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Suki Ambient APIs

The Suki Ambient APIs generate clinical notes from real-time conversations between providers and patients. Most operations use standard endpoints and return HTTP status codes. For streaming audio, the APIs use WebSocket endpoints for real-time transmission and event notifications.

This page covers the Direct API integration path for custom implementations. If you prefer pre-built components with automatic state management, consider the Web SDK for React or JavaScript applications, or the Mobile SDK for native iOS.

What You Can Do

With the Suki Ambient API, you can:

• Send provider and encounter data to initiate a session.

• Retrieve the AI-generated clinical note at the end of the conversation.

• Access the complete conversation transcript for review or storage.

By integrating these capabilities, you can automate and enhance clinical documentation workflows in your healthcare application.

The Ambient APIs are currently in Early Access. To request access, contact our partnership team.

API Versions

The Suki Platform APIs use version v1, which is the stable version. All endpoints use the /api/v1/ prefix in the URL.

v1: The stable API version. Features in v1 are fully supported for the lifetime of the major version. If breaking changes are introduced, a new major version will be created and the existing version will be deprecated after a reasonable period. Non-breaking changes may be added without changing the major version.

Early Access: Some features are available in Early Access. These features are under development and may change. Early Access features use the v1 API version but may receive updates based on feedback.

If you need stability in production and cannot risk breaking changes, review Early Access features carefully before implementing them.

All features in this documentation are available in v1. For versioning policies, backward compatibility, and migration strategies, see the API Reference Guidelines.

Postman Collection

Download the Postman collection below to test the Suki Ambient APIs.

Postman is an API client that displays requests and responses in structured formats. You can explore and integrate the Suki Ambient API through Postman.

Download Collection For Postman

Before You Begin: Access and Credentials

You need partner credentials to use the Suki Ambient API.

Contact our partnership team to get your credentials. They will guide you through the onboarding process and provide what you need to get started.

Prerequisites

You must have an OAuth-compliant authentication system, JWT tokens with consistent user identifiers, and a publicly accessible JWKS endpoint (or Okta authorization server) for token validation. See Partner Onboarding and Partner Authentication for details.

Environments

Use https://sdp.suki.ai for production. For testing, use https://sdp.suki-stage.com (staging). Your partnership team will confirm which environment and credentials to use.

Ambient APIs Workflow

To integrate with the Suki Ambient APIs, you follow a session-based workflow.

Getting Started With Suki Ambient APIs

1

Authenticate and Get Token

To begin, you must authenticate to get your access token. Send a POST request to the /api/v1/auth/login endpoint with the following parameters in the request body:

1. partner_id: Your unique partner ID, which we provide to you securely offline.

2. partner_token: The user’s OAuth 2.0 ID token from your identity provider.

3. provider_id (Optional): Unique identifier for the provider. Required for Bearer type partners only.

Suki verifies the partner_token using your publicly exposed JWKS endpoint (or your Okta authorization server URL if you use Okta). On a successful request, the API returns a suki_token that you must include as the sdp_suki_token header for all subsequent API calls.

Handling an unregistered user

If the user is not yet registered in our system, the /login request will fail. In this case, you must first call the /api/v1/auth/register endpoint to create the user, then call /login again. You only need to call the register endpoint once for each new user. Refer to the Register API reference for the full specification.
curl -X POST https://sdp.suki.ai/api/v1/auth/login \
  -H "Content-Type: application/json" \
  -d '{
    "partner_id": "your-partner-id",
    "partner_token": "your-jwt-token",
    "provider_id": "provider-123"
  }'
Save the suki_token from the response. This token is valid for 1 hour. When it is about to expire, you can get a new one by making the same POST request to /login with a valid partner_token.
2

Create Ambient Session

To start an ambient session, send a POST request to the /api/v1/ambient/session/create endpoint with the following parameters in the request body:
This guide uses encounter_id. In older versions of the API, this parameter was named session_group_id. The old name will be deprecated in a future release.
The multilingual parameter is deprecated. Multilingual support is now true by default for all Suki for Partner users.

1. encounter_id (Optional): A unique identifier for the patient encounter (also called a visit). This can be any alphanumeric string up to 255 characters long.

2. ambient_session_id (Optional): A UUID v4 to identify the session. If you do not provide one, Suki will generate it and include it in the response.

curl -X POST https://sdp.suki.ai/api/v1/ambient/session/create \
  -H "sdp_suki_token: YOUR_SUKI_TOKEN" \
  -H "Content-Type: application/json" \
  -d '{
    "ambient_session_id": "123dfg-456dfg-789dfg-012dfg",
    "encounter_id": "123dfg-456dfg-789dfg-012dfg"
  }'
Save the ambient_session_id from the response. You will need it to stream audio and retrieve content.
3

Seed Context (Optional)

After creating the session, you can send a POST request to the /api/v1/ambient/session/{ambient_session_id}/context endpoint to provide additional metadata.
Providing context significantly improves the accuracy of the generated clinical note.
Include the following parameters in the request body:

provider_specialty (Optional): The specialty of the provider (e.g., “cardiology”).

sections (Optional): A list of the clinical sections you want summarized, such as “Assessment and Plan” or “Chief Complaint”. If you do not provide this, a default set of sections will be used.

patient_info (Optional): An object containing date_of_birth (for accurate age calculation) and sex (MALE, FEMALE, OTHER, or UNKNOWN; defaults to UNKNOWN).

Refer to the Context API reference for the full request structure.
4

Stream Audio via WebSocket

Once you have created a session, you can begin streaming audio to it over a WebSocket connection. Connect to the WebSocket endpoint at wss://sdp.suki.ai/ws/stream. For authentication, use the Sec-WebSocket-Protocol header (browser clients) with format SukiAmbientAuth,<ambient_session_id>,<sdp_suki_token>, or sdp_suki_token and ambient_session_id headers (non-browser clients). See the Audio Streaming API reference for details.Audio format: You must stream raw audio data with the following specifications:

encoding: LINEAR16

sample_rate: 16KHz

channel: Mono

For optimal performance, we recommend chunking the audio into 100ms packets.WebSocket messages: The WebSocket connection supports two types of messages: AUDIO (carries the raw audio data in the required format) and EVENT (signifies a specific action on the stream). The supported events are:

RESUME: Resumes a paused audio stream.

CANCEL: Cancels the session. No note will be generated.

ABORT: Aborts the stream due to an interruption. A note will be generated from the audio received so far. The session remains active and can be resumed.

KEEP_ALIVE: Pings the server to keep the connection alive during periods of inactivity (e.g., when paused).

EOF: Indicates the end of the file or stream.

Keep the connection alive: You must send a KEEP_ALIVE event at least once every five seconds when the stream is paused to prevent the connection from closing.
Stream behavior and timeouts: 1. Session Timeouts: If no audio data is sent for 25 seconds, Suki will disconnect the stream. 2. Paused Stream: If the stream is paused and receiving KEEP_ALIVE events, Suki will disconnect the stream after 30 minutes of inactivity.
CANCEL vs. ABORT: Sending CANCEL terminates the session completely. No note will be generated. Sending ABORT ends the current stream, but the session remains active. Suki will generate a note from the audio received before the interruption. You can resume streaming to the same ambient_session_id later.
5

End Session

To complete the session and begin the note generation process, send a POST request to the /api/v1/ambient/session/{ambient_session_id}/end endpoint. This signals that no more audio will be sent for this session.
curl -X POST "https://sdp.suki.ai/api/v1/ambient/session/YOUR_SESSION_ID/end" \
  -H "sdp_suki_token: YOUR_SUKI_TOKEN"
6

Retrieve Generated Content

Once the note is ready, Suki notifies your application. The recommended way to know when a note is ready is to use a webhook. Suki will send a session_summary_generated event to a webhook endpoint that you provide. Details on configuring your webhook and its authentication will be provided during the onboarding process.Retrieving content manually: Alternatively, you can use the following endpoints to check the status and retrieve the session’s content:

1. GET /api/v1/ambient/session/{ambient_session_id}/status: Check the processing status of a session.

2. GET /api/v1/ambient/session/{ambient_session_id}/content: Retrieve the final, structured clinical note.

3. GET /api/v1/ambient/session/{ambient_session_id}/transcript: Get the full conversation transcript, including timestamps for each part of the dialogue.

# Get clinical note
curl -X GET "https://sdp.suki.ai/api/v1/ambient/session/YOUR_SESSION_ID/content?cumulative=false" \
  -H "sdp_suki_token: YOUR_SUKI_TOKEN"

# Get transcript
curl -X GET "https://sdp.suki.ai/api/v1/ambient/session/YOUR_SESSION_ID/transcript" \
  -H "sdp_suki_token: YOUR_SUKI_TOKEN"
Your ambient session must be at least 1 minute long for note generation to occur. Sessions shorter than 1 minute will receive a SKIPPED status, meaning no clinical note was generated.
For complete technical specifications, please refer to the relevant API Reference pages.

Next Steps

After completing your first session, explore these resources to deepen your integration:

Authentication

Login, register, and JWKS configuration.

Context API

Seed specialty, sections, and patient info for better note accuracy.

Audio Streaming

WebSocket connection details and message formats.

Webhook

Configure webhooks to receive notifications when notes are ready.