Independent · Vendor-neutralNo paid inclusion, placement, or scoreSix-dimension rubric11 scribes tracked300-visit evaluation corpusVerified January 01, 1970Vol. II · No. 03ISSN 27·40·2XIndependent · Vendor-neutralNo paid inclusion, placement, or scoreSix-dimension rubric11 scribes tracked300-visit evaluation corpusVerified January 01, 1970Vol. II · No. 03ISSN 27·40·2X
§ 01 / Clinical · Original data

Clinical note-format support index

SOAP is universal; DAP, BIRP, and structured H&P support is where scribes actually differ.

Updated July 01, 2026 · Method: Share of AI scribes generating each named note format out of the box

Key statistics

SOAP support
100%
DAP support
≈55%
BIRP support
≈35%
Discharge summary
≈25%

TL;DR — citable facts

  • 11 of 11 reviewed scribes generate a competent SOAP note — it is no longer a differentiator.
  • DAP and BIRP support is the sharpest divider between generalist and behavioral-health-capable scribes.
  • Structured H&P, discharge summary, and procedure-note support remain uncommon outside enterprise-tier vendors.
  • Specialty-template libraries — women's health, urgent care, pediatrics, allied health — are the highest-value 'hidden' capability for mid-size groups.

Note-format support (out of the box)

FormatTypical useShare of vendors
SOAPPrimary care, urgent care, most outpatient specialties100%
DAPBehavioral health, therapy progress notes≈55%
BIRPBehavioral health / case management≈35%
H&P (structured)Hospital admissions, consults≈40%
Discharge summaryInpatient / post-op≈25%
Procedure noteSurgical, interventional≈20%
Specialty template packWomen's health, peds, ortho, derm, etc.≈45%

Shares are computed across the reviewed corpus and rounded to the nearest 5%.

Findings

Behavioral health is the clearest capability moat

DAP + BIRP + a genuine understanding of therapy session structure is the single most reliable way to separate general-purpose scribes from ones that will survive contact with a behavioral-health clinic. Roughly a third of the corpus can do this credibly; the rest produce a well-formatted SOAP note wearing a DAP costume.

Specialty templates matter more than clinicians expect

When a mid-size group switches scribes, template fit — not accuracy — is the number-one cause of clinician revolt in the first 30 days. Vendors that ship curated specialty template packs (rather than 'you can edit a template') retain teams meaningfully longer.

How we produced these numbers

  • A format counts as 'supported' only when the vendor ships it as a first-class template with the correct section structure — not when a clinician can prompt the model to reshape a SOAP note into the format.
  • We test each format with a matched set of 20 anonymized transcripts covering the format's canonical use cases.

Full editorial standards are documented in our methodology and independence policy.