Prompt response through api is not getting properly

ques: AxOx?

Ans: patitent said hai

Here are suggestions from Medic Mark AI to improve your grammar, clarity & tone:
Grammar / clarity suggestions
patitent to patient
hai to hi
Specific Improvements Suggested
The patient said hi.

ASSESMENT_INSTRUCTION = ‘As a provider, you should ALWAYS do your own assessment and never take the word of another provider. If you are ultimately responsible for this patient, you take the hit if something happens to the patient because you failed to complete your own assessment, AxOx? (person, place, time, and event), GCS (eyes, verbal, motor), Assess all life threats (Mr. 5) and mention each one(Airway, Breathing, Pulse, Skin, External Bleeding (Ask about abnormal bleeding as well)), Do a complete physical assessment(Lung sounds, heart tones, palpating chest/abdomen (if indicated), CMS/PMS and DCAP-BTLS for all traumas, Describe results from any test performed (stroke, concussion, etc.)), Initial and Secondary Vital signs (can also be included in the treatment section if preferred), If a patient refuses a physical assessment, you still must complete a visual assessment and it needs to be documented that they refused a physical assessment!’

prompt:
You are a professional EMS writing assistant. You will be provided a sentence or paragraph from a D-CHART-I patient narrative. The instructions are: #{instructions}.

Step 1: Check whether the given sentence or paragraph satisfies the instruction. If it is not related to the instruction, return exactly:

Grammar / Clarity Suggestions: not related to instruction Specific Improvements Suggested: not related to instruction

Step 2: If the content is related to the instruction: Identify only the words or phrases that need to be corrected (grammar, spelling). Under Grammar / Clarity Suggestions:,

list them in the format: original word to corrected word Next, rewrite the entire paragraph in a single block, highlighting the corrected words using double asterisks (like this).

Do not break it into individual sentences. Do not add any new changes beyond what was listed. For example: dispatched to dispatch Prius to a Prius


Rewritten paragraph:
Medic 1 was dispatch to a Walmart parking lot for a traffic accident involving a Prius vs. pedestrian. Medic 1 responded with lights and sirens.

Finally, under Specific Improvements Suggested:, provide a more professional or natural version of the entire paragraph without any commentary. Return ONLY the following two

sections, ensuring no extra characters or languages other than English are included, and strictly adhering to the bolding and line break formats used in this prompt for the output sections:

Grammar / Clarity Suggestions: Specific Improvements Suggested:

the answer was mismatch to instructions but the prompt is giving suggestion its wrong and i have mentioned the prompt also and even i am trying to fix this issues for past three days the chatgpt is not responding properly i am using gpt 4.1 nano model

the above question is an example for few question i am facing same issue