Cookbook: voice-driven discharge summary

Discharge documentation is one of the most time-consuming parts of an inpatient stay. With OHM Studio, the on-duty resident can dictate a 2-minute summary at the bedside and get back a structured discharge note ready to print, share with the family, and post into the hospital EMR.

Studio side

1. + New API → Clone Discharge Summary
2. Keep the default sections (admission, hospital course, diagnoses, discharge meds, follow-up, instructions).
3. Tighten the system prompt:

   Focus on the events of THIS admission only. Skip prior history unless it directly relates to discharge planning. List discharge medications by exact dose and duration; never abbreviate to "as needed" without a reason.

4. Add an input under Inputs tab: dischargeDate: string so callers can pin the exact date in the output.
5. Publish as discharge.

Mobile build (Expo)

import { Audio } from "expo-av";
import {
  ExpoRecorder,
  OHM,
} from "@ohm_studio/sdk-react-native";

const ohm = new OHM({ apiKey: TEST_KEY, acknowledgeBundledKey: true });
const recorder = new ExpoRecorder(Audio);

export async function recordDischarge(dischargeDate: string) {
  await recorder.start();
  // …UI shows "Recording…"; user taps Stop…
  const file = await recorder.stop();

  const { transcript, data } = await ohm.audio.extract({
    apiSlug: "discharge",
    file,
    inputs: { dischargeDate },
  });

  return { transcript, summary: data };
}

import { OHM } from "@ohm_studio/sdk";

const ohm = new OHM({ apiKey: process.env.OHM_API_KEY! });

app.post("/discharge", upload.single("audio"), async (req, res) => {
  const { dischargeDate } = req.body;
  const result = await ohm.audio.extract({
    apiSlug: "discharge",
    file: req.file!.buffer,
    inputs: { dischargeDate },
  });
  res.json(result);
});

Output shape

{
  "transcript": "Patient is a 58-year-old male admitted on May 4 for acute...",
  "data": {
    "admissionDate": "2026-05-04",
    "dischargeDate": "2026-05-09",
    "principalDiagnosis": {
      "name": "Acute pyelonephritis",
      "system": "icd10",
      "code": "N10",
      "status": "active"
    },
    "secondaryDiagnoses": [
      { "name": "Type 2 diabetes mellitus", "code": "E11.9", "status": "active" }
    ],
    "hospitalCourse": "- Admitted with high-grade fever and right flank pain...",
    "dischargeMedications": [
      {
        "name": "Cefixime",
        "dosage": "200 mg",
        "frequency": "BD",
        "route": "Oral",
        "duration": "10 days",
        "instructions": "Complete full course"
      }
    ],
    "advice": "- Plenty of oral fluids\n- Re-check urine culture in 2 weeks",
    "followUp": "OPD in 2 weeks for urine culture review."
  }
}

Production tips

• Set retainPayloads: true on this API in Settings — discharge summaries are medico-legal documents; you'll want the full input/output in the audit log.
• Print template — the structured shape above maps to a printable card with one mustache pass; no LLM step in the print path.
• Append to EMR — principalDiagnosis.code slots into FHIR Condition.code.coding; medications map to MedicationRequest.