Generate a note
POST/generate-note
Generate a structured clinical note given the transcript.
Request
Responses
- 200
The generated note.
Operation spec
{
"method": "post",
"path": "/generate-note",
"operationId": "generate-note",
"requestBody": {
"required": true,
"content": {
"application/json": {
"schema": {
"type": "object",
"description": "Input for note generation.",
"required": [
"transcript_items",
"note_locale"
],
"properties": {
"transcript_items": {
"type": "array",
"description": "The transcript from which to generate the note.\n\nYou 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](/core-api/reference/2024-11-08/server/transcribe-ws) does not guarantee its results order. Thus, before calling this note-generation API please **filter-out non-final items and sort them by `start_offset_ms`**.",
"items": {
"type": "object",
"description": "A portion of the transcribed consultation.",
"properties": {
"text": {
"type": "string",
"description": "The transcribed text.",
"example": "Also, I’m allergic to peanuts."
},
"speaker_type": {
"type": "string",
"enum": [
"DOCTOR",
"PATIENT",
"UNSPECIFIED"
],
"description": "Who said the text in this transcript item.",
"example": "DOCTOR",
"title": "speaker"
}
},
"required": [
"text",
"speaker_type"
],
"title": "transcript_item_request"
}
},
"previous_note": {
"description": "Optional initial Note to be enhanced using the new `transcript_items`.\nThis is useful if you generate notes gradually to avoid accumulating a very long transcript items list.\nTypically, this will be the last note Nabla generated for you along with the new `transcript_items` that did not serve for its generation.",
"type": "object",
"properties": {
"title": {
"type": "string",
"description": "Title of the note.",
"example": "Fever and strong headache"
},
"sections": {
"type": "array",
"description": "Sections of the note.",
"items": {
"type": "object",
"description": "A note section.",
"properties": {
"key": {
"type": "string",
"description": "A key identifying a section of a note.\nThe set of possible keys depend on the template that is used. Check [Note template](/core-api/guides/note-templates/note-templates-sections) for possible values.",
"example": "CHIEF_COMPLAINT",
"enum": [
"ALLERGIES",
"APPOINTMENTS",
"ASSESSMENT",
"ASSESSMENT_AND_PLAN",
"CARDIOVASCULAR_RISK_FACTORS",
"CHIEF_COMPLAINT",
"CURRENT_MEDICATIONS",
"DIAGNOSTIC_TESTS_ORDERED",
"FOOD_HABITS",
"LIFESTYLE",
"PAST_MEDICAL_HISTORY",
"OBJECTIVES_AND_ADVICE",
"FAMILY_HISTORY",
"HISTORY_OF_PRESENT_ILLNESS",
"IMAGING_RESULTS",
"IMMUNIZATIONS",
"LAB_RESULTS",
"MENTAL_HEALTH_EXAM",
"MENTAL_HEALTH_HISTORY",
"PAST_OBSTETRIC_HISTORY",
"PAST_SURGICAL_HISTORY",
"PHYSICAL_EXAM",
"PLAN",
"PRESCRIPTION",
"HISTORY_OF_PRESENT_COMPLAINT",
"OBJECTIVE",
"SUBJECTIVE",
"SOCIAL_HISTORY",
"VITALS",
"WELL_CHILD_CARE"
],
"title": "note_section_key"
},
"title": {
"type": "string",
"description": "The section title.",
"example": "Chief complaint"
},
"text": {
"type": "string",
"description": "Content of the note section.",
"example": "Sleep disorder"
}
},
"required": [
"key",
"title",
"text"
],
"title": "note_section_request"
}
}
},
"required": [
"sections"
],
"title": "note_request"
},
"patient_context": {
"type": "string",
"description": "Some contextual information that will be used to generate the note (for example name, gender, age, pronouns, medical history) [BETA].",
"maxLength": 700
},
"note_locale": {
"type": "string",
"description": "Locale of the note.",
"enum": [
"ENGLISH_US",
"ENGLISH_UK",
"FRENCH_FR"
],
"example": "ENGLISH_US",
"title": "note_locale"
},
"note_template": {
"type": "string",
"enum": [
"GENERIC_MULTIPLE_SECTIONS",
"GENERIC_MULTIPLE_SECTIONS_AP_MERGED",
"GENERIC_SOAP",
"GENERIC_SOAP_AP_MERGED",
"GENERIC_SOAP_PLUS_EXAM_TESTS_AP_MERGED",
"GENERIC_APSO_AP_MERGED",
"EMERGENCY_MULTIPLE_SECTIONS",
"EMERGENCY_SOAP",
"WCC_MULTIPLE_SECTIONS",
"WCC_SOAP",
"PSYCHIATRY_MULTIPLE_SECTIONS",
"PSYCHIATRY_SOAP",
"PSYCHOLOGY_MULTIPLE_SECTIONS",
"CARDIOLOGY_MULTIPLE_SECTIONS",
"DIET_MULTIPLE_SECTIONS"
],
"description": "The template used to generate the note.\n\nSome templates are **only available in specific languages**. Check [Note template](/core-api/guides/note-templates/note-templates-sections) for details.",
"example": "GENERIC_MULTIPLE_SECTIONS",
"title": "note_template"
},
"note_sections_customization": {
"type": "array",
"items": {
"type": "object",
"properties": {
"section_key": {
"type": "string",
"title": "note_section_key",
"description": "Key of the note section this customization should apply to.",
"example": "CHIEF_COMPLAINT",
"enum": [
"ALLERGIES",
"APPOINTMENTS",
"ASSESSMENT",
"ASSESSMENT_AND_PLAN",
"CARDIOVASCULAR_RISK_FACTORS",
"CHIEF_COMPLAINT",
"CURRENT_MEDICATIONS",
"DIAGNOSTIC_TESTS_ORDERED",
"FOOD_HABITS",
"LIFESTYLE",
"PAST_MEDICAL_HISTORY",
"OBJECTIVES_AND_ADVICE",
"FAMILY_HISTORY",
"HISTORY_OF_PRESENT_ILLNESS",
"IMAGING_RESULTS",
"IMMUNIZATIONS",
"LAB_RESULTS",
"MENTAL_HEALTH_EXAM",
"MENTAL_HEALTH_HISTORY",
"PAST_OBSTETRIC_HISTORY",
"PAST_SURGICAL_HISTORY",
"PHYSICAL_EXAM",
"PLAN",
"PRESCRIPTION",
"HISTORY_OF_PRESENT_COMPLAINT",
"OBJECTIVE",
"SUBJECTIVE",
"SOCIAL_HISTORY",
"VITALS",
"WELL_CHILD_CARE"
]
},
"custom_instruction": {
"type": "string",
"maxLength": 700,
"example": "Include discussion about first symptoms",
"description": "Allow to customize a note section by providing specific guidelines. These guidelines must be as clear and concise as possible for best results.",
"title": "note_section_customization_custom_instruction"
},
"style": {
"type": "string",
"enum": [
"AUTO",
"PARAGRAPH",
"BULLET_POINTS"
],
"example": "PARAGRAPH",
"description": "Specifies the desired style for the note section:\n\n • `PARAGRAPH`: Prioritizes generating paragraphs;\n\n • `BULLET_POINTS`: Prioritizes structuring content using bullet points.\n\n • `AUTO`: Automatically picks the most natural formatting option.\n\nDefault is `AUTO`.",
"title": "note_section_customization_section_style"
},
"level_of_detail": {
"type": "string",
"enum": [
"DEFAULT",
"DETAILED"
],
"description": "Specifies the desired level of details. Use `detailed` to get more details in the note section.",
"title": "note_section_customization_level_of_detail"
},
"split_by_problem": {
"type": "boolean",
"description": "Flag to structure the content of the note sections according to distinct clinical problems or topics addressed during the consultation."
}
},
"required": [
"section_key"
],
"title": "note_section_customization_request"
},
"description": "Advanced per-section customization options for the chosen template.\n\nYou should **only specify sections that belong to the given template**, and **only specify customization options that are supported for the given section**. Also, only specify sections you want to customize, no need to be exhaustive.\n\n\nCheck [Note templates sections](/core-api/guides/note-templates/note-customization) for compatibility matrix."
}
},
"title": "generate_note_request"
}
}
}
},
"responses": {
"200": {
"description": "The generated note.",
"content": {
"application/json": {
"schema": {
"type": "object",
"description": "The generated note along with suggested Dot Phrases if applicable.",
"required": [
"note"
],
"properties": {
"note": {
"type": "object",
"description": "The generated note.",
"properties": {
"title": {
"type": "string",
"description": "Title of the note.",
"example": "Fever and strong headache"
},
"sections": {
"type": "array",
"description": "Content of the note structured in multiple sections.",
"items": {
"type": "object",
"description": "A note section.",
"properties": {
"key": {
"type": "string",
"description": "A key identifying a section of a note.\nThe set of possible keys depend on the template that is used. Check [Note template](/core-api/guides/note-templates/note-templates-sections) for possible values.",
"example": "CHIEF_COMPLAINT",
"enum": [
"ALLERGIES",
"APPOINTMENTS",
"ASSESSMENT",
"ASSESSMENT_AND_PLAN",
"CARDIOVASCULAR_RISK_FACTORS",
"CHIEF_COMPLAINT",
"CURRENT_MEDICATIONS",
"DIAGNOSTIC_TESTS_ORDERED",
"FOOD_HABITS",
"LIFESTYLE",
"PAST_MEDICAL_HISTORY",
"OBJECTIVES_AND_ADVICE",
"FAMILY_HISTORY",
"HISTORY_OF_PRESENT_ILLNESS",
"IMAGING_RESULTS",
"IMMUNIZATIONS",
"LAB_RESULTS",
"MENTAL_HEALTH_EXAM",
"MENTAL_HEALTH_HISTORY",
"PAST_OBSTETRIC_HISTORY",
"PAST_SURGICAL_HISTORY",
"PHYSICAL_EXAM",
"PLAN",
"PRESCRIPTION",
"HISTORY_OF_PRESENT_COMPLAINT",
"OBJECTIVE",
"SUBJECTIVE",
"SOCIAL_HISTORY",
"VITALS",
"WELL_CHILD_CARE"
],
"title": "note_section_key"
},
"title": {
"type": "string",
"description": "The section title.",
"example": "Chief complaint"
},
"text": {
"type": "string",
"description": "Content of the note section.",
"example": "Sleep disorder"
}
},
"required": [
"key",
"title",
"text"
],
"example": [
{
"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"
}
],
"title": "note_section"
}
}
},
"required": [
"sections"
],
"title": "note"
},
"suggested_dot_phrases": {
"type": "array",
"description": "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).\nThis 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.",
"items": {
"type": "object",
"description": "Suggested Dot Phrase.",
"required": [
"text_to_insert"
],
"properties": {
"dot_phrase": {
"type": "object",
"description": "Dot phrase, also referred to as EHR (Electronic Health Record) macro, is a concise abbreviation (`trigger`) that unfolds into a predefined, extended text (`replacement`).",
"properties": {
"id": {
"type": "string",
"format": "uuid",
"description": "Unique identifier of the Dot Phrase."
},
"title": {
"type": "string",
"description": "A user-friendly title for the Dot Phrase. Does not impact the matching logic.",
"example": "Normal physical exam"
},
"trigger": {
"type": "string",
"description": "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_enabled": {
"type": "boolean",
"description": "If true, whenever this dot phrase is suggested, the replacement text will be automatically updated based on the encounter discussion.",
"example": false
},
"replacement": {
"type": "string",
"description": "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."
}
},
"required": [
"id",
"title",
"trigger",
"content_auto_update_enabled",
"replacement"
],
"title": "dot_phrase"
},
"note_section": {
"type": "object",
"description": "The key and the title of the section in the note where this Dot Phrase is suggested to go. There are three possible scenarios:\n\n • No suggested section: Given the Dot Phrase's content, we found no appropriate section to suggest. You should decide for a default (for instance: any kind of \"free text\" area you might have).\n\n • Suggested section already present in the note: We recommend you append the Dot Phrase's suggested `text_to_insert` to the section's content.\n\n • Suggested section is not present in the note: Add a new section to the note with the provided key and title and use the Dot Phrase's suggested `text_to_insert` as the section's content.",
"required": [
"key",
"title"
],
"properties": {
"key": {
"type": "string",
"description": "A key identifying a section of a note.\nThe set of possible keys depend on the template that is used. Check [Note template](/core-api/guides/note-templates/note-templates-sections) for possible values.",
"example": "CHIEF_COMPLAINT",
"enum": [
"ALLERGIES",
"APPOINTMENTS",
"ASSESSMENT",
"ASSESSMENT_AND_PLAN",
"CARDIOVASCULAR_RISK_FACTORS",
"CHIEF_COMPLAINT",
"CURRENT_MEDICATIONS",
"DIAGNOSTIC_TESTS_ORDERED",
"FOOD_HABITS",
"LIFESTYLE",
"PAST_MEDICAL_HISTORY",
"OBJECTIVES_AND_ADVICE",
"FAMILY_HISTORY",
"HISTORY_OF_PRESENT_ILLNESS",
"IMAGING_RESULTS",
"IMMUNIZATIONS",
"LAB_RESULTS",
"MENTAL_HEALTH_EXAM",
"MENTAL_HEALTH_HISTORY",
"PAST_OBSTETRIC_HISTORY",
"PAST_SURGICAL_HISTORY",
"PHYSICAL_EXAM",
"PLAN",
"PRESCRIPTION",
"HISTORY_OF_PRESENT_COMPLAINT",
"OBJECTIVE",
"SUBJECTIVE",
"SOCIAL_HISTORY",
"VITALS",
"WELL_CHILD_CARE"
],
"title": "note_section_key"
},
"title": {
"type": "string",
"description": "Section title.",
"example": "Assessment & Plan."
}
},
"title": "dot_phrase_section"
},
"text_to_insert": {
"type": "string",
"description": "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.\n- Lung Assessment: Normal breath sounds, no wheezes, crackles, or rhonchi.\n- Abdominal Evaluation: Normal, no tenderness, masses, or hepatosplenomegaly.\n"
}
},
"title": "suggested_dot_phrase"
},
"title": "suggested_dot_phrases"
}
},
"title": "generate_note_response"
}
}
}
}
}
}