Generate a note

POST 
/digest

Digests a list of transcript items and produces a structured clinical note.

Request

application/json

Body

required

output_objectsdigest_output_object (string)[]required

Specifies which items you want us to send you back. In other words, which feature(s) you want to use, for now only note generation is available.

Possible values: [note]

languagecopilot_language (string)required
Language of the given transcript and the desired note ('fr' and 'en' are deprecated, and correspond to 'fr-FR' and 'en-US' respectively. Generating a note in 'es-ES' and 'es-MX' is not supported and will be soon removed).
Possible values: [fr, en, en-US, en-GB, fr-FR, es-ES, es-MX]
Example: en-US

transcript_items

object[]required

The transcript from which to generate the note. You don't need to specify each item's start or end time, but make sure they are sorted. In fact, due to its asynchronous nature, our [real-time transcription API](/2024-04-22/server/copilot-listen-ws) does not guarantee the order. Thus, before calling this note-generation API please **filter-out non-final items and sort them by `start_offset_ms`**.

Array [

textstringrequired

The transcribed text.

Example: Also, I’m allergic to peanuts.

speakercopilot_speaker (string)required

Who said the text in this transcript item.

Possible values: [doctor, patient, unspecified]

Example: doctor

]

section_stylecopilot_section_style (string)
Choose a desired style for note sections:
• paragraphs: Prioritizes generating paragraphs;
• bullet_points: Prioritizes structuring content using bullet points.
• auto: Automatically picks the most natural formatting option.
Default is auto.
Possible values: [auto, paragraphs, bullet_points]
Example: paragraphs
split_by_problemcopilot_split_by_problem (boolean)
Flag to structure the content of the note sections according to distinct clinical problems or topics addressed during the consultation.
When this flag is enabled, the text within some sections of the clinical note is organized into subsections, each corresponding to a specific problem or topic. This format aims to enhance the clarity and organization of the clinical note, making it easier to read and understand the different issues discussed during the consultation.
Important: Currently, the application of this flag is limited to the HISTORY_OF_PRESENT_ILLNESS and SOAP_SUBJECTIVE sections and is only effective when the language is set to English (US or GB).
Default value: false
note_templatecopilot_note_template (string)
The desired template of the generated note.
Some templates are only available in specific languages. Check Note template for details.
Possible values: [GENERAL_MEDICINE, GENERAL_MEDICINE_AP_MERGED, CARDIOLOGY, PSYCHIATRY, DIET, PSYCHOLOGY, SOAP, GENERAL_MEDICINE_WCC, SOAP_WCC, GENERAL_MEDICINE_EMERGENCY, SOAP_EMERGENCY]
Example: GENERAL_MEDICINE
note object

Optional initial Note to be enhanced using the new `transcript_items`. This is useful if you generate notes gradually to avoid accumulating a very long transcript items list. Typically, this will be the last note Nabla generated for you along with the new `transcript_items` that did not serve for its generation. **Important**: This is expected to be a recent (up to few-hours old) Nabla-generated note. If the note is too old or altered, you will get an error.

sections

object[]

required

Sections of the note.

Array [

keycopilot_note_section_key (string)required

A key identifying a section of a note. The set of possible keys depend on the template that is used. Check Note template for possible values.

Possible values: [ALLERGIES, APPOINTMENTS, ASSESSMENT, ASSESSMENT_AND_PLAN, CARDIOVASCULAR_RISKS, CHIEF_COMPLAINT, CURRENT_MEDICATIONS, DIET_APPOINTMENTS, DIET_CHIEF_COMPLAINT, DIET_HABITS, DIET_LIFESTYLE, DIET_MEDICAL_HISTORY, DIET_OBJECTIVES, DIET_VITALS, FAMILY_HISTORY, HISTORY_OF_PRESENT_ILLNESS, IMAGING_RESULTS, IMMUNIZATIONS, LAB_RESULTS, MENTAL_HEALTH_EXAM, MENTAL_HEALTH_HISTORY, PAST_MEDICAL_HISTORY, PAST_OBSTETRIC_HISTORY, PAST_SURGICAL_HISTORY, PHYSICAL_EXAM, PLAN, PRESCRIPTION, PSYCHOLOGY_HISTORY_OF_COMPLAINT, SOAP_ASSESSMENT, SOAP_OBJECTIVE, SOAP_PLAN, SOAP_SUBJECTIVE, SOCIAL_HISTORY, VITALS, WELL_CHILD_CARE]

Example: CHIEF_COMPLAINT

titlestringrequired

The section title.

Example: Chief complaint

textstring

Content of the note section (required).

Example: Sleep disorder

]

patient_contextstring

Some contextual information that will be used to generate the note (for example name, gender, age, pronouns, medical history) [BETA].

Possible values: <= 700 characters

Responses

200

The generated note.

application/json

Schema

Schema

note

object

required

The generated note.

titlestring

Title of the note.

Example: Fever and strong headache

sections

object[]

required

Content of the note structured in multiple sections.

Array [

keycopilot_note_section_key (string)required

A key identifying a section of a note. The set of possible keys depend on the template that is used. Check Note template for possible values.

Possible values: [ALLERGIES, APPOINTMENTS, ASSESSMENT, ASSESSMENT_AND_PLAN, CARDIOVASCULAR_RISKS, CHIEF_COMPLAINT, CURRENT_MEDICATIONS, DIET_APPOINTMENTS, DIET_CHIEF_COMPLAINT, DIET_HABITS, DIET_LIFESTYLE, DIET_MEDICAL_HISTORY, DIET_OBJECTIVES, DIET_VITALS, FAMILY_HISTORY, HISTORY_OF_PRESENT_ILLNESS, IMAGING_RESULTS, IMMUNIZATIONS, LAB_RESULTS, MENTAL_HEALTH_EXAM, MENTAL_HEALTH_HISTORY, PAST_MEDICAL_HISTORY, PAST_OBSTETRIC_HISTORY, PAST_SURGICAL_HISTORY, PHYSICAL_EXAM, PLAN, PRESCRIPTION, PSYCHOLOGY_HISTORY_OF_COMPLAINT, SOAP_ASSESSMENT, SOAP_OBJECTIVE, SOAP_PLAN, SOAP_SUBJECTIVE, SOCIAL_HISTORY, VITALS, WELL_CHILD_CARE]

Example: CHIEF_COMPLAINT

titlestringrequired

The section title.

Example: Chief complaint

textstringrequired

Content of the note section.

Example: Sleep disorder

]

suggested_dot_phrases

object[]

A collection of Dot Phrases that were successfully matched to the encounter's transcript, given the Dot Phrases defined on the calling user. Will be null in the context of a Server API call (i.e. no calling user). This functionality enriches the generated note by expanding concise key sentences (triggers) into a more detailed format following the given Dot Phrase definition. Thus, enhancing the depth and utility of the note and facilitating a comprehensive review of patient assessments in a structured and conventional manner.

Array [

dot_phrase

object

Dot phrase, also referred to as EHR (Electronic Health Record) macro, is a concise abbreviation (`trigger`) that unfolds into a predefined, extended text (`replacement`).

iduuidrequired

Unique identifier of the Dot Phrase.

titlestringrequired

A user-friendly title for the Dot Phrase. Does not impact the matching logic.

Example: Normal physical exam

triggerstringrequired

The text which, if present in the transcript, will prompt the suggestion of this Dot Phrase.

Example: Your physical exam is normal

content_auto_update_enabledbooleanrequired

If true, whenever this dot phrase is suggested, the replacement text will be automatically updated based on the encounter discussion.

Example: false

replacementstringrequired

The replacement text for this Dot Phrase. If the Dot Phrase's trigger is detected, this text will be suggested in the note generation's response.

Example: - Heart Examination: Normal, with regular rate and rhythm, no murmurs. - Lung Assessment: Normal breath sounds, no wheezes, crackles, or rhonchi. - Abdominal Evaluation: Normal, no tenderness, masses, or hepatosplenomegaly.

note_section

object

keycopilot_note_section_key (string)required

A key identifying a section of a note. The set of possible keys depend on the template that is used. Check Note template for possible values.

Possible values: [ALLERGIES, APPOINTMENTS, ASSESSMENT, ASSESSMENT_AND_PLAN, CARDIOVASCULAR_RISKS, CHIEF_COMPLAINT, CURRENT_MEDICATIONS, DIET_APPOINTMENTS, DIET_CHIEF_COMPLAINT, DIET_HABITS, DIET_LIFESTYLE, DIET_MEDICAL_HISTORY, DIET_OBJECTIVES, DIET_VITALS, FAMILY_HISTORY, HISTORY_OF_PRESENT_ILLNESS, IMAGING_RESULTS, IMMUNIZATIONS, LAB_RESULTS, MENTAL_HEALTH_EXAM, MENTAL_HEALTH_HISTORY, PAST_MEDICAL_HISTORY, PAST_OBSTETRIC_HISTORY, PAST_SURGICAL_HISTORY, PHYSICAL_EXAM, PLAN, PRESCRIPTION, PSYCHOLOGY_HISTORY_OF_COMPLAINT, SOAP_ASSESSMENT, SOAP_OBJECTIVE, SOAP_PLAN, SOAP_SUBJECTIVE, SOCIAL_HISTORY, VITALS, WELL_CHILD_CARE]

Example: CHIEF_COMPLAINT

titlestringrequired

Section title.

Example: Assessment & Plan.

text_to_insertstringrequired

The actual suggested content, to be inserted in the corresponding note section. Please note that the content might be different from the replacement in the original Dot Phrase definition. In fact, the text_to_insert takes into account the contextual information of the encounter and might change the original Dot Phrase replacement text, for instance to include exceptions.

Example: - Heart Examination: Normal, with regular rate and rhythm, no murmurs. - Lung Assessment: Normal breath sounds, no wheezes, crackles, or rhonchi. - Abdominal Evaluation: Normal, no tenderness, masses, or hepatosplenomegaly.

]

Example (from schema)

{
  "note": [
    {
      "key": "CHIEF_COMPLAINT",
      "title": "Chief complaint",
      "text": "Fatigue and headaches"
    },
    {
      "key": "SYMPTOMS",
      "title": "Symptoms",
      "text": "- Tiredness all day long\n- Mild headaches on the right side"
    }
  ],
  "suggested_dot_phrases": [
    {
      "dot_phrase": {
        "id": "3fa85f64-5717-4562-b3fc-2c963f66afa6",
        "title": "Normal physical exam",
        "trigger": "Your physical exam is normal",
        "content_auto_update_enabled": false,
        "replacement": "- Heart Examination: Normal, with regular rate and rhythm, no murmurs. - Lung Assessment: Normal breath sounds, no wheezes, crackles, or rhonchi. - Abdominal Evaluation: Normal, no tenderness, masses, or hepatosplenomegaly."
      },
      "note_section": {
        "key": "CHIEF_COMPLAINT",
        "title": "Assessment & Plan."
      },
      "text_to_insert": "- Heart Examination: Normal, with regular rate and rhythm, no murmurs.\n- Lung Assessment: Normal breath sounds, no wheezes, crackles, or rhonchi.\n- Abdominal Evaluation: Normal, no tenderness, masses, or hepatosplenomegaly.\n"
    }
  ]
}