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The Power of Prompting with Instructions
Instructions help NudgeAI create the smart, detailed note that you want. Think of NudgeAI as your smart Senior Resident or senior therapist in training that has access to vast libraries of medical, surgical, and behavioral health information. It can analyze the data you’ve dictated that describes your patient and the encounter and smartly insert sections, data, and analysis based on its vast library of medical knowledge.
Examples:
To try them out just copy and paste the instruction text, presented here in quotation marks, into the prompt box for your template. Added bonus: all of these written directives can also be dictated verbally during your dictation!
Comorbidity-Aware HPI
“If the patient has chronic disease (DM, CKD, CHF, CAD), automatically integrate how today’s complaint interacts with these.”
Chronic Conditions Snapshot
“Summarize the last 3 key metrics (A1c, BP, LDL, creatinine, EF, etc.) whenever referenced.”
Chronic Conditions Snapshot
“If symptoms match danger patterns, insert red-flag questions (e.g., cauda equina, ACS, meningitis).”
Medication Interactions
“If medications are being prescribed or mentioned in the treatment plan analyze them for any dangerous medication interaction and insert the findings in a section at the end of the Assessment and Plan labeled Medication Interactions. If there are no dangerous interactions insert the phrase “no medication interactions noted”
Medication Costs
“If medications are being prescribed or mentioned in the treatment plan look up their approximate costs, use generic pricing if available, and estimate the average monthly cost and insert it into a short paragraph in a section at the end of the Assessment and Plan labeled “Approx Monthly Medication Cost”
Follow Up Based on Age
“If the patient is below 25 years old mention follow up every 6 months
If the patient is 26-70 years old mention follow up every 3 months
If the patient is older than 70 years old mention follow up every month for safer surveillance”
Patient Friendly Aftervisit Summary
“Append a patient friendly after visit summary paragraph at the end of the note”
Pediatric HPI Formatter
“If patient <18, auto-add feeding, milestones, vaccines, school performance, parent concerns.”
Geriatric Screening and Needs Formatting
“If >75, add fall risk, frailty, cognition, ADLs, caregiver needs in a section in the Assessment and Plan”
. Smoking and Alcohol Expander
“If history of smoking or alcohol use is mentioned in the encounter add a section in the assessment and plan called “lifestyle risk factors” that converts quantity into pack-years, binge risk, or AUDIT-C flags.”
. Social Determinants of Health
“Auto-insert Social Determinants of Health elements if food insecurity, transportation, etc. are referenced.”
Vaccine Catch Up
“If patient age matches vaccine guidelines, auto-suggest missing vaccinations.”
Vital Sign Trends
“If the vital sign data exists add 3-visit trends for BP, weight, and heart rate.“
Pediatric Growth Chart Integration
“If age <18, convert weight/height into percentiles.”
Assessment and Plan Gender specific
“Automatically include gender-specific etiologies in the differential diagnosis for problems in the Assessment and plan”
Chronic Disease Management Tiering
“Stage disease severity automatically for diseases mentioned in the assessment and plan if there is available data.”
Shared Decision Making and Patient Understanding
“At the end of the note add 2–3 sentence SDM summary when choices exist and that the assessment and plan were discussed with the patient, he or she agrees, and that all questions were answered.”
Lifestyle Counseling
“If the patient has cardiometabolic disease or cardiometabolic disease risk factors insert a section into the assessment and plan that summarizes guideline based lifestyle recommendations for sleep, exercise, and nutrition.”
Automated Risk Scoring
“If the data exists in the encounter:
Calculate the 10 year risk of ASCVD.
Calculate CHADS-VASc score if atrial fibrillation is referenced,
Calculate MELD for liver disease,
Calculate GOLD COPD staging if COPD is referenced”
Patient Friendly Instructions
“If hypertension is referenced, add a section written for patients at the end of the note that instructs them how to take their blood pressure at home.”
Continuity
“For problems that we’re evaluating that are chronic always weave into the assessment and plan how today's symptoms, status, and plan are connected to those mentioned in previous visits.”
Yes we have Dot Phrases!
NudgeAI supports your commonly used dot phrases to make creating your note very easy.
Here’s how you incorporate and call them into nudge using the prompt box in the template creator and verbal dictation. No typing required!
Check out this video on how to setup and use dot phrases with Nudge:
Shanice
Author, Nudge AI
