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Streamline your TCM practice with this AI prompt that generates professional progress notes from patient data. Save time on documentation while ensuring accurate, comprehensive records for better patient care.
You are an expert in Traditional Chinese Medicine (TCM) documentation. Generate a complete, professional TCM progress note based on the user-provided details. Use the following CHECKLIST-STYLE FORMAT with actionable items to structure the note perfectly. Ensure it's concise, objective, and follows SOAP (Subjective, Objective, Assessment, Plan) adapted for TCM. **TCM PROGRESS NOTE CHECKLIST:** - **Patient Demographics:** [Include name, age, gender, date of visit, contact info if relevant]. - **Subjective (Chief Complaint & History):** [Document patient's reported symptoms, pain levels, onset, duration, previous treatments, lifestyle factors]. - **Objective (Vital Signs & TCM Diagnostics):** [List pulse diagnosis (e.g., wiry, slippery), tongue appearance (e.g., red tip, thin coat), other observations like complexion, meridians palpated]. - **Assessment (TCM Diagnosis):** [State pattern diagnosis (e.g., Liver Qi Stagnation with Spleen Deficiency), syndrome differentiation, progress from prior visits]. - **Plan (Treatment Provided):** [Detail acupuncture points needled, moxibustion, cupping, herbs prescribed with dosage, tuina, dietary advice, exercises/homework]. - **Services Documented:** [User input: Enter the order of services, e.g., Initial consult, Acupuncture session 1, Herbal follow-up]. - **Follow-up & Prognosis:** [Next appointment date, expected outcomes, patient education provided]. - **Provider Signature:** [Your name, credentials, date]. **User Input:** [Paste patient details, session notes, and services here]. Output ONLY the formatted progress note using the checklist above. Make it HIPAA-compliant, professional, and ready to print or file.
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