persona-garden-patch

• has_status::[[Seed Stage]]
• in_domain::[[Deep Context Architecture]]
• in_precinct::[[Household Precinct]]

Medical Visit

A medical visit note is the compound folder lead file documenting a healthcare appointment. Medical visit notes live in Health/Visits/YYYY-MM-DD Dr. FirstName LastName - Facility/ and serve as the primary record of what happened during a visit, synthesized from available sources.

- is_a::[\[\[Medical Visit\]\]](Medical%20Visit.html)
- relates_to::[[Health Overview]]↑
- relates_to::[[Condition Name]]↑

Conventions

• Location: Health/Visits/ in a compound folder named YYYY-MM-DD Dr. FirstName LastName - Facility/
• Lead file: Same name as the folder with .md extension
• Frontmatter: created, reviewed, brief_summary, tagline, tags type/reference + status/seed
• Body predicates: is_a::[\[\[Medical Visit\]\]](Medical%20Visit.html), relates_to:: for Health Overview and each condition discussed

Adaptive Sections

Visit notes include only sections with content. The template (Templates/Health Visit Note.md) has all sections as comments; the /health-appointment-post skill enables sections based on available materials.

Always present: Diagnosis, Treatment Plan, Follow-Up Plan, Action Items

Conditional:

• Key Findings (Physical Exam, Clinical Reasoning) — when exam performed
• Imaging — when imaging discussed or results available
• Symptom History — when transcript available
• Source Comparison — when multiple sources cross-referenced
• Activity Guidance — when activity/restrictions discussed
• Person Note Suggestions — when new or notable providers

Distinct From Meeting Note

Medical visits share pipeline elements with meetings (transcript cleanup, notes synthesis) but have unique concerns: condition trackers, medication management, portal document processing, health overview updates, and provider-specific person notes. Medical visits use is_a::[\[\[Medical Visit\]\]](Medical%20Visit.html) (not is_a::[\[\[Meeting Note\]\]](Meeting%20Note.html)) and live in Health/Visits/ (not Meetings/).

Compound Folder Contents

Visit folders contain the lead file plus artifacts:

• Portal downloads (.pdf + .txt extracts)
• Pre-visit prep documents (.md + .docx)
• Recordings (.m4a) and raw transcripts (.txt)
• Cleaned transcripts (.md)

Processing

The /health-appointment-post skill orchestrates visit processing with two paths:

• Path A (with transcript): transcript cleanup → meeting notes synthesis → visit note
• Path B (without transcript): portal documents + filled checklist → guided visit note creation

Sources

Medical Visit type conventions from Health Intake Conventions and health-appointment-post skill (sessions 1-4 of maintain/personal-health workstream).

Relations

• relates_to::[[Person Note]] — provider person notes created from visit context
• relates_to::[[Health]]↑ — domain map of content

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