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ヘルスケア

OpenAI Academy — ヘルスケア
Published: 2026-04-10

このページは、臨床現場の日常業務をAIがどのように支援できるかについての実践的な例をまとめたものです。初期のユースケースを検討している方も、既にAIを導入しているチームを支援している方も、ここにあるプロンプトとガイドは自信を持って前進するための助けとなるよう設計されています。

臨床医向けプロンプト

臨床医はエビデンスの検索、ガイドラインの照合、診療記録作成などに多くの時間を費やしています。これらの業務を効率化することで、患者との対面に充てる時間を増やせます。ChatGPT for Healthcare は病院の提供者向けに構築された安全なワークスペースで、HIPAAに準拠した使用を想定しており、信頼できる医療ソースからの引用を含む回答を提供できます。臨床ドキュメント作成、事前承認の準備、患者情報の要約などのタスクを支援し、事務負担を減らしてケアに集中することを助けます。

以下のプロンプトテンプレートは、臨床医が日常的なワークフローで ChatGPT for Healthcare をどのように活用できるかを示す例です。

適切な診断検査の選択

Example prompt（例）:
I am a hospitalist seeing a 62-year-old man with diabetes and chronic kidney disease who presents to the emergency department with fever, shortness of breath, and new confusion. Based on this presentation, outline a focused diagnostic workup and test selection, including labs, imaging, and microbiology, to evaluate for sepsis and possible pneumonia, and explain how the results would guide initial management in an acute care hospital setting.
Prompt template（テンプレート）:
I am a [clinical role, e.g., hospitalist, emergency physician, ICU fellow, NP, PA] caring for a [age]-year-old [gender] patient with [key past medical conditions] who presents with [chief complaint(s)] and [key acute symptoms or signs] in a [care setting, e.g., emergency department, ICU]. Based on this presentation, provide a focused diagnostic workup and test selection using [diagnostic methods, e.g., labs, imaging, microbiology] to evaluate for [suspected condition(s), e.g., sepsis, pneumonia, PE, stroke], and explain how the results would guide [initial management, triage, or treatment decisions] in a [clinical setting].

鑑別診断の整理

Example prompt（例）:
I am a clinician conducting a routine clinical assessment of a 28-year-old woman presenting with unilateral knee discomfort, intermittent calf tightness, and chest wall soreness after recent prolonged travel and increased physical activity. Generate a prioritized differential diagnosis and explain how patellofemoral pain syndrome can be distinguished from muscle strain, costochondritis, and stress-related symptoms using history, physical examination, and basic diagnostic evaluation.
Prompt template（テンプレート）:
I am a [clinical role, e.g., emergency physician, hospitalist, urgent care PA] evaluating a [age]-year-old [gender] with [chief complaint] and [key symptoms or exam findings] in the [care setting]. Generate a prioritized differential diagnosis for this presentation. For each diagnosis, explain what features of the history, exam, or initial tests would support or argue against it. Then explain how to distinguish [primary suspected condition] from [alternative diagnosis #1], [alternative diagnosis #2], and [alternative diagnosis #3] using bedside evaluation, labs, and imaging.

計画の作成（プラン立案）

Example prompt（例）:
I am a hospitalist managing a 74-year-old woman admitted with decompensated heart failure and worsening kidney function. Provide a problem-based assessment and plan covering volume management, medication adjustments, and discharge planning.
Prompt template（テンプレート）:
I am a [clinical role, e.g., hospitalist, ICU attending, NP, PA] managing a [age]-year-old [gender] admitted with [primary diagnosis] and [key complicating problems]. Create a problem-based assessment and plan that includes:
- The pathophysiology driving each active problem
- Diagnostics to trend or follow
- Therapeutic plan (medications, fluids, procedures, monitoring)
- Disposition and discharge planning
  Highlight how [comorbidity or complication] affects management and what would trigger escalation or de-escalation of care.

患者診察の記録（ドキュメンテーション）

Example prompt（例）:
I am a pediatrician seeing a 3-year-old boy with fever, cough, and wheezing. Write a concise but thorough clinical note for suspected viral bronchiolitis, including history, exam, assessment, and plan. Format it the way it would appear in a real chart.
Prompt template（テンプレート）:
I am a [clinical role, e.g., pediatrician, family medicine physician, resident] seeing a [age]-year-old [gender] with [chief complaint] and [key symptoms] in the [clinic / ED / hospital]. Write a concise but thorough clinical note including:
- History of present illness
- Relevant past history and medications
- Focused physical exam
- Assessment with differential
- Plan (diagnostics, treatment, and follow-up)
  Format it the way it would appear in a real chart.

患者への説明と次のステップ設定（カウンセリング）

Example prompt（例）:
I am an endocrinologist counseling a 60-year-old woman newly diagnosed with type 2 diabetes. Write patient-friendly after-visit instructions covering medications, diet, glucose monitoring, and when to seek care.
Prompt template（テンプレート）:
I am a [clinical role, e.g., endocrinologist, primary care physician, nurse practitioner] counseling a [age]-year-old [gender] with [diagnosis]. Write patient-friendly after-visit instructions that explain:
- What the condition means
- How [medications] should be taken
- Key diet, lifestyle, and monitoring recommendations
- Red-flag symptoms that should prompt urgent care
  Use clear, non-technical language appropriate for a [health-literacy level] patient.

安全なケアの移行（退院・引き継ぎ）

Example prompt（例）:
I am a hospital discharge planner coordinating care for a 72-year-old woman recovering from a hip fracture. Outline how you would communicate key issues to home health, physical therapy, and the primary care physician.
Prompt template（テンプレート）:
I am a [clinical role, e.g., hospital discharge planner, hospitalist, case manager] coordinating care for a [age]-year-old [gender] being discharged after [hospitalization or condition]. Outline the key information that must be communicated to:
- [receiving provider, e.g., primary care physician]
- [home health or rehab service]
- [specialist, if applicable]
  Include active problems, medications, pending tests, functional status, and follow-up needs, formatted as a clear handoff summary.

エビデンスとの照合（ガイドライン適用）

Example prompt（例）:
I am a cardiologist reviewing care for a 65-year-old man with new-onset atrial fibrillation. Summarize the current guideline-based recommendations for anticoagulation, rate versus rhythm control, and stroke prevention as they apply to this patient.
Prompt template（テンプレート）:
I am a [clinical role, e.g., cardiologist, pulmonologist, hospitalist] reviewing the care of a [age]-year-old [gender] with [condition] and [key comorbidities]. Summarize the current guideline-based recommendations for:
- Diagnosis and risk stratification
- First-line and second-line therapies
- Prevention of complications
  Then explain how these guidelines apply to this specific patient given [relevant risk factors or constraints].

臨床参考文献の取得と適用

Example prompt（例）:
I am a neurologist following a 79-year-old patient who had an ischemic stroke 2 years ago with minimal residual deficits. At his most recent visit, he reported memory decline, including losing his phone, and has become more irritable. His functional status in daily activities is mostly preserved. Should these symptoms raise suspicion for dementia, or are they more consistent with normal age-related cognitive changes? Provide a differential diagnosis and explain why it’s likely or not.
Prompt template（テンプレート）:
I am a [clinical role/specialty, e.g., neurologist, geriatrician, PCP] following a [age]-year-old [gender] patient who had [index neurologic event/condition, e.g., ischemic stroke/TIA/ICH] [timeframe, e.g., 2 years] ago with [degree of residual deficits, e.g., minimal residual deficits / moderate aphasia / mild hemiparesis]. At [his/her/their] most recent visit, [he/she/they] reported [cognitive concern, e.g., memory decline], including [example, e.g., losing phone/missed appointments/repeating questions], and has become [behavior or mood change, e.g., more irritable / apathetic / anxious]. [His/her/their] functional status in daily activities is [mostly preserved / mildly impaired / declining]. Should these symptoms raise suspicion for [condition, e.g., dementia / vascular cognitive impairment / Alzheimer’s disease], or are they more consistent with [normal age-related cognitive changes]? Provide a differential diagnosis and explain why it’s likely or not.

システムを用いてケアをガイドする

Example prompt（例）:
Summarize the recommended initial evaluation for new cognitive concerns in an older adult with prior ischemic stroke. Use our organization’s approved pathway if available and link to the relevant sections. Include key red flags, the focused history/exam (including collateral and meds), recommended screening tool(s), baseline labs, and when imaging is indicated.
Prompt template（テンプレート）:
Summarize the recommended initial evaluation for [clinical problem, e.g., new cognitive concerns / new weakness / unexplained weight loss] in a [age]-year-old [gender] with [relevant history, e.g., prior ischemic stroke, heart failure, diabetes]. Use our organization’s [approved pathway / local guideline / service-line protocol] if available and link to the relevant section or document. Include key red flags, the focused history and exam (including [collateral sources, meds, or risk factors]), recommended screening tool(s), baseline labs, and when imaging [or specialist referral] is indicated.

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Healthcare

要約

Summary

Key Points

翻訳