Who this is for
Psychiatrists and prescribers doing med-management visits who want a structured draft to review and sign, not a transcript and not the same template retyped every time.
The moment this saves you
Med-management visits are short and the changes are clear the second the visit ends, but I retype the same current-med, response, side-effects, plan scaffolding every single time before I can start.
See it work
Messy spoken thought in. A clean, structured artifact out.
Patient's been on the current SSRI for about eight weeks now. Reports mood has improved and sleep is better. Had some mild nausea early on but that's resolved, no side effects of concern at this point. Plan is continue the current dose, follow up in six weeks. We also discussed continuing therapy alongside the medication.
Med-management note (DRAFT, review before signing)
- Current medication: SSRI, ~8 weeks
- Response: mood improved; sleep better
- Side effects: mild early nausea, now resolved; none of concern
- Plan: continue current dose; follow up in 6 weeks
- Discussed: continuing concurrent therapy
The workflow
Record a voice note
Hit the hotkey and talk, no formatting, no typing.
Tag it with this context
Contextli shapes your words into the structured output above.
Find it later
Everything's searchable and organised by context.
Pull it into Claude or ChatGPT
Bring your contexts straight into your AI tools with the Contextli MCP.
Your raw recording and transcription stay on your device, so you can always go back to the original.
The prompt behind this context
I'm going to recap a medication-management visit. Turn it into a DRAFT clinical note for me to review before signing, never a final record. Start with a bold line marking it a DRAFT to review before signing. Then bullets for: Current medication (and duration if I give it), Response, Side effects, Plan, and Discussed (anything else covered). Use only what I actually said, never invent doses, durations, symptoms, or a plan I didn't state, and never add a clinical assessment of my own. Keep wording faithful and conservative. If I cover more than one patient, output one draft per patient. Output only the draft note, no preamble.
Make it your own. This is a starting point. Once it's in Contextli, tweak the instructions so the output comes out exactly how you like it.
Use this context
One click copies it and shows you exactly how to drop it into Contextli.
Next, open Contextli, go to the Contexts page, click Import, choose From JSON, paste, then Import Context. It is ready to use.
Make it your own. This is a starting point. Once it's in Contextli, tweak the instructions so the output comes out exactly how you like it.
Your raw recording and transcription stay on your device, so you can always go back to the original.
Related contexts
Medical Visit Note
Between patients, the details from the last visit are already slipping. Speak your observations the moment you step out, the history, the exam, the plan. You get a clean clinical note in your own words, without paying for a transcription subscription you don't need.
Therapy Session Note
You finish a session with a clear sense of where the client is, then ten minutes later the next one starts. Speak the note now, the themes, your observations, the plan. You get a structured progress note so your records stay sharp without eating your evening.
Nursing Shift Note
End of a twelve-hour shift, exhausted, and the handoff still has to be perfect for patient safety. Speak what the next nurse needs to know, the changes, the watch-outs, the pending tasks. You get a structured handoff note so nothing critical gets lost in the changeover.
Questions people ask
Questions psychiatrists ask about Med Management Note
What is the best way for a psychiatrist to write a medication note quickly after seeing a patient?
The fastest method is to speak a short voice note immediately after the encounter, while details are fresh, then let a structured template format it. The Med Management Note context does exactly this: you speak for 30 to 90 seconds and receive a medication note in a consistent structure, ready to copy into your EHR or notes system. The raw recording and transcription stay on your device and are never sent to a third-party cloud.
Can I dictate a medication note between patient appointments?
Yes. Add the Med Management Note context to Contextli, then dictate a medication note while walking between rooms or right after an encounter. You speak the relevant observations and the context structures them into the fields your note requires. No third-party dictation subscription is needed.
How do I turn a voice recording into a structured note?
Speak your observations in plain language covering the main clinical areas, and the Med Management Note context maps your words onto the right structure automatically. You do not need to say "Subjective:" or remember the format while speaking. The output is a complete, structured note you can copy directly.
Is voice-recorded clinical information private?
Contextli processes everything on your device. Your voice recording and the transcription are stored locally and never leave your device unless you copy them out yourself. Contextli does not transmit clinical content to any server. For formal compliance assessments, consult your organization's compliance officer, as requirements vary by workflow and institution.
How do I add this context to Contextli?
Copy the context on this page, then open Contextli and go to the Contexts page. Click Import, choose From JSON, paste it into the Import from Clipboard window, and click Import Context. It is ready to use in under 30 seconds. If you do not have Contextli yet, you can download it for free first.
Is my voice recording private? Does Contextli send it anywhere?
Your voice recording and the transcription are stored on your device only. Contextli processes your audio locally and does not send your recordings or transcription text to any server. The structured output it produces is text you control, and you decide where it goes.
Can I change what the output looks like?
Yes. Every context in Contextli is a starting point you can edit. Open the context in the app, change the instructions to adjust the structure, tone, or fields, and save. The next time you use it, the output reflects your changes. You are not locked into the default format.
Do I need to install an app to use this context?
Yes. Contextli is a free app. Download it, then copy this context and paste it into the Import from Clipboard window on the Contexts page. The whole process takes about 30 seconds.