palmERDragon Copilot.palmER.
A health system-purchased documentation tool from Microsoft, built for use across specialties and care settings. Access comes through an organization rather than a self-serve signup.
Dragon Copilot
Dragon Copilot is selected and deployed by a health system. It is not positioned as an ED-specific tool, and Microsoft states that encounter data can be retained for up to 90 days, including draft versions and clinician corrections.
When palmER is the right call.
When the chart is written between rooms, not after a scheduled visit. Chart-paste MDM with a real differential, a patient board for the shift, structured consult scripts, and a pre-sign-off check. Available directly, with no health-system purchase or IT rollout required. Encounter audio is never stored, and patient data automatically deletes within 24 hours.
You signed one note. What else still exists?
AI documentation can create more than the note you sign: audio, transcripts, draft notes, edits, prompts, and questions. What remains depends on the tool, the vendor's terms, and sometimes your health system's contract.
What the public documents say.
Microsoft states Dragon Copilot "retains audio, recognized text, transcript, and flowsheet value data for up to 90 days," and its required service data covers the full editing chain: every version of the AI draft, clinician corrections, and the final signed documentation. Select customer data is copied to a research environment for anonymized model training, a Fabric integration lets health systems keep their own repository of transcripts and audio, and in legacy DAX Copilot a clinician cannot delete a summary, only archive it.
No lasting shadow record.
Encounter audio is never stored. Inputs, transcripts, chats, drafts, and questions automatically delete within 24 hours. AI providers operate under zero-retention agreements.
Seventeen rows. No spin.
General-purpose health-system tool; emergency medicine is not specifically positioned on the product page.
Built by board-certified emergency physicians for ED/UC workflows.
Page emphasizes specialty-specific note generation and clinical evidence summaries; ED-specific MDM structure is not publicly described.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient documentation is a core feature.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed in real time and immediately discarded.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Paste a full chart into the MDM Assistant for a complete, defensible MDM in seconds.
Clinical evidence summaries are an explicit feature.
Most Serious and Most Likely differential panels generate alongside the MDM.
Patient Mode panel for active and completed patients across the shift.
Structured flowsheet documentation (nursing) and report impression drafting (radiology) are named.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
palmER Colab side panel inherits patient and conversation context automatically.
Referral letters and after-visit summaries are explicitly named.
ConsultER generates structured specialty consult scripts.
Coding suggestions are explicitly named.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Integrated palmEM AI knowledge base for instant EM clinical reference.
Microsoft states Dragon Copilot "retains audio, recognized text, transcript, and flowsheet value data for up to 90 days," and its required service data covers the full editing chain: every version of the AI draft, clinician corrections, and the final signed documentation. Select customer data is copied to a research environment for anonymized model training, a Fabric integration lets health systems keep their own repository of transcripts and audio, and in legacy DAX Copilot a clinician cannot delete a summary, only archive it.
Audio is never stored: it is transcribed in real time and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Pricing is not public; purchase is arranged through a health system.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
30-day free trial, no credit card required.
Runs inside supported EHR workflows; Epic, Epic Rover, and PowerScribe One are listed.
Works alongside any EMR via copy and paste; no direct EHR integration.
Health systems; clinician access depends on an organizational deployment.
Emergency and urgent care clinicians, groups, and health systems.
Built broad, or built for the ED.
Dragon Copilot is available when a health system purchases and deploys it, and its public materials do not describe an ED-specific workflow. palmER can be started directly and combines chart-paste MDM, a structured differential, a patient board, ConsultER, Chart CheckER, and palmEM AI Reference.
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Asked often. Answered plainly.
How does Dragon Copilot fit emergency medicine?+
Dragon Copilot supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER is purpose-built around emergency-department documentation: chart-paste MDM with Most Serious / Most Likely differential, multi-patient panel, ConsultER, Chart CheckER, and the integrated palmEM AI clinical reference.
Does Dragon Copilot offer a public free trial?+
No public self-serve trial; access is arranged through a health system. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Dragon Copilot cost?+
Pricing is not publicly listed; purchase is arranged through a health system. palmER is publicly listed at $199/month for clinicians. Approved students and residents can apply for the $49/month trainee rate. The 30-day free trial includes every tool and requires no credit card.
What does Dragon Copilot retain after an encounter?+
Microsoft states Dragon Copilot "retains audio, recognized text, transcript, and flowsheet value data for up to 90 days," and its required service data covers the full editing chain: every version of the AI draft, clinician corrections, and the final signed documentation. Select customer data is copied to a research environment for anonymized model training, a Fabric integration lets health systems keep their own repository of transcripts and audio, and in legacy DAX Copilot a clinician cannot delete a summary, only archive it. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
How does palmER compare on MDM?+
The palmER MDM Assistant takes a full pasted chart and returns a complete MDM with clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. The Most Serious and Most Likely differential panels and Clinical Insights sidebar generate alongside the MDM. Public materials for Dragon Copilot do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Runs inside supported EHR workflows through a health-system deployment. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
Every claim about Dragon Copilot on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Microsoft, Dragon Copilot product page ↗
Health-system deployment, ambient documentation, specialty note generation, coding and evidence features, and supported EHR integrations.
- Microsoft Learn, Dragon Copilot FAQ ↗
"Dragon Copilot retains audio, recognized text, transcript, and flowsheet value data for up to 90 days."
- Microsoft Learn, Dragon Copilot privacy white paper ↗
Select customer data (audio, transcripts, clinical documentation, corrections) is transmitted to a research environment and anonymized within 90 days; AI/ML models are trained solely on anonymized data.
Fairness note: vendors update positioning, pricing, and features over time. If something on this page is out of date, tell us. A physician reviews every report, and the page gets refreshed, whichever way the correction cuts.
Try the one built for your shift.
Start a trial tonight, paste your messiest chart, and read what comes back. Thirty days free, no card, no auto-billing.