Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, and pain management. Includes SMART goal
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Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, and pain management. Includes SMART goal
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</> SKILL.md
treatment-plans.SKILL.md
---name: treatment-plans
description: Generate concise (3-4 page), focused medical treatment plans in LaTeX/PDF format for all clinical specialties. Supports general medical treatment, rehabilitation therapy, mental health care, chronic disease management, perioperative care, and pain management. Includes SMART goal frameworks, evidence-based interventions with minimal text citations, regulatory compliance (HIPAA), and professional formatting. Prioritizes brevity and clinical actionability.
allowed-tools: Read Write Edit Bash
license: MIT license
required_environment_variables: [{"name": "OPENROUTER_API_KEY", "prompt": "OpenRouter API key for the skill's LLM-powered steps.", "required_for": "optional features"}]
metadata: {"version": "1.2", "skill-author": "K-Dense Inc.", "openclaw": {"primaryEnv": "OPENROUTER_API_KEY", "envVars": [{"name": "OPENROUTER_API_KEY", "required": false, "description": "OpenRouter API key for the skill's LLM-powered steps."}]}}
---# Treatment Plan Writing
## Overview
Treatment plan writing is the systematic documentation of clinical care strategies designed to address patient health conditions through evidence-based interventions, measurable goals, and structured follow-up. This skill provides comprehensive LaTeX templates and validation tools for creating **concise, focused** treatment plans (3-4 pages standard) across all medical specialties with full regulatory compliance.
**Critical Principles:**
1. **CONCISE & ACTIONABLE**: Treatment plans default to 3-4 pages maximum, focusing only on clinically essential information that impacts care decisions
2. **Patient-Centered**: Plans must be evidence-based, measurable, and compliant with healthcare regulations (HIPAA, documentation standards)
3. **Minimal Citations**: Use brief in-text citations only when needed to support clinical recommendations; avoid extensive bibliographies
Every treatment plan should include clear goals, specific interventions, defined timelines, monitoring parameters, and expected outcomes that align with patient preferences and current clinical guidelines - all presented as efficiently as possible.
## When to Use This Skill
This skill should be used when:
- Creating individualized treatment plans for patient care
- Documenting therapeutic interventions for chronic disease management
2. **Treatment Regimen**: Numbered list of specific interventions
3. **Supportive Care**: Brief bullet points
4. **Rationale**: 1-2 sentence justification (optional for standard protocols)
5. **Monitoring**: Key parameters and frequency
6. **Evidence Level**: Guideline reference or evidence grade (e.g., "Level 1, FDA approved")
7. **Expected Outcome**: Timeline and success metrics
**Design principles**:
- Use small boxes/tables for organization (like the clinical treatment recommendation card format)
- Eliminate all non-essential text
- Use abbreviations familiar to clinicians
- Dense information layout - maximize information per square inch
- Think "quick reference card" not "comprehensive documentation"
**Example structure**:
```latex
[Patient ID/Diagnosis Box at top]
TARGET PATIENT POPULATION
Number of patients, demographics, key features
PRIMARY TREATMENT REGIMEN
• Medication 1: dose, frequency, duration
• Procedure: specific details
• Monitoring: what and when
SUPPORTIVE CARE
• Key supportive medications
RATIONALE
Brief clinical justification
MOLECULAR TARGETS / RISK FACTORS
Relevant biomarkers or risk stratification
EVIDENCE LEVEL
Guideline reference, trial data
MONITORING REQUIREMENTS
Key labs/vitals, frequency
EXPECTED CLINICAL BENEFIT
Primary endpoint, timeline
```
#### Option 2: Standard 3-4 Page Format
**When to use**: Moderate complexity, need for patient education materials, multidisciplinary coordination
Uses the Foundation Medicine first-page summary model with 2-3 additional pages of details.
#### Option 3: Extended 5-6 Page Format
**When to use**: Complex comorbidities, research protocols, extensive safety monitoring required
### First Page Summary (Foundation Medicine Model)
**CRITICAL REQUIREMENT: All treatment plans MUST have a complete executive summary on the first page ONLY, before any table of contents or detailed sections.**
Following the Foundation Medicine model for precision medicine reporting and clinical summary documents, treatment plans begin with a one-page executive summary that provides immediate access to key actionable information. This entire summary must fit on the first page.
**Required First Page Structure (in order):**
1. **Title and Subtitle**
- Main title: Treatment plan type (e.g., "Comprehensive Treatment Plan")
- Subtitle: Specific condition or focus (e.g., "Type 2 Diabetes Mellitus - Young Adult Patient")
2. **Report Information Box** (using `\begin{infobox}` or `\begin{patientinfo}`)
- Report type/document purpose
- Date of plan creation
- Patient demographics (age, sex, de-identified)
- Primary diagnosis with ICD-10 code
- Report author/clinic (if applicable)
- Analysis approach or framework used
3. **Key Findings or Treatment Highlights** (2-4 colored boxes using appropriate box types)
**CRITICAL: Treatment plans MUST prioritize brevity and clinical relevance. Default to 3-4 pages maximum unless clinical complexity absolutely demands more detail.**
Treatment plans should prioritize **clarity and actionability** over exhaustive detail:
- **Focused**: Include only clinically essential information that impacts care decisions
- **Actionable**: Emphasize what needs to be done, when, and why
- **Efficient**: Facilitate quick decision-making without sacrificing clinical quality
- **Target length options**:
- **1-page format** (preferred for straightforward cases): Quick-reference card with all essential information
- **3-4 pages standard**: Standard format with first-page summary + supporting details
- **5-6 pages** (rare): Only for highly complex cases with multiple comorbidities or multidisciplinary interventions
**Streamlining Guidelines:**
- **First Page Summary**: Use individual colored boxes to consolidate key information (goals, interventions, decision points) - this alone can often convey the essential treatment plan
- **Eliminate Redundancy**: If information is in the first-page summary, don't repeat it verbatim in detailed sections
- **Patient Education section**: 3-5 key bullet points on critical topics and warning signs only
- **Risk Mitigation section**: Highlight only critical medication safety concerns and emergency actions (not exhaustive lists)
- **Expected Outcomes section**: 2-3 concise statements on anticipated responses and timelines
- **Interventions**: Focus on primary interventions; secondary/supportive measures in brief bullet format
- **Use tables and bullet points** extensively for efficient presentation
- **Avoid narrative prose** where structured lists suffice
- **Combine related sections** when appropriate to reduce page count
### Quality Over Quantity
The goal is professional, clinically complete documentation that respects clinicians' time while ensuring comprehensive patient care. Every section should add value; remove or condense sections that don't directly inform treatment decisions.
### Citations and Evidence Support
**Use minimal, targeted citations to support clinical recommendations:**
- **Text Citations Preferred**: Use brief in-text citations (Author Year) or simple references rather than extensive bibliographies unless specifically requested
- **When to Cite**:
- Clinical practice guideline recommendations (e.g., "per ADA 2024 guidelines")
- Specific medication dosing or protocols (e.g., "ACC/AHA recommendations")
- Novel or controversial interventions requiring evidence support
- Risk stratification tools or validated assessment scales
- **When NOT to Cite**:
- Standard-of-care interventions widely accepted in the field
- Basic medical facts and routine clinical practices
- General patient education content
- **Citation Format**:
- Inline: "Initiate metformin as first-line therapy (ADA Standards of Care 2024)"
- Avoid formal numbered references and extensive bibliography sections unless document is for academic/research purposes
- **Keep it Brief**: A 3-4 page treatment plan should have 0-3 citations maximum, only where essential for clinical credibility or novel recommendations
## Core Capabilities
### 1. General Medical Treatment Plans
General medical treatment plans address common chronic conditions and acute medical issues requiring structured therapeutic interventions.
#### Standard Components
**Patient Information (De-identified)**
- Demographics (age, sex, relevant medical background)
- Active medical conditions and comorbidities
- Current medications and allergies
- Relevant social and family history
- Functional status and baseline assessments
- **HIPAA Compliance**: Remove all 18 identifiers per Safe Harbor method
**Diagnosis and Assessment Summary**
- Primary diagnosis with ICD-10 code
- Secondary diagnoses and comorbidities
- Severity classification and staging
- Functional limitations and quality of life impact
- Risk stratification (e.g., cardiovascular risk, fall risk)
- Prognostic indicators
**Treatment Goals (SMART Format)**
Short-term goals (1-3 months):
- **Specific**: Clearly defined outcome (e.g., "Reduce HbA1c to <7%")
- **Measurable**: Quantifiable metrics (e.g., "Decrease systolic BP by 10 mmHg")
- **Achievable**: Realistic given patient capabilities
- **Relevant**: Aligned with patient priorities and values
- **Time-bound**: Specific timeframe (e.g., "within 8 weeks")
Long-term goals (6-12 months):
- Disease control or remission targets
- Functional improvement objectives
- Quality of life enhancement
- Prevention of complications
- Maintenance of independence
**Interventions**
*Pharmacological*:
- Medications with specific dosages, routes, frequencies
- Opioid therapy (when appropriate, with risk mitigation)
- Titration and rotation strategies
*Interventional Procedures*:
- Nerve blocks and injections
- Radiofrequency ablation
- Spinal cord stimulation
- Intrathecal drug delivery
*Non-pharmacological*:
- Physical therapy and exercise
- Cognitive-behavioral therapy for pain
- Mindfulness and relaxation techniques
- Acupuncture
- TENS units
**Opioid Safety (when prescribed)**
- Indication and planned duration
- Prescription drug monitoring program (PDMP) check
- Opioid risk assessment tools
- Naloxone prescription
- Treatment agreements
- Random urine drug screening
- Frequent follow-up and reassessment
**Functional Goals**
- Specific activity improvements
- Sleep quality enhancement
- Reduced pain interference
- Improved quality of life
- Return to work or meaningful activities
## Best Practices
### Brevity and Focus (HIGHEST PRIORITY)
**Treatment plans MUST be concise and focused on actionable clinical information:**
- **1-page format is PREFERRED**: For most clinical scenarios, a single-page treatment plan (like precision oncology reports) provides all necessary information
- **Default to shortest format possible**: Start with 1-page; only expand if clinical complexity genuinely requires it
- **Every sentence must add value**: If a section doesn't change clinical decision-making, omit it entirely
- **Think "quick reference card" not "comprehensive textbook"**: Busy clinicians need scannable, dense information
- **Avoid academic verbosity**: This is clinical documentation, not a literature review or teaching document
4. **Review checklist**: Compare against `quality_checklist.md`
5. **Generate PDF**: `pdflatex plan.tex`
6. **Review with patient**: Ensure understanding and agreement
7. **Implement and document**: Track progress in clinical notes
### Additional Resources
- Clinical practice guidelines from specialty societies
- AHRQ Effective Health Care Program
- Cochrane Library for intervention evidence
- UpToDate and DynaMed for treatment recommendations
- CMS Quality Measures and HEDIS specifications
## Professional Document Styling
### Overview
Treatment plans can be enhanced with professional medical document styling using the `medical_treatment_plan.sty` LaTeX package. This custom style transforms plain academic documents into visually appealing, color-coded clinical documents that maintain scientific rigor while improving readability and usability.
### Medical Treatment Plan Style Package
The `medical_treatment_plan.sty` package (located in `assets/medical_treatment_plan.sty`) provides:
