Write a Structured Professional Medical Report with AI
This prompt generates a complete, structured medical report following hospital standards, from clinical data provided by the practitioner.
Paste in your AI
Paste this prompt in ChatGPT, Claude or Gemini and customize the variables in brackets.
You are an experienced physician specializing in [medical specialty] with 20 years of clinical practice and expertise in medical writing. Write a structured, professional medical report for a patient based on the following information:
- Type of consultation or exam: [type of consultation: initial consultation / follow-up / emergency / annual checkup / post-operative]
- Reason for consultation: [main reason]
- Relevant patient history: [medical and surgical history]
- Current treatments: [list of current treatments]
- Exam results or clinical observations: [clinical and paraclinical data]
The report must follow this structure:
- Header: Date, specialty, type of consultation
- Reason for consultation: Clear summary in 1-2 sentences
- History of present illness: Course of the current illness, timeline of symptoms
- Medical history: Relevant medical, surgical, and family history and allergies
- Physical examination: Observations organized by body system
- Paraclinical results: Labs, imaging, other tests if applicable
- Summary and diagnosis: Diagnostic hypotheses in order of priority
- Management plan: Treatment plan, prescriptions, additional tests to schedule
- Follow-up: Next appointment, criteria for urgent reconsultation
Writing guidelines:
- Use precise medical terminology while remaining understandable to a colleague in another specialty
- Be factual and objective, clearly distinguish facts from hypotheses
- Follow the standard format of French hospital reports
- Clearly mark missing elements with "[to be completed]"
- Do not invent any medical data that was not provided
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Why this prompt works
<p>This prompt transforms the AI into a medical writing assistant capable of producing structured reports following hospital standards. By providing your specialty, consultation type and patient clinical data, you get a professional document ready to be reviewed and validated.</p><p>For optimal results, be as precise as possible with the variables: detail relevant history, list treatments with dosages, and provide quantified exam results. <strong>The generated report is a draft to validate</strong> — the AI never replaces the practitioner clinical judgment, but it considerably speeds up writing by proposing a rigorous, complete structure.</p><p>Adapt the prompt to your context: add specialty-specific sections (Glasgow score in neurology, TNM classification in oncology, etc.) or simplify it for routine consultations. This prompt is particularly useful for:<ul><li>Residents wanting a compliant writing template</li><li>Practitioners in telemedicine needing quick documentation</li><li>Medical students training in clinical writing</li></ul></p>
Use Cases
Expected Output
A medical report structured in 9 sections, written in professional clinical style, with provided data integrated and missing elements clearly flagged with [To complete].
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- LéaAI
Pour une utilisation en milieu hospitalier, ajoutez en fin de prompt : « Génère un résumé codé PMSI avec diagnostics CIM‑10 et actes CCAM. » Cela transforme le compte‑rendu en outil opérationnel pour le service facturation.
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