> ## Documentation Index
> Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.
# Note Assist Guide - Feature Updates
> Learn about the latest features and enhancements for Note Assist.
## Overview
This article summarizes the new features and enhancements for Note Assist.
## Updates
### December 12, 2025
#### Clearer processing engine selection
It is now easier to select the processing engine you wish to use to generate each note. Simply click **Scribe** and then go to **Personalizations** -> **Processing engine** and choose one of the following.
* **New version (recommended)**
* Have Note Assist generate the full note at the end of the visit.
* Results in a cleaner more high quality draft.
* **Legacy version (retiring 12/31/25)**
* Have Note Assist generate the visit note draft every 5 minutes instead of after you stop recording.
* May result in more verbose and redundant notes.
#### Merge feature for Elation Note users
For Elation Note users, a **Merge Note Content** 
button will appear after a recording completes. This will merge AI-generated content into the open Elation Note where it will avoid duplicates while preserving unique content from both the AI output and your edits.
#### Designated feedback button
A **Feedback** 
button will now always be visible for you to submit feedback about AI generated content.
### November 18, 2025
#### Improved note generation
Note Assist, by default, will generate the visit note draft after you stop recording instead of while you're recording.
* A Setting, called **Use legacy Note Assist**, is now available if you prefer the previous note generation interval of every 5 minutes.
You asked, we listened. Our newest note-generation engine now delivers an entire, comprehensive visit note in a single pass—right after the patient encounter. The old real-time approach sometimes added noise and increased post-visit cleanup. With a renewed focus on quality and speed, this upgraded engine gives you an instantly polished draft so you can stay fully engaged with your patients and spend less time editing notes.
Key benefits of Note Assist’s new engine:
* Significantly More Succinct: Final notes capture relevant detail without unnecessary bloat or redundancy.
* Worry-Free Editing: Providers can write into their note during the visit without the previous concern of conflict with scribe’s output.
* High Quality Output: Early feedback from providers reported a significantly improved quality in scribe output, resulting in less post-visit editing of their notes.
* Faster Note Generation: Quicker note generation at the end of the visit maximizes the precious seconds between patient encounters.
### November 6, 2025
#### New note generation Setting
Added a Setting for:
* Reducing verbal, repetition and overwriting of manual notes.
* Having Note Assist generate the visit note draft after you stop recording instead of while you're recording.
Simply toggle on the \*\*Improved Note Assist generation \*\* Setting prior to starting a recording. [Click here for more information about this Setting](/articles/Note-Assist-Guide-Using-Note-Assist#recording_settings).
### August 21, 2025
#### Improved access to Note Assist Settings
Updated Note Assist Settings to show the personalization preferences immediately on the screen. [Click here for more information about Note Assist Settings](/articles/Note-Assist-Guide-Using-Note-Assist#recording_settings).
#### Generate the Care Plan in the patient's preferred language
Added a personalization preference for generating care plan instructions in the patient's preferred language. [Click here for more information about this Note Assist Setting](/articles/Note-Assist-Guide-Using-Note-Assist#recording_settings).
### August 15, 2025
#### Retry note generation
Added a retry button to the Transcript to allow you to regenerate the transcript if you did not like the quality of the initial version. [Click here for more information about this feature](/articles/Note-Assist-Guide-Using-Note-Assist#review).
### May 21, 2025
#### Additional supported languages
Note Assist now supports 14 languages in total:
* Arabic
* Chinese (Cantonese)
* Chinese (Mandarin)
* English
* French
* German
* Hindi
* Japanese
* Korean
* Portuguese
* Russian
* Spanish
* Tagalog
* Vietnamese
#### Care Plan Actions (Beta)
Note Assist not only tracks the action items you want your patient to complete after their visit—it also enables you to quickly take the necessary steps to carry out those actions or orders in their Care Plan. [Click here to learn more about this beta feature](/articles/Note-Assist-Guide#Actions).
### December 5, 2024
#### Problem List linking
When you and a patient discuss a condition already on their problem list, Note Assist will automatically add that problem to the **Assessment**, including your problem description and the ICD-10 code(s). If the patient presents symptoms related to that condition, Note Assist will use the problem name as a header in the **HPI**.
#### Enhanced Care Plan structure
Care Plan instructions are now organized by condition to clarify information and recommendations, allowing patients to better understand their follow-up actions.
#### Improved overall note quality
Note Assist now generates more consistent, relevant notes with better template alignment and polished medical language—helping you finish notes faster.
#### Preserving manual edits
To avoid overwriting manual edits to notes, Note Assist will now skip any bullets that were last updated by the provider—both new entries and modifications of content generated by Note Assist or imported from a template; as long as you are using the supported 2 column visit note formats.
#### Enhanced Template content
Note Assist is better at filling out visit note templates, allowing details and health information to flow more naturally into the final note.
#### Easier Synopsis updates
Use the new **Add Synopsis** button in each **Assessment** to quickly add bullets generated by Note Assist to the **Problem List Synopsis** in the Clinical Profile—making problem documentation faster and easier.
### October 16, 2024
#### Protect specific content
To keep certain text exactly as written (e.g. signatures or standard phrases) in Visit Note Templates or in the visit note draft, add an asterisk (\*\*\*\*\*) to the beginning of the bullet. Note Assist will not modify these bullets.
## Related Articles
* [Note Assist Introduction (Add-On)](/articles/Note-Assist-Guide)
* [Note Assist Guide - Preparing to use Note Assist](/articles/Note-Assist-Guide-Preparation)
* [Note Assist Guide - Using Note Assist for encounters](/articles/Note-Assist-Guide-Using-Note-Assist)
* [Note Assist Guide - Best Practice Recommendations](/articles/Note-Assist-Guide-Best-Practice-Recommendations)
* [Note Assist Guide - Microphone Set-up and Troubleshooting](/articles/Note-Assist-microphone)
* [Note Assist Guide - Frequently Asked Questions](/articles/Note-Assist-Guide-FAQ)