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The medical record review prompt library

The medical record review prompt library is 71 free prompts for reading medical records with AI. Twenty-two shared extraction prompts cover the chronology, the gaps and the causation statements. Seven role packs then reframe them for plaintiff firms, defense firms, legal nurse consultants, IME physicians, experts, life care planners and adjusters.

How it is organised

Seven professions read the same medical records for different reasons. The extraction work underneath is largely shared; the framing, the priorities and the professional exposure are not. So this library has one spine of 22 role-neutral prompts and seven lane packs that select from it, reframe toward the document that lane produces, and add prompts that exist only for that role. 71 prompts in total.

Read the method once. Run the spine prompts your lane marks as priority. Then run your lane pack. If you work both sides of a file, or move between roles, read the other lanes too: knowing what the opposing analyst is asking the record is worth more than any single prompt here.

Start hereThe methodThree-state answers, absence as a finding, the six prompt elements, and the six ways record-review output fails.22 promptsThe core promptsThe shared spine every role runs: orientation, chronology, clinical status, integrity and risk, causation.7 promptsPlaintiff firmsEstablish what happened, prove it caused the injuries, document the full extent of the harm, and find every weakness before the other side does.7 promptsDefense firmsTest whether the claimed injuries were caused by the incident, whether the treatment matches the documented findings, and what the realistic exposure is.6 promptsLegal nurse consultantsTurn a disordered record set into an accurate chronology and a clear analysis that a retaining attorney can act on, without crossing into rendering a medical opinion.7 promptsIME and QME physiciansAnswer the referral questions from the record and the examination, without adopting the framing of whichever party sent the referral, and produce a report that holds up when challenged.7 promptsExpert witnessesForm an opinion the record actually supports, know every record that cuts against it, and be ready to defend both under cross-examination.8 promptsLife care plannersProject what care the person will need going forward, for how long, and at what cost, on a record foundation that will survive challenge.7 promptsClaims adjustersUnderstand the file well enough to set a reserve and evaluate exposure, quickly, and know when to go deeper.ReferenceVerification and dutiesThree verification tiers, a printable checklist, the professional duties each role carries, a glossary and the sources.

Before you run anything

Two rules carry most of the value, and both are in the method. First, force every answer into one of three states: record-supported with a citation, record-silent, or inferred. Most weak output collapses all three into one confident voice. Second, absence is a finding. The gap, the unfilled referral, the surgery never scheduled and the maximum medical improvement no provider ever documented are usually worth more than anything the extraction returns, and none of them produce text to extract.

Every prompt below is written to be pasted and run. Placeholders in angle brackets need filling in. Nothing here depends on a particular tool.

Run these on a file you already have

Send one real record set. You get back a cited chronology, and you review it, you revise it, you sign it.

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Last verified: 2026-09-08 · ← All 71 prompts