How to Write a Physical Therapy Progress Note that De-Identifies First
PT notes fail when they mint a name and a 0-135 ROM. The bullets had stairs, a cane, and stand-by assist. Leave MEASURES NONE.
The matching generator is the Physical Therapy Progress Note from De-Identified Bullets (Not Medical Advice, No PHI) (Physical Therapy Progress Note From De Identified Bullets Not Medical Advice) prompt. Browse related cards in the PromptDig library (Browse more prompts). When a filled run survives, share the version you actually use (Share a prompt).
Print the not-medical-advice banner first
Organize a physical therapy progress note from de-identified bullets. Not medical advice. No PHI. Start by filling Inputs, not by asking the model to remember last week's run. If a field is blank, write NONE or NOT IN INPUTS and leave it blank through Generate. The card is built so the model cannot honestly invent a number, owner, URL, or command that you did not paste.
Paste these fields before you hit run:
De-identified bullets I lock: [Bullets]
Session date I lock (or UNKNOWN): [Date]
Measures I lock (or NONE): [Measures]
Words I must not use: [Banned]
What I must never invent (names, MRNs, ROM numbers, diagnoses): [Never]
Output format: [Format]
Language: [Lang]
Assist level words I allow: [Assist]
Clinic I may name (or UNKNOWN): [Clinic]
That inventory is the honesty ledger. Anything that does not appear there is forbidden in the draft. If you catch yourself adding a nice-to-have after the run, you are no longer using the card. You are ghostwriting. Put the extra fact in Inputs and run again.
Keep DATE UNKNOWN if none was pasted
Generate is numbered on purpose. Do not skip a step because the first paragraph looked done. The early steps exist to stop later prose from smuggling claims.
Walk the Generate list in order:
- Honesty ledger: Bullets nouns, Date, Measures, Assist, Clinic, Lang. Forbidden: names, MRNs, invented ROM, invented diagnoses.
- Banner: not medical advice. De-identify. No PHI.
- Note: S/O/A/P only from Bullets. If Assessment is empty, write ASSESSMENT UNKNOWN. Do not upgrade assist.
- Measures: quote Measures or write MEASURES NONE. Do not mint 0-135 degrees.
- Refuse list: OT goal FIM, HEP exercise sets, invented ICD-10, name and DOB.
- Date and Clinic: quote or write UNKNOWN.
- Never: do not invent a diagnosis. Do not restore a name from a fake initial.
- Compliance pass: quote Banned and Never hits. Cut them. Format as Format.
If a step asks for a version lock, quote the version from Inputs in the output. If a step asks for a refuse list, keep the refuse list in the published artifact, not in a sidebar you delete. Reviewers should see what the model was not allowed to do.
Do not upgrade assist to independent
Most failures are the same shape: a missing field gets a confident fill. A conversion rate appears. A Gradle task appears. A flash point appears. A caption appears on a job that asked for slide text only. Your review is to search the draft for numbers, names, and commands, then grep Inputs. No match means cut.
Honor the constraints as hard stops, not vibes:
- PT progress note from Bullets only. Not medical advice and not a HEP.
- Never invent PHI, ROM numbers, or diagnoses.
- Do not upgrade assist levels.
- No emojis.
When the card says not legal advice, not certification, not an exam dump, or not a caption engine, that sentence belongs at the top of the output. Deleting it to look more finished is how you inherit risk.
Refuse HEP dumps and invented diagnoses
Finish with the compliance pass the prompt already asks for. Quote the banned-word hits. Cut them. Print character counts when the job has a cap. Print word counts when the job has a budget. List gaps as gaps. Five missing facts are more useful than one smooth paragraph.
Tags on the card (physical therapy progress note, de-identified bullets, not medical advice no phi) are a reminder of the job shape, not an invitation to wander into a neighboring cluster. If you need a different surface, open a different PromptDig card rather than stretching this one.
Fill the card, then run
Replace every bracket. Run on ChatGPT, Claude, or Gemini. Read the ledger first, then the artifact. If the model invents a commit, KPI, DOI, PEL, bid, or logo, discard the run. Tighten Inputs. Run again. Share the filled card that survived, not the first draft that sounded done.