---
title: "Explicit \"Save exam\" for the custom exam step (PAW-740): persists the narrative
responses like the autosave PATCH, then runs the binding interpreter so bound fields
emit real vitals and physical-exam findings. This is the single semantic commit point —
the debounced autosave keeps persisting narrative JSON but never interprets.
Binding failures never block the save; they come back as per-field results."
method: POST
path: "/Recordings/{id}/exam/save"
tags: ["Recordings"]
---

# Explicit "Save exam" for the custom exam step (PAW-740): persists the narrative
responses like the autosave PATCH, then runs the binding interpreter so bound fields
emit real vitals and physical-exam findings. This is the single semantic commit point —
the debounced autosave keeps persisting narrative JSON but never interprets.
Binding failures never block the save; they come back as per-field results.

`POST /Recordings/{id}/exam/save`

## Path parameters

- `id` string, required

## Request body

- SaveCustomExamRequest — Body of the explicit "Save exam" action (PAW-740, locked: runtime semantics). Persists the narrative response JSON exactly like the autosave PATCH, then runs the binding interpreter — the single semantic commit point. Narrative autosave never interprets.
  - `customExamTemplateId` string, nullable
  - `customExamTemplateVersion` union
    - integer
    - string, int32
  - `customExamResponseJson` string, nullable

## Response `200`

OK

- SaveCustomExamResponse
  - `fieldResults` ExamEmissionFieldResult[] — One entry per bound field the interpreter had something to say about. Binding failures never block the save: the narrative record is persisted regardless, and error fields simply degrade to narrative-with-a-flag.
    - `fieldId` string, required — Empty string for template-level problems (e.g. pinned version unavailable).
    - `status` string, required — "emitted" | "frozen" | "error".
    - `message` string, nullable

## Other responses

- `404` — Not Found

---

[API](https://skmtc.net/clinicos/apis/pawthosx-business-api-v1.md) · [All operations](https://skmtc.net/clinicos/apis/pawthosx-business-api-v1/llms.txt) · [OpenAPI document](https://skmtc-service-staging.skmtc.workers.dev/v1/apis/clinicos/pawthosx-business-api-v1/revisions/d8d7501dde48/schema)