> ## Documentation Index > Fetch the complete documentation index at: https://docs.pro.commure.com/llms.txt > Use this file to discover all available pages before exploring further. # Ambient AI > Record patient encounters on your iOS device and let AI generate structured clinical notes — then customize, review, and submit to your EHR. **Ambient AI** in Commure Pro records your patient encounters and automatically generates structured clinical notes using AI-powered speech recognition. It supports approximately 60 languages and over 30 accents and dialects with HIPAA-compliant processing, so you can focus on the patient while the AI handles documentation. Ambient AI is part of a broader AI toolkit in Commure Pro. The recording and note generation engine works alongside **Clinical Copilot** for chart-based Q\&A, **AI Studio** for personalizing how notes are generated, and a set of customization features — Custom Formatting, Dot Phrases, Macros, and Personal Dictionary — that let you tailor output to your clinical style. ## Prerequisites Before you can record your first encounter, the following must be in place: * **Organization enablement** — Ambient AI is enabled per organization via feature flag. If you do not see the option to start a recording, contact your Commure Pro representative. * **Microphone permission** — Commure Pro needs access to your device microphone. Go to **Settings > Privacy & Security > Microphone** and confirm the toggle is on for Commure Pro. * **Patient consent** — Tapping the Record button confirms you have obtained consent from the required parties. If your organization has enabled the consent pop-up, you will be prompted to confirm before recording begins. ## How It Works From the **Patient List**, swipe left on a patient and tap **New Scribe**. Choose a note template (e.g., "Hospitalist Progress Note") that determines how the AI structures the output. Tap **Start Recording** — the timer begins and the app captures your conversation using the device microphone. When the encounter is finished, tap **Save**. The audio uploads in the background and the AI parses the conversation, populating structured note sections based on your selected template. You can navigate away or lock your device while the upload completes. The generated note appears in your **Inbox** within seconds. Review the content, make inline edits, resume the recording to add context, or change the template to regenerate. When the note is ready, tap **Submit** to send it to the EHR. ## Quick Start The fastest path from patient to completed note: 1. Open the **Patient List** and swipe left on your patient. 2. Tap **New Scribe**. 3. Select a note template from the dropdown. 4. Tap **Start Recording** and conduct the encounter. 5. Tap **Save** when finished. 6. Open the note from the **Inbox**, review the generated content, and tap **Submit**. You can also start a recording from the patient detail screen by tapping the blue **+** button and selecting **New Scribe**. If you need to pause mid-encounter, the recording can be resumed later via **Resume Scribe**. ## Smart Suggestions When enabled, Ambient learns from your edits as you work. As you correct or refine generated notes, the system captures those changes as implicit feedback and adapts future notes to match your documentation style — no explicit feedback form required. Periodically, you will see a **Smart Suggestions** prompt at app launch when new learned preferences are ready to review. The prompt opens a form sheet where you can approve or dismiss each suggestion before it is applied to future notes. Smart Suggestions sits inside AI Studio and works alongside Custom Formatting, Dot Phrases, Macros, and Personal Dictionary. Where those features let you set preferences explicitly, Smart Suggestions infers them from your actual editing patterns over time. ## Feature Ecosystem Ambient AI works with several related features to give you control over the full documentation workflow: | Feature | What It Does | | ----------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------- | | **[Clinical Copilot](/apple/ambient_ai_scribe/clinical-copilot)** | Ask natural-language questions about a patient's chart and get source-cited answers — labs, vitals, medications, orders, and more. | | **[AI Studio](/apple/ambient_ai_scribe/ai-studio)** | Central hub for configuring how notes are generated. Access Custom Formatting, Dot Phrases, Macros, and Personal Dictionary from **Settings > AI Studio**. | | **[Custom Formatting](/apple/ambient_ai_scribe/custom-formatting)** | Set per-template rules for tone, structure, section format (bullets vs. paragraphs), and detail level. Rules apply to every future note for that template. | | **[Dot Phrases](/apple/ambient_ai_scribe/dot-phrases)** | Create voice triggers that expand into predefined text during note generation — say "belly" and the note writes "abdomen." | | **[Macros](/apple/ambient_ai_scribe/macros)** | Define reusable content (dynamic or static) that is automatically injected into specific note sections on a per-template basis. | | **[Personal Dictionary](/apple/ambient_ai_scribe/personal-dictionary)** | Correct commonly misrecognized medication names, abbreviations, or proper nouns in your transcriptions. | AI Studio and Clinical Copilot are each enabled per organization. If you do not see these features, contact your Commure Pro representative. ## After Your Note Is Generated Once a note reaches **Note Ready** status, you have several options before submitting to the EHR: * **Edit inline** — tap the pen icon to correct wording, add details, or remove extraneous content * **Resume Scribe** — re-record additional context (corrections, addenda, post-encounter notes) and the AI incorporates it into the existing note * **Change Template** — select a different template and the AI regenerates the note from the original recording * **View Transcript** — review the original recorded conversation to verify accuracy * **Rate this Scribe** — provide thumbs-up or thumbs-down feedback to improve future note quality For recurring style preferences (e.g., always use bullet points in the Plan section), configure [Custom Formatting](/apple/ambient_ai_scribe/custom-formatting) rules so the AI applies them automatically rather than editing each note individually. ## Tips for Best Results * **Position your device** so the microphone can clearly capture both you and the patient. Avoid placing it in a pocket or face-down. * **Check the volume meter** — if it is not moving, verify microphone permissions in your device settings. * **Use multi-syllable trigger words** for Dot Phrases and Macros, as they are recognized more reliably than short words. * **Use Custom Formatting for recurring preferences** — feedback is best for one-off corrections, while formatting rules apply automatically to every future note. * **Answering an incoming call pauses the recording** — tap **Resume** after the call ends to continue. A call that rings but is **not answered** does not interrupt recording on iOS. See [Troubleshooting](/apple/ambient_ai_scribe/troubleshooting#incoming-call-during-recording) for platform-specific details. ## Explore Ambient AI Start a recording and generate your first AI note. Review generated notes and track note statuses. Resume, edit, or provide feedback to improve quality. Ask questions about your patient and get AI-powered, source-cited answers. Customize how Ambient AI generates and formats your clinical notes. Set per-template rules for tone, structure, and section formatting. Set up voice triggers that expand into predefined text in your notes. Inject dynamic or static predefined content into note sections. Correct commonly misrecognized words in your transcriptions. Resolve common audio, recording, and note generation issues.