How to Fix Empty Notes or Hallucinations in Chartnote

How to Fix Empty Notes or Hallucinations

If your Chartnote note comes out empty or includes details that weren't part of your visit (often called a hallucination), the cause is almost always one of three things: a microphone or audio issue, the wrong Voice Language selected, or a telehealth setup where Chartnote isn't capturing your patient's audio. The good news is that each of these is quick to identify and fix. Work through the three checks below to get your AI Scribe capturing accurate, complete notes again.


When a note is empty or contains hallucinations, it means Chartnote either didn't receive clear audio or misinterpreted the audio it received. Work through the three checks below in order until your notes are recording correctly.

1. Check your microphone and audio

Empty notes are most often caused by Chartnote not receiving any audio at all, while poor audio quality can lead to hallucinations.

  1. Confirm that your device's microphone is connected and turned on.
  2. Make sure your browser or the Chartnote app has permission to access your microphone.
  3. Verify that the correct microphone is selected if you have more than one audio input device.
  4. Speak at a normal volume and reduce background noise where possible.

For detailed steps, see Troubleshooting Audio and Microphone Issues.

2. Confirm the correct Voice Language is selected

If the wrong Voice Language is selected, Chartnote may transcribe your audio inaccurately or produce content that doesn't match what was said, which can appear as hallucinations.

  1. Open your Voice Language settings.
  2. Confirm the selected language matches the language you and your patient are speaking.
  3. Update the language if it doesn't match, then start a new recording.

For full instructions, see How to Change Your Voice Language.

3. Adjust your settings for telehealth visits

During a telehealth visit, Chartnote may capture your audio but miss your patient's audio if the recording mode isn't set up correctly. This can result in incomplete notes or hallucinations.

  1. Before starting your telehealth visit, select the correct recording mode for telehealth rather than in-person.
  2. Make sure Chartnote is set to capture both your audio and the audio from your patient's side of the call.
  3. Confirm your settings match whether you're using a web-based app or a desktop app, as the setup differs between them.

For complete guidance, see Using Recording Mode: In-Person vs. Telehealth.

If you've worked through all three checks and your notes are still empty or contain hallucinations, reach out to the Chartnote team for further help.


    • Related Articles

    • Fixing Inaccurate or Hallucinated Notes

      This guide walks you through the quickest fixes when your generated notes look incorrect, nonsensical, or “hallucinated.” As covered in the video, linked at the end of this article, this usually comes down to two root causes: Wrong voice language is ...

    • Troubleshooting Audio and Microphone Issues

      If your Chartnote notes are coming out empty or filled with hallucinations, the most common cause is that your microphone isn't picking up any audio. When Chartnote can't hear you clearly, it has nothing accurate to transcribe, which can result in ...

    • Setting Up Automatic Notes Sharing for Your Team 📋

      This guide provides a straightforward method for setting up automatic notes sharing within your team, enhancing collaboration and efficiency. It outlines the steps to share notes with specific groups or individuals, ensuring everyone has access to ...

    • In Progress Notes - Your Notes are Always Saved

      Your AI Scribe recording is never lost: introducing auto-save for in-progress notes We've shipped auto-save for AI Scribe on Chartnote web — and from this point on, your recording is safe the moment you hit record. What changed Every AI Scribe and ...

    • Create an AI Note Template Using Chartnote Doc Wizard

      The Chartnote Doc Wizard helps clinicians create better, faster clinical notes by turning their ideal note style into a smart, personalized template. Just share your specialty and a sample note, and the Doc Wizard will figure out your format, style, ...