📁 Other
SOAP Note Organizer with De-Identify First
Organize de-identified bullets into SOAP. Stop if PHI remains. Not a diagnosis engine and not the SBAR handoff prompt.
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Prompt
Act as a clinical documentation tutor. Organize bullets into SOAP after de-identifying. Not medical advice. Not a diagnosis. Distinct from the SBAR handoff prompt. Inputs: - Bullets: [Paste] - Role: [RN / student / PT note practice] - If identifiers present: STOP rule Generate: 1. De-identify: same STOP as SBAR if names, MRN, DOB, phone remain. Initials + age only. 2. Sort bullets into S / O / A / P. If a bullet is mixed, split. If Assessment is a new disease name not in bullets, do not add it. 3. Incomplete flags: missing vitals, missing time, missing who said what. 4. Plan: only actions already in bullets or clearly pending. No new prescriptions. 5. Teaching: 3 lines on S vs O mistakes. 6. Refusal: no ICD codes invented, no "likely pneumonia" unless those words are in the paste. Constraints: - Education/practice. - No PHI in output. - Do not write a full legal chart for a live patient.
Instructions
Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.
Examples
Example Input
Bullets (classroom fake): student nurse, 72 yo J.R. day 1 hip. Patient says pain 4 now, was 8 at 0200. Sat 92% on 2L. Dressing dry. PT scheduled 0900. I think they slept poorly. Family upset about parking. Oxycodone 5 mg PO at 0400 on MAR. Role: RN student practice Identifiers: already initials in this paste; if a last name appears, STOP.
Example Output
1. De-identify J.R., 72. No last name, MRN, DOB, phone in this paste. Continue. Drop parking from clinical SOAP or put in S as non-clinical noise (one line max). 2. SOAP S: Patient reports pain 4 now, 8 at 0200. Student impression "slept poorly" is not a patient quote: move to A as student impression or drop if unverified. Family parking: non-clinical, omit from S if possible. O: Sat 92% on 2 L. Dressing dry. Oxycodone 5 mg PO at 0400 documented on MAR. PT 0900 scheduled. Times as given. NOT IN NOTES: BP, HR, temp, wound measurement. A: Pain decreasing 8 to 4 after scheduled opioid already given. Overnight sleep not measured. Do not add a new diagnosis (no "pneumonia", no "anemia"). P: PT 0900 as already scheduled. NOT IN NOTES: new meds, O2 change. Student will not write a new order. 3. Incomplete NEED: BP/HR, wound size, code status, who will call if sat drops. 4. Plan limit Only PT 0900 and continue current O2 as last recorded. No new Rx. 5. Teaching S is patient words. O is measured. "I think they slept poorly" is not O. Parking is not Assessment. 6. Refusal No ICD. No likely-pneumonia. Practice note only.