DeepScribe vs Microsoft Dragon Copilot (2026)
A specialist against a platform. DeepScribe centers on oncology, where it says it is used across 90 percent of community oncology centers, runs inside Epic, Flatiron's OncoEMR and iKnowMed, and has a 98.8 KLAS Spotlight score and a 2025 Journal of Clinical Pathways study on diagnosis capture behind it. Dragon Copilot is broader, with editions for physicians, nurses and radiologists, availability in ten countries, native Epic embedding with SMART on FHIR elsewhere, and transparency, privacy, security and subprocessor papers specific to the product. Its outside evidence is the UCLA randomized trial of Microsoft DAX, now part of Dragon Copilot, where the 1.7 percent reduction in time in note was not statistically significant. If your failure mode is oncology documentation and coding, start with DeepScribe. If it is one documentation platform across roles and countries, start with Dragon Copilot.
- Specialty work is the focus, with integrations into OncoEMR and iKnowMed, a Flatiron partnership covering more than 4,200 providers, SmartPrep for pre visit preparation, and pages for cardiology, gastroenterology, neurology, orthopedics and urology.
- Coding is part of the note. AI Coding places E/M, ICD-10 and HCC suggestions in the draft and syncs them into Epic, and an August 2025 study in oncology reported 16 percent more diagnoses captured per visit.
- KLAS scored DeepScribe 98.8 in its 2025 Spotlight report, with 15 A plus marks across culture, loyalty, operations, product, relationship and value, drawn from customer feedback rather than vendor claims.
- The documentation is specific to the product. Microsoft publishes transparency, privacy, security and data collection white papers for Dragon Copilot and a dedicated subprocessor paper.
- Roles and countries go wider, with separate editions for physicians, nurses and radiologists and clinician availability in ten countries.
- Failure modes are named in writing, including transcription errors from background noise and overlapping speech, omitted findings and hallucinated details.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. DeepScribe and Microsoft Dragon Copilot are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | DeepScribe | Microsoft Dragon Copilot |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2017 | 2025 |
| Headquarters | San Francisco, California | Redmond, Washington, United States |
| Website | deepscribe.ai | microsoft.com |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Microsoft Dragon Copilot
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Safety / governance
Microsoft's October release of Dragon Copilot for radiologists moves feature control into Dragon admin center, where admins can switch Chat, AI Draft and Optimization on or off and manage who has access.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
DeepScribe sells ambient AI documentation built for specialty care, with oncology at its center, to health systems, oncology networks and specialty groups. The scribe listens to the visit, pulls prior notes, labs, imaging, medications and diagnoses forward from the chart, and writes a structured note with coding suggestions back into the EHR.
Source: AI Health Index, August 2026
Microsoft Dragon Copilot is the ambient clinical documentation assistant Microsoft created in March 2025 by merging DAX Copilot with Dragon Medical One, both from its 2022 acquisition of Nuance. It captures multi party, multilingual encounters and returns specialty specific draft notes, coding suggestions, clinical evidence summaries, referral letters and after visit summaries for clinician review inside the EHR.
Source: AI Health Index, August 2026
Questions buyers ask
How do DeepScribe and Microsoft Dragon Copilot work with the EHR?
In Epic, including Haiku and Canto, a clinician picks the patient from a synced schedule, DeepScribe pulls prior context into the note, and the finished note and coding suggestions sync back in seconds.
With Microsoft Dragon Copilot, the product is embedded natively there, with Android and iOS parity and an Epic nursing app path for flowsheet capture, and the web application launches through SMART on FHIR R4. A partner Developer Kit lets a record system vendor embed the whole workflow, so recording is captured and the summary delivered without clinical content leaving the EHR. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How are DeepScribe and Microsoft Dragon Copilot priced and sold?
DeepScribe's site offers a demo request and a sign in, its terms place fees, usage limits and other commercial terms in each order form, and it lists no rate, tier, unit of charge or trial.
Microsoft sells Dragon Copilot through its direct sales team and through Cloud Solution Provider partners, and quotes each deal individually, with a customer's existing Microsoft agreements bearing on the price. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do DeepScribe and Microsoft Dragon Copilot handle patient data?
The business associate agreement governs protected health information, and DeepScribe describes encryption in transit and at rest, role based access, multifactor authentication and de identification of patient data, with a HIPAA audit report listed in its trust center.
Microsoft says the process meets the HIPAA deidentification standard, the GDPR standard for anonymization and Canadian guidance under PIPEDA and Quebec Law 25. The resulting data is used to improve Dragon Copilot's models, which Microsoft says are trained solely on anonymized data. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do DeepScribe and Microsoft Dragon Copilot cover?
For DeepScribe, the company says it is used across 90 percent of community oncology centers, partners with Flatiron's network of more than 4,200 providers, integrates with OncoEMR and iKnowMed, and sells SmartPrep as an oncology pre visit product. It also publishes pages for cardiology, gastroenterology, neurology, orthopedics and urology, and a partnership with Pearl Health takes it to value based care providers.
With Microsoft Dragon Copilot, language support follows the product documentation. Only languages listed there are supported for speech to text and ambient summarization in a given locale, and multilingual mode must be enabled by an organization administrator before clinicians can use it. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers.
Neither vendor publishes a price. KLAS scores measure customer satisfaction rather than documentation accuracy. DeepScribe's one accuracy claim compares its engine with GPT-4 alone on its own benchmark, and Microsoft states that the accuracy of Dragon Copilot's output may vary and is not guaranteed. DeepScribe's privacy policy allows personal data to be kept past the end of the relationship and sets no period for encounter audio or transcripts.
An earlier version of this comparison said DeepScribe names no security certification and that its SOC 2 reference appears only in a 2024 announcement, and quoted unnamed third party price estimates for DeepScribe. Its trust center, opened in July 2025, lists SOC 2 Type II, and the estimates had no named source. All three were corrected on 10 October 2026.