What's new in Microsoft Dragon Copilot 3.5.1

This release of Dragon Copilot includes new features and enhancements that streamline your workflow and improve efficiency. Dragon Copilot 3.5.1 focuses exclusively on features for Dragon Copilot. 

Physician experience

Feature details - action required

This section highlights capabilities that might need your organization's active participation to unlock their full value. Engage proactively to maximize benefits for your team and customers.

Vocabulary – create audio training for words or phrases "based on spelling"

  • Description: Users can help Dragon Copilot better identify words used in future speech activities by providing an audio recording of themselves saying the word based on how it's spelled. Create this training audio on words or phrases they add to their vocabulary. They need to use Dragon Copilot for at least 60 seconds of dictation activity to create training audio for words. When they confirm and save their training audio, the whole word or phrase is saved automatically as well. Creating training audio for spoken forms won't be available until a future release.

  • Relevant versions: Dragon Copilot (web, desktop, embedded)

  • Relevant experience: Clinician/physician

  • Regions: All regions

  • Action required: Available to all users and license types by default. Users go to Settings > Library > Vocabulary > New item (or select an existing word or phrase already added): Enter the word or phrase and select Record pronunciation under the word's spelling, and begin recording the pronunciation. When finished, they select Stop and save pronunciation. For more information, see: Add words/phrases to the Dragon Copilot vocabulary.

Expanded full text control support

  • Description: Dragon Copilot desktop now supports full text control in additional apps and EHRs, including Altera Sunrise. Full text control allows Dragon Copilot to fully understand and interact with the text fields in these systems. It enables advanced editing, precise text selection, navigation commands, and richer dictation workflows that match the Dragon Medical One experience. This support ensures clinicians can work efficiently and consistently across more of their daily tools.

  • Relevant versions: Dragon Copilot (desktop)

  • Relevant experience: Clinician/physician

  • Region: All regions

  • Action required: Make sure that full text control for your system is enabled when running the latest Dragon Copilot desktop.

Feature details - no action required

The features listed in this section are for your awareness. Users automatically benefit from these updates; no action or participation is required to access their full value.

US/Canada AI model updates

  • Description: The latest updates to the AI models for DAX Copilot and Dragon Copilot make clinical documentation even more accurate, comprehensive, and user-friendly. These updates include:

    • A streamlined, reliable process for specialty specific updates. Updates are made on an ongoing basis.

    • History of Present Illness opening statement includes the history related to the reason for visit regardless of when verbalized. 

    • Assessment and Plan maintains consistent imperative voice.

    • Home Health and Triage specialty models are now live, expanding coverage across more clinical workflows. 

    • Emergency Medicine with reduced repetitions, improved capture of elements necessary for billing, and improved capture of time stamps.

  • Relevant versions: Dragon Copilot (web, mobile, embedded, desktop), Dragon Copilot for Epic

  • Relevant experience: Clinician/physician

  • Region: US, CA

  • Action required: No action required.

Protected sections support in Epic

  • Description: Dragon Copilot now automatically detects protected or read‑only areas within Epic notes and prevents text (dictated, typed, or AI‑generated) from being inserted into those sections. This feature ensures clinicians only edit the parts of the note they are permitted to modify, helping avoid accidental overwrites or loss of content. This enhancement brings Dragon Copilot to full parity with legacy Dragon Medical One behavior and supports safe, compliant documentation in Epic environments where system‑generated or locked sections are commonly used.

  • Relevant versions: Dragon Copilot (desktop)

  • Relevant experience: Physician/clinician

  • Region: All regions

  • Action required: No action required.

Start workflows with keyboard shortcuts and PowerMic buttons

  • Description: Users can now launch workflows not only by voice, but also by pressing assigned keyboard shortcuts or using their PowerMic device buttons. This enhancement offers greater flexibility and speed, giving clinicians more ways to trigger automated actions when it best fits their workflow. For more information, see: Create and edit workflows in Dragon Copilot.

  • Relevant versions: Dragon Copilot (desktop)

  • Relevant experience: Physician/clinician

  • Region: All regions

  • Action required: No action required.

Seamless migration of Dragon Medical One formatting settings

  • Description: Dragon Copilot desktop now automatically migrates your existing Dragon Medical One formatting settings, including capitalization, spacing, punctuation behavior, and number and measurement formats. This feature ensures your dictated text looks and behaves the way you expect, reducing friction during your transition to Dragon Copilot and helping maintain consistency and accuracy in your documentation.

  • Relevant versions: Dragon Copilot (desktop)

  • Relevant experience: Physician/clinician

  • Region: All regions

  • Action required: No action required.

Dragon Copilot availability from the Microsoft Download Center
  • Description: You can now download Dragon Copilot desktop directly from the Microsoft Download Center, simplifying rollout and enabling streamlined enterprise deployment workflows.

  • Relevant versions: Dragon Copilot (desktop)

  • Relevant experience: Physician/clinician

  • Region: All regions

  • Action required: No action required.

Nurse experience

Feature details - no action required

The features listed in this section are for your awareness. Users automatically benefit from these updates; no action or participation is required to access their full value.

Preview loading screen enhancement

  • Description: Flowsheet cards now display an enhanced shimmer effect when they are loading, giving nursing users instant visual confirmation that data is actively processing. These lightweight animations appear immediately, stay visible until the content is ready, and transition seamlessly into the final view. This effect reduces uncertainty and supports an uninterrupted clinical workflow.

  • Relevant versions: Dragon Copilot for Epic

  • Relevant experience: Nurse

  • Region: US

  • Action required: No action required.

AI customization manager - Tune accuracy: Improved support for service lines and roles

  • Description: Tune accuracy now supports all service line and role combinations configured in Dragon admin center. Previously, test cases could only be evaluated against Med/surg (service line) and RN (role). With this update, customers can run Tune Accuracy test cases against any supported service line and role, ensuring accuracy testing aligns with how templates are deployed in production. In addition, coverage reporting is enhanced. For more information, see: Tune accuracy.

    Reports now reflect:

    • Test cases created from ambient-enabled flowsheet templates.

    • Your organization's custom template profiles.

    • Key metrics such as total test cases, passing tests, and items requiring review.

    These improvements provide you with clearer insight into accuracy, coverage, and quality across all service lines and roles.

  • Relevant versions: Dragon Copilot for Epic

  • Relevant experience: Nurse

  • Region: US

  • Action required: No action required

AI customization manager - Flowsheet analyzer: Improved template redundancy reporting

  • Description: The Flowsheet analyzer now factors template profiles into its reporting, helping you identify and avoid template selection problems. This feature especially helps with cases where nearly identical templates are enabled for the same user profile.

    Duplicated lines, drains, and airways (LDA) groups are now automatically flagged when multiple groups share the same base display name. This feature helps you spot potential problems earlier in user acceptance testing, improving template governance and reducing downstream workflow confusion. For more information, see: Flowsheet analyzer.

  • Relevant versions: Dragon Copilot for Epic

  • Relevant experience: Nurse

  • Region: US

  • Action required: No action required.

Flowsheet manager: Updated service lines list

  • Description: The list of available service lines is updated to:

    • Med Surg (medical-surgical)

    • Telemetry

    • Other

    To enable a flowsheet template for ambient recording, select Med Surg as a service line. For more information, see: Flowsheet manager - configure metadata

  • Relevant versions: Dragon Copilot for Epic

  • Relevant experience: Nurse

  • Region: US

  • Action required: No action required.