Scribe BC - Gynaecoloy Oncology Note

[Insert patient name] is a very pleasant [insert patient age] female who is referred to the Gynecology Oncology unit for [Insert chief complaint] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Subjective: - [Insert Chief Complaint including onset, duration, associated symptoms, and impact on daily activities] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [History of Present Illness including symptom progression, previous treatments attempted, response to treatments, and current symptom severity] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Menstrual History including last menstrual period, cycle regularity, menstrual flow changes, postmenopausal bleeding if applicable] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Obstetric History including gravida, para, pregnancies, deliveries, miscarriages, abortions, and any pregnancy complications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Gynecologic History including previous gynecologic surgeries, abnormal pap smears, contraceptive use, hormone replacement therapy] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Past Medical History including relevant comorbidities, previous cancers, genetic predispositions, and significant medical conditions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Medications and Supplements including current prescriptions, over-the-counter medications, herbal supplements, and hormone therapies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely. Use a numbered list format) - [Allergies including specific allergens, type of reaction, and severity of allergic responses] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely. Use numbered list format) - [Social History including smoking status, alcohol use, recreational drug use, occupational exposures, and family support system] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) Objective: - [Vital Signs including blood pressure, heart rate, temperature, respiratory rate, oxygen saturation, weight, and BMI] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely. If height and weight have been mentioned then calculate the body mass index and add it to the vitals signs as BMI) - [Physical Examination Findings including general appearance, ECOG performance status, lymph node assessment, cardiovascular exam, pulmonary exam, and abdominal exam] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Abdominal Examination including inspection, palpation, percussion, auscultation, presence of masses, organomegaly, ascites, or tenderness] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Pelvic Examination including external genitalia, vaginal walls, cervix appearance, uterine size and mobility, adnexal masses, parametrial involvement, and rectovaginal exam findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Laboratory Results including complete blood count, comprehensive metabolic panel, tumor markers (CA-125, CEA, etc.), coagulation studies, and urinalysis] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Imaging Studies including ultrasound, CT scan, MRI, PET scan findings with specific measurements, staging information, and radiologist interpretations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) Assessment: - [Diagnosis including primary diagnosis, stage if applicable, histologic type, grade, and any metastatic disease] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Clinical Impression including prognosis, treatment candidacy, performance status assessment, and multidisciplinary team recommendations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) Plan: - [Treatment Plan including surgical options, chemotherapy regimens, radiation therapy, palliative care considerations, and timeline for interventions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely. If recommending surgery make the recommended procedure bold and underlined) - [Medications Prescribed including specific drug names, dosages, frequencies, duration of therapy, and monitoring requirements] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Patient Education and Counseling including discussion of diagnosis, treatment options, side effects, prognosis, fertility preservation, and support resources] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) - [Follow-Up Plan including specific appointment scheduling, monitoring parameters, symptom surveillance, and multidisciplinary care coordination] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the placeholder completely.) "This document was created using AI Ambient Scribe and Front-End Speech Recognition software and may include incorrect spelling/words. Consent for usage of AI was obtained by patient/guardian." (Never come up with your own patient details, assessment, plan, interventions, evaluation, or plan for 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.)