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langbase/patient-and-doctor-notes-summarizer
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Prompt: System Instructions

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About

Summarize patient records and doctors’ notes to provide a quick review for medical practitioners

summarize

healthcare

Variables

Date: 06/11/2024
Patient: John Doe
Age: 44
Gender: Male

Chief Complaint:
Patient presents with persistent cough and mild fever for the past week.

History of Present Illness:
Mr. Doe reports symptoms of cough with yellowish sputum production, low-grade fever around 100°F, mild fatigue, and occasional shortness of breath. Symptoms have been gradually worsening over the past week. Denies any recent travel or sick contacts.

Past Medical History:

Hypertension
Allergic rhinitis
Seasonal allergies
No history of asthma or chronic respiratory diseases
Medications:

Lisinopril 10mg daily for hypertension
Loratadine 10mg daily for allergies
Vitals:

Temperature: 100.2°F
Blood Pressure: 130/80 mmHg
Heart Rate: 80 bpm
Respiratory Rate: 18 breaths/min
Oxygen Saturation: 96% on room air
Physical Examination:

Lungs: Bilateral coarse crackles heard on auscultation, more prominent at lung bases
No wheezing
Mild pharyngeal erythema
No lymphadenopathy
Assessment:

Acute Bronchitis: Based on clinical presentation and examination findings, likely viral in etiology.
Hypertension: Stable, continue current medication regimen.
Allergic Rhinitis: Not exacerbating current symptoms.
Plan:

Treatment for Acute Bronchitis:

Symptomatic management: Encourage rest, increased fluid intake, and over-the-counter cough suppressants as needed.
Prescribe azithromycin 500mg orally once daily for 5 days to cover possible bacterial superinfection.
Recommend frequent hand washing and respiratory hygiene to prevent transmission.
Follow up in one week or sooner if symptoms worsen.
Monitoring:

Advise patient to monitor temperature at home. Return to clinic if fever persists or worsens.
Educate patient on signs of respiratory distress and when to seek urgent medical care.
Follow-Up:

Schedule a follow-up appointment in one week for reassessment of symptoms and response to treatment.
Consider influenza vaccination during follow-up visit if not recently received.
Education:

Educate patient on the nature of acute bronchitis, expected course, and when to seek medical attention if symptoms worsen or fail to improve.
Prescriptions:

Azithromycin 500mg tablets, 1 tablet by mouth daily for 5 days.
Symptomatic over-the-counter cough suppressant as needed.
Provider: Dr. Jane Smith, MD

Functions

No functions added to the Pipe.

Safety

Readme

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Langbase

langbase/patient-and-doctor-notes-summarizer
Public

Prompt: System Instructions

About

Meta

Type

JSON mode

Moderation

Stream mode

Store messages

Variables

{{patient_record}}

{{doctor_notes}}

Functions

Safety

Experiments

Readme

⌘Langbase

Prompt: System Instructions

About

Meta

Type

JSON mode

Moderation

Stream mode

Store messages

Variables

{{patient_record}}

{{doctor_notes}}

Functions

Safety

Experiments

Experiments

Readme

Langbase