FAQ & Complete User Guide
Your comprehensive guide to mastering Syntry. From basic documentation to advanced workflow features, everything you need to maximize your clinical efficiency.
Complete Table of Contents
Core Features
Workflow Tools
Advanced & Support
New to Syntry?
Start with our Getting Started guide for a step-by-step walkthrough
Complete User Guide Navigation
Documentation Styles
Choose from three AI-powered documentation styles that adapt to your clinical practice and preferences.
Structured
Organized bullet points and clear sections
Narrative
Natural paragraph flow and storytelling
Adaptive
Smart mix based on content complexity
Structured Style Example
Perfect for organized, bullet-point documentation with clear sections
• Chest pain x 3 days
• 45-year-old female
• Sharp, left-sided chest pain
• Worse with deep inspiration
• Recent international travel (10 days ago)
• No associated dyspnea or leg swelling
• Vital signs: BP 120/80, HR 88, RR 16, O2 98%
• Cardiac: RRR, no murmurs
• Pulmonary: Clear bilaterally
• Extremities: No edema or calf tenderness
• Pleuritic chest pain, rule out PE
- Wells score: 4.5 (moderate risk)
- D-dimer ordered
- Chest X-ray WNL
- If D-dimer elevated → CTPA
• Patient counseled on PE precautions
• Return if worsening symptoms
Narrative Style Example
Natural paragraph flow for comprehensive storytelling documentation
Chief Complaint: This 45-year-old female presents with a three-day history of sharp, left-sided chest pain that has been progressively concerning her.
History of Present Illness: The patient describes the pain as sharp and stabbing in nature, primarily localized to the left lateral chest wall. She notes that the pain is significantly worse with deep inspiration and has been persistent over the past three days. Importantly, she recently returned from international travel to Europe ten days ago, involving a long-haul flight. She denies any associated shortness of breath, leg swelling, or calf pain. The pain has not responded well to over-the-counter analgesics.
Physical Examination: On examination, the patient appears comfortable at rest but demonstrates discomfort with deep inspiration. Vital signs are stable with blood pressure 120/80, heart rate 88 and regular, respiratory rate 16, and oxygen saturation 98% on room air. Cardiac examination reveals regular rate and rhythm without murmurs, rubs, or gallops. Pulmonary examination shows clear breath sounds bilaterally without wheezes, rales, or rhonchi. Extremity examination is notable for the absence of edema or calf tenderness.
Assessment and Plan: Given the patient's presentation of pleuritic chest pain in the setting of recent long-haul travel, there is moderate concern for pulmonary embolism with a Wells score of 4.5. I have ordered a D-dimer level and obtained a chest X-ray, which appears normal. Depending on the D-dimer results, we may proceed with CT pulmonary angiography. The patient has been counseled extensively about the signs and symptoms that would warrant immediate return to the emergency department, including worsening dyspnea, chest pain, or leg swelling.
Adaptive Style Example
Smart combination of structured and narrative based on content complexity
This 45-year-old female presents with sharp, left-sided chest pain that began three days ago. The pain is pleuritic in nature and significantly worse with deep inspiration. She recently returned from international travel to Europe (10 days ago) involving a long-haul flight. She denies dyspnea, leg swelling, or calf pain.
• Vital signs: BP 120/80, HR 88, RR 16, O2 98% on RA
• Appears comfortable at rest, discomfort with deep inspiration
• Cardiac: RRR, no murmurs, rubs, or gallops
• Pulmonary: CTAB, no wheezes or rales
• Extremities: No edema or calf tenderness
Pleuritic chest pain, rule out pulmonary embolism (Wells score 4.5 - moderate risk)
Given the patient's recent travel history and pleuritic symptoms, there is moderate concern for PE. I have obtained a chest X-ray which is normal and ordered a D-dimer level. If the D-dimer is elevated, we will proceed with CT pulmonary angiography. The patient has been thoroughly counseled about PE warning signs and instructed to return immediately for worsening dyspnea, chest pain, or development of leg swelling.
AI Insight: Adaptive style automatically chose structured format for examination findings (easier to scan) and narrative format for complex clinical reasoning (better flow).
How to Use Syntry
Follow these step-by-step guides to master Syntry and streamline your clinical documentation workflow.
1. Getting Started - Dashboard
Your dashboard is your home base. Here you can:
- View all your encounters
- Start new encounters
- Access settings and help
- Search and filter past encounters
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2. Starting a New Encounter
Click "Start New Encounter" to begin:
- Choose between Recording or Manual entry
- Recording: Use your microphone to dictate
- Manual: Type notes directly
- Both options generate professional documentation
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3. Recording Your Encounter
The recording modal provides:
- Real-time audio waveform visualization
- Clear recording status indicator
- Tap the microphone circle to stop
- Audio is processed immediately
- No audio files are permanently stored
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4. Typing Notes Manually
For manual documentation:
- Type directly into any section
- AI assists with formatting and structure
- Switch between documentation styles
- Add, edit, or remove sections as needed
- Auto-save protects your work
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5. Finalizing Your Encounter
Review and finalize your documentation:
- Review all generated sections
- Edit any content as needed
- Add additional notes or sections
- Sign to complete the encounter
- Export or integrate with your EHR
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6. Customizing Your Settings
Personalize Syntry to your practice:
- Set preferred documentation styles
- Configure section templates
- Adjust AI assistance levels
- Manage privacy and security settings
- Set up EHR integrations
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Smart Flow - Intelligent Documentation Workflow
Smart Flow revolutionizes your documentation process with AI-powered shortcuts and intelligent automation.
Settings Assistant - AI-Powered Configuration
Let our AI assistant guide you through configuring Syntry for optimal performance in your specific workflow.
Quick Setup in 3 Steps
Working with Synapse AI Assistant
Learn how to leverage Synapse for clinical decision support, image analysis, and intelligent documentation assistance.
How do I upload images to Synapse?
Synapse accepts medical images through multiple methods for instant analysis and clinical insights.
Upload Methods
Drag & drop files here
or click to browse
Supported Formats
What Synapse Can Analyze
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ECG Interpretation
Rhythm analysis, arrhythmia detection, interval measurements
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X-ray Analysis
Abnormality detection, fractures, lung pathology
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Dermatological Assessment
Rash identification, lesion analysis, skin conditions
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Lab Interpretation
Value analysis, reference ranges, clinical significance
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Advanced Imaging
CT/MRI findings, anatomical analysis
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Wound Assessment
Healing progress, size measurement, care recommendations
Try it yourself!
Upload any medical image and ask: "What do you see in this image?" or "Analyze this ECG/X-ray/rash" for instant clinical insights.
Why Synapse Image Analysis is Highly Accurate
Important Clinical Disclaimer
Synapse is a clinical decision support tool, not a replacement for clinical judgment. All AI interpretations should be reviewed and validated by qualified healthcare professionals. The final diagnosis and treatment decisions always remain with the clinician who has the full clinical context, patient history, and direct patient interaction.
How to interact with Synapse effectively?
Synapse is designed to understand natural medical language and provide comprehensive clinical support.
• Clinical signs of DVT: 3 points
• PE most likely diagnosis: 3 points
• Surgery within 4 weeks: 1.5 points
• Heart rate >100: 1.5 points
Advanced Features
Pro Tips
How does Synapse help with MDM and Discharge Instructions?
Watch how Synapse intelligently updates your Medical Decision Making and generates comprehensive discharge instructions based on your clinical findings.
Smart MDM Updates
- • Analyzes clinical data in real-time
- • Updates complexity level automatically
- • Suggests appropriate billing codes
- • Ensures documentation requirements
Complete DC Instructions
- • Condition-specific guidance
- • Patient-friendly language
- • Safety warnings & red flags
- • Medication reconciliation
Documentation Support
- • Automatically populates encounter
- • Provides follow-up recommendations
- • Generates work/school notes
- • Creates patient education materials
Billing & CPT Coding Assistant
Learn how Syntry's AI helps optimize your billing accuracy and ensures proper documentation for maximum reimbursement.
How does Syntry ensure accurate billing and CPT coding?
Syntry's billing assistant analyzes your documentation in real-time to suggest the most appropriate CPT codes and billing levels based on current CMS guidelines.
Why Syntry's Billing Suggestions are Highly Accurate
Encounter Analysis Summary
Recommended Billing Codes
High complexity emergency department evaluation and management
Documentation Compliance Check
Alternative Billing Considerations
Maximize Revenue
- • Identifies highest appropriate billing level
- • Captures all billable procedures and services
- • Suggests additional documentation for higher levels
- • Prevents under-billing common scenarios
Ensure Compliance
- • Real-time CMS guideline compliance
- • Flags potential audit risks
- • Documentation requirement alerts
- • Modifier suggestions when appropriate
Save Time
- • Instant code suggestions as you document
- • No manual CPT code lookup required
- • Integrated billing summary for easy review
- • Reduces billing staff workload
Important Billing Disclaimer
Syntry provides billing assistance and suggestions, not final billing decisions. All coding and billing decisions should be reviewed by qualified billing professionals or providers. Syntry's suggestions are based on documentation analysis and current guidelines, but the final responsibility for accurate billing remains with the healthcare provider and their billing team. Always verify codes against current CPT and ICD-10 manuals.
Copy All Feature
Efficiently copy your entire encounter documentation with one click, formatted for external systems.
How to Copy All Your Documentation
Complete Your Documentation
Finish documenting your encounter with all necessary sections (HPI, ROS, Physical Exam, Assessment & Plan, etc.)
Click "Copy All"
Look for the Copy All button in the top toolbar or use the keyboard shortcut Ctrl+Shift+C (Cmd+Shift+C on Mac)
Choose Your Format
Select from multiple output formats: EMR-formatted text, RTF with formatting, or plain text for maximum compatibility
Paste Into Your EMR
The formatted text is now in your clipboard, ready to paste directly into Epic, Cerner, Athena, or any other EMR system
Copy All - Format Selection
Choose your preferred output format
EMR Format
Optimized for Epic, Cerner, and other major EMR systems
Rich Text (RTF)
Preserves formatting, bold text, and bullet points
Plain Text
Universal compatibility, no formatting
Preview (EMR Format):
HISTORY OF PRESENT ILLNESS:
This is a 45-year-old male presenting with acute onset chest pain...
REVIEW OF SYSTEMS:
Constitutional: Denies fever, chills, weight loss...
PHYSICAL EXAMINATION:
Vital Signs: BP 128/84, HR 88, T 98.6°F, RR 16, O2 Sat 99% on RA
General: Alert, oriented, appears comfortable...
ASSESSMENT AND PLAN:
1. Chest pain, atypical - Consider cardiac vs GI etiology...
Benefits of Copy All
- Save 5-10 minutes per encounter vs manual copying
- Maintains consistent formatting across all EMRs
- Reduces copy-paste errors and missing sections
- Automatically updates when you edit content
Pro Tips
- Use Ctrl+Shift+C for instant copying
- Preview before copying to check formatting
- Customize section order in Settings
- Save custom templates for different EMRs
History & Version Control
Never lose your work. Syntry automatically tracks all changes and saves multiple versions of your documentation.
How History Works for Each Section
Individual Section History
Every edit to your History of Present Illness is saved with timestamps
Physical exam changes tracked separately for easy review
Assessment & Plan revisions preserved with diagnostic reasoning
Complete Encounter History
Encounter History - John Smith
Version history for chest pain encounter
Updated Assessment & Plan with discharge instructions
2 minutes ago • Auto-save
Completed physical examination findings
8 minutes ago • Manual save by Dr. Johnson
Added review of systems - cardiovascular
15 minutes ago • Auto-save
Never Lose Work
- • Automatic saving every 30 seconds
- • Survives browser crashes and network issues
- • Cloud backup of all versions
- • Recovery from any device
Team Collaboration
- • See who made each change
- • Track attending vs resident edits
- • Comment on specific versions
- • Merge changes intelligently
Audit Trail
- • Complete documentation timeline
- • Legal-ready change tracking
- • Export history reports
- • Compliance with record-keeping requirements
Undo/Redo System
Intelligent undo and redo that understands your clinical documentation workflow and preserves your context.
Smart Undo/Redo System
Contextual Undo
Text Changes
Undoes logical text blocks, not individual characters
AI Suggestions
Undo entire AI-generated sections or individual suggestions
Section Changes
Revert entire section additions, deletions, or reorders
Advanced Features
Undo Stack - 8 Actions Available
Recent changes to this encounter
Added "chest pain resolved" to A&P
Assessment & Plan • 1 minute ago
Accepted AI suggestion for physical exam
Physical Examination • 3 minutes ago
Modified HPI - added symptom timeline
History of Present Illness • 5 minutes ago
Preview Next Undo
Will remove: "Patient reports chest pain has completely resolved with rest and is now pain-free."
Edit with Confidence
- • Experiment freely knowing you can undo
- • Try different phrasings without fear
- • Test AI suggestions risk-free
- • Quick recovery from mistakes
Faster Editing
- • No need to manually select and delete
- • Intelligent text block recognition
- • Keyboard shortcuts for speed
- • Visual feedback prevents errors
Advanced Control
- • Selective undo by section
- • Branch from any point in history
- • Undo only AI vs manual changes
- • Merge conflict resolution
Complete User Journey
See how all of Syntry's features work together in a typical clinical workflow, from patient encounter to final documentation.
Patient Encounter Begins
Start your encounter with Syntry's intelligent recording and documentation.
Choose Your Method:
- Live audio recording
- Direct typing/dictation
- Mobile Mic Mode for privacy
Style Selection:
- Structured format
- Narrative style
- Adaptive (recommended)
AI Processing & Enhancement
Syntry's AI automatically processes your input and creates structured documentation.
Smart Transcription
Medical terminology recognition, speaker identification, and noise filtering
Section Organization
Automatic sorting into HPI, ROS, PE, Assessment & Plan sections
Clinical Enhancement
Suggests relevant details, ICD codes, and follow-up actions
Interactive Review & Editing
Use Syntry's powerful editing tools to refine your documentation.
Synapse AI Assistant
- • Upload and analyze medical images
- • Get diagnostic suggestions and MDM help
- • Generate discharge instructions
- • Answer clinical questions contextually
Editing Features
- • Smart undo/redo with 100+ levels
- • Real-time auto-save every 30 seconds
- • Version history and comparison
- • Collaborative editing with team
Quality Assurance & Compliance
Ensure accuracy and compliance before finalizing your documentation.
Billing Analysis
Automatic CPT code suggestions and billing optimization
Compliance Check
Validates documentation completeness and requirements
Quality Review
Grammar check, medical accuracy, and formatting validation
Export & EMR Integration
Seamlessly transfer your completed documentation to your EMR system.
Copy All Feature
- • Multiple format options (EMR, RTF, Plain Text)
- • One-click copy with Ctrl+Shift+C
- • Preview before copying
- • Custom section ordering
Archive & Tracking
- • Complete version history preserved
- • Audit trail for compliance
- • Searchable encounter database
- • Export reports for quality metrics
Complete Workflow Benefits
Save Time
Reduce documentation time by up to 70% with AI assistance and smart features
Ensure Quality
Comprehensive checks for accuracy, compliance, and completeness
Maximize Revenue
Optimal billing codes and documentation for highest appropriate reimbursement
Better Care
More time with patients, improved documentation quality, better outcomes
Pricing & Subscription FAQ
Everything you need to know about Syntry's pricing, payments, and subscription management.
Why is pricing different for Advanced Practice Providers vs Physicians?
Syntry's pricing reflects the income differential between Advanced Practice Providers (NP/PA) and Physicians (MD/DO) in emergency medicine, making our platform accessible and affordable for all provider types.
NP/PA Plan - $79/month
Designed for Nurse Practitioners and Physician Assistants working in emergency medicine
MD/DO Plan - $99/month
Designed for Emergency Medicine Physicians and other attending physicians
Key Points About Our Pricing Structure
- • Same Features: Both plans include all Syntry features - no feature limitations
- • Income-Proportional: Pricing represents similar percentage of income for both provider types
- • Market Research: Based on national salary data from emergency medicine
- • Accessibility: Ensures Syntry is affordable for providers at all levels
- • Fair Value: Same time savings and productivity benefits for everyone
Payment & Subscription Management
Payment Processing
Secure Payments via Stripe
Bank-level security with PCI DSS compliance
Accepted Payment Methods
All major credit cards, debit cards, and ACH transfers
Billing Cycle
Monthly subscription, billed on the same date each month
Invoices & Receipts
Automatic email receipts and downloadable invoices
Instant Activation
Account activated immediately after successful payment
Subscription Management
Account Settings
Manage payment methods and billing info in your account
Pause Subscription
Temporarily pause for up to 6 months (contact support)
Cancel Anytime
No contracts, cancel through account settings or contact support
Access After Cancellation
Continue using Syntry until end of current billing period
How do I cancel my subscription?
Do you offer refunds?
7-Day Trial: Free trial available for new users
Cancellation: No refunds, but you keep access until period ends
Special Circumstances: Contact support for billing issues or technical problems
Unused Time: We don't prorate refunds for partial months
Can I change my payment method?
Easy Updates: Change cards anytime in Account Settings
Multiple Cards: Store backup payment methods
Failed Payments: We'll retry failed payments and notify you
Billing Alerts: Get notified before card expiration
Is there a free trial?
7-Day Free Trial: Full access to all features
No Credit Card: Sign up without payment information
Trial Features: Create unlimited encounters, use all AI features
Easy Upgrade: Subscribe anytime during or after trial
What happens if my payment fails?
Automatic Retry: We retry failed payments 3 times over 10 days
Email Notifications: You'll be notified of payment issues immediately
Grace Period: 10-day grace period to update payment method
Account Suspension: Access suspended after grace period ends
Do you offer discounts?
Annual Billing: Save 20% with annual subscriptions (coming soon)
Group Discounts: Special pricing for healthcare organizations (contact sales)
Student Rates: Discounted pricing for residents and students
Non-Profit: Special pricing available for qualifying organizations
How to Subscribe to Syntry
Subscription Process
Visit Pricing Page
Review plans and choose Monthly or Annual billing
Select Your Provider Type
Choose NP/PA or MD/DO pricing tier
Secure Stripe Checkout
Complete payment using our secure Stripe integration
Instant Account Activation
Start using Syntry immediately after payment
Secure Payment Features
SSL Encryption
All payment data encrypted in transit
PCI DSS Compliant
Bank-level security standards
No Data Storage
Syntry never stores your payment information
Automatic Renewals
Seamless subscription management
Enterprise & Special Plans
Healthcare Organizations
- • Custom pricing for 10+ users
- • Advanced admin controls
- • Priority support
- • Custom integrations
Residents & Students
- • 50% discount on standard pricing
- • Verification required
- • All standard features included
- • Educational support resources
Locum Tenens
- • Flexible monthly plans
- • No long-term commitments
- • Multi-facility support
- • Quick setup and training
Frequently Asked Questions
Find quick answers to the most common questions about Syntry's features, security, and workflow.
Is Syntry HIPAA Compliant?
Yes. Syntry follows HIPAA guidelines and offers signed BAAs to covered entities. All data is encrypted, access is controlled, and we maintain comprehensive audit trails.
Can I edit my AI-generated notes?
Absolutely. You have complete control over all generated content. Edit, add, remove, or restructure any part of your documentation before finalizing.
What happens to my audio recordings?
Audio recordings are never stored permanently. They are processed for transcription and immediately deleted. Only your final, signed clinical notes are retained.
How does the Mobile Mic Mode work?
Mobile Mic Mode (visible only on mobile devices) turns your screen black for privacy during patient encounters. Tap 'Mobile Mic Mode' to start, and double-tap the black screen to exit.
Can I use Syntry on different devices?
Yes! Syntry works on desktop, tablet, and mobile devices. Your encounters sync across all devices, so you can start on one device and continue on another.
How accurate is the AI transcription?
Our AI transcription is highly accurate, especially for medical terminology. However, we always recommend reviewing and editing your notes before finalizing to ensure accuracy and completeness.
Pro Tips for New Users
Still Have Questions?
We're here to help! Contact us for personalized support and guidance.
Get Direct Support
Our team is ready to help with setup, troubleshooting, and optimization of your Syntry workflow.