A library of proven prompts you can paste directly into your templates. From writing register to medical terminology, from reported speech to consent documentation. A few sentences in the instruction field of each section, and Nixi AI works exactly the way you need.
Every template section has an instruction field. There you write short, precise guidance for how Nixi AI should handle that section: what to include, what to leave out, in what register, how to treat missing information.
After the note is generated, you can also use the Edit with AI button to reshape the whole note in one step, for example from bullet points to running text, or from active voice to reported speech.
Two ground rules:
For practices that prefer short, clinical bullet-point notes.
Write in telegraphic bullet-point style without full sentences. Keep the register factual and brief. No narrative build-up, no transition sentences. If a point needs only one word, then one word.
Apply in: history, exam. Or via Edit with AI on the whole note.
For maximum information density, no padding.
Return only clinically relevant information. No explanations, no background sentences, no patient quotes unless explicitly requested. Goal: maximum information density.
Reduces conspicuous patterns like frequent semicolons and long dashes.
Avoid semicolons and long dashes. Use periods and commas instead. Prefer short main clauses over long compound sentences. The writing register follows natural clinical and practice-floor English.
Classic for neurology and internal medicine.
Write the history section in reported speech. Example: 'The patient reports having had headaches for three days' / 'She states she takes 5 mg of amlodipine daily'. No direct quotes, no first-person paraphrase.
Use medical terminology consistently rather than colloquial expressions. Examples: arthralgia instead of joint pain, dyspnea instead of shortness of breath, cephalalgia instead of headache, pruritus instead of itch.
Include only diagnoses and therapeutic conclusions that were explicitly stated during the consultation. No assumptions, no inferences from medication or symptom constellations. If a diagnosis was not stated, leave it out.
Essential for clinical safety with biologics, cytostatics, high-risk medications.
When a drug name remains acoustically unclear, mark the spot with `[unclear]` and never guess the closest-sounding active ingredient. A gap is safer than the wrong drug. This is especially true for biologics, cytostatics, and high-risk medications.
Honor self-corrections by the patient. When a date, dose, or fact is first stated incorrectly and then corrected, use only the corrected version. Do not include the original statement.
Filter out small talk, greetings, weather, parking, scheduling, and any other non-medical parts of the conversation. The note begins only with the first clinically relevant content.
Prevents physical exam findings from being auto-documented as 'normal' when no exam was performed.
Document only physical exam findings that were actually performed and stated. Do not generate normal findings automatically. If no physical exam took place during the visit, mark the section with `[not assessed]`.
When information is missing, instead of `[unclear]` use a visually striking placeholder: `___` or `…………`. Goal: gaps must jump out on a quick scan, not blend into the running text.
When the patient jumps between years, Nixi AI sorts the output correctly.
Order the history chronologically by date, earliest event first. When the patient jumps between years, sort correctly in the output. Specific dates are assigned to their episodes, not to the order in which they were mentioned.
For patient files, discharge summaries, summaries across multiple visits.
Structure the past history by examination type: first all imaging findings (chronological), then all lab findings (chronological), then all inpatient stays, then outpatient treatments. Each block carries its own heading.
When the patient asks about cholesterol mid-exam, it lands in the plan section, not between the CBC values.
Sort statements by topic, not by order in the conversation. A patient question about cholesterol belongs in the findings or plan section, not between the CBC values. History statements that come up later in the conversation still belong in the history.
List documented toxicities with CTCAE grade only when the grade was explicitly stated or is clearly clinically implied (example: 'paresthesia in the fingertips without functional impairment' → grade 2 sensory neuropathy). When the grade is unclear, document the symptom without a grade. Do not invent grades.
Document ECOG performance status when it was explicitly asked or clearly inferable from the consultation (example: 'unrestricted in daily life, mild fatigue after chemotherapy' → ECOG 1). When not assessed, do not generate.
Capture RECIST categories (CR, PR, SD, PD) only when they were explicitly named. Never derive them from imaging descriptions yourself.
For forensic protection. When you informed the patient about side effects, that should appear in the letter.
When the consultation includes starting or continuing a medication and the patient was informed of side effects, add a standard sentence such as: 'The patient was informed about side effects [substance-class specific, fill in].' Only add this sentence when the consultation indicates that informed consent actually took place.
When the patient mentions vaccinations, document them as a sub-section under history (vaccination history). When no vaccinations were mentioned, leave this field out.
Use the patient's pronouns consistently throughout the note. If the consultation establishes 'she/her', use 'she' throughout. If 'he/him', use 'he'. Do not switch between forms within one note.
Capture structured: current symptom intensity (VAS, if stated), swollen and tender joint counts (if assessed), morning stiffness in minutes, disease-related functional limitations in daily life. Activity scores (DAS28, CDAI) only when explicitly stated.
Document: tumor entity with histology, current line of therapy including cycle and intent (adjuvant / neoadjuvant / palliative / curative), last imaging follow-up with date, tumor markers with trend, current toxicities with CTCAE grade.
History in reported speech. When multiple people speak (patient, family member, nurse), clearly label the source: 'The patient reports …', 'The wife adds …'. When unclear, mark with `[unclear]` rather than guessing.
When more than three medications: document as a list with active ingredient (brand in parentheses), dose, schedule (e.g. 1-0-1). When the schedule is unclear, mark with `[unclear]`. Indication per medication only when explicitly stated.
After every history section, check whether the following required fields are present: allergies, treatment-limiting side effects, prior medications, relevant past medical history. When a field is missing, add at the end of the history: `⚠ MISSING INFORMATION: [field name] was not captured.`
Detect and remove redundant text copied across multiple uploaded letters. When the same finding appears verbatim in multiple sources, include it once, with the source attribution or earliest date.
When merging multiple documents: lab values, imaging findings, and the diagnosis list have the highest priority and must never be dropped, even under length constraints. Trim history or narrative passages first.
Build a chronological patient history from the uploaded documents: date, event (diagnosis / therapy / progression / finding), source (letter, imaging, lab). A table or list is acceptable.
For EMR systems that do not cleanly accept markup.
Convert the following note into plain text without formatting: no bold, no heading markup, no bullet symbols, just text with line breaks.
Apply via Edit with AI after the note is generated.
Frequently asked
Open a template in template settings. Each section has its own 'Instruction' field where you can paste the prompts above.
Write to us at hello@nixiai.ai or book a short call. We take every concrete use case seriously and add proven prompts on a rolling basis.
Report Mode, Template Editor, Edit with AI: all built so the letter sounds like you, not like a machine.
