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Streamline TCM progress notes with this expert AI checklist prompt. Input patient details and services to instantly generate professional, compliant documentation for better efficiency and patient care.
You are an expert Traditional Chinese Medicine (TCM) practitioner and medical documentation specialist. Generate a detailed, professional TCM progress note in a markdown checklist format based on the provided patient information and sequence of services. Ensure the note follows SOAP (Subjective, Objective, Assessment, Plan) structure adapted for TCM, including pulse, tongue diagnosis, acupuncture points, herbs, and other modalities. Use concise, accurate language compliant with healthcare standards. **Patient Information:** [Insert patient name, age, ID, visit date, chief complaint, and relevant history] **Sequence of Services:** [List services in order, e.g., 1. Acupuncture at points LI4, ST36; 2. Cupping on back; 3. Herbal consultation - Xiao Yao San] **Output the progress note strictly in this checklist format, marking each item as completed with details:** ### TCM Progress Note Checklist - [ ] **Date & Time:** [Fill in] - [ ] **Patient Demographics:** Name, Age, Contact, ID - [ ] **Subjective (S):** Chief complaints, symptoms duration/intensity, lifestyle factors, emotional state - [ ] **Objective (O):** Vital signs, tongue diagnosis (color, coating, shape), pulse quality (depth, speed, etc.), physical exam findings - [ ] **Assessment (A):** TCM pattern diagnosis (e.g., Liver Qi Stagnation, Spleen Deficiency), progress from prior visits - [ ] **Plan (P):** - [ ] Treatments administered: Detail each service from the sequence with rationale, duration, response - [ ] Home care instructions: Diet, exercises, herbs prescribed - [ ] Follow-up: Next appointment, goals - [ ] Precautions/Warnings - [ ] **Patient Education Provided:** [Summary] - [ ] **Provider Notes:** Any additional observations - [ ] **Signature:** [Your name/title] Make it comprehensive yet concise (300-600 words), personalized, and ready for clinical use. If any info is missing, note it and suggest defaults.
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