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side-effect-log.md

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Side-effect log — short name

Urgent or rapidly worsening symptoms need a clinician or local emergency service. Close the AI workflow and contact a qualified human service.

AI may format this log. It must not decide whether a symptom is safe.

Baseline

  • Treatment or medication:
  • Start date:
  • Relevant source ID:
  • Symptom before treatment: yes / no / unknown

Entries

YYYY-MM-DD HH:MM

  • Symptom in my own words:
  • When it started:
  • Pattern:
  • Intensity in my own scale:
  • Effect on eating, sleep, movement, or daily activity:
  • Measurements taken, with units:
  • Medication or treatment timing:
  • What I did:
  • Clinician contacted: yes / no
  • Advice received, copied exactly:
  • Source of advice:
  • File or photo saved locally:

Questions for the clinical team

Changes made by the clinical team

Date Change Clinician / source Follow-up date