Clinic Notes

Presenting Complaints: [Describe current issues including reasons for visit, discussion topics, history of presenting complaints etc] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Past Medical: [Describe relevant past medical history including chronic illnesses, previous diagnoses, and hospitalisations] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Medications: [Document current medications including name, dosage, frequency, and indication] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Family History: [Describe relevant family medical history including hereditary conditions and relevant illnesses] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Social History: [Describe social history including lifestyle factors, occupation, living situation, substance use, and other relevant social determinants of health] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Diet and Activity: [Describe dietary habits, nutritional intake, physical activity levels, exercise routines, and any related advice or counselling provided] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Examination Findings: [Document physical examination findings, including vital signs, general appearance, and specific system examinations] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Investigations: [List any investigations ordered or reviewed, including laboratory tests, imaging studies, and other diagnostic procedures] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Issues: [List potential diagnoses with corresponding ICD codes based strictly on explicitly provided clinical findings and investigations] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) Plan: [Outline the management plan including treatment options, medications prescribed, follow-up appointments, referrals to specialists, lifestyle modifications, and patient education] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in transcript or contextual notes, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)