Step 2 — Notes
The AI generates a structured clinical note from your transcript plus the patient's record.
Note formats
| Format | Stands for | Default for |
|---|---|---|
| ADIME | Assessment, Diagnosis, Intervention, Monitoring, Evaluation | RDs (nutrition standard) |
| SOAP | Subjective, Objective, Assessment, Plan | MDs, NPs, PAs |
Set your default in Preferences; override per session here.
Editable parts
- Intervention notes — body of what happened and what you recommended
- Clinical summary — higher-level summary used on PDFs and billing documents
What the AI uses for context
- Patient demographics
- Medical history
- Prior sessions
- Growth data
- Infant tracking (parent-app logs)
Editing patterns and prompt-tuning tips coming soon.