Skill

Medical Records Summary (Template)

Summarize treatment records into diagnoses, causation notes, and damages-relevant highlights.

Your vote: 0

Steps

  1. Identify mechanism of injury + initial complaints.
  2. Build a visit-by-visit table (date, provider, key findings).
  3. Extract diagnoses, imaging results, restrictions, and prognosis.
  4. Flag causation issues and prior-history mentions.

Copy/Paste Prompt

You are a plaintiff-side PI paralegal preparing a medical summary.

Inputs:
- Mechanism of injury: [PASTE]
- Known prior history: [PASTE/UNKNOWN]
- Records (excerpts):
[PASTE]

Output format:
1) One-paragraph narrative (plain English)
2) Treatment table: Date | Provider | Dx/Findings | Imaging | Restrictions | Notes
3) Key diagnoses + support (cite record lines if provided)
4) Causation flags (degenerative mentions, gaps in care, alternative causes)
5) Damages-relevant highlights (work restrictions, future care, permanency)
6) Missing records to request

Be conservative: if the record is unclear, say so.

Quality Checks

  • Separates facts from interpretation.
  • Flags gaps in treatment and why they matter.
  • Calls out future care recommendations.