Noted · Local-first clinician tool · v0.2

Write the note
while the patient
is still talking.

Noted listens to the session, shows live captions on the video call, and drafts a SOAP note grounded in psychology literature and the patient’s own history. Built deaf-therapist-first. PHI never leaves the device.

PHI-local  /  Deaf-therapist first  /  HIPAA-ready  /  Browser · iOS · Android · Desktop
§ 01 · Why Noted
/ the problem

Your best clinical work gets lost in the seven minutes after a session, when you’re racing to type what you remember.

01

Your ears, in the room

Live captions overlay the video call so a deaf or hard-of-hearing clinician keeps full eye contact with the camera. No turning away to read.

02

PHI never leaves the device

Audio, transcript, and draft note stay on your laptop or your own server. No third-party cloud in the PHI path, ever. Hosted option runs on your Linode.

03

Psychology, built in

The note generator is grounded in a curated psychotherapy corpus plus this patient’s own prior-session notes. Evidence-based, citation-backed, not freeform.

§ 02 · What’s inside
/ capabilities

Not a transcript tool. A clinician’s second pair of ears.

Captions

Live on-call overlay

Captions float over Google Meet, Zoom, or your native app. Word-accurate, low-latency, speaker-separated.

ASR

On-device transcription

NVIDIA Parakeet streaming ASR runs locally. Nothing uploaded. Web Speech API on browsers that prefer it.

Notes

SOAP drafts in seconds

When the session ends, a structured SOAP note is waiting — Subjective, Objective, Assessment, Plan — ready for your edits.

RAG

Psychology knowledge base

Every draft is anchored in a curated corpus of 553+ psychotherapy chunks, refreshed nightly from the open literature.

Vault

Per-patient Marco vault (Obsidian-plugin compatible)

Each case_id gets its own folder. Markdown, tagged, searchable, yours forever — outside the app, outside any vendor lock-in.

Context

Remembers every session

Draft notes reference the patient’s prior visits by default. Longitudinal context without digging through folders.

Multi-platform

Web, iOS, Android, desktop

One codebase (Kotlin Multiplatform). Practice from your office, laptop, or phone — same vault, same notes.

Audit

Compliance log, line-by-line

Who saw what, when, from which device. Exportable. Designed with HIPAA and 42 CFR Part 2 reviewers in mind.

§ 03 · How it works
/ one session

A 50-minute hour, from “hello” to signed note.

01

Start the session

Open your usual video tool. Noted floats the caption window over the video.

02

Talk. Listen. Watch.

ASR runs on-device. Captions appear with under-a-second latency. Nothing uploaded.

03

End the session

One click finalizes the transcript. Noted retrieves psych references + prior-session context.

04

Review the draft

A SOAP note appears with inline citations. Edit, strike, reshape — it’s your note, not the LLM’s.

05

Sign & file

Saved to the patient vault. Audit log records it. Ready for EHR paste or direct export.

§ 04 · vs. the current workflow
/ why not status quo

Why this, not 15 more minutes of typing.

Typing it up after
  • Seven to fifteen extra minutes per session.
  • Clinical detail decays in the gap between session and keyboard.
  • No structured recall of the patient’s own prior visits.
  • Cloud SaaS sends PHI to a third party you can’t audit.
  • Deaf clinicians carry a disproportionate cognitive load.
  • EHR templates don’t know your patient.
Noted
  • Draft ready before the patient’s car leaves the lot.
  • Captures what was said, when, by whom.
  • Every draft pulls in this patient’s prior visits.
  • PHI stays on-device or on your own Linode. Period.
  • Captions hand a huge accessibility win to clinicians who need them.
  • Grounded in psychology literature, not a generic model’s vibes.
Wireframe · numbers TBD
§ 05 · Pricing
/ tiers

Solo, practice, clinic, or on your own server. You pick the fit.

Tier 01
Solo
Private practice, one clinician, trying it out.
TBD / mo
$29 – $49 range · not yet chosen
  • 1 clinician seat
  • Up to 40 sessions / mo
  • On-device ASR + captions
  • Psychology KB (nightly)
  • Per-patient Marco vault (Obsidian-plugin compatible)
  • HIPAA BAA
Start trial
Tier 03
Clinic
Multi-clinician org. SSO, role-based access, supervisor review.
TBD / seat / mo
volume pricing · quote
  • Unlimited clinicians
  • SSO (SAML / OIDC)
  • Supervisor note review
  • Custom EHR templates
  • Priority support
  • On-prem install
Talk to us
Tier 04
Self-host
Your hardware. Your network. Air-gapped if you want.
Custom
annual license · contact sales
  • Unlimited seats & sessions
  • On-prem install
  • Air-gapped option
  • Full source access
  • Named support engineer
  • SLA & indemnification
Contact sales

Start a Practice subscription

Clinician emailclinician@practice.tld
Practice nameNorth Shore Counseling, PC
State of practiceNY ▾
Clinician seats[ - ]   4   [ + ]
COMPLIANCE
Sign a HIPAA Business Associate Agreement
Required for client PHI · BAA auto-issued on checkout
Enroll for 42 CFR Part 2 workflows
Substance-use treatment settings · add-on
PAYMENT METHOD
▦ Card
▦ ACH
▦ Invoice / NET-30
Card number•••• •••• •••• 4242
MM / YY12 / 28
CVC•••
Practice · 4 seats$TBD / mo
HIPAA BAAincluded
42 CFR Part 2
State taxauto
Total today$TBD
Sign BAA & place order — wireframe

What you get instantly

License key
NTD-PR-XXXX-XXXX-XXXX-XXXX
Seats activated0 / 4
BAA statuscountersigned
Renewsmonthly · auto
Vault locationyour device

Install Noted on each clinician’s machine and paste the key. Patient vaults live on the clinician device by default — practice admin can redirect to a shared NAS or self-hosted instance.

Download installer
§ 06 · Licensing & compliance
/ exact capabilities

What each tier legally and technically gives you.

Capability Solo Practice Clinic Self-host
Clinician seats110unlimitedunlimited
Sessions / month40unlimitedunlimitedunlimited
Patient vaultson-deviceon-deviceon-device / NASyour infra
HIPAA BAA✓ included✓ includedyou issue
42 CFR Part 2add-on
Psych KB refreshmonthlyweeklynightlyyour schedule
Multi-platform apps
Audit log exportCSVCSV + JSONfull syslog
Supervisor review
SSO (SAML / OIDC)
Air-gapped installquotesupported
Source accessnonenoneread-onlyfull
Support SLAcommunityemail · 48hbusiness-hoursnamed engineer
Clinician
License key
BAA
Last session
Action
dr.shah@practice.tld
NTD-PR-4A2F-9B10-C3D7-8E01
signed
12 min ago
Revoke
dr.okafor@practice.tld
NTD-PR-7C01-55AA-01E2-B4F9
signed
2 hrs ago
Revoke
intern@practice.tld
pending activation
awaiting
Resend
invite clinician…
Add seat
3 / 4 SEATS ACTIVE · NEXT RENEWAL · [DATE TBD] · BILLING & BAA PORTAL →
§ 07 · FAQ
/ the honest ones

Questions we hear from clinicians.

Is Noted HIPAA-compliant?
Noted is designed to be. On Practice and Clinic tiers we countersign a Business Associate Agreement at checkout. On Solo, you manage your own compliance. On Self-host, you issue your own BAAs — we’re not in the PHI path.
Does the patient’s voice leave my computer?
On the production path, no — ASR runs on-device (Parakeet), and the hosted option runs on your Linode under your admin, never a third-party cloud provider. The one exception is the browser demo above, which uses your browser’s built-in Web Speech service instead — that audio does leave the device. The demo says so and asks you not to use real patient information in it; see Compliance.
Can I use it with Zoom / Google Meet / Doxy.me?
Yes. Noted is video-platform-agnostic — it overlays captions on whatever video window you have open and listens to your microphone. No integration required.
What happens to my notes if I cancel?
Nothing. The vaults live on your disk (or your NAS) as plain Markdown — readable in Marco or any Obsidian-plugin compatible viewer, completely outside the app. Cancel Noted and every note stays readable and searchable forever.
Who wrote the psychology knowledge base?
Noted’s psychology corpus is built from open psychotherapy literature (arXiv, Semantic Scholar, Google Scholar) and refreshed nightly by a background agent. Every cited fact in a draft links back to a source.
What if the draft note is wrong?
It will sometimes be. Noted writes drafts, not signed notes. Every draft is marked as such until a clinician reviews, edits, and countersigns. The audit log records both the draft and the final.
ready?

Get your Sunday afternoons back.