Keep the source visible.
Reported information, direct observation, actions, response, assessment, and plan each have their own field.
THE DOCUMENTATION WORKSPACE
Your observations.
A clearer note.
Give your session facts a useful structure. Arrange them into SOAP, DAP, or BIRP, see exactly where each field goes, and make the final edits yourself.
Start a practice draft Free educational pilot
SOAPFour-part clarity
DAPData to next steps
BIRPIntervention & response
02 / DRAFT WORKSPACE
A place for every supplied fact.
2
Review your draft
You decideArrange your source facts to create a draft. Changes here do not update source fields.
Source → section mapping
Each nonempty source field will be mapped to an explicit section.
Before you use this draft
- Missing inputs will be listed here; a blank is not a negative finding.
Verify accuracy, necessary context, required encounter details, and your organization’s documentation rules. This is an unsigned draft.
03 / THE METHOD
Structure without the guesswork.
Move words, don’t invent them.
A fixed mapping places your exact text under the selected headings. Empty fields stay marked as not supplied.
Make the note your own.
Edit the draft, check the source map, and download a plain text copy or print. Nothing is signed or filed automatically.