clinical-note-structuring

What problem does it solve?

This Skill transforms unstructured clinical notes into a standardized, structured SOAP format, making them easier to process for billing, quality reporting, and clinical decision support.

Core Features & Use Cases

• SOAP Formatting: Organizes free-text notes into Subjective, Objective, Assessment, and Plan sections.
• Clinical Entity Extraction: Identifies and maps diagnoses, procedures, medications, and labs to standard codes (ICD-10-CM, CPT, RxNorm, LOINC).
• Documentation Quality Assessment: Flags missing information and assesses the completeness of the note for billing and quality measures.
• Use Case: A physician dictates a patient encounter. This Skill processes the dictation, structures it into a SOAP note, assigns ICD-10 codes to the diagnoses, and identifies any documentation gaps that need to be addressed before submission.

Quick Start

Use the clinical-note-structuring skill to convert the provided raw clinical note into a structured SOAP format, identifying diagnoses and flagging any documentation gaps.