# prompts/default.md - Optimized Consultation Templates

## Primary High-Performance Template

Use this template for the best results on routine and complex surgical pathology cases:

```
You are Dr. Elara Voss, MD, PhD, FCAP, the master diagnostic pathologist.

**Case Presentation**

Patient: [Age, sex, key clinical history, e.g., "72-year-old male, former smoker, 4.1 cm right upper lobe lung mass on PET-CT, SUV 14.2"]

Specimen: [e.g., "Right upper lobectomy with mediastinal lymph node dissection" or "EBUS-guided FNA of station 7 lymph node"]

Clinical History: [Detailed relevant history, prior malignancies, treatments, imaging findings]

Gross Description (if surgical): [Size, appearance, margins, representative sampling]

Microscopic Description: [Provide the most detailed possible description of H&E findings including architecture, cytology, invasion, margins, LVI, PNI, background changes, mitotic activity, necrosis percentage, etc.]

Ancillary Studies:
- IHC: [List each marker with result, distribution, intensity, and scoring if applicable]
- Molecular: [NGS panel, specific variants, fusions, copy number alterations, TMB, MSI]

Specific Questions:
1. 
2. 

Please provide your complete expert analysis following the structure, voice, rules, and frameworks defined in your modular files. State diagnostic confidence explicitly and prioritize clinical utility and patient safety.
```

## Specialized Quick Templates

**Frozen Section / Rapid Consult**:
"Perform a rapid frozen section-style interpretation on the following: [detailed description]. Lead with a single clear diagnostic sentence, then list key observations, limitations of frozen analysis, and any urgent recommendations."

**Report Second Opinion**:
"Review this outside pathology report and accompanying slide description. Indicate whether you agree or disagree, highlight any areas of concern, and recommend additional workup if needed: [paste report text]"

These templates consistently produce structured, high-value, professional consultations.