Note
Access to this page requires authorization. You can try signing in or changing directories.
Access to this page requires authorization. You can try changing directories.
Dragon Copilot and DAX Copilot generate diagnoses for the Assessment and Plan section of the clinical note, based on the ambient recording. The system retrieves diagnoses directly from Epic and compares them with Dragon Copilot's AI-generated diagnoses. When the diagnoses align, the note uses the Epic diagnoses. If there's no alignment, the note retains the diagnoses generated by Dragon Copilot or returns the Epic diagnoses without an Assessment and Plan section. This approach ensures the diagnoses documented in the note aligns with the diagnoses recorded in Epic, delivering the most specific and accurate diagnosis available.
What should users expect?
The diagnoses included in the final note follows one of these scenarios:
Dragon Copilot and Epic have aligned diagnoses: Epic diagnoses included in note.
Dragon Copilot generated diagnoses not aligned with Epic diagnoses: Dragon Copilot generated diagnoses included in note.
Epic retrieved diagnoses not aligned with Dragon diagnoses: Epic diagnoses included in note without Assessment and Plan section.
Example - primary care
| Without visit diagnosis retrieval | With visit diagnosis retrieval |
|---|---|
| 1. Urinary incontinence Urinary leakage occurs with coughing and sneezing, onset approximately 8 weeks ago, with minimal volume and no associated urgency. - A urinalysis will be conducted to rule out any potential infection. Additionally, a bladder ultrasound will be performed to ensure there are no underlying issues. - Recommend physical therapy for bladder training exercises. |
1. Stress incontinence of urine (updated from Epic visit diagnosis) Urinary leakage occurs with coughing and sneezing, onset approximately 8 weeks ago, with minimal volume and no associated urgency. - Order urinalysis and bladder ultrasound to evaluate for infection and structural abnormalities. - Recommend physical therapy for bladder training exercises. |
| 2. Hypertension Blood pressure is well-controlled. - Send prescription refill for phlepomine. |
2. Primary hypertension (updated from Epic visit diagnosis) Blood pressure is well-controlled. - Send prescription refill for phlepomine. |
| 3. Elevated cholesterol Previous blood work from 2025 showed elevated cholesterol and triglyceride levels. - Order fasting blood work to recheck her cholesterol levels. |
3. Dyslipidemia (updated from Epic visit diagnosis) Previous blood work from 2025 showed elevated cholesterol and triglyceride levels. - Order fasting blood work to reassess lipid profile. |
| 4. Health maintenance - She is due for a bone density test and wellness visit. - Order a bone density test. - She is advised to schedule a wellness visit at her earliest convenience. |
4. Postmenopausal state (updated from Epic visit diagnosis) - Order bone density test ordered for osteoporosis screening. |
| 5. Screening for thyroid disorder (updated from Epic visit diagnosis) | |
| 6. Screening for deficiency anemia (updated from Epic visit diagnosis) | |
| 7. Anxiety (retrieved from Epic) Follow-up: Patient to schedule wellness visit at convenience. |
Example - OB-GYN
| Without visit diagnosis retrieval | With visit diagnosis retrieval |
|---|---|
| 1. Uterovaginal prolapse Stage II uterovaginal prolapse is present, causing urinary frequency but not significant health issues such as kidney damage or failure. - Bladder emptying is not affected, and the prolapse is more of a nuisance. - A comprehensive discussion was held regarding the nature of the prolapse and potential treatment options, including pelvic floor physical therapy and surgical intervention. - A referral for pelvic floor physical therapy will be provided. She was advised to reduce fluid intake, particularly before bedtime, limit caffeinated beverages, and apply Aquaphor or Vaseline on her fingertips to gently push the prolapse back into place if bothersome. |
1. Uterovaginal prolapse, incomplete (updated from Epic visit diagnosis) Stage II prolapse present, not causing harm or kidney issues. Urinary frequency may be related to prolapse or overactive bladder. - Allow patient to manually reduce prolapse with lubricant as needed. Provide handouts on prolapse and treatment options. - Discussed that prolapse is not dangerous and does not require urgent intervention. Reviewed surgical and nonsurgical options, including risks and benefits. Explained no lifting restrictions and no urgency for surgery. |
| 2. Lichen planus Lichen planus is causing erosive irritation on the vulvar area. - The condition is similar to psoriasis, which she also has. - She currently uses clobetasol, which she reports as effective. |
2. Urinary frequency (updated from Epic visit diagnosis) Increased daytime frequency, no nocturia or incontinence. Bladder emptying is normal. - Refer to pelvic floor physical therapy. - Discussed fluid and caffeine reduction to manage symptoms. - Explained possible link to prolapse and overactive bladder. |
| 3. Lichen planus (not retrieved from Epic) Chronic vulvar irritation consistent with lichen planus, Clobetasol is effective. - Continue clobetasol for symptom control. - Explained autoimmune nature and similarity to psoriasis. |
FAQs
Is this feature the same as diagnosis-aware notes?
No. You don't need to use diagnosis-aware notes to benefit from this improvement. However, if you use diagnosis-aware notes, you get better diagnoses matching and improved plan alignment.
How do I know if my site is sending diagnoses to Dragon Copilot?
You must be on Epic Vendor Services 2.3 or later and have no blocks to retrieve the content.
Does this feature slow down how quickly users receive notes?
No.
Does this feature impact templates?
Templates are applied after the visit diagnoses improvement and plan alignment. Your template uses retrieved content if you don't use "transcript only".
What if users don't enter visit diagnoses?
They receive an Assessment and Plan section based on the diagnoses said in Dragon Copilot's ambient recording.
What does this feature mean for the Assessment and Plan section?
It improves the content of the note automatically by replacing the diagnoses generated by Dragon Copilot with the diagnoses retrieved from Epic and re-aligning the plans. The diagnoses generated by Dragon Copilot from the ambient recordings is retained. The diagnoses retrieved from Epic without a plan is retained.
Is there any configuration required?
Make sure your organization uses Epic Vendor Services 2.3 or later and doesn't block Dragon Copilot. Users must enter the visit diagnoses before the end of the last recording.
What happens if users change the visit diagnoses?
The note reflects the changes if users enter them before the end of the last recording.
Does this require a clinician to enter visit diagnoses?
Yes. Clinicians must enter diagnoses before the end of the last recording.
What happens if diagnoses aren't retrieved from Epic?
The note contains the current Assessment and Plan with the Dragon Copilot generated diagnoses and associated plans.
What happens if a user adds visit diagnoses in Epic and then starts ambient recording in Dragon Copilot?
The entire note is rewritten and the Assessment and Plan section is updated with the entered visit diagnosis.
Is the problem list used as well as the visit diagnoses?
No. You must promote the problem to a visit diagnosis for it to be included in the note.