PowerScribe One

What it does

PowerScribe One is a radiology reporting application from Microsoft. Radiologists dictate or enter findings, and the software returns structured report text. It can draft an impression and recommendation in the radiologist's own voice, flag sex and laterality mismatches and possible critical findings, and show a checklist of alerts. Follow-up recommendations can be sent to EMR and other systems, and integrated AI services can add findings to reports.

Radiologists reach it from a desktop client icon, or in some sites through their PACS integration, and sign in with credentials issued by an administrator. Cloud speech replaces individual speech-profile training, and ambient mode helps turn free-form dictation into organized, structured text. A translucent heads-up window keeps key information over the images. AI services connect through Microsoft's Precision Imaging Network, and the vendor describes it as part of a wider radiology platform.

It suits hospitals and radiology groups that manage reporting centrally through an IT-administered deployment. Individual sign-up does not appear to be offered, and no pricing is published. The release notes show a Windows client requiring Microsoft .NET Framework 4.8 or later, with PACS integrations that vary by site. Smart Impression is limited to original reports, not addenda. Microsoft also announced a new Dragon Copilot experience for radiologists, so how the product evolves is worth confirming.

What it can do

• Draft an impression and recommendation with Smart Impression
• Alert on sex and laterality mismatches and possible critical findings
• Cloud speech recognition without individual profile training
• Send follow-up recommendations to EMR and other systems
• Integrate AI findings and in-workflow clinical guidance
• Turn free-form dictation into structured text with ambient mode

Works with

• Precision Imaging Network
• Epic
• InteleViewer
• GE ImageCast
• Visage
• STATdx

Example workflows

Draft an impression after dictation

Input: dictated findings in a report. Steps: invoke Smart Impression, review the drafted impression and recommendation, then edit and sign. Output: a finalized report with a radiologist-reviewed impression.

Route a follow-up recommendation

Input: a report containing a follow-up recommendation. Steps: confirm the recommendation in the report, then finalize it. Output: the recommendation delivered to the EMR or other connected systems.

Before you choose

• Smart Impression is available on original reports, not on addendum reports.
• Integrations vary by site, and some PACS workflows have had version-specific fixes.
• Deployment and updates are handled by administrators through installation packages and patches.

Listed under

• Healthcare
• Clinical decision support
• Clinical software
• Medical reporting
• Quality checks
• Radiologists

Get started

No self-serve sign-up or purchase route confirmed.

1. Ask your IT or radiology administrator for a username and password.
2. Confirm the client workstation meets requirements such as .NET Framework 4.8 or later.
3. Open the desktop client or launch it from your PACS, then select your role if prompted.

Confirm radiology deployment, integration and license requirements with Microsoft before purchasing.

We couldn’t find published prices for PowerScribe One. See their pricing page ↗

Sources for this overview

Product pages, documentation, and pricing checked 28 Oct 2026. Each source supports part of the overview; availability and prices can change.

• PowerScribe One | Microsoft for Healthcare ↗www.microsoft.com
• Access PowerScribe One | Microsoft Support ↗support.microsoft.com
• What's new in PowerScribe One 2023.x | Microsoft Learn ↗learn.microsoft.com

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Last checked 28 Oct 2026. Every field keeps its source and date; unknown means we couldn’t confirm it.