These prompts are for healthcare professionals who need clinical reports written fast. Copy any prompt, fill in the variables, paste into ChatGPT, and get a draft report ready for review and signature.
These prompts pair well with Jasper AI for Healthcare-specific tone control, or Copy.ai for fast iteration.
Patient Discharge Summaries
You are a physician writing a discharge summary for a patient being released from the hospital.
Patient: {patient_name}, {age} years old, {gender} Admission date: {admission_date} Discharge date: {discharge_date} Primary diagnosis: {primary_diagnosis} Secondary diagnoses: {secondary_diagnoses} Procedures performed: {procedures_if_any} Medications at discharge: {discharge_medications} Follow-up instructions: {follow_up_plan} Functional status: {mobility_and_self_care_status}
Write a 400-500 word discharge summary following standard medical format. Include hospital course narrative, assessment and plan, discharge condition, medications with dosages, and specific follow-up appointments. Use professional medical terminology but ensure clarity for receiving providers.
When to use it: Friday afternoon when you have six discharge summaries to complete before the weekend and need consistent, thorough documentation.
Pro tip: Always double-check medication dosages and frequencies in the output - AI can hallucinate drug information that could be dangerous.
You are an emergency physician writing a discharge summary for a patient treated and released from the ED.
Patient: {patient_name}, {age} years old Chief complaint: {presenting_complaint} Triage level: {esi_level} Key findings: {examination_findings} Diagnostic tests: {tests_performed_and_results} Treatment provided: {treatments_given} Discharge diagnosis: {final_diagnosis} Condition at discharge: {stable_improved_unchanged} Return precautions: {when_to_return_signs}
Write a 250-300 word ED discharge summary. Lead with chief complaint and clinical course. Include all diagnostic results. End with clear discharge instructions and return precautions using language patients can understand while maintaining medical accuracy.
When to use it: End of a busy ED shift when you need to clear your documentation queue and ensure patients have proper discharge instructions.
Pro tip: ED discharge summaries often get reviewed by lawyers later - be specific about what you ruled out and why you felt safe discharging.
You are a hospitalist writing a discharge summary for a complex medical patient with multiple comorbidities.
Patient: {patient_name}, {age}, {primary_insurance} Length of stay: {days_in_hospital} Admission diagnosis: {reason_for_admission} Comorbidities: {existing_conditions} Hospital complications: {any_complications_during_stay} Consultants involved: {specialty_services} Discharge medications: {medication_list_with_changes} Home services arranged: {home_health_pt_other} Next appointment: {follow_up_details}
Write a comprehensive 600-700 word discharge summary. Structure with hospital course by problem, medication reconciliation section highlighting changes from admission, and detailed discharge planning. Address each active diagnosis with ongoing management plan.
When to use it: Complex patients with multiple specialists where the primary care doctor needs a clear roadmap of what happened and what comes next.
Pro tip: Highlight medication changes prominently - this is where most post-discharge errors occur when patients get confused about new vs old prescriptions.
You are a surgeon writing a post-operative discharge summary.
Patient: {patient_name}, {age} Procedure: {surgical_procedure_performed} Surgeon: {surgeon_name} Date of surgery: {operation_date} Anesthesia type: {anesthesia_used} Operative findings: {what_was_found_during_surgery} Complications: {intraoperative_complications_or_none} Post-op course: {recovery_details} Wound care: {incision_care_instructions} Activity restrictions: {lifting_driving_work_restrictions} Follow-up: {post_op_appointment_timing}
Write a 350-400 word post-operative discharge summary. Include operative indication, procedure details, findings, and recovery course. End with specific wound care, activity restrictions with timeframes, and clear instructions for follow-up care.
When to use it: Post-op day 1 or 2 when patients are ready for discharge and need comprehensive instructions for safe recovery at home.
Pro tip: Be very specific about weight lifting restrictions and when patients can drive - these are the most common post-op questions that generate after-hours calls.
You are a pediatrician writing a discharge summary for a child after hospitalization.
Patient: {child_name}, {age_months_or_years} Parent/guardian: {parent_name} Admission reason: {why_child_was_admitted} Hospital course: {what_happened_during_stay} Treatments received: {medications_procedures_interventions} Response to treatment: {how_child_improved} Discharge condition: {current_status} Home medications: {medications_going_home} Activity level: {school_play_restrictions} Pediatrician follow-up: {when_to_see_regular_doctor}
Write a 300-350 word pediatric discharge summary. Use clear language that parents can understand while maintaining medical accuracy. Include specific instructions for medication administration, when to worry, and normal recovery expectations for children this age.
When to use it: Pediatric discharges where parents need clear, reassuring guidance about caring for their child at home after a scary hospitalization.
Pro tip: Include weight-based dosing for any liquid medications and specify if you mean actual teaspoons or dosing syringes - parents often confuse kitchen spoons with medical measurements.
Emergency Department Reports
You are an emergency physician writing a medical screening exam note for a patient presenting to the ED.
Patient: {patient_name}, {age} Chief complaint: {patient_complaint_in_quotes} Triage vitals: {bp_hr_temp_rr_o2sat} Pain scale: {pain_rating_out_of_10} History of present illness: {symptom_details_timing_quality} Pertinent medical history: {relevant_past_medical_history} Physical exam findings: {key_positive_and_negative_findings} Clinical impression: {working_diagnosis} Plan: {diagnostic_tests_treatments_disposition}
Write a 400-450 word ED note following SOAP format. Include complete history of present illness, focused physical exam with pertinent positives and negatives, assessment with differential diagnosis, and detailed plan. Document medical decision making clearly for billing and medicolegal purposes.
When to use it: During busy ED shifts when you need comprehensive documentation that satisfies billing requirements and provides clear clinical reasoning.
Pro tip: Always document what you ruled out and why - ED notes are frequently scrutinized and you need to show your thought process for complex cases.
You are writing a trauma activation report for a patient brought in by ambulance.
Patient: {patient_name_or_unknown}, estimated age {age} Mechanism: {motor_vehicle_fall_assault_other} EMS report: {paramedic_findings_and_interventions} Primary survey: {airway_breathing_circulation_disability_exposure} Vital signs: {initial_trauma_bay_vitals} Injuries identified: {obvious_injuries_found} Imaging ordered: {ct_xray_studies} Trauma team response: {surgery_ortho_neuro_consulted} Disposition: {or_icu_floor_discharge}
Write a 350-400 word trauma activation note. Structure with mechanism, primary survey findings, secondary survey, imaging results, consultant recommendations, and final disposition. Use trauma terminology and include Glasgow Coma Scale if applicable.
When to use it: High-acuity trauma cases where you need systematic documentation of the trauma team evaluation and decision-making process.
Pro tip: Document the time of trauma team activation and consultant arrival - this data is tracked by trauma programs and affects hospital metrics.
You are an emergency physician documenting a psychiatric evaluation for involuntary hold consideration.
Patient: {patient_name}, {age} Presenting complaint: {reason_brought_to_ed} Mental status exam: {appearance_behavior_speech_mood_thought_cognition} Suicide/homicide risk: {current_risk_assessment} Substance use: {alcohol_drugs_detected_or_reported} Medical clearance: {vital_signs_basic_labs_if_done} Collateral information: {family_police_ems_input} Psychiatric history: {previous_hospitalizations_medications} Decision: {discharge_voluntary_admission_involuntary_hold} Safety plan: {follow_up_arrangements_if_discharged}
Write a 500-550 word psychiatric emergency evaluation. Include detailed mental status exam, risk assessment with specific reasoning, capacity evaluation, and clear documentation of decision-making process for disposition. Use proper psychiatric terminology and legal language for holds.
When to use it: Psychiatric emergencies where you need thorough documentation to support involuntary hold decisions or justify safe discharge with adequate follow-up.
Pro tip: Be extremely specific about suicidal ideation versus intent - courts and psychiatrists will scrutinize the exact language you use to justify holds or discharge decisions.
You are documenting a pediatric emergency visit for a child with fever.
Child: {child_name}, {age_in_months_or_years} Parent present: {parent_or_guardian_name} Chief complaint: {fever_duration_and_associated_symptoms} Vital signs: {temp_hr_rr_bp_if_obtained_weight} Feeding/behavior: {eating_drinking_activity_level_crying} Physical exam: {heent_chest_abdomen_skin_neuro} Diagnostic tests: {labs_urine_cxr_if_done} Diagnosis: {viral_syndrome_uti_pneumonia_other} Treatment: {medications_given_fluids_fever_control} Discharge instructions: {home_care_return_precautions}
Write a 300-350 word pediatric ED note. Focus on reassuring normal findings and specific fever management. Include clear instructions for parents about when to return and what to expect. Use language that addresses common parental concerns about febrile children.
When to use it: Febrile pediatric visits where parents need education about normal fever responses and clear guidance about when to worry.
Pro tip: Document that you discussed normal fever ranges for children and that fever itself isn’t dangerous - this prevents many anxious return visits.
You are writing a cardiac chest pain evaluation for emergency department documentation.
Patient: {patient_name}, {age} Chest pain characteristics: {quality_location_radiation_timing} Cardiac risk factors: {diabetes_smoking_hypertension_family_history} Vital signs: {bp_hr_rr_o2sat_pain_score} EKG findings: {normal_st_changes_arrhythmia} Troponin level: {initial_and_repeat_if_done} Chest X-ray: {normal_abnormal_findings} HEART score: {calculated_risk_score} Disposition: {discharge_observation_cath_lab} Follow-up: {cardiology_pcp_stress_test_arranged}
Write a 450-500 word chest pain evaluation note. Include detailed symptom characterization, risk stratification, systematic cardiac workup interpretation, and clear disposition reasoning. Document shared decision-making for observation versus discharge decisions.
When to use it: Chest pain presentations where you need to document comprehensive cardiac evaluation and justify disposition decisions for potential ACS.
Pro tip: Always document the HEART score calculation - it provides objective risk stratification that supports your clinical decision-making and satisfies quality measures.
Consultation Reports
You are a specialist writing a consultation report back to the referring physician.
Referring physician: {referring_doctor_name} Patient: {patient_name}, {age} Consultation question: {specific_question_asked} Relevant history: {pertinent_background_for_consultation} Examination findings: {focused_exam_for_specialty} Diagnostic studies reviewed: {labs_imaging_tests_reviewed} Assessment: {specialist_clinical_impression} Recommendations: {specific_treatment_suggestions} Follow-up plan: {ongoing_specialist_involvement} Urgency level: {routine_urgent_emergent}
Write a 400-450 word consultation report. Address the specific consultation question directly. Provide clear recommendations with rationale. Specify whether ongoing specialist follow-up is needed or if patient can return to primary care management.
When to use it: Outpatient specialty consultations where the referring doctor needs specific guidance and a clear ongoing care plan.
Pro tip: Always restate the consultation question in your opening - referring doctors often ask multiple questions and you need to show you addressed each one.
You are writing an inpatient consultation note as a specialist called to see a hospitalized patient.
Requesting service: {medicine_surgery_emergency_other} Patient: {patient_name}, {age}, hospital day {day_number} Consultation request: {why_specialist_was_called} Review of systems: {specialist_specific_symptoms} Physical examination: {focused_specialist_exam} Pertinent lab/imaging: {relevant_studies_for_consultation} Specialist assessment: {diagnosis_from_specialist_perspective} Recommendations: {specific_management_suggestions} Monitoring needed: {labs_exams_follow_up_required} Disposition input: {specialist_opinion_on_discharge_timing}
Write a 350-400 word inpatient consultation note. Focus on the specific expertise requested. Give concrete, actionable recommendations with timeline. Clarify whether daily specialist follow-up is needed or if recommendations can be managed by primary team.
When to use it: Inpatient consultations where the primary team needs specialist expertise but you want to avoid taking over entire patient management.
Pro tip: Be specific about which recommendations are suggestions versus requirements - primary teams need to know what’s flexible and what’s critical for patient safety.
You are a surgeon providing a preoperative consultation for surgical clearance.
Patient: {patient_name}, {age} Proposed surgery: {surgical_procedure_planned} Surgical urgency: {elective_urgent_emergent} Medical comorbidities: {conditions_affecting_surgical_risk} Current medications: {medications_that_may_need_adjustment} Functional status: {activity_tolerance_exercise_capacity} Cardiac risk: {cardiac_risk_stratification} Anesthesia concerns: {airway_positioning_other_issues} Recommendations: {preop_testing_medication_changes} Surgical risk: {low_intermediate_high_risk_assessment}
Write a 400-450 word preoperative consultation. Include cardiac risk stratification, pulmonary assessment, medication management recommendations, and any additional testing needed. Provide clear assessment of perioperative risk and optimization suggestions.
When to use it: Preoperative evaluations where you need to assess surgical risk and optimize patients before planned procedures.
Pro tip: Always specify timing for medication holds (like anticoagulants) - vague instructions lead to confusion about when patients should stop and restart critical medications.
You are writing a pain management consultation for a patient with chronic pain.
Patient: {patient_name}, {age} Pain complaint: {location_duration_character_severity} Pain history: {previous_treatments_tried} Current medications: {current_pain_medications_and_doses} Functional impact: {how_pain_affects_daily_activities} Physical exam: {relevant_musculoskeletal_neuro_findings} Psychosocial factors: {depression_anxiety_work_status} Red flags: {concerning_symptoms_ruled_out} Treatment plan: {medication_injection_therapy_recommendations} Goals: {realistic_pain_and_function_targets}
Write a 450-500 word pain management consultation. Include comprehensive pain assessment, multimodal treatment approach, and realistic goal-setting. Address both pharmacological and non-pharmacological interventions with specific recommendations.
When to use it: Complex chronic pain cases where primary providers need specialist guidance on comprehensive pain management strategies.
Pro tip: Always document functional goals rather than just pain scores - payers and colleagues want to see objective measures of improvement beyond subjective pain ratings.
You are a psychiatrist writing a consultation for a patient with depression not responding to primary care treatment.
Patient: {patient_name}, {age} Referral reason: {treatment_resistant_depression_details} Psychiatric history: {previous_episodes_hospitalizations} Medication trials: {antidepressants_tried_and_response} Mental status exam: {current_mood_cognition_psychosis_screen} Suicide risk: {current_risk_assessment_and_safety} Psychosocial stressors: {work_family_financial_health_issues} Substance use: {alcohol_drugs_tobacco_use} Recommendations: {medication_changes_therapy_referrals} Follow-up plan: {ongoing_psychiatric_care_vs_consultation}
Write a 500-550 word psychiatric consultation. Include detailed mental status exam, medication optimization recommendations, psychotherapy suggestions, and safety assessment. Specify whether ongoing psychiatric follow-up is recommended or if patient can return to primary care with new plan.
When to use it: Treatment-resistant depression cases where primary care providers need psychiatric expertise for medication management and comprehensive treatment planning.
Pro tip: Always comment on suicide risk assessment even if low - primary care doctors need explicit reassurance about safety or specific monitoring recommendations.
Progress Notes
You are writing a daily progress note for a hospitalized medical patient.
Patient: {patient_name}, hospital day {day_number} Overnight events: {any_issues_overnight} Current symptoms: {pain_nausea_shortness_of_breath_other} Vital signs: {temp_bp_hr_rr_o2sat} Physical exam changes: {new_findings_or_stable} Lab results: {significant_lab_values} Active problems: {diagnosis_list_being_treated} Today’s plan: {treatments_tests_consultations} Disposition planning: {discharge_planning_progress} Barriers to discharge: {social_medical_issues_remaining}
Write a 250-300 word daily progress note using problem-based format. Address each active diagnosis with assessment and plan. Include specific discharge planning steps and timeline estimate. Keep focused on changes from previous day and current management decisions.
When to use it: Daily hospital rounds when you need efficient documentation that captures current status and forward planning for each patient.
Pro tip: Put estimated discharge date in every note - it helps coordinate care team planning and satisfies utilization review requirements.
You are documenting a post-operative check on a surgical patient.
Patient: {patient_name}, post-op day {day_number} Surgery performed: {surgical_procedure_and_date} Overnight status: {stable_complications_concerns} Pain level: {current_pain_score_and_control} Incision status: {wound_appearance_drainage} Vital signs: {temp_bp_hr_respiratory_status} Lab values: {relevant_post_op_labs} Diet tolerance: {npo_clear_liquids_regular_diet} Mobility: {bed_rest_ambulating_physical_therapy} Discharge planning: {home_rehab_skilled_nursing}
Write a 200-250 word post-operative progress note. Focus on surgical recovery indicators: pain control, wound healing, return of normal function, and readiness for discharge. Include specific plans for advancing diet, activity, and wound care.
When to use it: Post-operative rounds when you need to document recovery progress and adjust post-surgical management plans.
Pro tip: Document specific activity progression (walk 50 feet, climb stairs) rather than vague terms like “increase activity” - it helps nursing and PT coordinate care.
You are writing a progress note for a patient in the ICU.
Patient: {patient_name}, ICU day {day_number} Primary diagnosis: {reason_for_icu_admission} Overnight events: {changes_interventions_concerns} Ventilator settings: {mode_settings_if_intubated_or_stable_breathing} Hemodynamics: {bp_hr_pressors_fluid_status} Neurologic status: {sedation_level_neuro_exam} Organ function: {kidney_liver_cardiac_status} Infections: {antibiotics_cultures_fever_workup} Goals today: {weaning_extubation_stabilization} Family communication: {updates_given_decisions_needed}
Write a 400-450 word ICU progress note organized by systems. Include detailed assessment of each organ system, current supportive measures, and specific daily goals. Address family communication and code status if relevant.
When to use it: ICU rounds when managing critically ill patients requiring systematic assessment of multiple organ systems and complex interventions.
Pro tip: Always document goals of care discussions with family - ICU notes are frequently reviewed for ethics consultations and end-of-life care decisions.
You are documenting a rehabilitation progress note for a patient recovering from stroke.
Patient: {patient_name}, rehab day {day_number} Stroke type and date: {ischemic_hemorrhagic_date_of_stroke} Current function: {mobility_speech_swallowing_cognition} Therapy participation: {pt_ot_speech_therapy_progress} Medical stability: {bp_control_medication_management} Safety concerns: {fall_risk_swallowing_cognitive_issues} Family involvement: {training_discharge_planning} Equipment needs: {walker_wheelchair_home_modifications} Discharge timeline: {estimated_discharge_date} Disposition plan: {home_assisted_living_skilled_nursing}
Write a 350-400 word rehabilitation progress note. Focus on functional improvements, therapy goals achievement, and discharge planning progress. Include specific measurable functional gains and remaining barriers to safe discharge.
When to use it: Rehabilitation facility documentation when tracking functional recovery and coordinating multidisciplinary discharge planning.
Pro tip: Use specific functional measures (walk 150 feet, climb 12 stairs) rather than subjective terms - insurance reviewers and families want concrete progress indicators.
You are writing a progress note for a patient with mental health concerns in inpatient psychiatry.
Patient: {patient_name}, hospital day {day_number} Admission diagnosis: {depression_bipolar_psychosis_other} Current medications: {psychiatric_medications_and_doses} Mental status today: {mood_thought_process_insight_judgment} Sleep and appetite: {sleep_hours_eating_patterns} Group participation: {therapy_groups_socialization} Safety assessment: {suicide_risk_aggression_concerns} Medication response: {side_effects_effectiveness} Discharge planning: {outpatient_follow_up_arrangements} Estimated discharge: {timeline_and_criteria}
Write a 350-400 word psychiatric progress note. Include detailed mental status exam, treatment response assessment, and discharge planning progress. Document any safety concerns and medication adjustments with rationale.
When to use it: Inpatient psychiatric documentation when tracking treatment response and planning safe discharge with appropriate follow-up.
Pro tip: Always document capacity for discharge planning decisions - patients with mental illness may have fluctuating capacity that affects their ability to consent to treatment plans.