Available starting Wednesday, November 18, 2026 for select customers.
The Ambient IQ Chrome Extension now supports multistage recording. This allows multiple members of a care team, such as nurses and doctors, to record separate sessions sequentially within the same encounter. Each session contributes to a single clinical note.
For example, a nurse can record while gathering vitals and then finish their session. A doctor can then record their own session within the same encounter. When all recordings are complete, a note is generated from all of the sessions.
Multistage recording is currently available through early access to select customers. If you are not part of early access, see Ambient IQ Chrome Extension for the standard experience.
Important: Only one user can record within an encounter at a time.
Update the Ambient IQ extension
The updated Ambient IQ extension is required to use multistage recording. When an update is available, an update prompt appears with two options:
- Update Now – Updates the extension so you can use multistage recording.
- Remind Me Later – Dismisses the prompt and lets you continue with your existing experience.
You must update the extension before you can use the new functionality.
Start an Ambient IQ session
To start a new encounter, open the patient’s chart and click the Ambient IQ extension. If you don’t see it on your toolbar, click the puzzle piece icon 🧩 to find Ambient IQ for RXNT in your extensions list.
The extension opens a panel within your RXNT window. Click New Ambient IQ Session.
If you open the extension outside of a patient chart, a message appears notifying you that no patient was found and prompting you to open a chart to start your session.
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.
Providers are solely responsible for determining whether information meets the definition of “psychotherapy notes” under the HIPAA Privacy Rule and for ensuring compliance with all federal and state requirements governing their creation, use, and disclosure.
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.
Starting a session takes you to the recording type selection screen. Choose one of the following:
- In-Person – Use when the patient is in front of the provider.
- Provider Note – Use to record your own notes to add to an encounter.
- Telehealth – Use to record a video visit.
After selecting the recording type, 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.
Patient consent must be obtained before recording can begin to ensure compliance with applicable privacy and documentation requirements.
Telehealth visit
Select Telehealth Visit.
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, then record, pause, and resume as described in the next section.
Record, pause, and resume a session
On the Record tab, click the Record button to start the session. Once recording starts, Ambient IQ will capture and transcribe the conversation in real time, allowing documentation to be generated from the encounter. The audio indicator helps you confirm that sound is being captured.
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.
To resume a paused recording, access the encounter from the Recent Encounters on the dashboard and select Resume My Session from the Actions menu.
Sessions can also be resumed from the My Encounters tab by selecting Actions.
Finish a session
When you are done with your current recording, click Finish Session.
A confirmation appears before the session ends. You can confirm that you are finished or return to the recording.
Finishing a session ends your current recording while keeping the encounter open for additional sessions. A screen then appears with three options:
- Return to Dashboard – Returns you to the dashboard. Choose this if you are finished for now and want to continue other work. You or another user can return to the encounter later.
- Record Another Session Now – Starts another session within the same encounter. Select the recording type again and follow the same recording flow.
- Recordings Done – Generate Note – Closes the encounter to further recording. Choose this when no additional recordings are needed.
Finish Session ends one session. Recordings Done – Generate Note closes the encounter to further recording.
Once your session is finished, another user can record a session for the same encounter by accessing the patient’s Recent Encounters.
Click Actions on the desired encounter.
Then select Record New Session.
The user will be prompted to select the type of session, and then record.
If you try to start a session while another user is recording, a message identifies the active recorder and asks you to wait until they finish. If the situation requires ending the other user’s recording, you’ll have the option to force end the other recording. A confirmation warns that audio that has not uploaded may be lost. You must acknowledge this warning before confirming. Once the other recording has ended, you can start your own session. The original recorder receives a notification explaining that their recording was force-ended.
If another user was recording a session but did not finish, you can click End Their Session.
Review sessions and transcripts
To review all sessions for an encounter, click Actions.
If you have recorded at least one session for the encounter, it can also be accessed from the My Encounters tab.
Then select View Session Transcripts.
All recording sessions associated with the encounter will display. If this is the first session, only the current session is displayed. If other sessions have already been recorded, they appear here as well.
Each session displays:
- The recording type
- The user who recorded it
- The duration of the recording
Expand a session to review its available transcript.
Transcripts and upload status
Transcripts may still be processing or incomplete while audio is uploading. When this happens, the session displays its upload status and progress.
If an upload stalls, an alert explains what needs attention. The user who recorded that session must reopen the encounter in the extension on the original recording device and allow the upload to finish.
Generate the encounter
When you choose Recordings Done – Generate Note, a final confirmation asks whether all recordings are complete. This can be done either from the Recent Encounters on the dashboard or from the My Encounters tab.
You can return to the dashboard or click Generate Note to proceed.
Upload progress and stalled uploads
What happens next depends on whether all audio uploads have finished:
- All uploads are complete: The encounter moves directly to processing.
- Uploads are in progress: The waiting screen displays sessions that are still uploading highlighted in blue. No other action is required.
- Uploads are stalled: The waiting screen displays the affected sessions and their upload progress. Any stalled uploads include an explanation of what the original recorder needs to do.
As uploads finish, their statuses and the overall progress bar update. You can wait on this screen or click Return to Dashboard to continue other work while uploads finish.
Generate with partial audio
Users with signing authority for the encounter will also see a Generate With Partial Audio option. This option allows you to proceed using the audio that has already uploaded, rather than waiting for all remaining uploads to finish. Users without the required authority will not see this option and must wait for the uploads to complete.
When you select this option, a confirmation shows the incomplete sessions and the amount of audio that has not uploaded. You must acknowledge that the missing audio will be excluded from the note and cannot be added to that generated note later. You can proceed only after selecting the acknowledgment.
Processing and completion
Once the required uploads are complete, or an authorized user chooses to proceed with partial audio, the encounter moves to the processing screen. You can wait on this screen or return to the dashboard while processing continues. Processing times may vary depending on the length of the encounter.
When processing is finished, the encounter status changes to Encounter Ready, and the generated note is available in the RXNT web patient chart. You can also open the Sessions tab in the extension to review the individual transcripts.
If the note was generated with partial audio, the affected sessions display an alert identifying the excluded portion.
Click here to learn more about accessing the finalized encounter.
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