alterlab-clinical-reports

# Clinical Report Writing ## Overview Document medical information with precision, accuracy, and regulatory compliance. This skill covers four report families: **case reports** for journal publication, **diagnostic reports** for clinical practice (radiology, pathology, lab), **clinical trial reports** for regulatory submission (SAE, CSR), and **patient documentation** for medical records (SOAP, H&P, discharge). **Critical principle: clinical reports must be accurate, complete, objective, and compliant with applicable regulations (HIPAA, FDA, ICH-GCP).** Patient privacy and data integrity are paramount. ## When to Use This Skill Use when: - Writing a clinical case report for journal submission (CARE guidelines) - Creating a diagnostic report (radiology, pathology, laboratory) - Documenting clinical trial data, SAE narratives, or a CSR (ICH-E3) - Writing SOAP notes, H&P, discharge summaries, or consult notes - Ensuring HIPAA compliance and proper de-identification - Validating clinical documentation for completeness and accuracy ## Core Workflow 1. **Pick the report family** and load its detailed reference (see index below). 2. **Draft from the template** in `assets/` for that report type. 3. **Apply regulatory controls** — de-identify, document consent, meet timelines. 4. **Validate** with the matching `scripts/` validator before sign-out. 5. **Final QA** against the checklist at the end of this file. ### 1. Case reports for journal publication Follow the CARE (CAse RE...