News PhiClaw closes its first angel round. Dr. Alexander Rios joins as Chief Medical Officer Talk to the founder directly — book a 20-minute call

A Real-Time EHR Built for AI Agents: Why PhiClaw Runs on Convex

By Phiclaw Team · · EHR · 4 min read

Most EHRs were built for people clicking through screens, one at a time. A practice with an AI employee works differently: the AI books, reschedules, charts and follows up all day, while your staff work in the same records. If the system is not live, people end up looking at stale schedules and charts. That is why PhiClaw's Headless EHR and HIPAA CRM are reactive by default.

What "reactive" means for your practice

Why we built it on Convex

Our EHR and CRM run on Convex, a reactive cloud database. Every query is live by default, and the whole backend is plain TypeScript functions with a typed schema. AI agents work well with that setup: they call clear, typed functions instead of guessing at raw tables, which keeps their reads and writes fast and predictable. We have a BAA in place with Convex for the infrastructure that stores patient data, and PhiClaw signs a BAA with your practice.

OpenEMR is different on purpose. If you need ONC-certified EHR technology, our OpenEMR add-on ($50/mo) runs on its own dedicated HIPAA server (VPS), separate from the rest of PhiClaw. Your AI employee logs into it like a staff member.

What you get

The Headless Basic EHR, HIPAA CRM, patient portal and unlimited AI scribe are included in every PhiClaw plan: $997 a month paid yearly, or $1,500 month-to-month. See the EHR for your specialty.

Frequently asked questions

What does a reactive EHR mean?

Every screen updates the moment data changes. When your AI employee books a visit or a nurse updates a chart, everyone looking at it sees the change right away, with no refresh button and no nightly sync.

Why Convex?

Convex is a cloud database where every query is live by default and all backend code is plain TypeScript functions with a typed schema. That makes it fast and safe for AI agents to read and write data, which is exactly what an AI employee does all day.

Is it HIPAA compliant?

Yes. PhiClaw signs a BAA with your practice, and we have a BAA in place with Convex for the infrastructure that stores patient data.

Where does OpenEMR run?

The ONC-certified OpenEMR add-on runs on its own dedicated HIPAA server (VPS), separate from the rest of PhiClaw, and your AI employee logs into it like a staff member.

Can I keep my current EHR?

Yes. PhiClaw works inside the EHR you already use through its own secure computer. Or switch to our Headless EHR and we migrate your data for free.

Want a real-time EHR with an AI employee already inside it?

Included in every PhiClaw plan. Signed BAA, 60-day money-back guarantee.

See pricing