# Note templates and sections

## Available templates and their sections[​](#available-templates-and-their-sections "Direct link to Available templates and their sections")

Notes generated by Nabla Core API follow different templates. Each template has a set of possible sections. Generating a note requires specifying a template, the generated note will then only contain sections relevant for the specified template.

Following is the list of all supported templates and their sections.

| Note template                            | Remarks                                                                                                                                                                                                                                                                                                  | Exhaustive sections list                                                                                                                                                                                                                                                                                                                                               |
| ---------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| `GENERIC_MULTIPLE_SECTIONS`              | Recommended for general medicine.                                                                                                                                                                                                                                                                        | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `PAST_MEDICAL_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_OBSTETRIC_HISTORY`, `FAMILY_HISTORY`, `SOCIAL_HISTORY`, `ALLERGIES`, `CURRENT_MEDICATIONS`, `IMMUNIZATIONS`, `VITALS`, `LAB_RESULTS`, `IMAGING_RESULTS`, `PHYSICAL_EXAM`, `ASSESSMENT`, `PLAN`, `PRESCRIPTION`, `APPOINTMENTS`.                                |
| `GENERIC_MULTIPLE_SECTIONS_AP_MERGED`    | Alternative version of `GENERIC_MULTIPLE_SECTIONS` with the only notable change of having a single section for both *Assessment* and *Plan*.<br />**Only available in English.**                                                                                                                         | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `PAST_MEDICAL_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_OBSTETRIC_HISTORY`, `FAMILY_HISTORY`, `SOCIAL_HISTORY`, `ALLERGIES`, `CURRENT_MEDICATIONS`, `IMMUNIZATIONS`, `VITALS`, `LAB_RESULTS`, `IMAGING_RESULTS`, `PHYSICAL_EXAM`, `ASSESSMENT_AND_PLAN`, `PRESCRIPTION`, `APPOINTMENTS`.                               |
| `GENERIC_SOAP`                           | Follows the *Subjective, Objective, Assessment and Plan* format.                                                                                                                                                                                                                                         | `SUBJECTIVE`, `OBJECTIVE`, `ASSESSMENT`, `PLAN`.                                                                                                                                                                                                                                                                                                                       |
| `GENERIC_SOAP_AP_MERGED`                 | Follows the SOAP format, with the Assessment and Plan sections merged.<br />**Only available in English.**                                                                                                                                                                                               | `SUBJECTIVE`, `OBJECTIVE`, `ASSESSMENT_AND_PLAN`.                                                                                                                                                                                                                                                                                                                      |
| `GENERIC_SOAP_PLUS_EXAM_TESTS_AP_MERGED` | Follows the SOAP merged format, with 2 additional sections: Physical exam and Diagnosis tests ordered.<br />**Only available in English.**                                                                                                                                                               | `SUBJECTIVE`, `OBJECTIVE`, `PHYSICAL_EXAM`, `DIAGNOSTIC_TESTS_ORDERED`, `ASSESSMENT_AND_PLAN`.                                                                                                                                                                                                                                                                         |
| `GENERIC_APSO_AP_MERGED`                 | Follows the SOAP format, with the Assessment and Plan sections first and merged.<br />**Only available in English.**                                                                                                                                                                                     | `ASSESSMENT_AND_PLAN`, `SUBJECTIVE`, `OBJECTIVE`.                                                                                                                                                                                                                                                                                                                      |
| `EMERGENCY_MULTIPLE_SECTIONS`            | Recommended for emergency medicine providers.<br />**Only available in English.**                                                                                                                                                                                                                        | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `PAST_MEDICAL_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_OBSTETRIC_HISTORY`, `FAMILY_HISTORY`, `SOCIAL_HISTORY`, `ALLERGIES`, `CURRENT_MEDICATIONS`, `IMMUNIZATIONS`, `VITALS`, `LAB_RESULTS`, `IMAGING_RESULTS`, `PHYSICAL_EXAM`, `ASSESSMENT`, `PLAN`, `PRESCRIPTION`, `APPOINTMENTS`.                                |
| `EMERGENCY_SOAP`                         | Recommended for emergency medicine providers. Follows the *SOAP* format.<br />**Only available in English.**                                                                                                                                                                                             | `SUBJECTIVE`, `OBJECTIVE`, `ASSESSMENT`, `PLAN`.                                                                                                                                                                                                                                                                                                                       |
| `WCC_MULTIPLE_SECTIONS`                  | Recommended for Well Child Care visits.<br />Includes a WCC-specific section with sub-sections:- Behavioural and social<br />- Language and communication<br />- Cognitive<br />- Movement and physical development<br />- Diet & pooping<br />**Only available in English.**                            | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `WELL_CHILD_CARE`, `PAST_MEDICAL_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_OBSTETRIC_HISTORY`, `FAMILY_HISTORY`, `SOCIAL_HISTORY`, `ALLERGIES`, `CURRENT_MEDICATIONS`, `IMMUNIZATIONS`, `VITALS`, `LAB_RESULTS`, `IMAGING_RESULTS`, `PHYSICAL_EXAM`, `ASSESSMENT`, `PLAN`, `PRESCRIPTION`, `APPOINTMENTS`.             |
| `WCC_SOAP`                               | Recommended for Well Child Care visits. Follows the *SOAP* format.<br />Includes a WCC-specific section with sub-sections:- Behavioural and social<br />- Language and communication<br />- Cognitive<br />- Movement and physical development<br />- Diet & pooping<br />**Only available in English.** | `SUBJECTIVE`, `WELL_CHILD_CARE`, `OBJECTIVE`, `ASSESSMENT`, `PLAN`.                                                                                                                                                                                                                                                                                                    |
| `PSYCHIATRY_MULTIPLE_SECTIONS`           | Recommended for mental health care.                                                                                                                                                                                                                                                                      | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `FAMILY_HISTORY`, `ALLERGIES`, `PAST_OBSTETRIC_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_MEDICAL_HISTORY`, `SOCIAL_HISTORY`, `CURRENT_MEDICATIONS`, `VITALS`, `IMMUNIZATIONS`, `PHYSICAL_EXAM`, `LAB_RESULTS`, `IMAGING_RESULTS`, `ASSESSMENT`, `MENTAL_HEALTH_EXAM`, `PLAN`, `PRESCRIPTION`, `APPOINTMENTS`.          |
| `PSYCHIATRY_SOAP`                        | Recommended for psychiatry medicine providers. Follows the *SOAP* format.<br />**Only available in English.**                                                                                                                                                                                            | `SUBJECTIVE`, `OBJECTIVE`, `ASSESSMENT`, `PLAN`.                                                                                                                                                                                                                                                                                                                       |
| `PSYCHOLOGY_MULTIPLE_SECTIONS`           | Recommended for psychological care.                                                                                                                                                                                                                                                                      | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_COMPLAINT`, `MENTAL_HEALTH_HISTORY`, `SOCIAL_HISTORY`, `MENTAL_HEALTH_EXAM`, `ASSESSMENT`, `PLAN`, `APPOINTMENTS`.                                                                                                                                                                                                              |
| `CARDIOLOGY_MULTIPLE_SECTIONS`           | Recommended for cardiology.                                                                                                                                                                                                                                                                              | `CHIEF_COMPLAINT`, `HISTORY_OF_PRESENT_ILLNESS`, `CARDIOVASCULAR_RISK_FACTORS`, `FAMILY_HISTORY`, `ALLERGIES`, `PAST_OBSTETRIC_HISTORY`, `PAST_SURGICAL_HISTORY`, `PAST_MEDICAL_HISTORY`, `SOCIAL_HISTORY`, `CURRENT_MEDICATIONS`, `VITALS`, `IMMUNIZATIONS`, `PHYSICAL_EXAM`, `LAB_RESULTS`, `IMAGING_RESULTS`, `ASSESSMENT`, `PLAN`, `PRESCRIPTION`, `APPOINTMENTS`. |
| `DIET_MULTIPLE_SECTIONS`                 | Recommended for nutritional guidance.                                                                                                                                                                                                                                                                    | `LIFESTYLE`, `PAST_MEDICAL_HISTORY`, `CHIEF_COMPLAINT`, `VITALS`, `FOOD_HABITS`, `OBJECTIVES_AND_ADVICE`, `APPOINTMENTS`.                                                                                                                                                                                                                                              |

<br />

## Example note[​](#example-note "Direct link to Example note")

Here are few examples of clinical notes generated using different templates.

* Using `GENERAL_MEDICINE` template:

```
{

  "note": {

    "title": "Headache and Back Pain",

    "sections": [

      {

        "key": "CHIEF_COMPLAINT",

        "title": "Chief complaint",

        "text": "Severe headache. Back pain. Broken ankle from last week."

      },

      {

        "key": "HISTORY_OF_PRESENT_ILLNESS",

        "title": "History of present illness",

        "text": "The patient presented today with a strong headache and severe back pain. The back pain is particularly intense and the patient also mentioned a recent ankle fracture that occurred last week. The patient expressed a desire to see a therapist and requested prescriptions for pain management, specifically mentioning Advil, Ibuprofen, or Augmentin. The patient's current weight is 72 kilograms and height is 1.80 meters."

      },

      {

        "key": "VITALS",

        "title": "Vitals",

        "text": "Height: 1.80m. Weight: 72kg."

      },

      {

        "key": "PLAN",

        "title": "Plan",

        "text": "Schedule appointment with a therapist."

      },

      {

        "key": "PRESCRIPTION",

        "title": "Prescription",

        "text": "Ibuprofen 400mg, take every 6-8 hours as needed for pain."

      }

    ]

  }

}
```

* Using `DIET` template:

```
{

  "note": {

    "title": "Weight Management and Lifestyle Plan",

    "sections": [

      {

        "key": "LIFESTYLE",

        "title": "Lifestyle",

        "text": "Sedentary professional activity, no regular physical activities."

      },

      {

        "key": "PAST_MEDICAL_HISTORY",

        "title": "Medical history",

        "text": "Allergic to peanuts, experiencing regular headaches, family history of diabetes."

      },

      {

        "key": "CHIEF_COMPLAINT",

        "title": "Reason for visit and goals",

        "text": "To improve overall health and manage weight."

      },

      {

        "key": "VITALS",

        "title": "Vitals",

        "text": "Weight is 110 kg, height and BMI not mentioned."

      },

      {

        "key": "OBJECTIVES_AND_ADVICE",

        "title": "Objectives and advice",

        "text": "- Start incorporating physical activity into daily routine.\n- Avoid peanuts and other allergens.\n- Reduce intake of processed and high-fat foods.\n- Increase intake of fiber, vegetables, and lean proteins."

      },

      {

        "key": "APPOINTMENTS",

        "title": "Appointment",

        "text": "Next appointment in 4 weeks."

      }

    ]

  }

}
```
