clinical-case-summary

1

mohitagw15856/pm-claude-skillsBiology Medicine and BioinformaticsAudit passedSnapshot 3cc61a321c0a

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Summary

Write a structured clinical case summary or case presentation. Use when asked to write a clinical case summary, case presentation, patient case report, or clinical handover. Produces a structured summary using SBAR or SOAP format. For educational and documentation purposes only — not a substitute for clinical judgement.

SKILL.md

Clinical Case Summary Skill

Produces structured clinical case summaries for educational, documentation, and handover purposes.

WARNING: For documentation and educational purposes only. All clinical content must be reviewed by a qualified healthcare professional. This is not clinical advice.

Required Inputs

Purpose (case presentation / handover / case report / educational / MDT summary)
Patient details (anonymised — age, sex, relevant background)
Presenting complaint and history
Examination findings
Investigations and results
Diagnosis or differential diagnoses
Management and treatment
Outcome (if known)
Format preference (SBAR / SOAP / Standard clinical / Narrative)

Format A: SBAR (Handover / Referral)

S — Situation [Patient identifier anonymised, location, reason for contact in one sentence]

B — Background

Age / sex / relevant past medical history
Current admission details
Relevant medications and allergies
Brief relevant social history

A — Assessment

Current clinical status
Vital signs if relevant
Key examination findings
Working diagnosis or differential
Recent investigations and results

R — Recommendation

What you need from the recipient
Urgency level

Immediate actions already taken

Questions or concerns

Format B: SOAP Note

S — Subjective [Presenting complaint in patient words. Symptom history: onset, duration, character, severity, associated symptoms, relieving/aggravating factors]

O — Objective

Vital signs: [BP, HR, RR, Temp, O2 sats]
Examination: [Systematic findings]
Investigations: [Results with reference ranges]

A — Assessment

Primary diagnosis: [With brief rationale]
Differential diagnoses: [Ranked with reasoning]

P — Plan

Immediate management
Investigations ordered
Treatments initiated with dose, route, frequency
Referrals
Safety netting: what to watch for, when to escalate
Follow-up plan

Quality Checks

Patient details fully anonymised
Allergies and medications included in handover formats
Safety netting included in SOAP plan
Disclaimer included

Anti-Patterns

Do not include any identifiable patient information — full names, dates of birth, NHS or MRN numbers, or specific addresses must be anonymised or replaced with generic identifiers
Do not omit the clinical disclaimer — this output is for documentation and educational purposes only and must not be presented as clinical advice
Do not confuse the SBAR Recommendation with a treatment plan — R is what you need from the recipient, not a full management plan
Do not list differential diagnoses without noting the reasoning for ranking — an unranked list of differentials is not clinically useful

Example Trigger Phrases

"Write a clinical handover using SBAR for this patient"
"Summarise this case in SOAP format"
"Write a case report for [clinical scenario]"
"Prepare an MDT summary for this patient"