Generating a note from a transcript
Once a session is transcribed, the AI is one click away from drafting your note.
Steps
- Open the patient and click into the session you want to write a note for (or open the session panel from a freshly stopped recording)
- Click Generate notes
- Watch the note stream into the editor
The first note for any session takes a bit longer — the AI loads itself into memory. Subsequent notes are faster while the model stays warm.
What's happening behind the scenes
For most transcripts, generation is a single pass: the AI reads the entire transcript plus your modality, density, and quote settings, and writes the note straight into the editor token by token.
For long sessions (~15,000+ words of transcript, roughly 90+ minutes of dense talk), the AI uses a two-pass pipeline: first it extracts clinically significant facts from the transcript in chunks, then it synthesizes a note from those facts. You'll see an extraction progress indicator before the note streams in. This adds a minute or two to the total time but produces a complete note instead of running out of context.
Generation time
| Transcript length | Pro tier (16+ GB RAM) |
|---|---|
| 30 min session | 30–60 sec |
| 50 min session | 1–2 min |
| 90 min session (two-pass) | 3–5 min |
Generation is CPU/GPU-bound. Closing other heavy apps speeds it up. The app stays responsive during generation — you can keep working.
What ships with the note
A SOAP note includes Subjective, Objective, Assessment, Plan, and a Session Recap. A DAP note includes Data, Assessment, Plan, and a Session Recap. Each section is a single paragraph except Recap, which is a bulleted list.
The note also pulls in:
- Your selected modality (CBT, DBT, ACT, etc.) — affects the clinical voice
- Your density (brief, standard, detailed) — affects how long each section is
- Your quote level (none, some, many) — affects how often direct quotes appear
- Per-patient case overview if available — gives the AI context about who this person is
- Per-patient custom instructions if you've set any
- The last finalized note for this patient — gives the AI continuity context
Everything happens locally. No transcript or session data is sent to any external service.
What if the note is wrong?
Edit it. The note is a draft — the editor is fully editable until you finalize. You can also regenerate as many times as you want with the same or different settings. Most users land on a workflow of one regeneration with adjusted settings, then a few minutes of editing.