Use Lyrebird for Consults and Dictation

To use Lyrebird in Bp Premier, you must:

• Have Bp Premier version Orchid Service Pack 2 or later installed on the server and all workstations.
• Approve Lyrebird Health as a third-party integration in Setup > Configuration > Database > Setup third-party integrations. See Approve third-party integrations for more information.
• Connect each user's Lyrebird Health account to Bp Premier using their Lyrebird Best Practice API Key. A single sign-on connection will be established between Lyrebird Health and Bp Premier, allowing Lyrebird to be accessed and utilised directly from the patient record in Bp Premier. See Connect Lyrebird Scribe to Bp Premier for more information.
• Ensure that your computer has a built-in microphone or that you have access to an external microphone.
• Obtain the patient's Consent to generate clinical notes using Lyrebird's Consult Transcription service.

Consult is Lyrebird’s core feature. Lyrebird listens to your consultation with a patient in the background and generates complete clinical notes and any letters or documents you need in seconds.

TIP   Lyrebird allows you to customise the headings, structure, and content of your patient consultation notes to your preferences. For more information, see Customisation in Lyrebird.

1. From the patient record, click the Lyrebird Health icon on the toolbar. The Lyrebird Health browser will appear.



2. From the menu in the Lyrebird Health browser, click Consult. The Consult screen will appear.



3. The Patient's name and Sex are automatically populated when Lyrebird is accessed directly from the patient clinical record.
4. Select the Visit Type: In-person, Telehealth or Phone.
5. Select your preferred Note type:
   • SOAP: follows the Subjective, Objective, Assessment and Plan structure.
   • Chief Complaint: includes multiple sections; chief complaint, systems review, medications, and planning.
   • Multiple Complaints: similar to chief complaint but will include more detail for secondary complaints.



6. Hover over Start listening and click Initial Consult or Review Consult.

Consult Type	Description
Initial Consult	Lyrebird will emphasise the history of any issues, particularly subjective information. TIP   Lyrebird Health recommends selecting Initial Consult when treating a new problem; this ensures that the most information is captured to get the best possible notes.
Review Consult	Lyrebird will concentrate less on the history and more on any changes in presentation from the previous consultation.



TIP   
Keyboard shortcuts can also be used to start a consult.
1. Select consult type using I, T or P.
2. Select the note type using 1, 2 or 3.

7. Obtain the patient's Consent to generate clinical notes using Lyrebird's Consult Transcription service. To specify the patient's consent preference, select No or Yes, begin.

EXAMPLE   

Lyrebird has provided some example wording that can be used to obtain the patient's consent to use the Consult Transcription service to create patient notes.

"Please confirm that you are comfortable with us taking an audio recording of your consultation to prepare a note of the consultation, which is then reviewed, finalised, and stored for inclusion in your medical record".

For more information on patient consent, visit the Lyrebird Health Help Centre.



Lyrebird will capture and record the patient's Consent in the transcribed clinical notes. When the transcribed clinical notes are saved from Lyrebird to Bp Premier, the patient's consent will be recorded in Today's notes.

EXAMPLE   

• Lyrebird will capture and record the patient's consent in the transcribed clinical notes.



• When the transcribed clinical notes are saved from Lyrebird to Bp Premier, the patient's consent will be recorded in Today's notes.



8. The Lyrebird Health browser may prompt you for permission to use your microphone; click Allow.



9. Lyrebird will Start listening to and transcribing the patient consultation.

NOTE  Lyrebird Health destroys the original consultation audio files from their servers immediately following transcribing. Transcription occurs in real time, and any personally identifiable information is immediately redacted.



10. Additional information about the patient can be freely typed in the Notepad textbox; for example, you could include information you do not want to verbalise to the patient. All free typed information will be recorded in the notes at the end of the consultation.
11. To pause Lyrebird during the consultation, click Pause; Lyrebird will stop listening. When you are ready to continue, click Resume; Lyrebird will resume listening.



12. When you have completed the consultation, click Stop. Lyrebird will immediately begin transcribing your notes in less than four seconds.
13. If you need to Edit your notes, you should do so directly in the Lyrebird Health browser.

TIP   Lyrebird learns from every edit you make in the browser and, over time, will generate notes that are personalised to your style and structure.



14. To modify the note template after Lyrebird has generated the clinical notes, click on the + icon. The Note template screen will appear.



15. Choose the Note template type from the options provided and click Generate.



Lyrebird will regenerate the clinical notes based on the Note template type you have selected. To view past and newly generated clinical notes, click on the relevant Note tab.



16. To save your consult notes to Lyrebird, click Save note. Consult notes saved directly to Lyrebird can be accessed through the History tab and stored under the patient's name.
17. Has the patient raised another concern after Lyrebird has finished transcribing the clinical notes? Click Resume Consult; Lyrebird will start listening and generate the clinical notes to incorporate the additional information.



18. Would you like Lyrebird to generate post-consultation documents such as Medical Certificates, Patient and Specialist Letters or Mental Health Care Plans? For further details, see Generate Post Consult Documents; otherwise, proceed to Step 16.

NOTE  Post consultation documents generated by Lyrebird must be manually copied from the Lyrebird Health browser and pasted into a word processor document or template in Bp Premier.

19. To save your consult notes to Bp Premier, click Save to Bp. The Add and Edit Observations before sending to Bp screen will appear.



20. If clinical Observations are detected during the consultation, Lyrebird will automatically add these to the Add and Edit Observations before Sending to Bp screen. Observations that are automatically populated must be reviewed for accuracy before saving to Bp Premier.

If no clinical Observations are detected during the consultation, the clinician can manually enter these into the Add and Edit Observations before Sending to Bp screen.

Observations will be saved as atomised values in Bp Premier; atomised values can be graphed to offer clinicians more insight into historical trends.

21. Click Save to Bp. The Lyrebird Health browser will close.
22. The clinical notes transcribed by Lyrebird will be inserted into Today's Notes section of the patient record.

TIP   By default, clinical notes transcribed by Lyrebird Scribe will be inserted at the Top of Today's Notes. If you prefer to have the notes added at the bottom of Today's Notes: Go to Setup > User Preferences > Clinical, find the preference labelled Lyrebird transcription save to visit notes position, and select the Bottom radio button and click Save or Save and Close. See Setting User Preferences for more information.

When clinical notes are saved from Lyrebird to Bp Premier, a statement will be included to confirm that the notes were generated via Lyrebird Health and have been reviewed by the clinician.

Would you like to find out more about Lyrebird's Dictation feature? For further details, go to Use Lyrebird to Dictate Letters and Documents.

With dictate, you can talk directly to Lyrebird, and Lyrebird will format what you say into letters and documents.

NOTE  Letters and documents generated using Lyrebird must be manually copied from the Lyrebird browser and pasted into a word processor document or template in Bp Premier.

1. From the patient record, click the Lyrebird Health icon on the toolbar. The Lyrebird Health browser will appear.



2. From the menu in the Lyrebird Health browser, click Dictate. The Dictate screen will appear.



3. Optional: Enter the Patient's Name and Sex.
4. Select Direct Dictate or hover over Smart Dictate and select a Dictation Type from the drop down menu. Types of dictation available for selection:

Dictation Type		Description
Direct Dictate		Direct dictate transcribes your words verbatim with only minimal punctuation adjustments.
Smart Dictate		Smart dictate functions more like a conversational scribe, allowing you to dictate without worrying about misspellings or formatting.
Dictate Documents	Mental Health Care Plans	Dictate documents will format your dictation according to the selected template structure. This means that Lyrebird will slightly apply more editing on what you say compared to Direct Dictate.
	Patient Letters
	Medical Certificates
	Letter to Specialists
	Letter to Referring Doctor

5. The Lyrebird Health browser may prompt you for permission to use your microphone; click Allow.



6. Lyrebird will begin listening, you can commence dictating.



7. If you need to pause Lyrebird during the dictation, click Pause, and Lyrebird will stop listening. When you are ready to continue with the dictation, click Resume, and Lyrebird will resume listening.



8. Click Stop once your dictation is complete. Lyrebird will automatically start writing your letter or document.



9. If you need to Edit your letter or document, this should be completed directly in the Lyrebird Health browser.

TIP   Lyrebird learns from every edit you make in the browser and, over time, will generate notes that are personalised to your style and structure.

10. To save the letter or document to Lyrebird, click Save document. To save documents directly to Lyrebird, the patient's name must be entered in the upper left corner of the Lyrebird Health browser.
11. Click Copy dictation to copy the contents of the letter or document, which may then be pasted into a Word processor document or a template in Bp Premier.
12. Once your dictation is complete, click the X at the top of the Lyrebird Health browser to close the window.

Are you interested in learning more about Lyrebird's letter and document generating capabilities? For further details, go to Generate Documents from Consult Notes.

Saved patient consult notes and documents such as letters and referrals can be viewed by clicking the History button in the Lyrebird Health browser.

1. From the patient record, click the Lyrebird Health icon on the toolbar. The Lyrebird Health browser will appear.



2. From the menu in the Lyrebird Health browser, click History. The History screen will appear.



3. To view saved past consults or documents, search for the patient by name and click Open on the required consult or document.
4. From the History > Past Consult screen you have the option to:
• Update and copy patient notes.
• Create patient letters and referrals to specialists.
• Develop Mental health care plans.
• Generate Medical certificates.

See Generate Documents from Saved Patient Consult Notes for more information.



5. From the History > Past Documents screen you have the option to:
• Edit the document directly in the Lyrebird Health browser and save changes.

TIP   Lyrebird learns from every edit you make in the browser and, over time, will generate notes that are personalised to your style and structure.

• Copy the notes and paste them directly into a word processor document or template in Bp Premier.

Do you need help using Lyrebird Health?

Would you like to learn more about customising your consultation notes and documents? Would you like to teach Lyrebird specific wording or phrases? The Lyrebird Health Help Centre contains guides and tutorials to help you get the most out of Lyrebird Health.

1. Log in to your existing Lyrebird Health account or open a patient record in Bp Premier and click the Lyrebird Health icon on the toolbar.



2. From the Lyrebird Health browser, click Support. Lyrebird's AI-powered search panel will appear.



3. The Lyrebird AI-powered search offers suggestions for frequently asked questions, or you can type your question in the search bar.

This section provides some troubleshooting advice for common problems encountered using Lyrebird Health within Bp Premier.