Treatment Plans

Source: https://github.com/aipoch/medical-research-skills

When to Use

Use this skill when you need to produce a clinically actionable, professionally typeset treatment plan (LaTeX → PDF), especially when:

1. You must create an individualized plan for a patient across any specialty (medicine, surgery, rehab, behavioral health).
2. You need a concise “quick reference” plan (often 1 page) for busy clinical workflows.
3. You are coordinating multidisciplinary care (e.g., PCP + specialists + PT/OT + behavioral health) with clear roles and follow-up.
4. You must document chronic disease management with measurable targets, monitoring cadence, and escalation thresholds.
5. You need a structured plan for perioperative care or pain management with safety checks and risk mitigation.

Key Features

• Concise formats by default
  • Preferred: 1-page quick reference card
  • Standard: 3–4 pages (front-page executive summary + supporting detail)
  • Extended: 5–6 pages only when complexity requires it
• Front-page executive summary (Foundation-style)
  • Page 1 contains only: title + patient/report info + 2–4 colored “key boxes” (goals, interventions, decision points, timeline)
• SMART goals
  • Short- and long-term goals with measurable targets and time bounds
• Evidence-based interventions with minimal citations
  • Typically 0–3 brief in-text citations (e.g., “ADA 2024”)
• HIPAA-aware documentation
  • De-identification expectations and documentation hygiene
• Validation workflow
  • Completeness and quality checks via scripts (sections present, SMART goals, monitoring adequacy, safety/risk mitigation)
• Professional LaTeX styling
  • Custom style package with colored boxes and tables for scan-friendly clinical documents
• Visual support
  • Supports adding at least one diagram (e.g., pathway, timeline, decision algorithm) to improve usability

Dependencies

Versions may vary by environment; pin them in your project if you need reproducibility.

• Python: 3.10+
• TeX distribution: TeX Live 2022+ (or MiKTeX equivalent)
• LaTeX engines:
  • xelatex (recommended)
  • pdflatex (supported)
• Key LaTeX packages (commonly required by the style/templates):
  • tcolorbox (with most library), tikz/pgf, geometry, xcolor, fontspec (XeLaTeX/LuaLaTeX), fancyhdr, titlesec, enumitem, booktabs, longtable, array, colortbl, hyperref, natbib
• Project scripts (as referenced by this skill):
  • scripts/generate_template.py
  • check_completeness.py
  • validate_treatment_plan.py
  • timeline_generator.py
  • (optional) scripts/generate_schematic.py for diagram generation

Example Usage

Below is a complete, runnable example that (1) generates a template, (2) compiles to PDF, and (3) runs validation checks. Adjust paths to match your repository layout.

1) Generate a LaTeX template

cd .claude/skills/treatment-plans/scripts

# Generate a mental health plan template
python generate_template.py --type mental_health --output depression_treatment_plan.tex

2) (Optional) Generate a diagram for the plan

# Example: a simple treatment pathway flowchart
python scripts/generate_schematic.py "Depression treatment pathway: assessment -> CBT/SSRI -> monitoring -> escalation criteria" -o figures/depression_pathway.png

Include the figure in your .tex file (example snippet):

\begin{figure}[h]
  \centering
  \includegraphics[width=0.95\linewidth]{figures/depression_pathway.png}
  \caption{Treatment pathway overview.}
\end{figure}

3) Compile to PDF

# Recommended (better font support)
xelatex depression_treatment_plan.tex

# If you use bibliography features
bibtex depression_treatment_plan || true
xelatex depression_treatment_plan.tex
xelatex depression_treatment_plan.tex

4) Run completeness and quality validation

python check_completeness.py depression_treatment_plan.tex
python validate_treatment_plan.py depression_treatment_plan.tex

5) (Optional) Generate a timeline artifact

python timeline_generator.py --plan depression_treatment_plan.tex --output timeline.pdf

Implementation Details

Document length strategy

• Start with the 1-page format whenever possible.
• Expand to 3–4 pages only when you need supporting detail (education, coordination, safety monitoring).
• Use 5–6 pages rarely (multiple comorbidities, complex monitoring, research protocols).

Front-page executive summary (required pattern)

• Page 1 must be a scan-friendly summary:
  • Title/subtitle
  • Patient/report info box (de-identified)
  • 2–4 colored boxes:
    • Goals (SMART bullets)
    • Core interventions
    • Critical decision points / safety thresholds
    • Timeline overview
• Table of contents (if used) begins on page 2; detailed sections follow.

Minimal LaTeX skeleton:

\maketitle
\thispagestyle{empty}

\begin{patientinfo}
  % De-identified demographics, diagnosis, date, framework
\end{patientinfo}

\begin{goalbox}[Primary Treatment Goals]
  \begin{itemize}
    \item Goal 1 (metric + timeframe)
    \item Goal 2 (metric + timeframe)
  \end{itemize}
\end{goalbox}

\begin{keybox}[Core Interventions]
  \begin{itemize}
    \item Intervention 1 (dose/frequency if applicable)
    \item Intervention 2 (visit cadence / therapy frequency)
  \end{itemize}
\end{keybox}

\begin{warningbox}[Critical Decision Points]
  \begin{itemize}
    \item Escalate if threshold X is met
  \end{itemize}
\end{warningbox}

\newpage
\tableofcontents
\newpage

Core clinical sections (for standard 3–4 page plans)

Include only what changes decisions; prefer tables/bullets:

• Patient info (de-identified), diagnoses (ICD-10 where applicable)
• Assessment summary and risk stratification
• SMART goals (short- and long-term)
• Interventions:
  • pharmacologic (dose/route/frequency/titration + monitoring)
  • non-pharmacologic (lifestyle, therapy, education)
  • procedural/referrals/testing
• Timeline and follow-up schedule
• Monitoring parameters + escalation thresholds
• Expected outcomes (brief)
• Patient education (3–5 key takeaways + red flags)
• Risk mitigation (high-yield safety items only)
• Signature/date block

Citation policy (minimalist)

• Use brief in-text citations only when needed (guidelines, nonstandard regimens, controversial interventions).
• Typical target: 0–3 citations for a 3–4 page plan.
• Avoid long bibliographies unless explicitly required.

Validation logic (what scripts should check)

• Completeness: required sections exist (goals, interventions, monitoring, follow-up, education, risk mitigation).
• SMART quality: goals include metric + timeframe; avoid vague phrasing.
• Feasibility: timeline cadence matches interventions; monitoring is realistic.
• Safety: contraindications, interaction checks, escalation thresholds, opioid safeguards (if applicable).
• Compliance hygiene: de-identification expectations and documentation defensibility.

Template selection guidance

• one_page_treatment_plan.tex: default for most cases (quick reference)
• general_medical_treatment_plan.tex: internal medicine / general practice
• rehabilitation_treatment_plan.tex: PT/OT/SLP protocols and milestones
• mental_health_treatment_plan.tex: psychotherapy + pharmacotherapy + safety plan
• chronic_disease_management_plan.tex: long-term targets + coordination
• perioperative_care_plan.tex: pre/intra/post-op structure (ERAS, VTE, antibiotics)
• pain_management_plan.tex: multimodal analgesia + opioid risk mitigation