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ESO Auto-Generated Narratives: Tech that follows your lead

Updated May 21, 2025

5 min 20 sec estimated read time

Cut documentation time up to 80% and stay in control

“At ESO, we are committed to being responsible, ethical, and transparent as we walk through this artificial intelligence journey together.”

– Dr. Brent Myers, Chief Medical Officer at ESO

Filling out patient care reports has always been an important, yet time-consuming, part of an EMS provider’s shift. Every field filled in. Every note written. And then, the narrative – summarizing the whole event in a readable, detailed story.  

With ESO, that story writes itself (when you ask it to). 

This month, ESO released the much-anticipated Auto-Generated Narrative feature to ESO Electronic Health Record (EHR) customers, transforming documentation in first response as we know it. By drawing directly from structured data already entered in the record, ESO’s Auto-Generated Narrative writes a full narrative summary ready for review.

EMS organizations have the power to opt into this new feature, helping their crew complete reports faster – without compromising accuracy or control.  

“The efficiency improvement we’ve seen with the ESO Auto-Generated Narrative has been significant, saving about 20 minutes per report. From a quality management perspective, it simplified the administrative function. From the crew’s side, it’s obvious it shortened their documentation time. They’re still reviewing every narrative, and so far, I don’t think we’ve had one that hasn’t been touched. This feature is a game changer that paints an accurate picture of the care they provided.”

– Jeff Sadtler, Chief of EMS and Fire Services at West County EMS and Fire Protection District

It’s already saving time and making an impact. 

ESO’s Auto-Generated Narrative was beta tested by about 50 EMS organizations across the country. In testing, this feature reduced total documentation time by up to 80%. On average, crews also saw a 30% drop in time to lock a patient record. 

This capability, which is intentionally optional, can now be enabled organization-wide for EHR customers at no additional cost. Once activated, providers complete the chart as usual, click a button to generate the narrative, and finalize it after making any needed edits.

If you’re already an ESO EHR customer, check out our quick-start guide for instructions on how to activate Auto-Generated Narrative.

Embracing AI with intention

Still in its infancy, AI has already proved itself to be a powerful, efficient tool innovating various industries. At ESO, we are focused on applying it thoughtfully, in ways that help those on the front lines. That’s why Auto-Generated Narrative is designed with transparency, reliability, and provider control in mind.  

The automated narrative draft is created based only on what has been captured discretely into the chart. Providers retain full control of the narrative throughout the process. 

Auto-Generated Narrative is not just automation for the sake of it – it’s a direct response to how our customers work and what they need: more time for patient care, fewer hours spent documenting it, and confidence that records are complete, consistent, and accurate. 

What you should know about ESO Auto-Generated Narrative 

  • Available now for all ESO EHR customers at no additional cost 
  • Accessible in EHR iOS, EHR Windows mobile and EHR Web
  • Activated by your organization’s admin in settings 
  • Includes an inline prompt for providers to review and edit the draft before finalizing 

Ready to auto-generate your patient care narratives?

Auto-Generated Narrative is just one of ESO EHR’s new innovative features aimed at empowering first responders in better caring for their communities. New features such as Critical Care workflows and the recently released Longitudinal Record feature support EMS organizations in alternative forms of care they provide to their communities along with giving an overall more holistic patient overview.  You can learn more about the new and improved Electronic Health Record, now including Auto-Generated Narratives, here 

See how ESO Auto-Generated Narrative can transform documentation for your team by signing up for a demo to see the benefits live.  


See it in action

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