Ambience Healthcare Debuts Chart Chat: The First AI Copilot Within the EHR

Ambience Healthcare has unveiled Chart Chat, a first-of-its-kind AI copilot designed to integrate directly within Epic’s electronic health record (EHR) system to provide healthcare providers with context-aware clinical insights. By combining patient chart data with medical content from BMJ Best Practice and OpenAI’s Reinforcement Fine Tuning (RFT) technology, Chart Chat creates a novel intelligence layer over the EHR.

“This technology can fundamentally change how physicians interact with the medical record,” said Trevor Satterfield, MD, ACMIO, St. Luke’s Health System. “It lets me ask specific questions about the patient’s history or treatment, questions that could take minutes of searching to answer, and get clear, accurate responses in seconds.”

Developed to address the growing problem of information overload, Chart Chat allows providers to ask natural language questions about a patient’s history, lab results, prior treatments, and risk factors, and receive structured, relevant answers in seconds. Unlike previous in-house experiments by health systems, Ambience is the first to launch a production-quality solution that combines real-time notes from a patient visit with data from the full medical record. This dual context enables faster, more accurate answers without switching between tools or piecing information together manually. Its capabilities include chart-aware question answering to synthesize patient data, automated risk score calculation using validated tools such as CHA₂DS₂-VASc, Wells, and HEART, contextual clinical decision support through BMJ Best Practice, and integrated literature access with concise summaries and references from journal partners, PubMed, and FDA databases.

“Over the past several years, we’ve built and deployed clinical AI that’s trusted by thousands of physicians to support real-time documentation, coding, and patient care,” said Nikhil Buduma, Co-Founder and Chief Scientist at Ambience Healthcare. “Chart Chat builds on that foundation, bringing together cutting-edge language models, real-time EHR context, and trusted clinical content to create the most advanced bedside assistant in healthcare. The launch of Chart Chat marks a pivotal moment for conversational chart intelligence in the United States.”

Chart Chat will begin rolling out to Ambience users over the next several months.