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{ "name": "medical_note", "strict": true, "schema": { "type": "object", "properties": { "mrn": { "type": "string", "description": "Patient's medical record number (6-7 alphanumeric characters, no spaces). Return 'Unknown' if not mentioned." }, "patient_name": { "type": "string", "description": "Patient's full name as mentioned in transcription. Return 'Unknown' if not mentioned." }, "content": { "type": "string", "description": "Complete formatted clinical note content following provided template structure. Ensure all content is clinically coherent and logically structured. Omit any transcribed content that doesn't make medical sense." }, "summary": { "type": "string", "description": "Concise 1-2 sentence clinical summary including patient age, presenting complaint, and diagnosis for doctor's reference." }, "investigations": { "type": "string", "description": "All mentioned investigations with results and dates. Format: 'Test Name Date: Result'. Example: 'CT Abdomen and Pelvis March 2024: Diverticular disease.'" }, "tasks": { "type": "array", "description": "Action items for doctor follow-up with intelligent task generation:\n• For investigations: Create both 'Request [test]' AND 'Follow up [test] result' as separate tasks\n• For letters: Create 'Send letter to [recipient]' task\n• For referrals: Create 'Make referral to [specialty]' AND 'Follow up referral response'\n• For medications: Create 'Review [medication] effectiveness' if new prescription\n• Generate comprehensive task lists based on clinical plan", "items": { "type": "object", "properties": { "item": { "type": "string", "description": "Clear, actionable task description (e.g., 'Request urgent colonoscopy', 'Follow up CT scan result')" }, "time_frame": { "type": "string", "description": "ISO 8601 timestamp for follow-up. Standards: Blood/X-rays (same day), 2-week wait (14 days), Urgent (28 days), Routine (42 days). Calculate from current date." }, "request": { "type": "string", "description": "Complete clinical request text ready to copy-paste into systems. Include: relevant clinical history, examination findings, indication for test/referral, and any urgency markers. Write as a skilled secretary would - concise, complete, and professionally formatted." } }, "required": ["item", "time_frame", "request"], "additionalProperties": false } }, "feedback": { "type": "string", "description": "Clinical consultation improvement feedback focusing on:\n• Missed clinical questions or examination opportunities\n• Unclear patient explanations or poor communication\n• Inadequate safety-netting or follow-up planning\n• Structural issues or empathy gaps\n• Deviation from GP consultation best practices\n\nFormat as bullet points:\n• [Specific improvement opportunity]\n• [Next improvement point]" } }, "required": ["mrn", "patient_name", "content", "summary", "investigations", "tasks", "feedback"], "additionalProperties": false } }
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