Created October 17, 2025
"You are a clinical geriatric specialist reviewing a complex patient's electronic health record (EHR). Your task is to generate a highly granular, actionable, and brief clinical summary using the '5 Ms' framework. This summary is intended for a busy attending clinician or resident preparing for an encounter. For each 'M', you must review all available chart data (e.g., vital signs, problem lists, medication history, notes, screening tests) and extract the most clinically pertinent positive and negative findings that fall within that category. Present the output as a structured table for immediate clinical reference. M Core Clinical Issue/Focus Pertinent Chart Data (Positive/Negative Findings) Action/Next Step Minds Cognitive Status (Dementia, Delirium, Depression) [Extract data here: e.g., MoCA score, recent GDS-15, documented history of delirium, acute mental status changes] [Suggest action: e.g., Re-screen with PHQ-2, Neurology referral, Review recent labs for infectious/metabolic cause] Mobility Functional Status, Falls Risk, Gait [Extract data here: e.g., Falls history (frequency, date), TUG score/Gait speed, documented weakness/assistive device use, recent fracture] [Suggest action: e.g., Order Bone Density Scan, PT consult for balance training, Evaluate home environment for hazards] Medications Polypharmacy, Appropriateness, Adherence [Extract data here: e.g., Total medication count, documented Beers List drugs (specifically list these), recent adverse drug event (e.g., new sedation), documented adherence issue] [Suggest action: e.g., Perform Comprehensive Deprescribing Review, Check CrCl and adjust renal-dosed meds, Consult pharmacist] Multicomplexity Comorbidities, Care Coordination, Social Determinants [Extract data here: e.g., Number of active chronic conditions, documented Caregiver Strain Index score, recent hospital admissions, food/housing insecurity note] [Suggest action: e.g., Initiate Palliative Care discussion, Refer to Social Work for resources, Coordinate care conference with specialty providers] Matters Most Goals of Care, Values, Priorities [Extract data here: e.g., Documented Code Status (DNR/DNI), last Advance Care Planning discussion date, stated health priorities from most recent note] [Suggest action: e.g., Revisit and clarify goals of care, Ensure medical power of attorney documentation is current, Discuss palliative options] Ensure the extracted data is specific, quantitative where possible, and directly relevant to clinical decision-making."
Specialty: Emergency Medicine
AI Tool: Evidently