What do the two uncertainty flags mean?
Akoua marks doubt two ways — a dotted underline means it isn't sure it heard something, and a highlighted block means it heard it but couldn't place it.
Akoua marks its own doubt in two ways, and each asks a different action of you.
- A dotted underline in the transcript means “not sure I heard this” — listen back.
- A highlighted block in the draft note means “heard it, couldn’t place it” — re-read.
The two are deliberately different, because the fix is different. One is answered by hearing the audio again; the other by reading the passage again. A confident error is the one you sign without noticing, so the flags exist to send your attention straight to the few spots that need it.
“Not sure I heard this”
A dotted underline in the transcript is doubt about the audio: Akoua is telling you it may have misheard the words underneath. On web and desktop, this is labelled Unsure heard. The action is to listen back to that exact moment and correct the text if it’s wrong. Listen-back works while the draft is open, because the audio is kept only while you review — see listening back to a flag.
“Heard it, couldn’t place it”
A highlighted block in the draft note carries a review tag instead — for example attribution unclear · review. On web and desktop, the key calls this Couldn’t structure. Akoua captured the words but couldn’t structure them cleanly, such as when it isn’t sure which speaker a line belongs to. When it can’t tell, it says so rather than mislabelling. The action here is different: re-read the passage in context and settle it.
“Corrected” is a different marker
On web and desktop, Corrected marks an automatic word correction in the transcript, with a sage solid underline and a revert control. It is not a hearing-uncertainty flag, and it does not mean a clinician’s manual edit to the note. Check the correction in context and revert it if needed.
Both are advisory
These systems surface, they never decide. Akoua is a documentation aid, not a diagnostic device, and it makes no clinical inferences — a flag points at a passage in the transcript or draft note, never at a clinical judgement about it. You are responsible for the accuracy and completeness of the final note, exactly as you are today.
Clearing the flags
The review queue is consequence-ranked, so the riskiest flags come first, and the open-flag count sits beside the Confirm button. Nothing is finalised or exported until you confirm.
The wider honesty system — grounding, the laterality and critical-value check, medication reconciliation — is described on the product page, and the regulatory boundary in the responsible-use statement.
Still stuck?
Email support@akoua.ai — or see the contact page. Service status lives at status.akoua.ai.