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History of Presenting Complaint (HPC): - [describe presenting symptoms, duration, and onset] (provide details using SOCRATES) - [further details on associated symptoms] (detail specific associated symptoms related to AUB, if applicable) Past Medical History: - [describe any past history of abnormal uterine bleeding or gynecological issues] (include only if mentioned) - [history of bleeding disorder] (only include if mentioned) - [list other relevant past medical history, including surgeries] (include only if mentioned) Medications and Allergies: - [list current medications and herbal supplements] (include dose, frequency, and duration) - [list allergies] (e.g. "(penicillin (hives)") Family History: - [describe any relevant family history of gynecological issues or bleeding disorders] (include only if mentioned) Screening Questions: - Menstruation: - [current cycle status] (where in the cycle?) - [menstrual cycle length] (length, regularity) - [bleeding details] (bleeding length and volume) - [age at menarche] (when did menstruation start?) - Change of Pregnancy: - [assess possibility of pregnancy] (include assessment details) - Previous Pregnancies: - [details of previous pregnancies] (GxPx, outcomes) - [plans for current or future pregnancies] (if applicable) - Contraception: - [current contraceptive method] (which method?) - [duration of use] (how long?) - [recently missed pills] (if applicable) - Menopause Status: - [current menopause status] (At what stage of pause is the is patient? e.g. preo post-menaupausal) - [use of hormone replacement therapy] (HRT usage) - Sexual History: - [details of sexual history] (ensure STI risk is explored) Review of Systems (ROS): - [describe any other relevant symptoms identified in a review of systems] (include only if mentioned)(ensuan urinary chnages and bowel changes are included) Investigations: - [list relevant lab tests and imaging results] (include only if applicable) SESSION CONTENT: - [Describe any issues raised by the patient.]. (use as many bullet points as needed to capture all the details discussed; only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) - [Describe details of relevant discussions with patient during the session.]. (use as many bullet points as needed to capture all the details discussed; only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) - [Describe the therapy goals/objectives discussed with patient.]. (use as many bullet points as needed to capture all the details discussed; only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) - [Describe the progress achieved by patient towards each therapy goal/objective.]. (use as many bullet points as needed to capture all the details discussed; only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) - [Detail the main topics discussed during the session, any insights or realisations by the patient, and the patient's response to the discussion]. (use as many bullet points as needed to capture all the details discussed; only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) PLAN FOR NEXT SESSION - Next Session: [mention date and time of next session]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) - [Detail the specific topics or issues to be addressed at the next session, any planned interventions or techniques to be used]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank) Assessment andsPlan: - [summarize clinical assessment and management plan] (include diagnosis, differential diagnoses, and follow-up plans) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or section blank.) (Use as many bullet points as needed to capture all the relevant information from the transcript.)