healthcare

Symptom Report

Patients describe symptoms using colloquial language, tangential details, and inconsistent timelines. This template extracts the primary symptom, onset date, severity rating, aggravating and relieving factors, associated symptoms, and self-treatment attempts, giving clinicians a structured pre-visit summary.

See it in action

What users type

I'm Ahmed Rashid and I've been getting these crushing headaches behind my right eye for about two weeks. They come on mostly in the late afternoon, maybe a 7 out of 10 pain level. Sometimes I get nauseous with it and light makes it worse. I've tried ibuprofen and it takes the edge off for a few hours but doesn't get rid of it. I also noticed my right eye gets watery when the headache is bad.

What you get

Patient Name

Ahmed Rashid

99%

Primary Symptom

Crushing headaches behind right eye

98%

Onset Date

Approximately 2 weeks ago

93%

Severity (1-10)

99%

Triggers / Aggravating Factors

Late afternoon onset, light sensitivity

94%

Associated Symptoms

Nausea, photosensitivity, right eye lacrimation (watering)

96%

Self-Treatment Attempted

Ibuprofen (partial temporary relief, a few hours)

97%

Extracted fields

Field	Type	Required
Patient Name	text	Required
Primary Symptom	text	Required
Onset Date	text	Required
Severity (1-10)	number	Required
Triggers / Aggravating Factors	text	Optional
Associated Symptoms	text	Optional
Self-Treatment Attempted	text	Optional

Use this template

Start with this template — free

Templates

Patient Intake

Parse patient information, medical history, and current concerns from intake messages.

Patient Referral

Extract referral details including referring provider, patient info, and clinical reason.

Prescription Refill

Parse prescription refill requests capturing medication, dosage, pharmacy, and prescriber details.

Symptom Report

See it in action

Extracted fields

Use this template

Related

Templates