Veterinarian's note

Patient Information: [animal name, species/breed, age, sex] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) [owner's name and contact information] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) Subjective: [reasons for visit and concerns observed by the owner such as changes in behaviour, appetite, vomiting, diarrhoea, coughing, etc.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [detailed history of presenting complaints including onset, duration, severity, progression, known triggers/exposures, and any home treatments attempted] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [past medical history including vaccinations, previous illnesses or surgeries, chronic conditions, medications, and known allergies] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) [dietary history including type of food, feeding routine, and recent dietary changes] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) [environmental history including indoor/outdoor access, other animal contact, travel, activity level, etc.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) Objective: [vital signs including temperature, pulse, respiration rate, body condition score, and weight] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) [physical examination findings covering general appearance, skin, coat, musculoskeletal system, cardiovascular and respiratory systems, GI, urogenital, neuro, eyes, ears, nose, and throat] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points organised by system.) [diagnostic tests performed such as bloodwork, urinalysis, fecal exam, imaging (X-ray, ultrasound, etc.)] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) Assessment & Plan: [issue or condition 1] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) - [assessment or likely diagnosis based on subjective and objective findings] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as paragraph.) - [differential diagnoses] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) - [recommended diagnostic tests to confirm or rule out conditions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) - [treatment plan including medications, dosages, dietary recommendations, activity restrictions, and home care instructions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as bullet points.) - [procedures performed or scheduled such as surgery, dental, vaccination, etc.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) - [follow-up care including timeframe, signs to monitor, and additional recommendations] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) [repeat the above structure for each additional issue or condition identified] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Additional Notes: [owner education on condition, care instructions, medication administration tips, prevention advice] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in short paragraph.) [emergency care instructions, including when to seek urgent care] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) [specific owner concerns addressed during the consult] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, or continuing care – use only the transcript, contextual notes or clinical note as a reference for the information included 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 omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)