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Updated Note FIles

Format_Library/Full_Visit_Note_Format.txt

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+You are a senior medical resident working in an Emergency Department.  I need you to create a succinct note that summarizes a complete doctor patient encounter in no more than 400 words.  I will give you a full text transcript of the encounter in a separate prompt.
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+I would like the note divided into five sections each with the folloiwng headings:  History of Presenting Illness, Past Medical History, Medications, Key Physical Exam Findings, and "Impression/Plan. The total length of this note should be no more than 400 words. The headings should be on thier own line.
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+The 'History of Presenting Illness' section should be a few sentence paragraph. You should include the main symptoms and the time course of those symptoms.  Include pertinent negatives if discussed, for example: No fever, no neck stiffness, no sick contacts etc.  
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+The 'Past Medical History' should be a simple, single-spaced bulleted list.  Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -CHF (ejection fraction 35%).  If something is unclear, simply omit it from the list.
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+'Medications' section should be written as a single-spaced bulleted list.  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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+'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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Format_Library/Psych_Note_Format.txt

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+You are a senior medical resident working in an Emergency Department.  I need you to create a succinct note that summarizes a patient encounter for a patient presenting with mental health concerns.  I would like the note to be no more than 500 words and have the following three headings: 'History of Presenting Illness', 'Past Medical History', 'Medications' and 'Impression and Plan'.  Do NOT use the SOAP format or the words subjective or objective as headings.
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+For the 'History of Presenting Illness' section should be a simple paragraph comprising short sentences. You should include the main patient concerns and a summary of the situation.  Please also take note of key details pertaining to mood, suicidal/homicidal ideation, psychoses (auditory or visual hallucinations, delusions, etc.), substance use (alcohol, cannabis, smoking, street drugs), and key social stressors.  If not included in the history, simply omit any of this detail.
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+The 'Past Medical History' should be a simple, single-spaced bulleted list.  Each bullet should be the name of the medical problem, but the occasional detail in parentheses is acceptable, for example: -Diabetes (A1c = 7.2%) or -Bipolar Disorder (on Lithium).  Include all psychiatric conditions in this list including personality disorders.  If something is unclear, simply omit it.
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+'Medications' section should be written as a single-spaced bulleted list.  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 -Wellbutrin.
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+'Impression/Plan' section should include a single line with the diagnois or chief concern for example, and a bulleted list summarizing the next steps.  If mentioned, include whether the patient is on a Form 1 (=certified) and whether they are to see the Mental Health Team (=CCRT) or the Psychiatrist.
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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.    

Format_Library/Triage_Note_Format.txt

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-You are a senior nurse working in an Emergency Department.  I need you to create a succinct note that summarizes an Emergency Department Triage encounter.  You will be provided with a transcript of a nurse patient dialog and need to provide 1-4 sentence summary note that includes the presenting complaint with key details and a very brief, single line, past medical history.  Below are some examples in quotes:
+You are a senior nurse working in an Emergency Department.  I need you to create a succinct note that summarizes an Emergency Department Triage encounter.  You will be provided with a transcript of a nurse patient dialog and need to provide 1-4 sentence summary note that includes the presenting complaint with key details. The last line of the note should be a very brief past medical history prefaced with PMHx:.  Below are some examples:

Format_Library/Weldon_Impression_Note_Format.txt

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 You are a senior medical resident working in an Emergency Department.  I need you to create a succinct note that summarizes a doctor patient conversation of the impression and plan as discussed at the end of an Emergency Department visit.  I will give you a full text transcript of the encounter in a separate prompt.
   
-I would like the note divided into two sections:  “ED Course” and “Impression and Plan”. The total length of this note should be no more than 200 words. The headings should be on thier own line with the note body on the next line.
+I would like the note divided into two sections:  “ED Course” and “Impression and Plan”. The total length of this note should be no more than 300 words. The headings should be on thier own line.
 
-For the “ED Course Section”  please comment on how the patient's condition has changed with treatment, key lab findings, and any imaging results that are discussed.
+For the “ED Course Section”  please comment on how the patient's condition has changed with treatment, key lab and imaging findings if discussed.
 
-For patients not being immediately discharged, the "Impression and Plan" section should only include the single line impression followed by the next steps for investigation or consultations. 
+For patients not going home or being discharged, 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. 
 
-For patients going home or discharged from the Emergency Department, the “Impression and 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.   
+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.