What a skill is

An editable plain-text template that drives one clinical task.

A skill is a plain-text file written in clinical language. It tells the AI how to shape the draft: the clinical voice, the structure of the output, and the guardrails it has to respect. Nothing is hidden behind it. The file you read is the file the AI follows.

Every AI draft in Praxnote, a session note, a treatment plan, a referral letter, a case conceptualization, runs through one skill. Your practice can copy any Praxnote skill and customize it in your own clinical voice. If you've customized it, your version is what your clinicians see. If you haven't, the Praxnote default is what they see.

Every change to a skill is recorded. When you edit a skill, the change is saved with a timestamp and the name of who made it. When a clinician generates a draft, the exact version of the skill in effect is saved alongside the document.

treatment_plan_pbt.txt Practice override
## Role
You are drafting a Process-Based Therapy
treatment plan in the EEMM matrix format.

## Inputs
- Client intake summary
- Recent session notes (last 6)
- Diagnoses
- Active assessments

## Output
Return a structured EEMM treatment plan
with biopsychosocial dimensions filled out
from clinical context.

## Clinical guardrails
- Never invent a diagnosis not in the chart.
- Surface plan-divergence flags inline.
- Use the client's preferred name.

Skills shipped

Fourteen global skills. And counting.

Every Praxnote practice gets these on day one. Each one is yours to customize and tune to your clinical voice.

  1. 01 Session notes default (SOAP)
  2. 02 Session notes detailed
  3. 03 Session plan detailed
  4. 04 Diagnosis detailed
  5. 05 Case conceptualization detailed
  6. 06 Treatment plan PBT / EEMM
  7. 07 Treatment plan standard goals-based
  8. 08 Treatment plan CBT
  9. 09 Treatment plan DBT
  10. 10 Treatment plan minimal 3-month
  11. 11 Referral letter detailed
  12. 12 Leave-of-absence letter detailed
  13. 13 Discharge summary detailed
  14. 14 Assessment results letter provider and client modes

How Praxnote chooses which version to use

Your version first. The default if you haven't customized.

The default path

If your practice hasn't customized a skill, every clinician uses the Praxnote default. It's written and reviewed by us, and you can read it any time.

The customized path

If your practice has customized a skill, your version is what your clinicians see. Other practices keep their own. No overlap between practices.

See a real skill

Walk through one of the skills, on your terms.

On a demo we'll open a real skill, change it together, and generate a draft from a sample session. Bring your own session notes or use ours. Either way, you'll leave with a clear sense of how skills behave.