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 |