Pick a template. Answer what you know. Copy the note.
Evidence-tagged impression and plan, Impression/Plan or SOAP, pastes into any EHR. Free, nothing stored, never any identifiers. How it works · Disclaimer
Acute Ischemic Stroke — Impression & Plan
⚠ Do not enter names, dates of birth, MRNs, or any other identifier. Nothing is stored on our servers.Educational documentation aid for clinicians. It applies published guideline logic to what you enter; it does not know your patient. Verify every line, follow your institutional protocol, and use clinical judgment. Full disclaimer.
Assistant (beta)
Type or dictate your one-line impression and the assistant fills the fields; the plan itself still comes from the rule set, not from the model. No identifiers — the text goes to our own server and on to a language-model provider, and is not stored.
My phrases — the builder learns your service
Add the lines your attending always wants. Saved in this browser only, per template, and appended to the section you choose every time you build that note.
How the builders work
Answer what you know
Chips, dropdowns, a few numbers. Nothing is required; the note grows as you go and flags contradictions instead of writing them.
Read the plan it wrote
Every line comes from a stated rule and carries the trial or guideline behind it — DAPT × 21 days (CHANCE/POINT), DOAC timing by infarct size (ELAN), ICH reversal by agent, nimodipine and the DCI window, the 20/30/40 rule.
Edit, copy, paste
Switch to SOAP where it applies, edit the text, save your service's phrases locally, and copy plain text that pastes cleanly into any EHR.
What is in the workspace
Stroke unit: acute ischemic stroke (no reperfusion, post-thrombolysis, post-thrombectomy, hemorrhagic transformation, every TOAST mechanism), TIA (risk score, DAPT decision, admit versus expedited clinic), intracerebral hemorrhage (ICH score computed live, BP target, reversal by agent, surgical triggers, anticoagulation resumption). Neuro-ICU: aneurysmal SAH (grade, aneurysm status, post-bleed day → nimodipine, DCI surveillance, EVD, sodium, ventilator lines), status epilepticus (timeline-staged escalation with weight-based doses, cEEG targets, the wean), myasthenic crisis (NIF/FVC thresholds, IVIG vs PLEX, steroid timing, the medications to avoid). On-call & exam: the consult note skeleton and a neuro-exam generator where you tap only what is abnormal. Procedures: the lumbar puncture note with consent, technique, opening pressure, studies sent, and post-LP instructions.
Privacy
The builders run in your browser. Nothing you type is sent anywhere or stored on our servers; preferences and "My phrases" live in your browser's local storage. If the optional assistant is switched on, only the one-line impression you choose to send goes to our server and on to a language-model provider — which is exactly why the page asks you never to include identifiers.
Each builder also has its own page
Acute ischemic stroke · TIA · Intracerebral hemorrhage · Aneurysmal SAH (ICU) · Status epilepticus · Myasthenic crisis · On-call consult note · Neuro exam generator · Lumbar puncture procedure note. Each page explains what that builder decides, with FAQs and references, and embeds the same builder.
Something missing?
Clinic and floor templates (migraine, seizure, Parkinson's, dementia, MS, myasthenia) and further procedure notes are next. If your service needs a specific builder, tell us — the engine is shared, so a new template is one file. The individual acute ischemic stroke builder also has its own page, and the clinical tools hub holds every calculator the plans link to.
Written and reviewed by Zaka Ahmed, MD · Get new builders by email