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🤖 AI Note Generation

The written note is produced by an AI from the structured details of the visit. It's built to be trustworthy in a clinical setting — here's the contract.

What the AI receives

The visit's recorded details: health status, behavior observations, the goal and its progress, each event with its methods and choices, safety steps, the education-talk status, and any additional information — plus care context (the patient's first name, services, goals, and diagnoses) used only to write appropriately.

What the note always does

  • Covers everything recorded — every event, method, choice, and safety step, woven into a professional narrative.
  • Reads in English, whatever language the visit was documented in — descriptions and choices are translated (foreign food names get sensible American English equivalents).
  • Addresses behavior on every visit — including noting a calm visit with none.
  • Documents the monthly education talk (abuse/neglect/exploitation reporting and the hotline, grievances, rights and choices) whenever one happened.

What the note never does

  • Never names diagnoses, conditions, or care-plan details — diagnoses inform tone, not text.
  • Never states that medication was administered or assisted. Medication involvement is always written as reminding the patient to take their own medications as prescribed — a legal boundary Noted enforces in the writing itself.
  • Never invents events, symptoms, or details that weren't recorded, and never mentions the absence of things ("no additional information was provided" won't appear).

Privacy

Note generation uses OpenAI's API under a zero-data-retention agreement with a healthcare BAA — visit content is processed to write the note and is not retained or used for training.