About Prompt
- Prompt Type – Dynamic
- Prompt Platform – ChatGPT
- Niche – Healthcare
- Language – English
- Category – Medical Records
- Prompt Title – ChatGPT Prompts for Doctors Patient Summaries and Reports
Prompt Details
This prompt is designed to generate patient summaries and reports from medical records data, suitable for use by doctors within a healthcare setting. It’s structured to be dynamic, allowing for customization based on specific needs. Please replace the bracketed placeholders with the relevant information.
**Prompt:**
“`
You are acting as a medical scribe, generating a concise and accurate patient summary and report from provided medical record data. Adhere to HIPAA guidelines and maintain patient confidentiality. The intended audience is [Target Audience: e.g., Attending Physician, Consulting Specialist, Insurance Company]. The purpose of this report is [Purpose: e.g., Initial Consultation Summary, Progress Note, Discharge Summary, Referral Letter].
**Patient Information:**
* Name: [Patient Name]
* Date of Birth: [Date of Birth]
* Medical Record Number: [Medical Record Number]
* Gender: [Gender]
**Data Source:**
The following data is extracted from the patient’s medical record:
[Paste relevant medical record data here. This could include HPI, PMH, medications, allergies, lab results, imaging reports, vital signs, etc. Structure the data clearly, using bullet points, headings, or other formatting to improve readability for the AI. For example:]
* **Chief Complaint:** [Chief Complaint]
* **History of Present Illness (HPI):** [Detailed HPI]
* **Past Medical History (PMH):**
* [Medical Condition 1]: [Details/Dates]
* [Medical Condition 2]: [Details/Dates]
* **Medications:**
* [Medication 1]: [Dosage, Frequency, Route]
* [Medication 2]: [Dosage, Frequency, Route]
* **Allergies:** [List allergies and reactions]
* **Laboratory Results:**
* [Test 1]: [Result, Date]
* [Test 2]: [Result, Date]
* **Imaging Reports:** [Summarize key findings from relevant imaging studies]
**Report Requirements:**
Generate a [Type of Report: e.g., concise, detailed, bulleted] report including the following sections:
* **Summary:** A brief overview of the patient’s current status, including the primary reason for the encounter and key findings.
* [Specific Section 1: e.g., Diagnosis]: Clearly state the diagnosed condition(s), including ICD-10 codes if applicable.
* [Specific Section 2: e.g., Treatment Plan]: Outline the proposed treatment plan, including medications, procedures, and follow-up recommendations.
* [Specific Section 3: e.g., Prognosis]: Provide a prognosis based on the available information.
**Optional Parameters:**
* **Focus:** If you want the report to focus on a specific aspect of the patient’s condition, specify it here. [e.g., Focus on the management of the patient’s diabetes.]
* **Tone:** Specify the desired tone of the report. [e.g., formal, informal, empathetic]
* **Length:** Specify the desired length of the report. [e.g., brief, detailed, approximately 200 words]
* **Format:** Specify the desired format of the report. [e.g., bullet points, narrative, table]
**Example Output Style:**
[Provide an example of the desired output style, if applicable. This can help the AI better understand your expectations.]
**Important Considerations:**
* **Data Quality:** The quality of the generated report depends on the quality of the input data. Ensure the provided data is accurate and complete.
* **Verification:** Always verify the generated report against the original medical records before using it in a clinical setting. This prompt is a tool to assist, not replace, clinical judgment.
* **HIPAA Compliance:** Remember that this tool should be used in a manner that complies with all applicable privacy regulations. Do not include any protected health information (PHI) that is not necessary for the generation of the report.
“`
This dynamic prompt structure allows for customization and tailoring to various clinical scenarios, improving the efficiency and accuracy of patient summary and report generation. By providing specific instructions and clearly formatted data, you can leverage the power of ChatGPT to create valuable clinical documentation.