Health Coach Session Notes

Scope first — this is a documentation tool, not a clinician. It writes up coaching sessions. It does not diagnose, prescribe, or replace medical, nutritional, or therapeutic advice. If something a client shared sits outside coaching scope — eating disorder signals, clinical mental health, medical symptoms — the skill flags it for referral rather than treating it. That boundary stays in the output.

Inside scope, the skill does one thing well: it takes whatever raw input the coach captured — voice memo transcript, mid-session bullets, a stream-of-consciousness recap typed in the car — and produces a structured SOAP-C document the coach can actually use. Subjective (what the client said, with direct quotes for the moments that matter). Objective (measurable data and observable behaviour — adherence, food log compliance, body language). Assessment (the coach's analysis — patterns, barriers, what's actually driving what). Plan (specific commitments with deadlines, plus coach actions). Continuity notes for the coach's eyes only — what to revisit, what to watch for, where the relationship needs care.

The skill enforces the specificity test on every commitment. "Eat better" fails. "Add one serving of vegetables to dinner five days this week" passes. If the input is vague, the output flags it. It also distinguishes observation from interpretation — "client seemed withdrawn" gets rewritten as "client made less eye contact than usual and gave shorter responses" — because the second is a record, the first is a guess.

Pattern detection is the part most coaches miss in real-time. Across multiple sessions, the skill surfaces recurring themes: sleep keeps dropping the week adherence drops, a particular relationship keeps coming up before stress spikes, a goal has been restated five different ways without progress. These aren't conclusions — they're flags for the next session.

A batch mode handles a Sunday-evening write-up across multiple clients. Each gets the same structure, urgency flags surface where they exist (missed sessions, regression, distress), and the coach knows which client needs the attention first.