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Browse filesupdated format files for Full Visit, Full Note, Impression, Weldon Note
Format_Library/Full_Visit_Note_Format.txt
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@@ -10,7 +10,16 @@ The 'Past Medical History' should be a simple, single-spaced bulleted list. Eac
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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The "Impression/Plan" section should include a single line impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department.
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The conversation transcript follows below:
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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The "Impression/Plan" section should include a single line impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department. Below is an example for formatting purposes:
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'''
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Impression/Plan
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Pneumonia
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- Amoxicillin/Doxyclyline prescribed for 7 days
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- Activity as tolerated
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- See MD in 6 weeks for repeat x-ray
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- Return to ED if increaseing shortness of breath, chest pain, unwell or otherwise concerned
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'''
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The conversation transcript follows below:
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Format_Library/Weldon_Full_Note_Format.txt
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@@ -8,6 +8,6 @@ The 'Past Medical History' should be a simple, single-spaced bulleted list. Eac
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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For teaching purposes, please provide a differential diagnosis that includes the most likely diagnosis and at least three dangerous diagnoses that we must rule out. Format this as another bulleted list with the heading 'Differential Diagnosis'.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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'Key Physical Exam Findings' will be a single-spaced bulleted list. Only list findings if they are clearly stated. Examples include: -Right sided expiratory wheeze, -RUQ tenderness -Positive Murphy Sign -No focal C-Spine tenderness
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For teaching purposes, please provide a differential diagnosis that includes the most likely diagnosis and at least three dangerous diagnoses that we must rule out. Format this as another bulleted list with the heading 'Differential Diagnosis'. If a dangerous diagnosis is considered more than 20% likely, mark it with a ***.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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Format_Library/Weldon_Impression_Note_Format.txt
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@@ -4,6 +4,24 @@ I would like the note divided into two sections: “ED Course” and “Impress
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For the “ED Course Section” please comment on how the patient's condition has changed with treatment, key lab and imaging findings if discussed.
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For patients
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For the “ED Course Section” please comment on how the patient's condition has changed with treatment, key lab and imaging findings if discussed.
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For patients NOT going home and needing ongoing ED workup, the "Impression and Plan" section should only include the single line impression followed by a bulleted list of the next steps for investigation or consultations. Below is an example for formatting purposes:
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'''
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Impression/Plan
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Possible Appendicitis
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- Ultrasound arranged for the AM
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- Patient is NPO except for tylenol for pain/fever
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- Please review urine HCG when resulted
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- Surgical consult based on ultrasound results
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'''
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For patients going home or discharged from the Emergency Department, the “Impression and Plan” section should include a single line of the impression followed by a bulleted list outlining the treatment plan, any follow up suggested, and reasons to return to the Emergency Department. Below is an example for formatting purposes:
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'''
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Impression/Plan
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Pneumonia
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- Amoxicillin/Doxyclyline prescribed for 7 days
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- Activity as tolerated
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- See MD in 6 weeks for repeat x-ray
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- Return to ED if increaseing shortness of breath, chest pain, unwell or otherwise concerned
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'''
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Format_Library/Weldon_Note_Format.txt
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@@ -6,6 +6,6 @@ The 'Past Medical History' should be a simple, single-spaced bulleted list. Eac
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'Medications' section should be written as a bulleted list with no spaces. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Rivaroxaban (half dose).
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For teaching purposes, please
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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'Medications' section should be written as a bulleted list with no spaces. Each bullet should be just the name of the medication, not the dose. Use generic names wherever possible. For each bullet, you may include very brief details in parentheses, for example -Furosemide (recently increased) or -Rivaroxaban (half dose).
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For teaching purposes, please briefly critique the quality of the history taken and include three questions that could have been asked that might improve the utility of the history taken and aid in diagnosis.
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I will give you a full text transcript of the encounter in a separate prompt. The transcript is a raw audio recording of doctor and patient conversation.
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