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Miraa produces draft content. A clinician must review and approve everything before it enters a patient record.
ConsultationsClinical notes (SOAP)

Clinical notes (SOAP)

After capture, Miraa produces a draft clinical note — typically structured in a SOAP-style format. This is a starting point for your review, not a finished record.

What SOAP means

Miraa commonly structures notes around:

  • S — Subjective: what the patient reports.
  • O — Objective: examination findings and measurable data.
  • A — Assessment: the clinical impression.
  • P — Plan: management, medications, referrals, and follow-up.

Your clinic’s templates may adjust the exact structure and headings.

How the draft is produced

Miraa drafts the note from the transcript and the patient record. It organises what was discussed into the note structure and surfaces suggested follow-up actions for your review.

⚕️

A draft note is not a clinical decision. The Assessment and Plan are generated from what was captured and recorded — they are not a substitute for your clinical reasoning. Read them especially carefully and make them yours.

What to check in each section

  • Subjective — reflects the patient’s actual account.
  • Objective — matches your real findings; nothing invented.
  • Assessment — your clinical impression, not an AI guess.
  • Plan — correct medications (drug, dose, route, frequency), referrals, and follow-up; safety-netting where appropriate.

The full checklist is on Review & approve notes.

Draft, verify, approve

Generate

Miraa drafts the note.

Verify

Check it against the transcript and what actually happened.

Edit

Correct and complete it. See Editing notes.

Approve

Sign off as the clinician. See Finalising notes.

Common mistakes

  • Treating the Assessment or Plan as authoritative rather than as a draft.
  • Leaving in details that sound plausible but weren’t actually discussed.
  • Approving before reading the whole note.

Troubleshooting

TranscriptsEditing notes