Context Enrichment

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const note = await sully.notes.create({
  transcript: "Doctor: Good morning, what brings you in today?...",
  noteType: { type: 'soap' },
  patientInfo: {
    name: 'Jane Doe',
    dateOfBirth: '1985-03-22',
    gender: 'female',
  },
});

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const note = await sully.notes.create({
  transcript: "Doctor: How are you feeling on your blood pressure medication?...",
  noteType: { type: 'soap' },
  medicationList: [
    'Lisinopril 10mg daily',
    'Metformin 500mg twice daily',
    'Atorvastatin 40mg at bedtime',
    'Aspirin 81mg daily',
  ],
});

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const previousNote = `
SUBJECTIVE: 45-year-old female presenting with migraine headaches occurring 3-4 times per week.
Reports throbbing pain, photophobia, and nausea. Current medications ineffective.

ASSESSMENT: Chronic migraine without aura, poorly controlled.

PLAN:
1. Start sumatriptan 50mg PRN for acute episodes
2. Begin topiramate 25mg daily for prophylaxis
3. Headache diary for 4 weeks
4. Return in 4 weeks to assess response
`;

const note = await sully.notes.create({
  transcript: "Doctor: Welcome back. How have the new medications been working for your migraines?...",
  noteType: { type: 'soap' },
  previousNote: previousNote,
});

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const note = await sully.notes.create({
  transcript: "Doctor: Tell me about your chest discomfort...",
  noteType: { type: 'soap' },
  instructions: 'Focus on cardiovascular symptoms. Include differential diagnosis in assessment. Use numbered list for plan items.',
});

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const note = await sully.notes.create({
  transcript: "Doctor: I've reviewed your recent lab work. Let's discuss the results...",
  noteType: { type: 'soap' },
  context: `
Recent Labs (2024-01-10):
- HbA1c: 7.8% (up from 7.2% three months ago)
- Fasting glucose: 156 mg/dL
- Creatinine: 1.1 mg/dL (stable)
- eGFR: 72 mL/min

Cardiology consult note (2024-01-05):
Recommend continuing current cardiac medications.
Echo shows preserved EF at 55%.
No intervention needed at this time.

Patient expressed concern about adding more medications due to cost.
  `,
});

import Sully from '@sullyai/sullyai';

const sully = new Sully();

const note = await sully.notes.create({
  // Required: the transcript
  transcript: `
Doctor: Good afternoon, Mrs. Johnson. How have you been since our last visit?
Patient: The headaches are much better since starting the new medication. I'm only getting them once a week now instead of every day.
Doctor: That's excellent progress. Any side effects from the topiramate?
Patient: A little tingling in my fingers sometimes, but nothing too bothersome.
Doctor: That's a common side effect and usually improves over time. Let's continue the current regimen.
  `,
  noteType: { type: 'soap' },

  // Visit date
  date: '2024-01-15',

  // Patient demographics
  patientInfo: {
    name: 'Sarah Johnson',
    dateOfBirth: '1979-06-14',
    gender: 'female',
  },

  // Current medications
  medicationList: [
    'Topiramate 50mg daily',
    'Sumatriptan 50mg PRN',
    'Ibuprofen 400mg PRN',
  ],

  // Previous visit note for continuity
  previousNote: `
Date: 2023-12-15
SUBJECTIVE: 44-year-old female with chronic migraines, occurring daily for past 2 months.
ASSESSMENT: Chronic migraine without aura, poorly controlled on current regimen.
PLAN: Start topiramate 25mg daily, titrate to 50mg after 1 week. Continue sumatriptan PRN.
Return in 4 weeks.
  `,

  // Custom instructions
  instructions: 'Document the improvement in migraine frequency. Note the paresthesia side effect and that it is being tolerated.',

  // Additional context
  context: `
Patient works as an accountant. Busy season approaching (tax season) -
she expressed concern about maintaining productivity.
Prefers to avoid additional medications if possible.
  `,
});

console.log('Note ID:', note.data.noteId);