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doc_notes

Private working repository for generating structured Portuguese clinical diary notes from consultation transcripts.

Current purpose

  • Keep the clinical diary template in diario_template.md.
  • Store relevant writing/humanisation guidance used to keep generated notes natural, precise, and non-generic.
  • Preserve Portuguese medical wording in European Portuguese (pt-PT) unless explicitly told otherwise.

Humanized-copy reference

The relevant OpenClaw humanized-copy skill documentation is included under:

  • docs/humanized-copy/SKILL.md
  • docs/humanized-copy/references/blader-humanizer-SKILL.md
  • docs/humanized-copy/references/blader-humanizer-LICENSE.txt

The upstream humanizer reference is MIT licensed; the copied licence is included beside the reference file.

Clinical diary language rules

  • Use formal European Portuguese medical language.
  • Avoid Brazilian Portuguese vocabulary and phrasing.
  • Preserve clinical facts from the transcript; do not invent diagnoses, doses, timings, allergies, test results, or examination findings.
  • Follow the structure and compact style of diario_template.md.

Portugal-first research defaults

  • Treat Portugal as the default legal, clinical, and product context; avoid US-first assumptions unless explicitly comparing markets.
  • Health data is special-category data under GDPR/RGPD. In Portugal, Lei n.o 58/2019 Art. 29 makes health-data access need-to-know, confidential, secure, and traceable.
  • Expect CNPD-facing privacy work before real clinic deployment, especially DPIA/AIPD, audit logs, access controls, retention rules, and subprocessors.
  • Assume the healthcare scene includes SNS/SPMS systems such as SClinico and RSE/Area do Profissional, plus fragmented private clinic software.
  • Design for portal/manual-context workflows first, then official integrations, FHIR/HL7 where available, and browser-extension fallback only with clinic approval.
  • When researching, prioritize official Portuguese/EU sources: CNPD, PGDL/Diario da Republica, SPMS, SNS/gov.pt, HL7 Portugal, EDPB, and European Commission.

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