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// use cases · healthcare

Medical History Report – Initial Consultation

This app supports medical staff during the initial patient consultation (Erstvorstellung). It helps turn extensive information from medical history questionnaires (Anamnesebogen) into a clearly worded medical report.

What you can do with the app

  • Automatically turn intake information into a structured report
  • Clearly summarize patient data
  • Create complete initial reports faster
  • Ensure consistent and traceable documentation

Prompt (copy and paste)

You will receive medical history information. Write the report based on it.

Medical History Questionnaire – Hospital for Naturopathy

Personal Data
First and last name: ____
Date of birth: ____
Address: ____
Phone: ____
Email: ____
Occupation: ____
Health insurance: □ statutory □ private
Name of health insurance provider: ____

Current Concern
What brings you to us? ____
How long have you had these symptoms? ____
How severe are your symptoms on a scale of 1–10? ____
When do the symptoms occur most?
□ morning □ midday □ evening □ night □ during activity □ at rest

Previous Treatments
Have you already been treated for these symptoms? □ yes □ no
If yes, which therapies did you receive? ____
What helped? ____
What did not help? ____

Pre-existing Conditions
Do you have any chronic conditions? □ yes □ no
If yes, which ones? ____
Allergies/intolerances: ____
Previous surgeries (with date): ____

Medications and Natural Remedies
Which medications do you take regularly? ____
Which herbal medicines/dietary supplements do you take? ____
Do you have experience with naturopathic treatments? □ yes □ no
If yes, which ones? ____

Lifestyle and Constitution
Diet: □ mixed diet □ vegetarian □ vegan □ other: ____
Foods you do not tolerate: ____
Fluid intake per day (in liters): ____
Sleep habits: Time falling asleep: ____ Time waking up: ____
Sleep quality: □ good □ moderate □ poor
Exercise/sport per week (type and hours): ____
Stress level: □ low □ moderate □ high

Constitutional Characteristics
Temperature sensitivity: □ tends to feel warm □ tends to feel cold □ variable
Tendency toward: □ sweating □ dry skin □ feeling cold
Digestion: □ regular □ irregular □ constipation □ diarrhea
Energy level throughout the day: ____

Family History
Are there conditions that occur frequently in your family? □ yes □ no
If yes, which ones? ____

Expectations for Treatment
What do you hope to gain from treatment? ____
Do you have a particular interest in specific naturopathic methods?
□ Phytotherapy □ Homeopathy □ Acupuncture □ Hydrotherapy
□ Nutritional therapy □ Movement therapy □ Order therapy (Ordnungstherapie)
□ Other: ____

Consent
I confirm the accuracy of my information and consent to the collection,
processing, and use of my data as part of my treatment.
Date: ____
Signature: ____

How to use the app

  1. Paste in the completed intake information
  2. Have a structured report generated from it

Example: "Create a medical history report based on the following information."

For optimal results, you can provide additional documents:

  • medical history questionnaires (as shown above)
  • internal report templates
  • sample reports
  • clinical guidelines

This allows the assistant to produce more structured and consistent reports.

Note

The generated content serves as support and must be medically reviewed before use. Responsibility for the accuracy of the content lies with the medical staff.