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You want to document an Occupational Therapy session with an adult client using the SOAP (Subjective, Objective, Assessment, Plan) format. You want the output to be optimised for the NDIS.

Context:

I am an occupational therapist providing NDIS supports. I specialise in adult patients with psychosocial disabilities. The recording is a transcription (dialogue between me and the patient) from an in-clinic session.
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Gathering information:
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I need splose AI to gather the following information from the patient file and other uploaded files:

Then, add what you want splose AI to produce with the information that it gathers:

In your output, use person-centred NDIS language:

The progress note template has the following key headings: Subjective, Objective, Assessment, Plan, and Goals. Draft the note under the relevant subheadings.

Your objective is to draft a progress note that reflects continuity of care by referencing relevant historical information where appropriate. The note must comply with the Australian Privacy Act, NDIS Code of Conduct, and NDIS Practice Standards for documentation.

For each subheading, consider the following:

Subjective: Capture what the participant reported during today's session about their experiences, concerns, progress, or challenges. Reference any relevant changes from previous progress notes (eg, "Participant reports feeling more confident in social situations since last session 2 weeks ago"). Include instances where the participant expressed preferences or made choices about activities or approaches.

Objective: Document today's observations and assessment results. Compare to previous sessions where relevant and show week-on-week progression (eg, "Participant successfully completed 3 independent community outings this week, up from 1 outing in previous week"). Keep statements brief, factual, and measurable.

Assessment: Analyse progress based on today's session and historical data. Note any patterns or trends from previous appointments as documented in previous progress notes. Keep analysis concise and focus on week-on-week progression towards NDIS plan goals.

Plan: Outline next steps, including any adjustments to the support plan based on progress observed across recent sessions. Document specific strategies, homework, or activities the participant agreed to. Note any modifications to approach that the participant chose or agreed to. Include timeline for follow-up where discussed.

Goals:

Identify any rules that you want splose AI to follow to produce what you need:

You want to document your dictated notes after an Occupational Therapy session with an elderly client using the SOAP (Subjective, Objective, Assessment, Plan) format. You want the output to be optimised for the NDIS.

Context:

I am an occupational therapist providing NDIS supports. I specialise in aged care participants working towards independence in activities of daily living and community participation. This recording is a dictation (my voice only, monologue) that I recorded immediately after completing a home visit with the patient.
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Gathering information:
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I need splose AI to gather the following information from the patient file and other uploaded files:

Then, using the dictation transcript and the retrieved information, complete the current progress note by following these steps:

In your output, use person-centred NDIS language:

The progress note template uses SOAP format with the following key headings: Subjective, Objective, Assessment, and Plan. Draft the note under the relevant subheadings.

Your objective is to draft a progress note that reflects continuity of care and demonstrates progress towards NDIS plan goals by referencing relevant historical information where appropriate. The note must comply with the Australian Privacy Act, NDIS Code of Conduct, and NDIS Practice Standards for documentation.

For each subheading, consider the following:

Subjective: Capture what the patient reported during today's home visit about their function, concerns, progress towards goals, or challenges. Include what family members, carers, or support workers reported if mentioned in the dictation. Include instances where the patient expressed preferences or made choices about activities, equipment, or approaches. Reference any relevant changes from previous progress notes and note week-on-week progression (eg, "Participant reports increased confidence with meal preparation since last visit 1 week ago"). Keep statements concise and factual.

Objective: Document today's observations, assessments, and interventions completed during the home visit. Include specific measurements, functional observations, environmental assessments, equipment trials, or modifications made. Show week-on-week progression where measurable (eg, "Can now prepare simple meal independently with verbal prompts, previously required hand-over-hand assistance"). Note participant engagement and choices made during the session. Keep statements brief, factual, and measurable.

Assessment: Analyse progress based on today's observations, historical data, and progress towards NDIS plan goals. Note week-on-week trends from previous appointments. Identify barriers to goal achievement or supports needed. Note how today's session relates to the patient's NDIS plan goals. Keep analysis concise and focus on capacity building and independence.

Plan: Outline next steps towards NDIS plan goals, including any equipment recommendations, home modifications, carer or support worker training provided, therapy strategies prescribed, or referrals made. Document specific recommendations and timeframes that the patient agreed to. Note any actions required by the patient, family, or other services. Include any modifications to support approach that the patient chose or agreed to.

Additional instructions:

The progress note must comply with the Australian Privacy Act, NDIS Code of Conduct, and NDIS Practice Standards for documentation.

First, identify that this is a dictation (monologue, my voice only). Extract all clinically relevant information while filtering out non-clinical commentary. Pay special attention to:

You want to assess how your client is tracking against their established goals by reviewing what's been documented over recent sessions and comparing it to what happened in today's session. You want the output to be optimised for the NDIS.

Context:

I am a speech pathologist providing NDIS supports under <insert Practice Standards module if required eg. Behaviour Support, Therapeutic Supports, etc>. The recording is a transcription (dialogue) from a support session.

Gathering information:
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I need splose AI to gather the following information from the patient file and other uploaded files:

Then:

Create a goals tracking summary to include in today's progress note. This section must comply with NDIS Code of Conduct and NDIS Practice Standards:

For each NDIS plan goal:

Keep all statements brief and concise. Use dot points only. Only document information that is explicitly mentioned in the transcript or retrieved data. If a section has no relevant information, leave it empty or omit it.

In your output, refer to the patient as "the participant" and use person-centred NDIS language throughout. The note must comply with the Australian Privacy Act, NDIS Code of Conduct and NDIS Practice Standards.

First identify this is a transcription (dialogue) between me and the patient. Filter out conversational filler. Focus on patient preferences, choices, and agreement to activities.

You want to document a counselling session with an adolescent client using the BIRP (Behaviour, Intervention, Response, Plan) format.

Context:

I am a counsellor registered with PACFA (Psychotherapy and Counselling Federation of Australia). I work with adolescent patients on mental health and well-being concerns. The recording is a transcription (dialogue between me and the patient) from a counselling session.

Gathering information:
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I need splose AI to gather the following information from the patient file:

Then, using the session transcript (transcription) and the retrieved information, complete the current progress note by following these steps:

In your output, use appropriate counselling language:

The progress note template uses BIRP format with the following key headings: Behaviour, Intervention, Response, and Plan. Draft the note under the relevant subheadings.

Your objective is to draft a counselling note that reflects the therapeutic work undertaken and the patient's progress. The note must comply with the Australian Privacy Act and align with PACFA ethical guidelines and standards for clinical documentation.

For each subheading, consider the following:

Behaviour: Document the patient's presentation, affect, mood, and relevant behaviours observed during the session. Include what the patient reported about their experiences, thoughts, feelings, and any significant events since the last session. Note any changes from previous sessions where relevant (eg, "Client appeared more relaxed than in previous session" or "Client reported continued anxiety symptoms as discussed last week"). Keep observations factual and objective.

Intervention: Document the therapeutic interventions, techniques, or approaches used during the session. Be specific about what was done (e.g., "Used cognitive restructuring to examine negative thought patterns", "Explored family dynamics using genogram", "Taught grounding techniques for anxiety management"). Reference the therapeutic modality or approach where relevant (e.g., CBT, solution-focused, narrative therapy). Include psychoeducation provided.

Response: Document how the patient responded to the interventions used. Note the patient's engagement, understanding, emotional reactions, and any insights gained. Include both verbal and non-verbal responses where relevant (eg, "Client engaged well with the activity and demonstrated understanding of the concept", "Client became tearful when discussing family conflict", "Client expressed relief after discussing coping strategies"). Note any resistance, ambivalence, or challenges encountered.

Plan: Document the plan for ongoing therapeutic work. Include homework or between-session tasks agreed upon with the patient, topics to explore in the next session, any referrals or resources provided, and the timing of the next appointment. Note any safety concerns and actions taken. Document any changes to the treatment approach or goals discussed with the patient.

Additional instructions:

The progress note must comply with the Australian Privacy Act and PACFA Code of Ethics and Practice.

First, identify that this is a transcription (dialogue between counsellor and patient). Filter out conversational filler or comments that are not therapeutically relevant. Pay special attention to:

You want to document your dictated notes after an Occupational Therapy session with an elderly client using the SOAP (Subjective, Objective, Assessment, Plan) format.

Context:

I am an occupational therapist specialising in aged care. I work with older adults on mobility, activities of daily living, and home safety. This recording is a dictation (my voice only, monologue) that I recorded immediately after completing a session with the patient.

Gathering information:
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I need splose AI to gather the following information from the patient file:

Then, using the dictation transcript and the retrieved information, complete the current progress note by following these steps:

The progress note template uses SOAP format with the following key headings: Subjective, Objective, Assessment, and Plan.

Draft the note under the relevant subheadings.

Your objective is to draft a progress note that reflects continuity of care by referencing relevant historical information where appropriate. The note must comply with the Australian Privacy Act and align with AHPRA (ahpra.gov.au) standards for clinical documentation.

For each subheading, consider the following:

Subjective: Capture what the patient reported during today's home visit about their function, concerns, pain, or progress. Include what family members or carers reported if mentioned in the dictation. Reference any relevant changes from previous progress notes (eg, "Patient reports increased difficulty with transfers since last visit 2 weeks ago"). Keep statements concise and factual.

Objective: Document today's observations, assessments, and interventions completed during the home visit. Include specific measurements, functional observations, environmental assessments, equipment trials, or modifications made. Compare to previous sessions where relevant and measurable (eg, "Transfer from bed to chair now requires moderate assistance, previously minimal assistance"). Keep statements brief, factual, and measurable.

Assessment: Analyse progress or changes based on today's observations and historical data. Note any patterns or trends from previous appointments. Identify barriers to function or safety concerns. Keep analysis concise and clinically reasoned.

Plan: Outline next steps, including any equipment recommendations, home modifications, carer education provided, therapy exercises prescribed, referrals made, or follow-up arrangements. Document specific recommendations and timeframes. Note any actions required by patient, family, or other services.

Additional instructions:

The progress note must comply with the Australian Privacy Act and AHPRA standards for clinical documentation.

First, identify that this is a dictation (monologue, my voice only). Extract all clinically relevant information while filtering out Non-clinical commentary. Pay special attention to: