AI skills

The instructions are right there. Read them. Change them. Make them yours.

Most AI scribes treat the prompt as a trade secret. Praxnote treats it as something the practice should be able to see, edit, and own. A skill is the editable template that shapes one kind of clinical document — and every change to it is recorded.

Request access What is a skill?

What a skill is

An editable template that shapes one clinical document.

A skill is written in plain language, in clinical voice. It tells the AI how the document should be shaped — the voice to write in, the structure of the result, the things that have to be included, the things that should never appear. Nothing is hidden behind it. The instructions you read are the instructions the AI follows.

Every AI draft in Praxnote — a session note, a treatment plan, a referral letter, a case conceptualization — comes from one skill. Your practice can copy any skill and change its wording to match how you actually work. If you've made your own version, that's what your clinicians use. 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 the time and the name of who made it. When a clinician generates a draft, the exact version of the skill in effect at that moment is saved alongside the document, so a future supervisor or audit can see what shaped the note.

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 that ship

Fourteen ready on day one. Yours to change.

Every Praxnote practice has these available from the start. Each one is yours to read, adjust, and tune to your clinical voice.

  1. 01 Session note SOAP — the default
  2. 02 Session note detailed narrative
  3. 03 Session plan planning the next session
  4. 04 Diagnosis differential and rationale
  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 simple 3-month
  11. 11 Referral letter to a colleague or specialist
  12. 12 Leave-of-absence letter for clients on a clinical break
  13. 13 Discharge summary end-of-care documentation
  14. 14 Assessment results letter in clinician or client voice

Whose version your clinicians see

Your practice's version if you've made one. Otherwise the default.

If your practice hasn't customized

Your clinicians use the Praxnote default — written and reviewed by us, available for you to read at any time. Most practices start here.

If your practice has customized

Your version is what your clinicians see. Other practices keep their own. No overlap. No surprise about which version was in effect when.

See a real skill

Walk through a skill, on your modality.

On a walk-through we'll open a real skill, change a piece of it together, and generate a draft from a sample session. You'll leave with a clear sense of how the editing actually works.

Book a walk-through How session notes work →