Sofya targets that gap: an AI layer built for healthcare workflows that handles patient intake, structures notes during consultations, and surfaces clinical decision support in real time. The vendor states full HIPAA and LGPD compliance, HL7 and FHIR integration, and self-hosted deployment for organizations that cannot let patient data leave their infrastructure. Where it fits cleanly is high-volume clinical environments already running compatible EHRs — the structured output lands directly into existing systems rather than creating a parallel documentation layer. The ceiling appears in smaller or more specialized clinical settings where the intake and decision-support logic does not map to the tool's pre-built workflows, and the custom pricing model means budget clarity requires a sales conversation before any technical evaluation.