The Ambient IQ Chrome Extension extends the power of Ambient IQ to the desktop, allowing providers to capture patient encounters and generate clinical documentation directly from Google Chrome. Integrated into existing workflows, the extension streamlines documentation by transforming conversations into structured, AI-generated notes.
With less time spent documenting and more time available for patient care, providers can improve efficiency, reduce administrative workload, and maintain a more seamless clinical experience throughout the day.
Installing the Ambient IQ Chrome Extension
Download the extension
The Chrome extension must be downloaded as a zip file. From the Google Chrome Store, search RXNT Ambient IQ.
Click Add to Chrome.
Click Add Extension.
Once the download is complete, locate the file in your device’s Downloads and extract (unzip) it to begin the setup.
Extract the zip file
To begin, locate the Ambient IQ Chrome Extension ZIP file on your computer.
Right-click the ZIP file and select Extract All.
A popup will appear prompting you to select a destination folder and click Extract. A new folder containing the extracted extension files will be created in the selected location.
Open the Chrome Extensions page
Open Google Chrome and enter chrome://extensions in the search bar, then click Enter. The Extensions page will display all currently installed Chrome extensions.
Enable developer mode
In the upper-right corner of the Extensions page, enable the Developer mode toggle.
Load the extension
Click Load Unpacked.
Open the extracted folder and select the folder that contains the manifest.json file, then click Select Folder.
The Ambient IQ Chrome Extension will now be installed and available in Chrome.
Pin the extension
Click the Extensions (puzzle piece🧩) icon in the Chrome toolbar. Locate Ambient IQ in the list of installed extensions and click the Pin icon to keep the extension accessible from the Chrome toolbar.
Starting an Ambient IQ session
To start a new session, click New Ambient IQ Session within the Start New Session window.
Telehealth visit
Select Telehealth Visit. Then, choose the appropriate Encounter Form from the dropdown menu. The selected encounter form will be used to structure the generated clinical documentation and ensure the note aligns with your organization's workflow and documentation requirements.
If the encounter is being documented as a Psychotherapy Note, select the Psychotherapy Note checkbox before starting the session. This setting will ensure the note is generated using the appropriate documentation format for psychotherapy services.
Psychotherapy notes are not made available to patients through the portal. This functionality is intended to support providers who elect to maintain psychotherapy notes separately from the designated record set, consistent with applicable law.
This feature is available only if enabled in Company Preferences within the main product dashboard utility menu.
If applicable, select the appropriate Visit Form and Intake Form from their respective dropdown menus.
- Use the Visits dropdown menu to link an appointment to the encounter. The menu includes all appointments for the patient that have been checked in within the Scheduling software, and have not already been linked to an encounter.
- Use the Intake Form dropdown menu to link an intake form to the encounter. All intake forms completed by the patient will be listed here. The selected intake form will display at the end of the encounter PDF once the encounter is complete/signed.
Once all required options have been selected, click Start Session to begin.
A Patient Consent message will appear before the session begins. Confirm that the patient understands and consents to the audio recording of the encounter. If the patient provides consent, click Accept to proceed with the session.
Navigate to the browser tab containing your video meeting and open the Ambient IQ extension from that tab. Recording must be initiated from the video meeting tab to capture the meeting audio. Starting a recording from the EHR tab will not capture audio from the telehealth session.
Once you have switched to the video meeting tab, click I'm in the Meeting Tab to continue.
Click the Microphone icon to begin recording the session. Once recording starts, Ambient IQ will capture and transcribe the conversation in real time, allowing documentation to be generated from the encounter.
To view additional patient details, including the patient's date of birth, sex, and chart number, click the chevron on the far right side of the patient’s name to expand the details.
Feel free to pause ambient sessions whenever you need; you can easily resume them later. When recording is paused, transcription begins processing automatically. You do not need to wait for transcription to finish before resuming recording—the transcription will continue running in the background, and all recorded audio will be preserved.
When the encounter is complete, click Finalize to end the session. Finalizing the session stops the recording and signals Ambient IQ to process the captured conversation and generate the associated clinical documentation.
Once finalization is complete and the session has finished processing, you’ll be navigated to the Note tab, click Done to close the session and return to the previous screen.
Review session
To access and review your transcript, click the Recent Sessions dropdown menu. From there, you can select a session to view its details, transcript, and generated documentation.
If you attempt to open the encounter from the patient's chart before the Ambient IQ session has been finalized, a message will appear indicating that the encounter is locked. The encounter cannot be viewed or edited until the Ambient IQ session has completed finalization and the documentation has been generated.
In-Person visit
Select In-Person Visit. Then, choose the appropriate Encounter Form from the dropdown menu. The selected encounter form will be used to structure the generated clinical documentation and ensure the note aligns with your organization's workflow and documentation requirements.
If the encounter is being documented as a Psychotherapy Note, select the Psychotherapy Note checkbox before starting the session. This setting will ensure the note is generated using the appropriate documentation format for psychotherapy services.
Psychotherapy notes are not made available to patients through the portal. This functionality is intended to support providers who elect to maintain psychotherapy notes separately from the designated record set, consistent with applicable law.
This feature is available only if enabled in Company Preferences within the main product dashboard utility menu.
If applicable, select the appropriate Visit Form and Intake Form from their respective dropdown menus.
- Use the Visits dropdown menu to link an appointment to the encounter. The menu includes all appointments for the patient that have been checked in within the Scheduling software, and have not already been linked to an encounter.
- Use the Intake Form dropdown menu to link an intake form to the encounter. All intake forms completed by the patient will be listed here. The selected intake form will display at the end of the encounter PDF once the encounter is complete/signed.
Once all required options have been selected, click Start Session to begin.
A Patient Consent message will appear before the session begins. Confirm that the patient understands and consents to the audio recording of the encounter. If the patient provides consent, click Accept to proceed with the session.
Click the Microphone icon to begin recording the session. Once recording starts, Ambient IQ will capture and transcribe the conversation in real time, allowing documentation to be generated from the encounter.
To view additional patient details, including the patient's date of birth, sex, and chart number, click the chevron on the far right side of the patient’s name to expand the details.
Feel free to pause ambient sessions whenever you need; you can easily resume them later. When recording is paused, transcription begins processing automatically. You do not need to wait for transcription to finish before resuming recording—the transcription will continue running in the background, and all recorded audio will be preserved.
When the encounter is complete, click Finalize to end the session. Finalizing the session stops the recording and signals Ambient IQ to process the captured conversation and generate the associated clinical documentation.
Once finalization is complete and the session has finished processing, you’ll be navigated to the Note tab, click Done to close the session and return to the previous screen.
Review session
To access and review your transcript, click the Recent Sessions dropdown menu. From there, you can select a session to view its details, transcript, and generated documentation.
If you attempt to open the encounter from the patient's chart before the Ambient IQ session has been finalized, a message will appear indicating that the encounter is locked. The encounter cannot be viewed or edited until the Ambient IQ session has completed finalization and the documentation has been generated.
Log out
To sign out of Ambient IQ, click the menu icon (three horizontal lines) and then select Logout.
You will be securely logged out of the application and returned to the sign-in screen.
To close Ambient IQ without logging out, click the X in the upper-right corner of the extension window. This will close the Ambient IQ interface while keeping your account signed in, allowing you to quickly reopen the extension and continue working later.
My sessions
Log into RXNT Electronic Health Records and click the Ambient IQ icon.
If you see the “Open Patient Chart to Start” message, Ambient IQ was unable to detect an active patient chart.
Open the patient’s chart and then start the session from the Ambient IQ extension.
On the Ambient IQ screen under the Patient tab, all recent patient sessions will be displayed under the Patient tab within the Recent Sessions dropdown, if there are no recent sessions it’ll display No recent sessions found.
Click the My Sessions tab to view all of your Ambient IQ sessions. From this tab, you can monitor the status of each session and access previously created sessions.
For sessions with an In Progress status, click Resume to continue working on the encounter. You will be prompted to choose whether to resume the session as an In-Person Visit or a Telehealth Visit, allowing you to continue documentation in the appropriate workflow.
If you select In-Person Visit, you will be prompted to start the session. Click the microphone icon to get started. Ambient IQ will begin capturing and processing the encounter, allowing you to continue documenting the patient visit in real time.
If Ambient IQ does not have permission to access your microphone, a browser prompt will appear requesting microphone access. If multiple microphones are connected to your device, select the microphone you would like to use for the session. Then choose Allow while visiting the site or Allow this time to grant permission and continue starting the session. Microphone access is required for Ambient IQ to capture, record, and transcribe conversations during patient encounters.
You can pause the session at any time by clicking Pause. While the session is paused, Ambient IQ will stop capturing and transcribing audio until the session is resumed. This can be useful when discussing information that should not be included in the encounter documentation or when there is a temporary interruption during the visit.
Once the patient encounter is complete and all necessary information has been captured, click Finalize to end the session. Be sure to confirm that the encounter has concluded before finalizing, as no additional audio can be captured after the session has been finalized.
After clicking Finalize, you’ll be navigated to the Note tab. A message will appear indicating that finalization is in progress while Ambient IQ processes the session and generates the clinical documentation. The note will be added to the patient’s chart automatically. You can stay on the screen while it finishes, or leave and continue your work.
Once the session has been finalized, the completed transcript will be available under the Transcripts tab. From there, you can review the captured conversation and reference the generated transcript as needed. After reviewing the transcript, click Done to close the session screen and return to the previous page.
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