Editing notes
Editing is a normal, expected part of every consultation. The draft gives you a head start; your edits make it correct.
Purpose
Turn an accurate-enough draft into a note you’re willing to sign your name to.
Before you start
- The draft note has been generated.
- You’ve read it against the transcript and your recollection. See Review & approve notes.
What to edit
Correct errors
Fix anything factually wrong — mis-transcribed medications, doses, findings, or names.
Complete gaps
Add anything the draft missed. If it isn’t in the note, it isn’t documented.
Remove inferred or irrelevant content
Delete anything Miraa assumed that wasn’t actually discussed, and anything carried forward from old context that doesn’t belong. See Using patient context.
Sharpen the assessment and plan
Make the clinical reasoning and plan clearly yours.
Removing wrong content is as important as adding right content. A confident, fluent draft can include details that were never discussed. If you can’t verify it, don’t leave it in.
Editing tips
- Watch for plausible-but-wrong details — the draft can read smoothly while being subtly incorrect.
- Pay closest attention to medications and the plan.
- Keep the note to what actually happened; don’t pad it.
Safety notes
Edits before approval are part of your normal documentation workflow. Once you approve, the note is finalised and changes are handled differently — see Finalising notes and Audit trail.
Common mistakes
- Fixing obvious typos but not checking the clinical substance.
- Leaving inferred content because it “sounds right”.
- Forgetting to add something important that the draft omitted.
Troubleshooting
- Can’t edit a section? Confirm the note isn’t already approved, and check your access level. See User roles & access.