Built to writethe way you already do.
Every part of the note bends to how you work: the format, the wording, the level of detail, and what it learns from the corrections you make.
Keep the format you have documented in for twenty years.
Clinical notes, referral letters, discharge summaries, or a template you write yourself using your own headings in your own order. Nothing asks you to change.
- Notes, letters and summaries, from one recording
- Your own headings, in your own order
- Switch format after the fact, without re-recording
- Recurrent headaches over three weeks, mostly late afternoon, behind the eyes.
- Ran out of antihypertensive cover for about a week before the repeat script.
- No visual disturbance, nausea or neck stiffness.
- Blood pressure elevated on today's reading, repeated after a rest period.
- No focal neurological deficit. Fundi not visualised.
- Headache, likely related to interrupted blood pressure control.
- Resume regular dosing, same agent and dose.
- Home readings twice daily for two weeks.
- Review in two weeks, sooner if symptoms worsen.
Dear Colleague
Thank you for seeing T.M., whom I reviewed today with a three week history of late afternoon headaches on a background of hypertension.
Her blood pressure was elevated today, following an interruption in her supply of about a week. There was no focal neurological deficit. I have restarted her usual agent at the same dose and asked for home readings twice daily.
I would be grateful for your opinion on whether the headaches warrant imaging if they persist once her pressure is controlled.
Kind regards
- Persistent headache with uncontrolled hypertension.
- Pressure settled over 48 hours once regular dosing resumed.
- Headache resolved without further analgesia.
- Usual antihypertensive, unchanged dose.
- Review with own doctor in two weeks, with home readings.
Your headaches are most likely happening because your blood pressure has been higher than usual, after the gap in your tablets.
- Take your tablet at the same time every day, even on days you feel well.
- Check your blood pressure morning and evening, and write it down.
- Come back in two weeks with those readings.
- The headache becomes severe or sudden.
- You have trouble with your vision, or weakness anywhere.
- T.M.
- Examined in person on the date of this certificate.
- Based on my own examination of the patient, not on reported history alone.
- Withheld at the patient's request.
- Unfit for duty for the period below.
- Two days, inclusive. Fit to return thereafter.
- Three weeks of late afternoon headaches, behind the eyes.
- Gap of about a week in antihypertensive cover.
- Pressure elevated, repeated after a rest period.
- No focal neurological deficit.
- Headache secondary to interrupted blood pressure control.
- Resume dosing, home readings twice daily.
- Review in two weeks.
Eight settings, so a note reads like yours and not like software.
Terse or thorough. Plan as prose or numbered. Differentials in or out. Set your defaults once, then change one thing for a single consultation when you need to.
- A one-off change never overwrites your defaults
- A plain-language version for the patient, when you want one
- Ask it to flag what it was unsure of
Fix something once, and stop fixing it.
Every edit you make is read as an instruction. Change a heading, shorten a plan, drop a phrase you never use, and the next note already reflects it.
- Learned from your edits, not from a questionnaire
- Every rule is visible, and you can delete any of them
- No patient detail is ever kept in a style rule
Tell it what kind of wrong it was, and it cannot outrank that later.
When a draft gets something wrong you can say whether it was invented, missed, misheard or misattributed. That becomes an accuracy rule, and an accuracy rule always beats a style preference.
- Corrections are ranked above preferences, by design
- Each mistake becomes visible and countable
- It does not promise perfection. Nothing honestly can.
The parts you should not have to think about.
Tap once, then forget it
Set the phone down and consult. No wake word, no dictation, nothing to remember mid-sentence.
Codes suggested, never filed
ICD-10 codes arrive with the draft as suggestions. You approve every one, or change it.
Consent before anything records
Captured at the start, kept with the note. A patient can decline and still be treated exactly as before.
Their words, kept as theirs
What a patient says about their own symptoms is preserved rather than tidied into clinical phrasing.
Nothing is a record until you sign
Every draft is marked as AI-assisted and carries no clinical standing until you have read and signed it.
Shaped to your speciality
The vocabulary and structure a note needs differ by discipline, so the templates do too.
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