MedLexis Templates

Enter the clinical information once. Generate the appropriate professional output in another language.

MedLexis Templates is being designed around structured clinical meaning rather than ordinary free-text translation. A healthcare professional will be able to complete a clinical template in one supported language and select another language for the completed output. MedLexis Templates is being designed differently from an ordinary translation tool. Rather than asking a language model to translate an already written clinical paragraph, the user completes structured clinical fields. The information is represented independently of the language in which it was entered. The user can then request the completed output in another supported language. 

 

Clinical reports, summaries and professional documentation

MedLexis Templates will extend beyond condition-specific review forms to include structured reports, summaries and professional communications used across healthcare. Examples may include discharge summaries, referral summaries, SBAR handovers, medication reviews, laboratory communications, imaging procedure summaries and MRI or CT technical reports. The user will enter the relevant findings or events in the language in which they are most comfortable working, while MedLexis retains the underlying clinical information as structured data and generates the completed report in the selected target language and professional register. The aim is not merely to translate a finished document, but to produce locally appropriate professional documentation from the same underlying clinical meaning.

For example:

Input language: French
Output language: UK English

or:

Input language: Spanish
Output language: French

The output should read as appropriate professional clinical documentation in the selected target language — not as a visibly literal translation.

 

Why structured templates?

Important information can be kept as protected fields, including:

medicine names · doses · units · frequencies · numerical results · dates · laterality · positive/negative findings · procedure details · follow-up intervals

This reduces reliance on unrestricted free-text translation and allows the same information to be expressed consistently across languages.

 

How cross-language report generation will work

The user first chooses the language in which they wish to enter the information.

For example:

Complete template in: French

The form headings, selectable options and guidance are then displayed in French.

A clinician completing an MRI procedure summary might select or enter:

Examen : IRM du rachis lombaire
Produit de contraste : non administré
Tolérance : bonne
Artéfact de mouvement : léger
Examen : réalisé dans son intégralité

These entries are not stored simply as one French paragraph. Wherever possible, MedLexis represents them as language-independent clinical fields:

Examination: MRI lumbar spine
Contrast: not administered
Tolerance: well tolerated
Motion artefact: mild
Completion status: completed

The user then chooses:

Generate in: UK English

MedLexis can generate:

MRI of the lumbar spine completed in full without contrast administration. Examination was well tolerated. Mild motion artefact was present.

The same structured information could also generate an appropriate French or Spanish version.

For controlled fields, MedLexis can map each selection directly to approved terminology and phraseology in the target language.

Where free-text information is necessary, later versions may use constrained AI-assisted translation combined with terminology controls and checks for clinically important information such as:

  • numbers and measurements;
  • medicine names and doses;
  • anatomical site and laterality;
  • positive and negative findings;
  • dates and intervals;
  • specimen or procedure information.

The original entry and generated output can therefore remain separate rather than one replacing the other.

 

Free report and documentation templates

The open-access version should demonstrate several different professional uses rather than provide only Diabetes and Hypertension forms. We propose making the following templates available free of charge:

1. Diabetes Review

A structured chronic-disease review covering glycaemic monitoring, treatment, hypoglycaemia, complications, lifestyle and follow-up.

2. Hypertension Review

A structured review covering blood pressure, medication, adherence, adverse effects, monitoring, lifestyle and follow-up.

3. General Discharge Summary

  • A concise structured template covering:
  • reason for attendance/admission;
  • key diagnosis or problem;
  • important investigations;
  • treatment provided;
  • medication changes;
  • outstanding investigations;
  • warning signs;
  • follow-up arrangements.

NB: The public version should exclude patient-identifying fields.

4. SBAR Handover

A structured professional-to-professional template covering:

Situation · Background · Assessment · Recommendation

This would be particularly useful for demonstrating cross-language professional communication.

5. Imaging Procedure Summary

A generic radiography/CT/MRI technical template covering:

  • examination performed;
  • body region;
  • contrast administration;
  • patient tolerance;
  • technical difficulty;
  • motion or other artefact;
  • incomplete examination;
  • adverse event;
  • escalation or follow-up.

This is preferable initially to offering a full diagnostic radiology report, because the latter involves much greater specialty-specific interpretation and clinical risk.

6. Laboratory Specimen / Sample Communication

A simple laboratory template covering matters such as:

  • sample received;
  • specimen type;
  • insufficient volume;
  • incorrect container;
  • haemolysis;
  • labelling problem;
  • sample rejected;
  • repeat specimen requested.

This demonstrates that MedLexis can support laboratory professionals as well as doctors and nurses.

These six free templates would give visitors a realistic view of the wider platform while reserving the much larger specialty-specific template database for professional access.

 

Free interactive template 1

Hypertension Review

The free version will allow the user to complete a basic structured hypertension review and generate the completed template in another supported language.

Review type

□ Routine hypertension review
□ Newly diagnosed hypertension
□ Medication review
□ Blood-pressure control review
□ Review following treatment change

Blood-pressure assessment

Clinic blood pressure
Systolic: ______ mmHg
Diastolic: ______ mmHg

Home blood-pressure monitoring available?

□ Yes
□ No

If yes:

Average systolic: ______ mmHg
Average diastolic: ______ mmHg

Current antihypertensive medication

Medicine: ______________________________

Dose: ______________________________

Frequency:

□ Once daily
□ Twice daily
□ Other: __________________

Additional medicine, if applicable: ______________________________

Medication adherence

□ Taking medication as agreed
□ Occasionally misses doses
□ Frequently misses doses
□ Stopped medication
□ Uncertain / not assessed

Reported adverse effects

□ None reported
□ Dizziness
□ Postural symptoms
□ Ankle swelling
□ Cough
□ Other: ______________________________

Relevant monitoring

Renal function

□ Stable
□ Abnormal / requires review
□ Not available

Electrolytes

□ Within expected range
□ Abnormal / requires review
□ Not available

Lifestyle reviewed

□ Dietary salt
□ Physical activity
□ Weight
□ Alcohol
□ Smoking
□ Other: ______________________________

Management

□ Continue current treatment
□ Medication adjustment required
□ Further investigation required
□ Home monitoring requested
□ Referral required
□ Other: ______________________________

Follow-up

□ 2 weeks
□ 4 weeks
□ 3 months
□ 6 months
□ Other: ______________________________

Free interactive template 2

Diabetes Review

The free Diabetes template will demonstrate the same cross-language structured-document principle.

Review type

□ Routine diabetes review
□ Newly diagnosed diabetes
□ Glycaemic-control review
□ Medication review
□ Complication-monitoring review

Diabetes type

□ Type 1 diabetes
□ Type 2 diabetes
□ Other / uncertain

Glycaemic monitoring

Latest HbA1c

________ mmol/mol

Date, if required: __________________

Current treatment

□ Lifestyle management only
□ Oral medication
□ Injectable non-insulin medication
□ Insulin
□ Combination therapy

Medicine: ______________________________

Dose: ______________________________

Frequency: ______________________________

Medication adherence

□ Taking treatment as agreed
□ Occasionally misses treatment
□ Frequently misses treatment
□ Has stopped treatment
□ Uncertain / not assessed

Hypoglycaemia

□ None reported
□ Occasional
□ Recurrent
□ Severe episode reported
□ Requires further assessment

Glucose monitoring

□ Not currently undertaken
□ Finger-prick blood-glucose monitoring
□ Continuous glucose monitoring
□ Flash glucose monitoring
□ Other: ______________________________

Complication monitoring

Renal

□ Reviewed
□ Requires review
□ Not assessed

Eye screening

□ Up to date
□ Due
□ Status unknown

Foot assessment

□ Completed
□ Due
□ Requires further assessment

Neuropathy symptoms

□ None reported
□ Reported
□ Not assessed

Cardiovascular risk

□ Reviewed
□ Requires review

Lifestyle reviewed

□ Diet
□ Physical activity
□ Weight
□ Smoking
□ Alcohol

Management

□ Continue current treatment
□ Treatment adjustment required
□ Further blood tests required
□ Additional monitoring required
□ Referral required
□ Other: ______________________________

Follow-up

□ 2 weeks
□ 4 weeks
□ 3 months
□ 6 months
□ 12 months
□ Other: ______________________________

 

How multilingual templates will work

A template completed in French might contain:

Motif : suivi habituel de l'hypertension
Pression artérielle : 148/92 mmHg
Traitement : amlodipine 5 mg une fois par jour
Observance : traitement pris régulièrement
Effet indésirable : œdème léger des chevilles
Suivi : trois mois

The user selects:

Generate → UK English

MedLexis might produce:

Routine hypertension review. Clinic blood pressure 148/92 mmHg. Currently taking amlodipine 5 mg once daily and reports taking treatment regularly. Mild ankle oedema reported. Review planned in three months.

The same underlying information could also be rendered in professional French or Spanish.

The objective is professional reformulation from structured clinical information, rather than word-for-word translation.

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