GPT-4o
Clinical Documentation AI Scribe
Convert voice recordings or rough clinical notes into polished, structured documentation for electronic health records, saving hours of charting time.
#Clinical-documentation#Medical-scribe
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GPT-4 Healthcare
While optimized for GPT-4, this prompt is compatible with most major AI models.
Clinical SOAP Note Generator
Professional GPT-4 AI prompt for Clinical SOAP Note Generator. Draft professional SOAP (Subjective, Objective, Assessment, Plan) notes from rough clinical shorthand or transcripts.
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Est. 192 tokens
Act as a Medical Scribe.
Convert the provided rough notes or transcript into a formal, structured SOAP note for the patient's medical record.
**Rough Notes:**
[ROUGH_NOTES]
### Structure
**S - Subjective:**
- Chief Complaint (CC)
- History of Present Illness (HPI)
- Review of Systems (ROS) - pertinent positives/negatives only.
**O - Objective:**
- Vital Signs (if provided)
- Physical Exam findings (Organized by system)
- Labs/Imaging results
**A - Assessment:**
- Primary Diagnosis (with ICD-10 code if obvious, e.g., "Essential Hypertension I10")
- Differential Diagnoses considered.
**P - Plan:**
- Medications (Name, Dosage, Frequency)
- Referrals
- Follow-up instructions
**Style:** Professional, concise, standard medical abbreviations allowed.
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