Table 1.

Top-rated follow-up questions for each selected patient message and actual questions from healthcare providers.

1. Patient: “I am having a dull pain in my abdomen under my ribs on the right side. Liver, or gallbladder, or other. I’d like to be seen. Thanks.” GPT4-Complex Please indicate if you have any symptoms: fever, jaundice (yellowing of the skin or eyes), changes in urine color, light-colored stool, nausea, vomiting, changes in appetite, weight loss, or fatigue. On a scale from 0 to 10, with 0 being no pain and 10 being the worst pain imaginable, how would you rate your abdominal pain? When did you first notice the pain under your ribs on the right side? Have you taken any over-the-counter medications to alleviate the pain? If so, which ones and have they provided any relief? Have you experienced any recent injuries or strain that might be related to your abdominal pain? Are you currently or could you possibly be pregnant? Have there been any recent changes in your bowel movements or eating habits? Have you had any similar pain in the past, and if so, was a cause determined at that time? Healthcare Provider: Do you have any other symptoms? How long has this been going on?
2. Patient: “Can I get a new prescription for 90 with a refill to (pharmacy name) in (town)? They say they can give me 60 but need a new prescription to give me the full 90. Thank you.” CLAIR: What medication are you requesting? Can you please confirm your current dosage? Healthcare Provider: Which medication are you referring to?
3. Patient: “Hey, I’ve got the vid I’m not too sick except my throat is killing me anything I can take? Hope you well!!!” CLAIR: Are you having any other symptoms besides the sore throat? Do you have a fever? Any shortness of breath? Are you vaccinated? If so, how many doses have you had? Are you currently in isolation? If so, for how long? What medications do you take? What does your throat feel like? Is it sore, scratchy, or something else? Healthcare Provider: Do you have strep?
4. Patient: “Hello, ever since baby started sleeping well, I’ve suffered from insomnia every few nights. It’s starting to cause lots of fatigue and anxiety around sleep. Wondering if there’s anything to be done medically. Thanks!” CLAIR: Do you have a history of depression or anxiety? What medications have you tried for sleep? How long has this been going on? Are you having trouble falling asleep, staying asleep, or both? What is your general sleep schedule? Healthcare Provider: What have you tried?
5. Patient: “I have a very bad UTI. Can you send me in a prescription?” CLAIR: What are your symptoms? Do you have a fever? How long have you been having symptoms? Do you have pain in your lower back? Are you having nausea, vomiting, or diarrhea? Have you had a UTI before? Have you had any testing done? What is your pain level? Healthcare Provider: Could you tell me about your symptoms, any fever, any back pain, pain with urination? Do you notice any blood in your urine? When did your symptoms start?
6. Patient: “Hey, Dr. X! I have a stupid sinus infection. It started out as a cold 2 1/2 weeks ago, and now its green and I have sinus pressure and pain on the right side. Can you send a Z pack to (pharmacy name) please? Thanks a bunch.” GPT4-Complex Please indicate if you have any symptoms: fever, headache, nasal congestion, decreased sense of smell or taste, cough, sore throat, fatigue, or dental pain. Has the color, consistency, or amount of nasal discharge changed recently? Have you noticed any new symptoms, such as vision changes, swelling around the eyes, or ear pain? Are you experiencing any difficulty breathing or shortness of breath? Have you taken any over-the-counter medications or remedies to alleviate your symptoms? If so, which ones and have they provided any relief? Have you had any similar infections in the past, and how were they treated? Are you currently pregnant or is there a possibility that you could be pregnant? Healthcare Provider: Are you running a fever? Are you having any shortness of breath or difficulty breathing? Have you taken any over the counter medications? Have you taken a covid test in the last 10 days?
7. Patient: “I have been going through some back pain it started in my neck and right shoulder I have been nursing the pain with Advil and ibuprofen along with heat and cold pack it works for a while returns when I go to bed.” CLAIR: Can you tell me a little bit more about the pain you’re experiencing? When did it start? Where is the pain located? Does anything make it better or worse? What have you done for it so far? How painful is it on a scale of 1-10? Healthcare Provider: Would you like to start some physical therapy or a trial of a muscle relaxant? How long has this been going on? Has there been any trauma?