?      // Doctor name
    public var ownerOID: String?       // Doctor OID
    public var ownerUUID: String?      // Doctor UUID
    public var subOwnerOID: String?    // Patient OID
    public var subOwnerName: String?   // Patient name
    public var appointmentID: String?  // Appointment ID
    
    // Data context
    public var modelContainer: ModelContainer?
}

AuthTokenHolder

public class AuthTokenHolder {
    public static let shared: AuthTokenHolder
    
    public var authToken: String?
    public var refreshToken: String?
    public var bid: String?
}

3. Session Creation Failures

Symptoms: onCreateVoiceToRxSession not called or called with nil values Solutions:

// Verify all required configurations are set
let config = V2RxInitConfigurations.shared
assert(config.ownerOID != nil, "Doctor OID is required")
assert(config.subOwnerOID != nil, "Patient OID is required")
assert(config.appointmentID != nil, "Appointment ID is required")

// Check authentication
assert(AuthTokenHolder.shared.authToken != nil, "Auth token is required")

Debug Mode

Enable detailed logging for troubleshooting:

#if DEBUG
// EkaScribe provides debug prints automatically
// Check Xcode console for detailed logs including:
// - Audio engine status
// - Upload progress
// - Session lifecycle
// - Error details
#endif

Support Resources

GitHub Issues: Report bugs or request features
Documentation: Check this guide and inline code documentation
Sample Project: Request access to the sample integration project
Technical Support: Contact the EkaScribe team for integration assistance

License

EkaScribe is available under the MIT license. See the LICENSE file for more info.

Contributing

We welcome contributions! Please see our contributing guidelines for details on how to submit pull requests, report issues, and suggest improvements.

Made with ❤️ by the Eka.Care team

Android

iOS

Web SDK

Backend

Other Clients

​EkaScribe

​Overview

​Key Features

​Table of Contents

​Requirements

​System Permissions

​Installation

​Swift Package Manager

​Package.swift

​Quick Start

​Core Components

​VoiceToRxViewModel

​Recording States

​Conversation Types

​FloatingVoiceToRxViewController

​Configuration Classes

​V2RxInitConfigurations

​Integration Guide

​Step 1: Configure Dependencies

​Step 2: Implement Required Delegates

​FloatingVoiceToRxDelegate (Required)

​LiveActivityDelegate (Optional)

​Step 3: Initialize and Control Recording

​Configuration

​Audio Configuration

​Network Configuration

​Usage Examples

​Basic Recording Session

​Session Management

​Custom UI Integration

​Best Practices

​Memory Management

​Network Optimization

​Performance Optimization

​API Reference

​VoiceToRxViewModel

​Properties

​Methods

​FloatingVoiceToRxViewController

​Methods

​Delegate Protocols

​FloatingVoiceToRxDelegate

​LiveActivityDelegate

​Configuration Classes

​V2RxInitConfigurations

​AuthTokenHolder

​3. Session Creation Failures

​Debug Mode

​Support Resources

​License

​Contributing

EkaScribe

Overview

Key Features

Table of Contents

Requirements

System Permissions

Installation

Swift Package Manager

Package.swift

Quick Start

Core Components

VoiceToRxViewModel

Recording States

Conversation Types

FloatingVoiceToRxViewController

Configuration Classes

V2RxInitConfigurations

Integration Guide

Step 1: Configure Dependencies

Step 2: Implement Required Delegates

FloatingVoiceToRxDelegate (Required)

LiveActivityDelegate (Optional)

Step 3: Initialize and Control Recording

Configuration

Audio Configuration

Network Configuration

Usage Examples

Basic Recording Session

Session Management

Custom UI Integration

Best Practices

Memory Management

Network Optimization

Performance Optimization

API Reference

VoiceToRxViewModel

Properties

Methods

FloatingVoiceToRxViewController

Methods

Delegate Protocols

FloatingVoiceToRxDelegate

LiveActivityDelegate

Configuration Classes

V2RxInitConfigurations

AuthTokenHolder

3. Session Creation Failures

Debug Mode

Support Resources

License

Contributing