How to Organize a Vet Discharge Summary (De-Identify First)

Discharge organizers fail when they practice veterinary medicine. The model invents a dose, a diagnosis, and a "call if lethargic" list that was not in the notes. You send it. The clinic's actual sheet disagrees. The job is to organize the discharge notes you have, strip identifiers you asked to strip, and refuse to add medical advice.

The matching generator is the Veterinary Discharge Summary Organizer (De-Identify, Not Advice) prompt. Browse related cards in the PromptDig library (Browse more prompts). When a filled organizer survives a meds-and-PII check, share the version you actually use (Share a prompt).

Scrub first. Then sort what the clinic already wrote.

Document type is an organizer of discharge notes for the client or the record, not a new medical plan. Notes: what the clinic wrote, meds as listed, restrictions as listed, recheck as listed. Setting: species and clinic type only if named. De-identify rules: client name, phone, address, account number, sometimes the animal's registered name if you asked. Banner: not veterinary advice, not a prescription, not a substitute for the discharging veterinarian. Audience: client-facing cleanup, intern training example, or records file.

The first block is a scrub list. If a phone number remains, the run failed. Use Pet, Client, Clinic if names must go.

Organization: headings that match the notes (what was done, meds, feeding, activity, recheck, when to call the clinic as the notes already said). Do not add a new when-to-call list from a textbook. If the notes say "call if vomiting continues," keep that sentence. If the notes do not mention vomiting, do not add it.

No invented doses, diagnoses, or recheck dates

Meds: name, dose, route, frequency, duration only as in Notes. If dose is missing, mark NOT IN INPUTS. Do not compute mg/kg. Do not add a taper. Do not add a human pharmacy equivalent.

Diagnosis: only the problem list in Notes. Do not upgrade "upset stomach" to a specific GI diagnosis. Do not add a differential list.

Recheck: only the date or window in Notes. Do not add 10-14 days because that is common. If recheck is missing, it is a gap for the clinic, not a date you fill.

Vaccines, labs, and imaging: only items in Notes. Do not add a reminder series. Do not invent a lab value. Do not add "WNL" if no values were pasted.

If Notes include a Friday pickup time, that is a logistics fact. It is not a prognosis. Budget not approved for a specialist is a client fact if in Notes. It is not a recommendation against referral unless the notes say that.

Banner, open questions, and a sheet the clinic still owns

Not-advice banner at the top and above meds. The organizer does not change the plan. If something in Notes is internally inconsistent (two different frequencies), list both and flag the conflict. Do not pick one.

Open questions: missing weight, missing med duration, missing food brand if a diet was mentioned without a name, missing whether the e-collar stays on. Those questions go back to the clinic, not to a model guess.

Gaps: missing species if relevant and unnamed, missing whether this is inpatient vs outpatient, missing language of the client. Print those.

Banned words: guaranteed recovery, cured, #1 food, invented percents of survival. Cut them.

De-identify photos and microchip numbers if DeID asked. A microchip ID can identify. If the client-facing sheet needs it, the user can add it back locally.

A worked pass: messy notes, no extra advice

Say Notes have a procedure name, two meds with frequencies but one missing duration, a Friday pickup, and no quotes. The organizer can list the procedure and the two meds as written, flag the missing duration, and keep Friday pickup. It cannot add a third med. It cannot add a bland-diet recipe. It cannot add a diagnosis code.

If later the clinic adds duration, paste and rerun. Do not keep a guessed 7-day course from the first run.

Watch species-specific "tips." No chocolate lists for dogs unless Notes include a toxin. No human-medicine conversions. No breed stereotypes.

Secondary structure: a client-facing outline and a clinic checklist of missing fields. The checklist is not a new plan.

Fill the card, then run

Paste the discharge notes. Require the banner and the scrub. Leave doses incomplete if they were incomplete.

Document type: [Type]
Facts / notes paste: [Notes]
Jurisdiction or setting if any: [Setting]
De-identify rules: [DeID]
Not-advice banner required: [Banner]
Audience: [Audience]

A discharge organizer is a sort, not a second veterinarian. When a run keeps a dose blank because Notes did, share that filled card.