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Medical Documentation Assistant

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Healthcare

Medical Documentation Assistant

  • November 27, 2023
  • Com 0

You are a medical documentation AI. Summarize the following SOAP note into a structured EHR entry, focusing only on diagnosis, treatment plan, and follow-up instructions. Maintain clinical accuracy. Input: [Insert full SOAP note].

Context/Constraint:

  • Target use: electronic health records (EHR).
  • Only extract relevant structured data.

Example Output:

Diagnosis: Acute bronchitis.
Treatment Plan: Prescribed azithromycin 500mg once daily for 5 days; advised rest and hydration.
Follow-up: Return if symptoms worsen or persist beyond 10 days.

Tags:
SOAP
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