See the note before you use the template
Start with a finished example, inspect the template, or see the clinical facts Notat uses to draft the note.
Finished note
Example — generated by Notat from a sample visit
Presenting concern: Shoulder stiffness and discomfort with overhead reaching, developing gradually over six weeks. Assessment: Movement restriction affecting daily activity. Plan: Agreed a graded home exercise programme and activity modification. Review progress in three weeks. Clinical documentation: Relevant symptoms, meaningful negatives, assessment, and follow-up advice were captured from the sample visit and organised into the selected template.
FactsContext™
symptoms
Shoulder symptoms: Stiffness and pain on overhead reaching for six weeks
functional status
Function: Affects daily activities
plan
Rehabilitation: Graded home exercise programme and activity modification
Review: Review progress in three weeks
Safety-netting: Follow-up triggers and urgent return precautions were documented as part of the plan.
history of present illness
Visit focus: The main concern, timeline, and functional impact were identified from the conversation.
denials of symptoms
Denies: Relevant denials: Relevant red flags and absent symptoms were retained to support the documented assessment.
Template
HumanisRx - Best Possible Medication History FIRST NAME: [First name] LAST NAME: [Last name] DATE OF BIRTH: [yyyy-mm-dd] GENDER: [Gender] SOURCES OF INFORMATION: (hyphenated list) - [Patient] - [Family] - [Caregiver] - [Community pharmacy] - [Prescriber] - [Electronic health record] - [Other] ALLERGIES/ADVERSE DRUG REACTIONS: (hyphenated list) - [Allergy or adverse reaction and description] CURRENT MEDICATIONS: (hyphenated list) - [Medication name, dose, route, frequency, indication] - [Comments] CURRENT SELF-PRESCRIBED PRODUCTS (EX OTC, VITAMINS, HERBALS): (hyphenated list) - [Product name, dose, route, frequency, indication] - [Comments] DISCONTINUED MEDICATIONS/PRODUCTS: (hyphenated list) - [Medication/product name, dose, route, frequency, indication, date discontinued] - [Comments] Pharmacist name: [Pharmacist name] Date: [Date] Licensing province: [Licensing province] Phone: [Phone number] Email: [Email address]
Shared by
SO
Sarah O’Connell
Mental Health Counselor, Ireland
How it works in Notat
Add this template to your library, record the visit as usual, and Notat drafts the note in this exact structure from the extracted clinical facts. You review, edit, and sign.
Try Notat — it’s free