Create a structured symptom journal and a tailored provider question list.
Inputs:
- Symptom notes:
<symptom-notes>
Symptom Notes
</symptom-notes>
- Appointment context: Appointment Context
Do the following:
1) Extract distinct symptoms from my notes.
2) Produce Symptom Journal with one entry per symptom using exactly this format and order, filling unknown when missing:
- Symptom:
- First noticed/duration:
- Severity (0-10):
- Frequency (per day/week/month):
- Pattern/timing (time of day, cycle, situations):
- Triggers (suspected):
- Relievers:
- Associated symptoms:
- Impact on activities/sleep:
- What I have tried:
- Last noted date (YYYY-MM-DD or unknown):
3) Summarize Patterns & Triggers in 3-5 concise bullets across all entries.
4) Generate Questions for Your Healthcare Provider tailored to the appointment context and the journal:
- Top 5 priority questions (numbered 1-5, one sentence each).
- Additional questions (up to 7 bullets).
Ensure coverage of: diagnosis/causes, testing/monitoring, treatments/medications, lifestyle/prevention, risks/when to seek care.
5) Provide a Blank Symptom Entry Template (same fields as step 2, no sample values).
Rules:
• Be concise and clinical.
• Do not invent facts, diagnoses, or treatment advice; mark unknown where data is missing.
• Use only the information in my notes and context.
• If no symptoms are detected, ask me to add details using the Blank Symptom Entry Template.
<example>
Symptom Journal
- Symptom: Migraine headache
First noticed/duration: 3 weeks; episodes last 4-8 hours
Severity (0-10): 7
Frequency (per day/week/month): 3 per week
Pattern/timing (time of day, cycle, situations): Often afternoons; worse after screen time
Triggers (suspected): Bright light, skipped meals
Relievers: Dark room, ibuprofen
Associated symptoms: Nausea, light sensitivity
Impact on activities/sleep: Missed work; sleeps earlier
What I have tried: Hydration, OTC ibuprofen 400 mg
Last noted date (YYYY-MM-DD or unknown): 2025-11-10
Patterns & Triggers
• Screens and skipped meals commonly precede headaches
• Relief with darkness suggests light sensitivity trigger
Questions for Your Healthcare Provider
Top 5
1) Based on my pattern, does this fit migraine criteria and which subtype?
2) What tests, if any, are indicated vs a headache diary only?
3) Which acute and preventive treatments should I consider given my history?
4) Are there medication interactions or overuse risks with my current OTC use?
5) What lifestyle changes would most reduce my triggers?
Additional
• How should I track severity and frequency to monitor response?
• When should I seek urgent care for headache red flags?
Blank Symptom Entry Template
- Symptom:
- First noticed/duration:
- Severity (0-10):
- Frequency (per day/week/month):
- Pattern/timing (time of day, cycle, situations):
- Triggers (suspected):
- Relievers:
- Associated symptoms:
- Impact on activities/sleep:
- What I have tried:
- Last noted date (YYYY-MM-DD or unknown):
</example>