Rework visit scribe into a SOAP-note generator via PhenoML fhir2summary

sample-visit-transcript.txt

@@ -1,20 +1,25 @@
-Recommended test transcript — psychiatry visit (GAD-7 / PHQ-9 scribe demo)
-==========================================================================
+Recommended test transcript — psychiatry visit (SOAP note scribe demo)
+======================================================================
 
 How to use:
-  Open an encounter → "Note & Tasks" tab → "Screening scribe" section.
-  Paste one of the transcripts below (or dictate it with the mic) and click
-  "Generate screening questionnaires". GAD-7 and PHQ-9 should pre-fill with
-  scored answers that you can review, edit, and save to the encounter.
+  Open an encounter → "Note & Tasks" tab → "Fill chart note" box.
+  Paste one of the transcripts below (or dictate it with the mic), then click
+  "Generate SOAP note" in the "SOAP note" section beneath it. PhenoML runs the
+  pipeline transcribe → lang2fhir → FHIR → summary: it extracts clinical FHIR
+  resources from the transcript and saves them to the chart, then renders a
+  SOAP note (Subjective / Objective / Assessment / Plan). Review/edit the note
+  and click "Save to chart" to store it as a DocumentReference — it then appears
+  in the patient's Documents tab and Timeline.
 
   Both notes deliberately use PHQ/GAD frequency language ("not at all",
-  "several days", "more than half the days", "nearly every day") so the
-  model can map each symptom to a scored answer option.
+  "several days", "more than half the days", "nearly every day") so the model
+  has rich symptom detail to summarize.
 
   OPTION A — live visit dialogue (clinician + patient).
-  OPTION B — post-visit dictation, spoken by the clinician alone. Use this
-  when the clinician wants to record a summary from memory after the patient
-  has left, rather than transcribing the conversation in real time.
+  OPTION B — post-visit dictation, spoken by the clinician alone. It includes a
+  dictated assessment and plan, so the SOAP note's Assessment and Plan sections
+  populate as well. Use this when the clinician records a summary from memory
+  after the patient has left, rather than transcribing in real time.
 
 --------------------------------------------------------------------------
 OPTION A — TRANSCRIPT (live visit dialogue)
@@ -65,8 +70,13 @@ of hurting yourself?
 
 Patient: No, not at all. Nothing like that.
 
-Clinician: Thank you for being so open. Let's go through a couple of brief
-screening questionnaires together and talk about next steps.
+Clinician: Thank you for being so open. Based on today, I'm diagnosing
+generalized anxiety disorder, severe, along with a recurrent major
+depressive disorder, moderate. Your suicide risk is low with no active
+ideation. I'd like to start you on sertraline 50 milligrams once daily,
+refer you for cognitive behavioral therapy, and have you follow up with me
+in two weeks so we can reassess your symptoms and how the medication is
+being tolerated.
 
 --------------------------------------------------------------------------
 OPTION B — POST-VISIT DICTATION (clinician, single speaker)
@@ -89,4 +99,11 @@ disrupted — trouble falling and staying asleep nearly every day — with
 fatigue and low energy nearly every day. Appetite is poor on several days.
 The patient feels bad about themselves, like a failure, more than half the
 days, and has trouble concentrating on things such as reading or watching
-television on several days. No psychomotor slowing or agitation noted. Denies any thoughts of being better off dead or of self-harm.
+television on several days. No psychomotor slowing or agitation noted. Denies any thoughts of being better off dead or of self-harm.
+
+Assessment and plan: my impression is generalized anxiety disorder, severe,
+and recurrent major depressive disorder, moderate. Symptoms are impairing
+daily functioning; suicide risk is low with no active ideation. Plan is to
+start sertraline 50 milligrams once daily, refer to cognitive behavioral
+therapy, and follow up in two weeks to reassess the anxiety and depression
+symptoms and medication tolerability.