Letter to GP by DrZeminCao

Subjective: [Detailed history of the presenting complaint(s), including onset, duration, severity, aggravating or alleviating factors, associated symptoms, previous treatments and responses, and owner/patient-reported concerns] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences, using the patient as the subject, e.g., "I reviewed Mr/Mrs [X]. He/She has...".) Objective: [Vital signs including weight, blood pressure, and other relevant parameters] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences.) [Physical examination findings with emphasis on endocrine examination: thyroid exam, skin markers, secondary sexual characteristics, growth parameters in children, etc.] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences.) [Investigation results including laboratory tests, imaging studies, or other diagnostics] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences.) Patient Education: [Education provided on the diagnosed condition including its nature, impact on health, complications, and importance of treatment adherence. Include any medication changes, new medications, or medications advised to stop if explicitly mentioned.] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences, from clinician’s perspective, e.g., "I explained to him/her that...".) [Instructions for monitoring and managing symptoms, such as glucose monitoring for diabetes, or weight/temperature monitoring for thyroid conditions] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences.) [Concerns raised by patient or family during consultation] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences.) Plan: [Planned follow-up arrangements including timing (weeks/months), location, or further investigations] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as narrative in full sentences, e.g., "I plan to review Mr/Mrs [X] in...".) Medical History: [List medical diagnoses mentioned during consultation] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as list.) Medication List: [List medications and doses mentioned during consultation, including new medications and changes to existing medications] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as list.) (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. If information has not been explicitly mentioned, omit it completely. Write in paragraphs of full sentences unless otherwise specified.)