Dragon Copilot overview

Microsoft Dragon Copilot’s ambient documentation, embedded in Epic Rover, captures your patient observations and assessments and converts them into draft flowsheet entries. Simply record your observations aloud, and AI populates the flowsheet data—so you can focus on patient care. Afterward, review, edit, and file the AI-generated documentation in Rover or Hyperspace.

Notes: 

  • The features and functionality available to you may vary based on your organization's configuration and whether you're using Dragon Copilot embedded in Rover, the Dragon Copilot standalone web/desktop app, or both.

  • Recording is done exclusively in Dragon Copilot embedded in Epic Rover.

Record in the mobile app

Important: 

  • Before your shift, confirm you have a supported mobile device available for recording, based on your organization’s workflow.

  • Patient consent must be obtained ahead of ambient usage. Always follow your organization’s guidelines to obtain patient consent before using Dragon Copilot.

Record from Epic Rover: Follow your Epic Rover instructions to locate the patient and start a new ambient recording.

  • Depending on your organization's settings, recording may start automatically. If not, navigate to Ambient Documentation and tap Record at the bottom of the screen.

  • Once the recording begins, a timer will appear and start counting upward.

Pause and Resume: Use pause and resume to add documentation incrementally or handle interruptions during recording. 

  • Tap the pause action next to the timer to pause a recording. Tap Resume to continue recording.

Complete recording: Tap “Stop” to end the recording, which will send the results to the appropriate flowsheets in your EHR for review.

  Images showing Record action, the Pause action and timer, the Resume button, and the Stop button.

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Notes: 

  • The maximum supported recording length is 75 minutes, but we recommend keeping recordings to 60 minutes or less for best performance and faster processing.

  • A recording can remain paused for up to 60 minutes. If not resumed within this time, it will automatically save and send results to the appropriate flowsheets for your review as if you had selected “Stop.”

Dragon Copilot tabs

Image showing Preview tab, Transcript tab, and Guide tab highlighted.

Preview : Prior to recording, the Preview tab displays ambient-enabled flowsheet templates available to you and active LDAs available for the patient. Once paused, any template with extracted observations moves to the top and opens automatically, giving you a faster, clearer view of what you captured and what still needs documentation. The tab may take a few moments to populate after pausing. Use the preview to identify missing or incomplete details and add information as needed to finalize documentation.

Transcript : When you pause a recording, the Transcript tab displays the conversation so far, identifying you as “user” and the patient as “other.”

  • Accessible only when the recording is paused within the ambient embedded experience.

  • After selecting Stop to finalize the recording, you can retrieve the transcript in Epic Rover or Hyperspace.

Guide : The Guide tab, available anytime during an active or paused recording, provides visual flowsheet guidance to help you complete documentation effectively.

Review and file ambient data

After your recording is completed in Dragon Copilot embedded in Epic Rover, the AI will process the data and organize the values into the appropriate flowsheet sections.

Select patient: Follow Epic directions to select a patient and review AI-extracted observations in either Rover or Hyperspace.

Review AI generated content: Unvalidated AI-generated values in the flowsheets will be clearly marked, and you can perform a quick review of the ambient source without leaving the flowsheet. Review all values within the flowsheets and make any necessary edits.

  • Mobile (Rover): To view ambient source on mobile, tap on an AI-generated value. Note: You may have to select an option/button to show the source.

  • Desktop (Hyperspace): To view ambient source on desktop, select the row in the assessment that corresponds to the value you wish to review. The source will automatically display in a sidebar window.

Notes: 

  • The ambient source is available only before filing; it will disappear once your flowsheet is filed.

  • Only values generated by Dragon Copilot AI will display their source. Values obtained through other methods are not associated with Dragon Copilot and will not be displayed.

View transcript: Refer to the transcript in either Rover or Hyperspace as needed to view the full recounting of the recorded conversation.

File: File your assessment. 

Related topics

Return to the Welcome to the Dragon Copilot experience for nurses home page.

Get a refresher or find a specific training topic. Open the Dragon Copilot learning library for the nursing experience.

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