For Dietitians ·
What you'll accomplish
Post-session bullet points go in; fully-written ADIME or SOAP notes come out in under 5 minutes. This guide builds that system and gives you a reusable prompt library for your most common patient conditions, cutting your daily charting time in half.
What you'll need
Go to claude.ai and click New chat in the left sidebar. You should see a clean white text field in the center of the screen.
What you should see: A blank conversation with the Claude assistant.
Start by explaining your preferred note structure. You only need to do this once per conversation, or save it in a Claude Project (see the advanced tip below):
Type the following (or your variation):
You are helping me write clinical nutrition notes. Always use ADIME format:
- Assessment: nutrition-focused findings, anthropometrics, labs, diet history
- Diagnosis: PES statement (Problem + Etiology + Signs/Symptoms)
- Intervention: dietary recommendations, education provided, referrals
- Monitoring: parameters to track, next labs, weight check-in frequency
- Evaluation: progress toward previous goals
Keep language clinical but concise. Ask me questions if key information is missing.
Troubleshooting: If Claude writes in SOAP format instead of ADIME, remind it: "Please use ADIME format only."
After Claude acknowledges your format instructions, paste your raw notes from the session. Don't worry about complete sentences — fragments and abbreviations are fine:
Patient: 68F, T2DM, CKD stage 3b, HTN
Wt: 187 lbs (down 2 from last month), HT: 5'4"
Labs: BMP from last week — K 5.3, eGFR 41, BUN 28, Scr 1.6, A1c 8.1
Dietary recall: 3 meals/day, eating bananas daily, drinking OJ, eating tomatoes.
Estimated 2200mg potassium/day — over target.
Education: Reviewed low-K diet list, discussed portion sizes. Patient says she'll try
switching OJ to apple juice.
Plan: Renal diet <2000mg K, continue monitoring A1c, recheck labs in 6 weeks.
Next appt: 6 weeks
After pasting your notes, type: "Please write the ADIME note."
What you should see: Claude drafts a complete note within a few seconds, structured with all five ADIME sections. It will be in paragraph form suitable for EHR pasting.
Troubleshooting: If the note is too long or reads as a list rather than clinical prose, add: "Write in concise clinical sentences, not bullet points. Maximum 300 words total."
Read every section carefully. Check:
Edit any section directly in Claude by typing: "Revise the Intervention section to include that I also reviewed the 'red light foods' handout."
Once satisfied, copy the note text and paste it into your EHR (Epic, Cerner, etc.) as you normally would. The AI-generated note is your draft — you are the clinician of record who reviewed and finalized it.
For a renal diet counseling session:
Write an ADIME note for a CKD patient. Stage: [3/4/5]. Labs: [K, eGFR, BUN, Scr, phosphorus].
Dietary issues: [what patient is eating that's problematic]. Education provided: [what you covered].
Goals: [K, phosphorus, protein targets]. Next labs in [timeframe].
For a diabetic patient follow-up:
Write an ADIME note for a T2DM follow-up. A1c: [value]. Weight change: [change].
Dietary recall findings: [carb pattern, portion issues]. Education: [what was covered].
Behavior change: [what patient committed to]. Next A1c in [timeframe].
For a new tube feeding/TPN consult (inpatient):
Write an ADIME note for an inpatient nutrition consult for a patient starting tube feeding.
Diagnosis: [primary dx]. Current status: [NPO/limited PO]. Estimated needs: [kcal] kcal,
[protein] g protein. Formula/rate recommended: [details]. Monitoring plan: [labs, tolerance checks].
For an eating disorder patient (outpatient):
Write an ADIME note for an outpatient eating disorder counseling session.
Presentation: [restriction/binging patterns observed]. Weight status: [trend, don't include specific weight if not clinically relevant].
Education/counseling: [what was explored]. Goals: [specific, behavioral, not weight-focused]. Next session: [timeframe].
For a bariatric post-op follow-up:
Write an ADIME note for a bariatric post-op visit at [weeks] post-surgery.
Diet stage: [liquid/pureed/soft/regular]. Weight: [current], [change from surgery].
Protein intake estimated: [g/day]. Supplement adherence: [status]. Concerns: [issues].
Education: [what was covered]. Goals for next visit: [specific].