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AN

Arjun Nair

26y · Male · Psychiatry

Writing…SOAP

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During the consultation

You talk to the patient. It writes.

A psychiatrist in conversation with a patient. The scribe runs unattended.
12:47

Live transcript

Hindi · English

    Nothing to press. The note is ready when the patient leaves.

    AI Trace

    Every line traceable to its source.

    Nothing in the note that was not said in the room.

    Heard · patient

    “Last three months I've been feeling very low. Mornings are the worst.”

    Written · Subjective

    Low mood ~3 months, worse in mornings.

    Hover this line in the note. This is what lights up.

    Assessment frameworks

    The screening cards find you.

    PHQ-9, GAD-7, CAGE, AUDIT-C, C-SSRS. Surfaced when the history calls for them.

    Surfaced from the history

    PHQ-9

    Pre-filled from the history
    • Little interest or pleasure in doing things0123
    • Feeling down, depressed, or hopeless0123
    • Trouble falling or staying asleep0123
    • Poor appetite or overeating0123
    • 5 more items, 2 answered from the conversation already
    Running total0 · moderate
    CAGEAUDIT-CGAD-7C-SSRSsurface the same way

    Safety plan

    My plan for staying safe

    A4 · Kannada · English
    1. 1

      Warning signs that a crisis may be developing

    2. 2

      Things I can do on my own to take my mind off my problems

    3. 3

      People and places that help me feel better

    4. 4

      People I can ask for help

    5. 5

      Professionals I can contact in a crisis

    6. 6

      Making my surroundings safer

    Prints when risk comes up. Paper, in their hand, before they leave.

    What it hears

    Half a sentence in one language, half in another.

    0

    Indic languages

    And the switch halfway through a sentence. A patient does not finish in the language they started in. Neither does the note pretend they did.

    हिन्दीHindi
    ಕನ್ನಡKannada
    தமிழ்Tamil
    తెలుగుTelugu
    മലയാളംMalayalam
    मराठीMarathi
    বাংলাBengali
    ગુજરાતીGujarati
    ਪੰਜਾਬੀPunjabi
    ଓଡ଼ିଆOdia
    اردوUrdu
    EnglishEnglish

    Your format

    SOAP by default. Yours by design.

    Yours
    20+custom templates built to match clinicians' writing styles

    Same consultation, your structure, your phrasing. Terse where you are terse.

    ANArjun Nair
    SOAP

    Subjective

    c/o low mood ~3 months, worse in mornings. Sleep onset delayed 2-3 h, EMW ~4 am. Appetite ↓, wt ↓ ~4 kg. No SI/HI. FHx: younger brother, psychosis.

    Objective

    Alert, cooperative. Mild psychomotor slowing. Mood ‘low’, affect constricted. No delusions or hallucinations elicited. Insight fair.

    Assessment

    Major Depressive Disorder, moderate. Hypothyroidism, on treatment.

    Plan

    TSH, CBC, B12, Vit D. Sleep hygiene discussed. Safety plan given. f/u 2 wk.

    Pend to EHR

    Coding and data

    Coding you can check. Data you can trust.

    ICD-10 and ICD-11 codes suggested with the evidence attached, ticked into the note in one tap.

    Assessment

    ICD-10 and ICD-11

    Major Depressive Disorder, moderate.

    F32.1Major depressive disorder, single episode, moderateE03.9Hypothyroidism, unspecifiedF51.02Insomnia due to mental disorder

    Suggested with the evidence attached. Tick to include in the note.

    See it live

    See it in a real consultation.