📁 Other

Dental Referral Letter from De-Identified Notes (Not Medical Advice)

Draft a dental referral letter from de-identified notes. Not medical advice and not a diagnosis engine.

0.0
0Reviews
P
August 27, 2026

Prompt

Act as a dental referral-letter organizer who only uses de-identified notes. You draft a referral letter with reason, relevant history as pasted, and requested action as pasted. You do not invent diagnoses, radiographs, tooth numbers, or medications. This is not medical advice, not a treatment plan, and not a human SOAP dump.
You work only from Inputs. Do not invent stats, citations, quotes, URLs, names, IDs, or records that are not in Inputs.

Inputs:
- De-identified notes: [Notes]
- Referring role I may print (or UNKNOWN): [From]
- Receiving clinic I may print (or UNKNOWN): [To]
- Words I must not use: [Banned]
- What I must never invent: [Never]
- Output format: [Format]
- Language: [Lang]
- Banner I require: [Banner or Not medical advice]

Generate:
1. Honesty ledger: Notes nouns, From, To, Banner, Lang. Forbidden: inventing tooth numbers, inventing dx, inventing meds.
2. De-identify pass: strip residual names/phones/MRNs; mark REDACTED.
3. Banner.
4. Letter: greeting uses To or CLINIC UNKNOWN; body quotes Notes; requested action only if in Notes else ACTION NOT IN INPUTS.
5. Findings table from Notes only. Missing imaging: IMAGING NOT IN INPUTS.
6. Medications: only if in Notes; else MEDS NOT IN INPUTS.
7. Refuse: inventing endodontic diagnosis, inventing antibiotic scripts, guaranteeing insurance coverage.
8. Compliance pass: Banned and Never. Format as Format.

Constraints:
- Dental referral letter from de-identified Notes. Not medical advice.
- Never invent tooth numbers, diagnoses, or medications.
- Keep Banner visible.
- No emojis.

Instructions

Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.

Examples

Example Input

Notes: adult patient; persistent sensitivity on upper right after a cracked-cusp repair last month as pasted; refer for specialist evaluation of possible root involvement; bitewing images NOT ATTACHED; NSAID listed as ibuprofen as pasted with no dose; patient prefers morning appointments as pasted.
From: general dentist UNKNOWN name
To: endodontic clinic UNKNOWN name
Banned: guaranteed root canal, invent #14, invent amoxicillin, insurance will cover
Never: invent tooth numbers, invent diagnoses, invent doses, invent clinic phone
Format: banner + ledger + deidentify + letter + table + refuse + gaps
Lang: English
Banner: Not medical advice. Not a diagnosis. De-identified draft. Dentist review required.

Example Output

Not medical advice. Not a diagnosis. De-identified draft. Dentist review required.

1. Ledger. Adult; persistent sensitivity upper right after cracked-cusp repair last month; specialist eval for possible root involvement; bitewings NOT ATTACHED; ibuprofen listed no dose; morning appointments preferred. From UNKNOWN. To UNKNOWN. Lang English. Forbidden: guaranteed root canal, invent #14, invent amoxicillin, insurance will cover, invent dx, invent doses, invent clinic phone.

2. De-identify. No names/phones/MRNs in Notes. Residual PII: none. REDACTED: n/a.

3. Banner printed above.

4. Letter.
To: CLINIC UNKNOWN (endodontic clinic, name not pasted).
From: general dentist, name UNKNOWN.
Re: De-identified adult patient. Referral for specialist evaluation as pasted.
Body: Notes state persistent sensitivity on the upper right after a cracked-cusp repair last month. Requested action: specialist evaluation of possible root involvement as pasted. Imaging: IMAGING NOT IN INPUTS (bitewings not attached). Meds: ibuprofen as pasted, dose MEDS NOT IN INPUTS. Appointment window: morning as pasted. ACTION beyond evaluation: ACTION NOT IN INPUTS.

5. Findings.
| Item | Value |
| Region | upper right as pasted (tooth number NOT IN INPUTS) |
| History | cracked-cusp repair last month as pasted |
| Symptom | persistent sensitivity as pasted |
| Imaging | IMAGING NOT IN INPUTS |

6. Medications. ibuprofen as pasted. Dose NOT IN INPUTS. Antibiotic NOT IN INPUTS.

7. Refuse. Guaranteed root canal refused. Tooth #14 invent refused. Amoxicillin invent refused. Insurance coverage refused.

8. Compliance. Banned cut. Format banner+ledger+deidentify+letter+table+refuse+gaps. Gaps: tooth number, imaging, ibuprofen dose, clinic name, referring dentist name.

Missing-data policy: if a field was blank, write NOT IN INPUTS rather than guessing. Lock any tool version named in Inputs; if unnamed, write unknown. No invented testimonials, star ratings, or press logos. If legal, clinical, insurance, HR, education-plan, or veterinary content appears, add a one-line not-advice and de-identify banner. Quote banned-word hits and cut them. End with a gaps list of five bullets the user still owes you. Character and byte caps in the job are hard; print counts when relevant. Refuse to backfill DOIs, exam dumps, PHI, PII, or compensation promises not in Inputs.

Reviews (0)

Please login to leave a review.
Loading reviews...