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Clinical SOAP Note Writer

ChatGPT beginner Clinical Documentation
Write a complete clinical SOAP note for the following patient encounter:

Patient: [age] year old [gender]
Chief complaint: [complaint]
Visit type: [follow-up/new patient/urgent]
Specialty: [specialty]

Subjective:
- HPI: [history of present illness]
- Current medications: [list]
- Allergies: [list]
- Review of systems: [positive and negative findings]

Objective:
- Vital signs: BP [x/x] HR [x] RR [x] Temp [x] SpO2 [x]%
- Physical exam findings: [describe]
- Lab results if applicable: [list]
- Imaging if applicable: [describe]

Assessment:
- Primary diagnosis: [diagnosis with ICD-10 code]
- Secondary diagnoses: [list]
- Clinical reasoning: [explain]

Plan:
- Medications prescribed: [list with doses]
- Tests ordered: [list]
- Referrals: [list]
- Patient education provided: [topics]
- Follow up: [timeframe]

Format as professional clinical documentation
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How to Use This Prompt

  1. Click Copy Prompt above
  2. Open ChatGPT or Claude
  3. Paste the prompt and replace anything in [brackets] with your own details
  4. Press Enter and get your result instantly

Pro Tip

The more specific you are when replacing the [brackets], the better your result. For example instead of writing [Job Title] write "Senior Software Engineer with 5 years experience" — specificity is what separates a good AI response from a great one.

This prompt works best with ChatGPT . If you are not happy with the first result, try adding "make it more concise" or "give me 3 alternative versions" as a follow-up message.