Use the power of AI in DAX Copilot to further enhance your notes with customizable templates. Tailor these templates to your needs in the Note style & format settings screen in the DAX Copilot for Epic activity. Customizable template is a format option for the Allergies, Physical Exam, and Assessment and Plan note sections.

Use the default customizable templates as-is or modify them to align with your specialty or workflow.

Customizable templates are unique because they can include:

  • Default text that will appear exactly as written.

  • Prompts to instruct the AI how to organize and format the content it generates from your ambient recordings.

Notes: DAX Copilot uses specialty-specific AI models designed to meet the unique documentation requirements of different medical communities and reduce the need for editing clinical summaries.

  • The Primary specialty setting in your DAX Copilot profile determines the AI model used to generate the summaries for your note. (For more information, see Specialty AI enhancements.)

  • Select No format change as the default format option for the HPI, Physical Exam, Results, and A&P sections to generate your summaries in specialty-specific format, then consider using customizable templates as necessary to achieve your desired note outcome.

Customizable template components

There are four components you can use when you construct or modify a customizable template:

Labels/headers refers to fixed text that will be directly copied into the note, such as section titles, subheadings, or any default or "canned" text you wish to include.

  • No brackets: Keep content as plain text. Do not enclose any fixed text in brackets. For example:  GENERAL APPEARANCE:

  • For fixed content that is not a header or label, such as canned text, use quotation marks to indicate what text should be written exactly as is in the note. For instance, you might include a sentence such as:  "Risks and benefits have been discussed with the patient."

Placeholders are specific sections within the template where the AI will insert information extracted from the note or transcript - based on the instructions included in the placeholder.

  • [Square brackets]: Placeholder text must be enclosed within [square brackets].

  • The instructions in the placeholder can be detailed, providing guidance to the AI on how the content should be structured. Here's an example for the "Treatment" section:  Treatment: [Briefly describe any related treatments like lifestyle counseling, medications, or referrals. Do not include the name and location of the pharmacy.]

Include general instructions to provide guidelines for the AI. They help the AI understand what changes to make to the template after filling in the necessary information and are often structured as "if, then" statements. These commands typically follow the placeholders but may also appear in other sections of the template.

  • {Curly brackets}: Place instructions inside {curly brackets}.

  • Instructions should be positioned as close as possible to the elements or rows to which they pertain.

  • Instructions are intended to be followed once the placeholder's content has been completed.

  • Commonly used instructions include deleting a row if there is no content or replacing specific content with a designated word or phrase. For example:{If none specified, then delete this entire row and its header}

  • If you have an instruction that includes text you want to be copied exactly in the outcome, enclose it in quotes. For example: ​​​​​​​HEAD, FACE, EYES: [List findings] {If HEAD, FACE, EYES is unremarkable use the statement "Normocephalic, atraumatic; PERRLA.", then append any noted exceptions. Delete this entire row if no findings were mentioned.}

Instructions for empty sections:

​​​​​​​Customizable templates can be used to populate empty sections.  This feature is useful for adding standard statements into those sections, even if they weren't mentioned during the recording. To do so, include an empty section instruction at the top of the template. It can be written in any of the following ways:  empty section, [empty section], or {empty section}. 

For example:

  • {empty section}
  • General Appearance: [List findings] {if not mentioned put "Normal"}.
  • Vital signs: [List findings] {if not mentioned put "Within normal limits"}.
  • HEENT: [List findings]...

Looping commands are special instructions that tell the system to repeat a certain part of the information. This is useful when there are multiple instances of something, like a diagnosis that appears more than once.  Sometimes, you also need to mark where the repeating section ends for everything to function properly.

  • {Curly brackets}: Place looping commands inside {curly brackets}.

  • "Repeat" instructions, such as for diagnosis, need to be set before the diagnosis section. For example{Repeat for each diagnosis}

Example of a customizable template

The template below is an Assessment and Plan template, designed according to best practices. The components of the template are color-coded to distinguish the four types of components it contains:

The 4 components of customizable templates, color-coded: Labels/headers in green, Placeholders in purple, Instructions in orange, and Looping commands in pink.

Assessment and Plan template with each of the four data types of the template (labels/headers, placeholders, instructions, and looping commands) color coded.

Let's suppose during a recorded encounter, the patient's allergies were communicated as follows: "No known drug allergies. The patient is allergic to pollen and ragweed." If the style settings use "paragraphs" formatting for allergies, the generated note will display the allergies section like this:

Allergies section before the application of a custom allergy template.

Now, let’s suppose we change the Allergies formatting option to "customized template" and use the default template supplied, which is:

Medical allergies: [list allergies, if no allergies put NKDA.]
Food allergies: [list allergies, if no allergies replace with None. If allergy listed, put "The patient was given a handout about [list food allergen] allergies."
Seasonal allergies: [list allergies, if no seasonal allergies delete the row]
Indoor allergies: [list allergies, if no indoor allergies delete the row]
Other allergies: [list allergies, if no other allergies delete the row]

After applying this style, the allergies section will be reformatted to match the specifications outlined in the custom allergies template, and the generated note will display the allergies section like this:

Allergy section after application of a custom allergy template.

Define the source for a customizable template

There are three options for the content sources that DAX Copilot can use when applying a customizable template. 

  1. Use both transcript and generated note: DAX Copilot will use the content in the combined transcript of all the recordings you made and the original generated content in the note section when applying the customizable template. This is the default option and requires no additional instructions within the customizable template. 

  2. Only use the generated note:  DAX Copilot will apply the instructions in the customizable template to regenerate the content in the section.​​​​​ You can use this method to remove unwanted content or reformat the information in a section in a different way after it generates

    • To do this, add the words "disable transcript" as an instruction in the first line of your template.

  3. Use transcript only: This advanced option gives you the most control over the output that DAX Copilot generates for a section. DAX Copilot will use the content in the combined transcript of your recordings to generate the content in the section based on your customizable template. 

    • ​​​​To do this, add the words "transcript only" as an instruction in the first line of your template. For example:   ​​​​​​​ Sample Assessment and Plan customizable template with "Transcript only" as first line of template, highlighted.

Best practices when developing customizable templates

  • First, look at the note outcome with no custom templates. See how your note outcome looks with your specialty-specific AI model applied first. Then use customizable templates as necessary to further tailor your note outcome.

  • Craft clear AI instructions. Provide concise and specific instructions to the AI when creating placeholder content or guidelines.

  • Review and modify templates as needed. Customizable templates utilize generative AI, making it difficult to predict how the AI will perform in every scenario. It is essential to review the generated content to ensure it aligns with your expectations and make any necessary edits.

  • Utilize Auto-Style for consistent template application. When you set your style to auto-style, your selected style preferences will be automatically applied, including customizable templates, every time you add a new recording.

  • Manually apply for as-needed application. If you opt not to run your style automatically and prefer to apply a customizable template manually, please note that adding a subsequent ambient recording will regenerate the note. To ensure the template takes effect, you must manually reapply your customizable template after adding another recording.

  • Avoid using a template repeatedly without modifying the note content. If the desired outcome is not achieved, consider adding another ambient recording, restoring a note version that has not been styled, or updating your customizable template before attempting to apply it again.

  • Avoid entering unnecessary prompts. It is not necessary to include any instructions that built into our system, such as "do not hallucinate" or "use medically relevant information.

Related topics

DAX Copilot Customizable template overview

Start using default customizable templates in DAX Copilot​​​​​​​

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