1.0.31 • Published 7 months ago

@nora-technology/recorder v1.0.31

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NoraRecorder Integration Guide for EHR Platforms

IMPORTANT UPDATE: The package has been renamed from @nora/recorder to @nora-technology/recorder. This documentation has been updated to reflect this change. If you were previously using @nora/recorder, please update your dependencies to use the new package name.

Table of Contents

  1. Overview
  2. Integration Requirements
  3. Installation Methods
  4. Basic Integration
  5. Display Modes
  6. Task Types
  7. Context Recommendations System
  8. Customization Options
  9. Multi-Tab Environment Handling
  10. Lifecycle Management
  11. Event Handling
  12. Framework-Specific Integration
  13. API Reference
  14. Recording Workflow
  15. Security Considerations
  16. Troubleshooting
  17. Advanced Usage
  18. Best Practices
  19. Example Implementations

Overview

NoraRecorder is an NPM package (@nora-technology/recorder) that provides a voice recording component for medical applications, specifically designed for integration with Electronic Health Record (EHR) platforms. The component allows doctors to record consultations, which are then processed to generate structured clinical notes that can be inserted back into the EHR.

Key capabilities:

  • Audio recording with pause, resume, and stop functionality
  • Support for multiple microphones
  • Integration with note generation services
  • Support for different languages and templates
  • Built-in processing status tracking
  • Compatible with multi-tab EHR environments

Integration Requirements

Before integrating NoraRecorder, ensure you have the following:

  1. API Key: Provided by Nora for your specific EHR platform
  2. API Base URL: The endpoint for Nora's backend services
  3. Doctor ID: A unique identifier for each doctor using the system
  4. Consultation ID: A unique identifier for each consultation/patient encounter

These parameters are required for proper operation and to ensure notes are correctly associated with doctors and consultations.

Installation Methods

NPM Installation

For projects using a modern JavaScript build system:

npm install @nora-technology/recorder
# or
yarn add @nora-technology/recorder

CDN Integration

For direct integration into HTML:

<!-- Latest version (not recommended for production) -->
<script src="https://unpkg.com/@nora-technology/recorder@latest/dist/nora-recorder-easy.js"></script>

<!-- Specific version (recommended for production) -->
<script src="https://unpkg.com/@nora-technology/recorder@1.0.29/dist/nora-recorder-easy.js"></script>

Basic Integration

Required Parameters

Every NoraRecorder initialization requires these parameters:

ParameterDescriptionTypeExample
apiKeyAuthentication key provided by Norastring"your-api-key-123"
doctorIDUnique identifier for the doctorstring"doctor-uuid-456"
consultationIDUnique identifier for the consultationstring"consult-uuid-789"
apiBaseUrlBase URL for Nora's API servicesstring"https://api.nora.ai/v1"
taskTypeType of task being recorded (optional)string"clinical_notes" (default), "referral_letter", "sick_note", "patient_notes", "vitals"

Integration Pattern

NoraRecorder uses a promise-based factory function pattern for reliable initialization and error handling:

// Wait for NoraRecorder to be ready
NoraRecorder.ready(function() {
  // Initialize with factory function (NOT constructor)
  NoraRecorder({
    apiKey: 'YOUR_API_KEY',
    doctorID: 'DOCTOR_ID',
    consultationID: 'CONSULTATION_ID',
    apiBaseUrl: 'YOUR_API_ENDPOINT',
    taskType: 'clinical_notes' // Optional: defaults to 'clinical_notes'
  }).then(recorder => {
    console.log('Recorder initialized successfully');
    // Store reference if needed for later interaction
    window.currentRecorder = recorder;
  }).catch(error => {
    console.error('Failed to initialize recorder:', error);
  });
});

// Handle loading errors
NoraRecorder.onError(function(error) {
  console.error('Failed to load NoraRecorder:', error);
});

// Clean up when done
// NoraRecorder.cleanup();

Important: NoraRecorder uses a factory function pattern NoraRecorder(options) that returns a Promise. This provides proper script loading, initialization, and error handling.

This pattern handles script loading, initialization, and readiness detection automatically. It uses a promise-based API for better error handling and asynchronous flow.

How the Loader Works

The NoraRecorder integration pattern consists of several key components working together:

1. Bundled Flag Detection

At the very beginning of execution, the loader sets a global flag:

window.__NORA_RECORDER_BUNDLED = true;

This flag indicates that the bundled version is being used, preventing attempts to load external scripts that would conflict.

2. Module Initialization Order

The loader follows this sequence: 1. Sets the bundled flag immediately (outside any function scope) 2. Initializes the loader module with state management 3. Initializes the main NoraRecorder module 4. Creates a factory function wrapper around the original constructor 5. Sets up global objects and ready state

3. State Management

The loader manages multiple states:

  • LOADING: Initial state while script is loading
  • READY: NoraRecorder is ready to use
  • ERROR: An error occurred during loading

These states determine how callbacks are handled and when initialization is possible.

4. Ready and Error Callbacks

The loader maintains queues of callbacks for both ready and error states:

NoraRecorder.ready(callback);    // Called when ready
NoraRecorder.onError(callback);  // Called if loading fails

When the state changes, all queued callbacks are executed once.

5. Promise-based Initialization

The factory function returns a promise that resolves with the recorder instance:

NoraRecorder(options).then(recorder => {
  // Use recorder
}).catch(error => {
  // Handle error
});

6. Automatic Script Loading (CDN Use Case)

When the loader is used in standalone mode (not bundled), it: 1. Checks if NoraRecorder is already available 2. If not, loads the script from a CDN 3. Monitors load status and sets ready state when available

Display Modes

NoraRecorder supports two display modes that determine how the component appears in your EHR interface.

Floating Mode

In floating mode, the recorder appears as a draggable button that floats above the content:

NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  // Optional position configuration
  position: { x: 20, y: 20 }
}).then(recorder => {
  console.log('Floating recorder initialized');
});

Characteristics:

  • Positioned absolutely in the viewport
  • Draggable by users to any position
  • Always visible (high z-index)
  • Can be initially positioned with the position parameter

Embedded Mode

In embedded mode, the recorder is embedded within a container in your EHR interface:

// Create a container for the recorder
const container = document.getElementById('recorder-container');

NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  // Container for embedding
  container: container,
  // Must set position to null for embedded mode
  position: null,
  // Recommended for embedded mode
  snackbarPosition: "below-component"
}).then(recorder => {
  console.log('Embedded recorder initialized');
});

HTML Setup for Embedded Mode:

<!-- Container for embedded recorder - minimum dimensions are important -->
<div id="recorder-container" style="min-height: 48px; min-width: 290px; display: inline-block;"></div>

Characteristics:

  • Positioned within the specified container
  • Not draggable
  • Visibility depends on container visibility
  • Follows container scroll position
  • Requires minimum dimensions (290px width Ɨ 48px height)

Task Types

NoraRecorder supports different task types that determine which endpoint is used for processing recordings and how the user interface behaves. Each task type corresponds to a specific type of medical documentation and provides a tailored experience for different clinical workflows.

Available Task Types

Task TypeInternal NameDescriptionEndpointTerminal Status
Clinical Notesclinical_notesStandard consultation notes (default)/nora/clinical_notessent
Referral Letterreferral_letterLetters referring patients to specialists/nora/referral_lettergenerated
Sick Notesick_noteMedical certificates for sick leave/nora/sick_notegenerated
Patient Notespatient_notesGeneral patient documentation/nora/patient_notesgenerated
VitalsvitalsRecording of vital signs and measurements/nora/vitalsgenerated

Task Type Behavior Differences

The task type system provides different user experiences based on the type of documentation being created:

Clinical Notes (clinical_notes)

  • UI Elements: Shows template selection, language selection, microphone selection, and mode toggle (consultation/dictation)
  • Headers Sent: Includes template_used and Con-Mode headers in API requests
  • Terminal Status: Reaches completion when status is sent
  • Use Case: Standard consultation documentation with full template and mode options

Non-Clinical Notes Task Types

All other task types (referral_letter, sick_note, patient_notes, vitals) share the same simplified interface:

  • UI Elements: Shows only language selection and microphone selection
  • Task Type Display: Shows "Recording for Task Type" text instead of template/mode controls
  • Headers Sent: Does NOT send template_used or Con-Mode headers (to avoid API rejection)
  • Terminal Status: Reaches completion when status is generated
  • Use Case: Specialized documentation types that don't require template or mode selection
  • Generate Button: For non-clinical task types, if clinical notes already exist for the consultation, a Generate button appears in the recorder interface. This allows generating the specific task type content without recording, using existing clinical notes as context.

Generate Button Functionality

For non-clinical task types (referral_letter, sick_note, patient_notes, vitals), when clinical notes already exist for the consultation, a Generate button appears in the recorder interface. This button allows you to generate content for the specific task type using the existing clinical notes as context, without needing to record new audio.

Generate Button Features:

  • Context-Aware: Uses existing clinical notes from the same consultation as context
  • No Recording Required: Generates content directly without audio recording
  • Same Event System: Emits the same status events as recording (generation-started, generation-stopped, generation-failed)
  • Task-Type Specific: Generates content appropriate for the selected task type
  • Pre-Prompt Integration: Optionally uses EHR content via prePromptCallback for enhanced context

Status Events Emitted:

// When Generate button is clicked
document.addEventListener('nora-recorder-status', (event) => {
  const { type, consultationID, taskType } = event.detail;
  
  switch (type) {
    case 'generation-started':
      console.log(`Generate started for ${taskType}`);
      break;
    case 'generation-stopped':
      console.log(`Generate processing for ${taskType}`);
      break;
    case 'generation-failed':
      console.error(`Generate failed for ${taskType}`);
      break;
  }
});

Content Events: The Generate button produces the same content-ready event as recording when processing completes:

document.addEventListener('nora-recorder-content', (event) => {
  const { type, content, taskType } = event.detail;
  
  if (type === 'content-ready') {
    // Generated content is ready, route to appropriate field
    console.log(`Generated ${taskType} content: ${content.length} characters`);
  }
});

Task Type Configuration

// Clinical Notes (default) - Full interface with template and mode selection
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT'
  // taskType defaults to 'clinical_notes'
}).then(recorder => {
  console.log('Recording for Clinical Notes');
  // UI will show: template selection, mode toggle, language, microphone
});

// Referral Letter - Simplified interface
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'referral_letter'
}).then(recorder => {
  console.log('Recording for Referral Letter');
  // UI will show: "Recording for Referral Letter" text, language, microphone
});

// Sick Note - Simplified interface
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'sick_note'
}).then(recorder => {
  console.log('Recording for Sick Note');
  // UI will show: "Recording for Sick Note" text, language, microphone
});

// Patient Notes - Simplified interface
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'patient_notes'
}).then(recorder => {
  console.log('Recording for Patient Notes');
  // UI will show: "Recording for Patient Notes" text, language, microphone
});

// Vitals - Simplified interface
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'vitals'
}).then(recorder => {
  console.log('Recording for Vitals');
  // UI will show: "Recording for Vitals" text, language, microphone
});

Task Type Notifications

When recording starts, the user will see a notification indicating the task type:

  • "Recording for Clinical Notes"
  • "Recording for Referral Letter"
  • "Recording for Sick Note"
  • "Recording for Patient Notes"
  • "Recording for Vitals"

This helps users understand what type of documentation they are creating.

EHR Integration Patterns

Single Consultation, Multiple Task Types

In real EHR systems, you typically want to use the same consultation ID for all task types within a single patient visit, but create separate recorders for each type of documentation:

// Example: Patient consultation with multiple documentation types
const CONSULTATION_ID = "PATIENT-VISIT-12345"; // Same for all task types
const DOCTOR_ID = "DR-SMITH-001";

// Clinical notes recorder
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: DOCTOR_ID,
  consultationID: CONSULTATION_ID, // Same consultation ID
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'clinical_notes',
  container: document.getElementById('clinical-notes-recorder')
}).then(recorder => {
  // Store reference for clinical notes
  window.clinicalNotesRecorder = recorder;
});

// Referral letter recorder (separate instance, same consultation)
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: DOCTOR_ID,
  consultationID: CONSULTATION_ID, // Same consultation ID
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'referral_letter',
  container: document.getElementById('referral-letter-recorder')
}).then(recorder => {
  // Store reference for referral letter
  window.referralLetterRecorder = recorder;
});

// Sick note recorder (separate instance, same consultation)
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: DOCTOR_ID,
  consultationID: CONSULTATION_ID, // Same consultation ID
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  taskType: 'sick_note',
  container: document.getElementById('sick-note-recorder')
}).then(recorder => {
  // Store reference for sick note
  window.sickNoteRecorder = recorder;
});

Dynamic Task Type Switching

For applications that need to switch between task types dynamically, create a new recorder instance for each task type:

let currentRecorder = null;
const CONSULTATION_ID = "PATIENT-VISIT-12345";

function switchToTaskType(taskType) {
  // Clean up existing recorder
  if (currentRecorder) {
    currentRecorder.cleanup();
    currentRecorder = null;
  }
  
  // Clear container
  const container = document.getElementById('recorder-container');
  container.innerHTML = '';
  
  // Initialize new recorder for the selected task type
  NoraRecorder({
    apiKey: 'YOUR_API_KEY',
    doctorID: 'DOCTOR_ID',
    consultationID: CONSULTATION_ID, // Same consultation ID
    apiBaseUrl: 'YOUR_API_ENDPOINT',
    taskType: taskType,
    container: container,
    position: null,
    snackbarPosition: "below-component"
  }).then(recorder => {
    currentRecorder = recorder;
    console.log(`Switched to ${taskType} recorder`);
  });
}

// Usage
switchToTaskType('clinical_notes');   // Shows full interface
switchToTaskType('referral_letter');  // Shows simplified interface
switchToTaskType('sick_note');        // Shows simplified interface

Content Integration by Task Type

Each task type generates content that should be integrated into the appropriate section of your EHR:

// Listen for content events and route to appropriate EHR sections
document.addEventListener('nora-recorder-content', (event) => {
  const { type, consultationID, content, taskType } = event.detail;
  
  if (type === 'content-ready') {
    // Route content to appropriate EHR field based on task type
    switch (taskType) {
      case 'clinical_notes':
        // Insert into main clinical notes field
        document.getElementById('clinical-notes-textarea').value = content;
        break;
        
      case 'referral_letter':
        // Insert into referral letter field
        document.getElementById('referral-letter-textarea').value = content;
        break;
        
      case 'sick_note':
        // Insert into sick note field
        document.getElementById('sick-note-textarea').value = content;
        break;
        
      case 'patient_notes':
        // Insert into patient notes field
        document.getElementById('patient-notes-textarea').value = content;
        break;
        
      case 'vitals':
        // Insert into vitals field or parse structured vitals data
        document.getElementById('vitals-textarea').value = content;
        break;
    }
    
    // Show success notification
    console.log(`${taskType} content generated and inserted`);
  }
});

Completion Interface

All task types show a completion interface (green checkmark + delete button) when they reach their terminal status:

  • Clinical Notes: Shows completion when processingStatus === 'sent'
  • Other Task Types: Show completion when processingStatus === 'generated'

The delete button is task-type aware and will:

  • Show appropriate tooltip (e.g., "Delete referral letter recording and restart")
  • Route delete requests to the correct endpoint for the task type
  • Reset the recorder to allow new recordings of the same task type

API Behavior by Task Type

Clinical Notes

// API request includes template and mode headers
Headers: {
  'DoctorID': 'DOCTOR_ID',
  'ConsultationID': 'CONSULTATION_ID',
  'template_used': 'selected_template_id',
  'Con-Mode': 'consultation', // or 'dictation'
  'lang': 'en',
  'Audio-Duration': '45',
  'Microphone-Selected': 'Default Microphone'
}

Non-Clinical Notes Task Types

// API request excludes template and mode headers
Headers: {
  'DoctorID': 'DOCTOR_ID',
  'ConsultationID': 'CONSULTATION_ID',
  // NO template_used header
  // NO Con-Mode header
  'lang': 'en',
  'Audio-Duration': '45',
  'Microphone-Selected': 'Default Microphone'
}

This ensures that non-clinical notes task types don't send headers that would cause API rejection.

Context Recommendations System

The Context Recommendations System is an intelligent feature that analyzes completed clinical notes and provides contextual recommendations for additional documentation that may be needed for the consultation. This system helps ensure comprehensive patient care by suggesting relevant follow-up actions.

Context Overview

The context system works by: 1. Analyzing completed clinical notes using AI to understand the consultation content 2. Identifying potential needs such as referrals, sick notes, blood tests, etc. 3. Displaying recommendations in a user-friendly dropdown component 4. Integrating seamlessly with the existing NoraRecorder workflow

Key Features:

  • Automatic context analysis after clinical notes completion
  • Visual recommendations dropdown with clear icons and labels
  • Configurable positioning (below, right, or left of recorder)
  • Optional system that can be completely disabled
  • Non-intrusive design that doesn't interfere with normal workflow

How Context Checking Works

The context system operates in two main scenarios:

Scenario 1: Clinical Notes Task Type

When using the clinical_notes task type: 1. User records and completes clinical notes 2. System automatically calls the context API with the consultation details 3. Context recommendations appear below the recorder 4. User can expand/collapse the recommendations dropdown

Scenario 2: Non-Clinical Notes Task Types

When using other task types (referral_letter, sick_note, etc.): 1. System checks if clinical notes already exist for this consultation 2. If clinical notes exist, context recommendations are shown immediately 3. If no clinical notes exist, no context recommendations are displayed

Context Configuration Options

The context system can be configured during NoraRecorder initialization:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Context system configuration
  enableContextChecker: true,        // Enable/disable context system (default: true)
  contextPosition: "below"           // Position: "below", "right", "left" (default: "below")
}).then(recorder => {
  console.log('Recorder with context recommendations initialized');
});

Configuration Parameters

ParameterTypeDescriptionDefaultOptions
enableContextCheckerbooleanEnable/disable entire context systemtruetrue, false
contextPositionstringPosition of context dropdown relative to recorder"below""below", "right", "left"

Position Options

Below (Default)

contextPosition: "below"  // Appears directly below the recorder

Right Side

contextPosition: "right"  // Appears to the right of the recorder

Left Side

contextPosition: "left"   // Appears to the left of the recorder

Context API Integration

The context system integrates with your backend API to analyze clinical notes and provide recommendations.

API Endpoint

  • URL: {apiBaseUrl}/nora/context_checker
  • Method: GET
  • Headers:
    • x-api-key: Your API key
    • DoctorID: Doctor identifier
    • ConsultationID: Consultation identifier

Expected Response Format

{
  "context_checker_output": {
    "referral_needed": true,
    "sick_note_needed": false,
    "patient_notes_needed": false,
    "blood_test_needed": true,
    "follow_up_consultation_needed": false
  }
}

Recommendation Types

API FieldDisplay LabelIconDescription
referral_neededReferral LetteršŸ“‹Patient may need referral to specialist
sick_note_neededSick NotešŸ„Patient may need medical certificate
patient_notes_neededPatient NotesšŸ“Additional patient documentation needed
blood_test_neededBlood Test🩸Blood work may be required
follow_up_consultation_neededFollow-up ConsultationšŸ“…Follow-up appointment recommended

Context UI Components

The context system provides a clean, collapsible dropdown interface:

Visual Design

  • Width: 290px (matches recorder width)
  • Header: "Nora recommendations" with expand/collapse icon
  • Content: List of recommended actions with icons and status indicators
  • Styling: Consistent with recorder design language
  • Animation: Smooth expand/collapse transitions

User Interaction

  • Click header to expand/collapse recommendations
  • Hover effects on recommendation items
  • Visual indicators show "Recommended" status for each item
  • Empty state shows "No additional recommendations" when no actions needed

Example UI States

Collapsed State

ā”Œā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”
│ Nora recommendations            ā–¼   │
ā””ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”˜

Expanded State with Recommendations

ā”Œā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”
│ Nora recommendations            ā–²   │
ā”œā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”¤
│ šŸ“‹ Referral Letter    [Recommended] │
│ 🩸 Blood Test        [Recommended] │
ā””ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”˜

Expanded State with No Recommendations

ā”Œā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”
│ Nora recommendations            ā–²   │
ā”œā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”¤
│ āœ… No additional recommendations    │
ā””ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”€ā”˜

Context Event Handling

The context system doesn't emit separate events but integrates with the existing NoraRecorder event system. Context recommendations appear automatically based on the clinical workflow.

Automatic Triggers

Clinical Notes Completion

// Context check is triggered automatically when clinical notes reach terminal status
// No additional code needed - recommendations appear automatically

Non-Clinical Notes Initialization

// Context check happens automatically during initialization if clinical notes exist
// No additional code needed - recommendations appear if applicable

Programmatic Access

You can check if context recommendations are visible:

// Check if context component is currently displayed
const contextVisible = document.querySelector('.context-checker-container') !== null;

if (contextVisible) {
  console.log('Context recommendations are currently displayed');
}

Disabling Context System

The context system can be completely disabled if not needed for your EHR integration:

Complete Disable

NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  enableContextChecker: false  // Completely disable context system
}).then(recorder => {
  console.log('Recorder without context recommendations initialized');
});

Benefits of Disabling

  • Reduced API calls: No requests to context endpoint
  • Simplified UI: No context dropdown component
  • Lower bandwidth: Less network traffic
  • Faster initialization: Fewer background processes

When to Disable

  • EHR systems that don't need context recommendations
  • Testing environments where context isn't relevant
  • Minimal implementations focused only on recording
  • Systems with their own recommendation engines

Troubleshooting Context Issues

Common Issues and Solutions

Context Recommendations Not Appearing

  1. Check if context system is enabled

    console.log('Context enabled:', recorder.enableContextChecker);
  2. Verify API endpoint configuration

    • Ensure /nora/context_checker endpoint exists
    • Check API key has permissions for context endpoint
    • Verify CORS settings allow context API calls
  3. Check clinical notes status

    • Context only appears after clinical notes completion
    • For non-clinical task types, clinical notes must exist first

Context API Errors

  1. Check network tab for failed API calls to context endpoint
  2. Verify headers include x-api-key, DoctorID, ConsultationID
  3. Check API response format matches expected structure

Context Component Positioning Issues

  1. Ensure container has relative positioning (for embedded mode)
  2. Check for CSS conflicts that might affect positioning
  3. Verify minimum container dimensions (290px width minimum)

Debug Mode

Enable debug logging to troubleshoot context issues:

// Check console for context-related log messages
// Look for messages starting with "Context check" or "Context checker"

Testing Context System

Use the provided test sites to verify context functionality:

  • single-consultation-demo.html - Context system enabled
  • no-context.html - Context system disabled

Compare behavior between these sites to ensure context system is working correctly.

Customization Options

Visual Customization

NoraRecorder allows customization of its appearance:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Visual customization
  size: 70,                    // Button size in pixels
  primaryColor: "#00796b",     // Primary color
  secondaryColor: "#e0f2f1"    // Secondary color
}).then(recorder => {
  console.log('Customized recorder initialized');
});

Positioning

For floating mode, you can control the initial position:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Positioning (in pixels from top-left)
  position: { x: 50, y: 100 }
}).then(recorder => {
  console.log('Positioned recorder initialized');
});

Notifications

You can control how notifications appear:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Notification positioning
  snackbarPosition: "below-component" // or "bottom-center"
}).then(recorder => {
  console.log('Recorder with custom notifications initialized');
});

Pre-Prompt Integration (Optional)

The NoraRecorder supports an optional pre-prompt feature that allows EHRs to provide additional context from existing notes or patient data. This context is sent along with the audio recording to improve the AI's understanding and generate more accurate notes.

Key Features:

  • Completely optional - existing integrations continue to work unchanged
  • Dynamic content retrieval - gets fresh content at upload time
  • Flexible callback system - EHRs can implement any logic to gather context
  • Graceful error handling - continues without pre-prompt if callback fails
  • Works with all task types

Basic Pre-Prompt Usage

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Optional: Provide current notes as context
  prePromptCallback: function() {
    // Return current content from EHR notes field
    const notesTextarea = document.getElementById('clinical-notes-textarea');
    return notesTextarea ? notesTextarea.value.trim() : '';
  }
}).then(recorder => {
  console.log('Recorder with pre-prompt capability initialized');
});

Advanced Pre-Prompt Usage

The callback can return any relevant context from the EHR:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  // Advanced pre-prompt callback
  prePromptCallback: function() {
    const sections = [];
    
    // Patient demographics
    const patientName = document.getElementById('patient-name')?.textContent;
    if (patientName) sections.push(`Patient: ${patientName}`);
    
    // Existing notes
    const existingNotes = document.getElementById('notes-textarea')?.value;
    if (existingNotes?.trim()) sections.push(`Existing Notes:\n${existingNotes}`);
    
    // Vital signs
    const vitals = document.getElementById('vitals-section')?.textContent;
    if (vitals?.trim()) sections.push(`Vitals: ${vitals}`);
    
    // Current medications
    const medications = Array.from(document.querySelectorAll('.medication-item'))
      .map(item => item.textContent.trim())
      .filter(text => text);
    if (medications.length) sections.push(`Current Medications:\n${medications.join('\n')}`);
    
    // Chief complaint
    const chiefComplaint = document.getElementById('chief-complaint')?.value;
    if (chiefComplaint?.trim()) sections.push(`Chief Complaint: ${chiefComplaint}`);
    
    return sections.join('\n\n');
  }
}).then(recorder => {
  console.log('Recorder with comprehensive pre-prompt initialized');
});

Pre-Prompt Flow

  1. EHR initializes NoraRecorder with optional prePromptCallback
  2. User records audio normally
  3. User clicks stop/upload button
  4. IF prePromptCallback is provided:
    • Recorder calls the callback to get current EHR content
    • Content is included in the presigned URL request as task_type_pre_prompt
  5. Backend processes both audio and pre-prompt for enhanced context
  6. AI generates more accurate notes using both audio and existing context

Error Handling

The pre-prompt system includes robust error handling:

NoraRecorder({
  // Required parameters
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT',
  
  prePromptCallback: function() {
    try {
      // Your EHR-specific logic here
      return getNotesFromComplexEHRSystem();
    } catch (error) {
      // If callback fails, recorder continues without pre-prompt
      console.warn('Pre-prompt callback failed:', error);
      return ''; // Return empty string to continue without context
    }
  }
});

Error Handling Behavior:

  • If prePromptCallback throws an error, it logs a warning and continues without pre-prompt
  • If callback returns non-string value, it's treated as empty
  • If callback returns empty/null, no pre-prompt is sent
  • Backend handles missing pre-prompt gracefully

Integration Examples by EHR Type

Simple Text Area EHR:

prePromptCallback: function() {
  return document.getElementById('notes-textarea').value || '';
}

Multi-Section EHR:

prePromptCallback: function() {
  const sections = {
    'Chief Complaint': document.getElementById('chief-complaint')?.value,
    'History': document.getElementById('history')?.value,
    'Assessment': document.getElementById('assessment')?.value
  };
  
  return Object.entries(sections)
    .filter(([key, value]) => value?.trim())
    .map(([key, value]) => `${key}: ${value}`)
    .join('\n\n');
}

Structured Data EHR:

prePromptCallback: function() {
  // Get structured data from your EHR's data model
  const patientData = getCurrentPatientData();
  const visitData = getCurrentVisitData();
  
  const context = [];
  if (patientData.allergies?.length) {
    context.push(`Allergies: ${patientData.allergies.join(', ')}`);
  }
  if (visitData.chiefComplaint) {
    context.push(`Chief Complaint: ${visitData.chiefComplaint}`);
  }
  if (visitData.vitals) {
    context.push(`Vitals: BP ${visitData.vitals.bp}, HR ${visitData.vitals.hr}`);
  }
  
  return context.join('\n');
}

Multi-Tab Environment Handling

Single Recording Limitation

NoraRecorder is designed to prevent multiple simultaneous recordings across different consultations or tabs. This is an intentional behavior to ensure that users don't accidentally start multiple recordings.

Important: Only one recording can be active at any time across all NoraRecorder instances.

Correct Multi-Tab Implementation Pattern

IMPORTANT: The correct pattern for multi-tab environments is to use a single recorder instance that gets reinitialized when switching between tabs/consultations, not multiple simultaneous instances.

// āœ… CORRECT: Single instance with reinitialization
let currentRecorder = null;

function switchToConsultation(consultationID) {
  // Clean up existing recorder
  if (currentRecorder) {
    currentRecorder.cleanup();
    currentRecorder = null;
  }
  
  // Initialize new recorder
  NoraRecorder({
    consultationID: consultationID,
    // ... other config
  }).then(recorder => {
    currentRecorder = recorder;
  });
}

Avoid:

// āŒ INCORRECT: Multiple simultaneous instances
const recorders = {};
recorders.tab1 = NoraRecorder({consultationID: 'CONSULT-001'});
recorders.tab2 = NoraRecorder({consultationID: 'CONSULT-002'});

Tab Navigation Behavior

When a user navigates between tabs in an EHR system:

  1. Clean up the current recorder completely before switching
  2. Initialize a new recorder for the new consultation
  3. Update UI indicators to show which tab has an active recording
  4. Preserve recording state across the switch (if a recording was in progress, it continues in the background)

Status Management Across Tabs

Use the global recording status to update UI indicators across tabs:

// Track which consultation is currently recording
let recordingConsultationID = null;

// Listen for recording status changes
document.addEventListener('nora-recorder-status', (event) => {
  const { type, consultationID } = event.detail;
  
  switch (type) {
    case 'recording-started':
      recordingConsultationID = consultationID;
      updateTabIndicators(consultationID, 'recording');
      break;
    case 'recording-stopped':
    case 'recording-discarded':
      recordingConsultationID = null;
      updateTabIndicators(null, 'stopped');
      break;
  }
});

function updateTabIndicators(recordingConsultationID, status) {
  document.querySelectorAll('.consultation-tab').forEach(tab => {
    const tabConsultationID = tab.getAttribute('data-consultation-id');
    const indicator = tab.querySelector('.recording-indicator');
    
    if (recordingConsultationID === tabConsultationID && status === 'recording') {
      indicator.style.display = 'block';
      indicator.className = 'recording-indicator active';
    } else {
      indicator.style.display = 'none';
      indicator.className = 'recording-indicator';
    }
  });
}

// Check global recording status
function updateUIForCurrentTab() {
  if (NoraRecorder.isRecordingInProgress()) {
    const activeConsultationID = NoraRecorder.getActiveConsultationID();
    updateTabIndicators(activeConsultationID, 'recording');
  } else {
    updateTabIndicators(null, 'stopped');
  }
}

Complete Multi-Tab Example

// Configuration
const API_CONFIG = {
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT'
};

// Track current state
let currentRecorder = null;
let currentConsultationID = null;

// Consultation tabs data
const consultations = {
  'tab1': { id: 'CONSULT-001', patientName: 'John Doe' },
  'tab2': { id: 'CONSULT-002', patientName: 'Jane Smith' },
  'tab3': { id: 'CONSULT-003', patientName: 'Bob Wilson' }
};

// Switch between consultations
function switchToConsultation(consultationID, tabElement) {
  // Update tab UI
  document.querySelectorAll('.consultation-tab').forEach(tab => {
    tab.classList.remove('active');
  });
  tabElement.classList.add('active');
  
  // Skip if already on this consultation
  if (currentConsultationID === consultationID && currentRecorder) {
    console.log(`Already on consultation ${consultationID}`);
    return;
  }
  
  console.log(`Switching to consultation ${consultationID}`);
  
  // Clean up existing recorder
  if (currentRecorder) {
    currentRecorder.cleanup();
    currentRecorder = null;
  }
  
  // Clear and prepare container
  const container = document.getElementById('recorder-container');
  container.innerHTML = '';
  
  // Initialize recorder for new consultation
  NoraRecorder.ready(function() {
    NoraRecorder({
      ...API_CONFIG,
      consultationID: consultationID,
      container: container,
      position: null,
      snackbarPosition: "below-component"
    }).then(recorder => {
      currentRecorder = recorder;
      currentConsultationID = consultationID;
      
      // Update UI
      updatePatientInfo(consultationID);
      updateRecordingIndicators();
      
      console.log(`āœ… Recorder ready for ${consultationID}`);
    }).catch(error => {
      console.error(`āŒ Error initializing recorder for ${consultationID}:`, error);
    });
  });
}

// Set up tab click handlers
document.querySelectorAll('.consultation-tab').forEach(tab => {
  tab.addEventListener('click', () => {
    const consultationID = tab.getAttribute('data-consultation-id');
    switchToConsultation(consultationID, tab);
  });
});

// Update recording indicators across tabs
function updateRecordingIndicators() {
  const activeRecordingConsultationID = NoraRecorder.isRecordingInProgress() 
    ? NoraRecorder.getActiveConsultationID() 
    : null;
  
  document.querySelectorAll('.consultation-tab').forEach(tab => {
    const tabConsultationID = tab.getAttribute('data-consultation-id');
    const indicator = tab.querySelector('.recording-indicator');
    
    if (activeRecordingConsultationID === tabConsultationID) {
      indicator.style.display = 'block';
      indicator.classList.add('recording');
    } else {
      indicator.style.display = 'none';
      indicator.classList.remove('recording');
    }
  });
}

// Listen for recording events to update indicators
document.addEventListener('nora-recorder-status', (event) => {
  updateRecordingIndicators();
});

// Initialize with first consultation
document.addEventListener('DOMContentLoaded', () => {
  const firstTab = document.querySelector('.consultation-tab');
  if (firstTab) {
    const firstConsultationID = firstTab.getAttribute('data-consultation-id');
    switchToConsultation(firstConsultationID, firstTab);
  }
});

// Cleanup on page unload
window.addEventListener('beforeunload', () => {
  if (currentRecorder) {
    currentRecorder.cleanup();
  }
});

Lifecycle Management

Initialization

Initialize a NoraRecorder instance when a consultation view is loaded:

function onConsultationPageLoad(consultationData) {
  // Wait for NoraRecorder to be ready
  NoraRecorder.ready(function() {
    NoraRecorder({
      apiKey: 'YOUR_API_KEY',
      doctorID: currentUser.id,
      consultationID: consultationData.id,
      apiBaseUrl: 'YOUR_API_ENDPOINT'
    }).then(recorder => {
      // Store reference for later cleanup
      window.currentRecorder = recorder;
    });
  });
}

Cleanup

Clean up the recorder when a consultation view is unloaded:

function onConsultationPageUnload() {
  // Clean up NoraRecorder resources
  if (window.currentRecorder) {
    NoraRecorder.cleanup();
    window.currentRecorder = null;
  }
}

Page Navigation Handling

For single-page applications (SPAs), handle recorder lifecycle during route changes:

// Example for a SPA router
router.beforeEach((to, from, next) => {
  // Clean up previous recorder if navigating away from consultation
  if (from.name === 'consultation' && to.name !== 'consultation') {
    if (window.currentRecorder) {
      NoraRecorder.cleanup();
      window.currentRecorder = null;
    }
  }
  next();
});

router.afterEach((to) => {
  // Initialize new recorder if navigating to consultation
  if (to.name === 'consultation') {
    initializeRecorder(to.params.consultationId);
  }
});

Event Handling

Recording Status Events

NoraRecorder emits events when recording status changes:

// Listen for recorder status events
document.addEventListener('nora-recorder-status', (event) => {
  const { type, consultationID, doctorID, timestamp } = event.detail;
  
  console.log(`Recording event: ${type} for consultation ${consultationID}`);
  
  // Handle different event types
  switch (type) {
    case 'recording-started':
      showRecordingIndicator(consultationID);
      break;
    case 'recording-stopped':
    case 'recording-discarded':
      hideRecordingIndicator(consultationID);
      break;
    case 'recording-paused':
      updateRecordingIndicator(consultationID, 'paused');
      break;
    case 'recording-resumed':
      updateRecordingIndicator(consultationID, 'recording');
      break;
    // Handle generate button events
    case 'generation-started':
      showGenerationIndicator(consultationID);
      break;
    case 'generation-stopped':
      hideGenerationIndicator(consultationID);
      break;
    case 'generation-failed':
      showGenerationError(consultationID);
      break;
  }
});

Note: The same event system is used for both recording and generate button functionality. When users click the Generate button (available for non-clinical task types when clinical notes exist), it emits generation-started, generation-stopped, and generation-failed events using the same nora-recorder-status event type.

The component dispatches a nora-recorder-status event to both the container element and the document object. The event includes:

{
  type: 'recording-started' | 'recording-stopped' | 'recording-paused' | 'recording-resumed' | 'recording-discarded' | 'generation-started' | 'generation-stopped' | 'generation-failed',
  consultationID: 'UNIQUE_CONSULTATION_ID',
  doctorID: 'DOCTOR_ID',
  timestamp: 'ISO_TIMESTAMP'
}

You can listen at the document level (for all recorders) or on a specific recorder container:

// Listen on a specific container
const recorderContainer = document.getElementById('recorder-container');
recorderContainer.addEventListener('nora-recorder-status', (event) => {
  // Handle event...
});

Integration with Tab Systems

Use recording events to update tab indicators:

// Update tab UI based on recording status
function updateTabUI() {
  const tabs = document.querySelectorAll('.patient-tab');
  
  // Check if recording is active
  if (NoraRecorder.isRecordingInProgress()) {
    const activeConsultationID = NoraRecorder.getActiveConsultationID();
    
    // Update tab indicators
    tabs.forEach(tab => {
      const tabConsultationID = tab.getAttribute('data-consultation-id');
      
      if (tabConsultationID === activeConsultationID) {
        tab.classList.add('recording-active');
        tab.querySelector('.recording-indicator').style.display = 'inline-block';
      } else {
        tab.classList.remove('recording-active');
        tab.querySelector('.recording-indicator').style.display = 'none';
      }
    });
  } else {
    // No active recording - remove all indicators
    tabs.forEach(tab => {
      tab.classList.remove('recording-active');
      tab.querySelector('.recording-indicator').style.display = 'none';
    });
  }
}

// Call this function whenever tabs are rendered or when recording status changes
document.addEventListener('nora-recorder-status', updateTabUI);

Example Implementation with Recording Indicators

Here's how you might implement recording indicators on tabs in a tabbed EHR system:

// Map of active recording consultations
let activeRecordingConsultationID = null;

// Listen for recorder status events
document.addEventListener('nora-recorder-status', (event) => {
  const { type, consultationID } = event.detail;
  
  // Handle recording started
  if (type === 'recording-started') {
    activeRecordingConsultationID = consultationID;
    
    // Update all tabs to show recording indicator on the correct tab
    document.querySelectorAll('.patient-tab').forEach(tab => {
      const tabConsultationID = tab.getAttribute('data-consultation-id');
      
      if (tabConsultationID === consultationID) {
        tab.classList.add('recording');
        tab.querySelector('.recording-indicator').style.display = 'block';
      } else {
        tab.classList.remove('recording');
        tab.querySelector('.recording-indicator').style.display = 'none';
      }
    });
  } 
  // Handle recording stopped or discarded
  else if (type === 'recording-stopped' || type === 'recording-discarded') {
    activeRecordingConsultationID = null;
    
    // Remove recording indicators from all tabs
    document.querySelectorAll('.patient-tab').forEach(tab => {
      tab.classList.remove('recording');
      tab.querySelector('.recording-indicator').style.display = 'none';
    });
  }
});

This implementation ensures users always know which consultation has an active recording, even when navigating between different patients or views in the EHR.

Content Events

NoraRecorder provides a comprehensive event system for accessing generated content when recordings are processed and completed. This allows your EHR application to automatically receive and integrate the processed clinical notes.

Content Event Types

The recorder emits nora-recorder-content events when content becomes available:

Event TypeDescriptionWhen Triggered
content-readyGenerated content is availableWhen processing completes successfully

Listening for Content Events

You can listen for content events at both the document level and container level:

// Listen at document level (recommended for global handling)
document.addEventListener('nora-recorder-content', (event) => {
  const { 
    type, 
    consultationID, 
    doctorID, 
    content, 
    timestamp,
    status,
    processingStatus 
  } = event.detail;
  
  console.log(`Content event: ${type}`);
  console.log(`Consultation: ${consultationID}`);
  console.log(`Generated content length: ${content.length}`);
  
  // Handle the generated content
  if (type === 'content-ready') {
    insertContentIntoEHR(consultationID, content);
  }
});

// Or listen on a specific recorder container
const recorderContainer = document.getElementById('recorder-container');
recorderContainer.addEventListener('nora-recorder-content', (event) => {
  // Handle content for this specific recorder
  handleGeneratedContent(event.detail);
});

Event Detail Structure

Content events include comprehensive information about the generated content:

{
  type: 'content-ready',
  consultationID: 'CONSULTATION_ID',
  doctorID: 'DOCTOR_ID',
  timestamp: '2024-01-15T10:30:00.000Z',
  status: 'COMPLETED',
  processingStatus: 'sent', // or 'generated'
  content: 'Chief Complaint: Patient presents with...' // The actual generated content
}

Integration Examples

Basic Content Integration

function setupContentListener() {
  document.addEventListener('nora-recorder-content', (event) => {
    const { type, consultationID, content } = event.detail;
    
    if (type === 'content-ready') {
      // Find the appropriate text area or editor for this consultation
      const notesTextarea = document.querySelector(`[data-consultation-id="${consultationID}"] textarea`);
      
      if (notesTextarea) {
        // Insert the generated content
        notesTextarea.value = content;
        
        // Trigger any change events your EHR needs
        notesTextarea.dispatchEvent(new Event('input', { bubbles: true }));
        
        // Show success message
        showNotification('Clinical notes generated successfully!', 'success');
      }
    }
  });
}

// Initialize the listener when your application starts
setupContentListener();

Advanced Content Processing

function setupAdvancedContentHandler() {
  document.addEventListener('nora-recorder-content', async (event) => {
    const { type, consultationID, content, doctorID } = event.detail;
    
    if (type === 'content-ready') {
      try {
        // Parse structured content if using templates
        const structuredNotes = parseStructuredContent(content);
        
        // Update different sections of the EHR
        updateEHRSections(consultationID, structuredNotes);
        
        // Save to your backend
        await saveNotesToEHR({
          consultationId: consultationID,
          doctorId: doctorID,
          notes: content,
          timestamp: new Date().toISOString()
        });
        
        // Update UI to show content is saved
        markConsultationAsCompleted(consultationID);
        
      } catch (error) {
        console.error('Error processing generated content:', error);
        showNotification('Error saving generated notes', 'error');
      }
    }
  });
}

function parseStructuredContent(content) {
  // Example: Parse content based on your template structure
  const sections = {
    chiefComplaint: '',
    historyOfPresentIllness: '',
    assessment: '',
    plan: ''
  };
  
  // Add your parsing logic here based on your templates
  // This would depend on the structure of your generated content
  
  return sections;
}

function updateEHRSections(consultationID, sections) {
  // Update different form fields based on parsed content
  Object.keys(sections).forEach(sectionKey => {
    const field = document.querySelector(`[data-consultation-id="${consultationID}"] [data-field="${sectionKey}"]`);
    if (field) {
      field.value = sections[sectionKey];
    }
  });
}

React Integration with Content Events

import React, { useEffect, useState } from 'react';

const ConsultationNotesComponent = ({ consultationID }) => {
  const [notes, setNotes] = useState('');
  const [isProcessing, setIsProcessing] = useState(false);
  
  useEffect(() => {
    const handleContentEvent = (event) => {
      const { type, consultationID: eventConsultationID, content } = event.detail;
      
      // Only handle events for this specific consultation
      if (eventConsultationID === consultationID && type === 'content-ready') {
        setNotes(content);
        setIsProcessing(false);
        
        // Optional: Auto-save to your backend
        saveNotesToBackend(consultationID, content);
      }
    };
    
    const handleStatusEvent = (event) => {
      const { type, consultationID: eventConsultationID } = event.detail;
      
      if (eventConsultationID === consultationID) {
        if (type === 'recording-stopped') {
          setIsProcessing(true);
        }
      }
    };
    
    // Listen for both content and status events
    document.addEventListener('nora-recorder-content', handleContentEvent);
    document.addEventListener('nora-recorder-status', handleStatusEvent);
    
    return () => {
      document.removeEventListener('nora-recorder-content', handleContentEvent);
      document.removeEventListener('nora-recorder-status', handleStatusEvent);
    };
  }, [consultationID]);
  
  const saveNotesToBackend = async (consultationId, content) => {
    try {
      await fetch('/api/consultations/notes', {
        method: 'POST',
        headers: { 'Content-Type': 'application/json' },
        body: JSON.stringify({ consultationId, notes: content })
      });
    } catch (error) {
      console.error('Error saving notes:', error);
    }
  };
  
  return (
    <div>
      <h3>Clinical Notes</h3>
      {isProcessing && <p>Processing recording...</p>}
      <textarea
        value={notes}
        onChange={(e) => setNotes(e.target.value)}
        placeholder="Clinical notes will appear here automatically..."
        rows={15}
        cols={80}
      />
      {notes && (
        <p className="success-message">
          āœ“ Notes generated automatically from recording
        </p>
      )}
    </div>
  );
};

Programmatic Content Access

In addition to events, you can also programmatically check for and retrieve content:

// Initialize recorder and store reference
NoraRecorder({
  apiKey: 'YOUR_API_KEY',
  doctorID: 'DOCTOR_ID',
  consultationID: 'CONSULTATION_ID',
  apiBaseUrl: 'YOUR_API_ENDPOINT'
}).then(recorder => {
  // Store reference for later use
  window.currentRecorder = recorder;
  
  // Check if content is already available (for existing recordings)
  if (recorder.isContentReady()) {
    const content = recorder.getGeneratedContent();
    console.log('Existing content found:', content);
    insertContentIntoEHR(content);
  }
  
  // Access subscription information
  const subscriptionLevel = recorder.getSubscriptionLevel();
  const monthlyUsageLeft = recorder.getMonthlyUsageLeft();
  
  console.log('User subscription:', subscriptionLevel);
  console.log('Monthly usage remaining:', monthlyUsageLeft);
  
  // Apply subscription-based logic
  if (subscriptionLevel === 'FreeTrial' && monthlyUsageLeft <= 5) {
    showUpgradePrompt();
  } else if (subscriptionLevel === 'Premium') {
    enablePremiumFeatures();
  }
});

// Later, you can check for content availability
function checkForGeneratedContent() {
  if (window.currentRecorder && window.currentRecorder.isContentReady()) {
    const content = window.currentRecorder.getGeneratedContent();
    return content;
  }
  return null;
}

// Example subscription-based functionality
function checkSubscriptionLimits() {
  if (window.currentRecorder) {
    const usageLeft = window.currentRecorder.getMonthlyUsageLeft();
    const subscriptionLevel = window.currentRecorder.getSubscriptionLevel();
    
    if (usageLeft !== null && usageLeft <= 0) {
      showUsageLimitReachedMessage(subscriptionLevel);
      return false; // Prevent recording
    }
    
    if (usageLeft !== null && usageLeft <= 10) {
      showLowUsageWarning(usageLeft, subscriptionLevel);
    }
    
    return true; // Allow recording
  }
  return true;
}

Best Practices for Content Integration

  1. Event-Driven Integration: Use events for real-time content integration rather than polling
  2. Consultation-Specific Handling: Always check the consultationID to ensure content goes to the right place
  3. Error Handling: Implement proper error handling for content processing and saving
  4. Auto-Save: Consider automatically saving generated content to your backend
  5. User Feedback: Provide clear feedback when content is being processed and when it's ready
  6. Content Validation: Validate generated content before inserting into critical EHR fields

Framework-Specific Integration

React Integration

For React applications, create a wrapper component:

import React, { useEffect, useRef, useState } from 'react';
import '@nora-technology/recorder/easy'; // Import the enhanced version

const NoraRecorderComponent = ({ 
  apiKey, 
  doctorID, 
  consultationID, 
  apiBaseUrl,
  embedded = true,
  onRecorderReady,
  customStyles = {} // Optional styling customizations
}) => {
  const containerRef = useRef(null);
  const recorderInstanceRef = useRef(null);
  const [error, setError] = useState(null);
  const [isInitialized, setIsInitialized] = useState(false);
  
  // Default styles for the container
  const defaultStyles = {
    minHeight: '48px',
    minWidth: '290px',
    display: 'inline-block',
    position: 'relative'
  };
  
  useEffect(() => {
    let isMounted = true;
    
    // Initialize when NoraRecorder is ready
    window.NoraRecorder.ready(function() {
      if (!isMounted) return;
      
      window.NoraRecorder({
        apiKey,
        doctorID,
        consultationID,
        apiBaseUrl,
        ...(embedded ? {
          container: containerRef.current,
          position: null,
          snackbarPosition: "below-component"
        } : {
          position: { x: 20, y: 20 }
        })
      }).then(recorder => {
        if (!isMounted) {
          // If component unmounted during initialization, clean up
          recorder.cleanup();
          return;
        }
        
        recorderInstanceRef.current = recorder;
        setIsInitialized(true);
        if (onRecorderReady) onRecorderReady(recorder);
      }).catch(err => {
        if (isMounted) {
          setError(`Error initializing recorder: ${err.message || err}`);
        }
      });
    });
    
    // Handle loading errors
    window.NoraRecorder.onError(function(error) {
      if (isMounted) {
        setError(`Failed to load NoraRecorder: ${error.message || error}`);
      }
    });
    
    // Cleanup on unmount
    return () => {
      isMounted = false;
      if (recorderInstanceRef.current) {
        try {
          window.NoraRecorder.cleanup();
          recorderInstanceRef.current = null;
        } catch (err) {
          console.error('Error cleaning up recorder:', err);
        }
      }
    };
  }, [apiKey, doctorID, consultationID, apiBaseUrl, embedded, onRecorderReady]);
  
  return (
    <div>
      {error && <div className="recorder-error">{error}</div>}
      <div 
        ref={containerRef} 
        className="nora-recorder-container"
        style={{...defaultStyles, ...customStyles}}
      />
    </div>
  );
};

export default NoraRecorderComponent;

Class Component Implementation

For projects still using class components:

import React, { Component } from 'react';
import '@nora-technology/recorder';

class NoraRecorderComponent extends Component {
  constructor(props) {
    super(props);
    this.state = {
      isInitialized: false,
      error: null
    };
    
    // Create refs
    this.containerRef = React.createRef();
    this.recorder = null;
  }
  
  componentDidMount() {
    this.initializeRecorder();
  }
  
  componentDidUpdate(prevProps) {
    // Re-initialize if key props change
    if (
      prevProps.consultationID !== this.props.consultationID ||
      prevProps.doctorID !== this.props.doctorID ||
      prevProps.apiKey !== this.props.apiKey ||
      prevProps.apiBaseUrl !== this.props.apiBaseUrl
    ) {
      this.cl
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