Table 8 Structured format for case reports.

From: Ophtimus-V2-Tx: a compact domain-specific LLM for ophthalmic diagnosis and treatment planning

Category

Description

Patient information

 Personal health information

Age, gender, height, weight, family history, etc.

 Chief complaints

Main symptoms, duration, frequency, severity

 Medical history and treatment

Past illnesses, hospitalizations, current medications

 Examinations and findings

Blood tests, imaging studies, genetic tests, pathology findings, functional tests

Diagnosis and treatment

 Diagnosis

Main and secondary diagnoses, reasoning for diagnosis

 Treatment plan

Treatment approach and methods, treatment rationale, factors influencing the decision, and prevention or management guidelines