HSMC.GPCCMP

Active Problems: [List all active medical conditions and relevant health concerns for the patient, as discussed in the consult or found in the pre-consult context.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Inactive Problems: [List all inactive or resolved medical history of the patient, as discussed or found in the pre-consult context.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Allergies: [List all known patient allergies (e.g., drug, food, environmental) and reported reactions, as discussed or found in the pre-consult context.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Social History: [Describe the patient's current social situation, including living arrangements, children, employment status and occupation. Capture key details from the discussion.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Current Medications: [List all current medications the patient is taking, including dose, frequency, and any discussion regarding adherence or side effects.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Would a Home Medicine Review (HMR) be beneficial to this patient? [State 'Yes' if the patient explicitly agrees to a Home Medicine Review during the consult, or 'No' if not discussed or declined. If discussed, include reason for acceptance/decline.] Immunisations: [List historical immunisations of the patient, as found in the pre-consult context or discussed.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Action: [Document vaccine recommendations. Recommend flu vaccine if not received recently. Recommend COVID-19 booster if >6 months and patient is vulnerable. Recommend pneumonia vaccine for appropriate patients. List any other vaccines discussed.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Family History: [Describe relevant family history, specifically noting any history of diabetes, heart disease, cancer, or mental illness.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Smoking Status: [State the patient's current smoking status: 'Current smoker' (include pack-years if mentioned), 'Ex-smoker' (include quit date if mentioned), or 'Never smoked'.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Action: [If current smoker: document advice to reduce or quit smoking, and any support offered such as Quitline referral or pharmacotherapy.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Alcohol Use: [Describe the patient’s alcohol consumption: frequency and quantity in standard drinks per session.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Action: [Document advice provided about alcohol intake, especially if patient drinks >4 standard drinks per session or lacks alcohol-free days.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Health and Lifestyle: Diet: [Describe the patient's typical diet, including dietary restrictions, and number of daily serves of fruit, vegetables, dairy, protein and water.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Exercise: [Describe the patient's current exercise habits and activities.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Mental Health: [Describe any mental health concerns including stress, depression, anxiety or psychosis. Include services or medications used, and impact on daily life.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Sleep: [Describe the patient's current sleeping habits, including difficulty falling/staying asleep, or if they wake feeling unrested.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraphs.) Action: [Document all lifestyle advice given regarding diet, exercise, mental health, and sleep. Include standard health promotion advice, specific goals or actions, and supports recommended.] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet points.) Screening: Cervical Screening Test: [If the patient is female and between 25–70 years, record last CST and when next is due.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) FOBT: [If the patient is between 45–70 years, record last FOBT and when next is due.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Pathology: [Record last general bloods and next scheduled date.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Mammogram: [If the patient is female and between 50–75 years, record last mammogram and when next is due.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) PSA: [If the patient is male and over 40, mention if PSA was discussed, and whether it has been ordered.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) DEXA Scan: [If the patient is over 50, mention if necessity of a DEXA scan was discussed or ordered.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) CVR: [If the patient is over 35, state their Cardiovascular Risk score.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) AUSDRisk: [If the patient does not have diabetes, state the patient's AUSDRisk score.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Advanced Care Directive: [State whether the patient has an Advanced Care Directive and its location or discussion.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Follow-up appointment for review of GPCCMP in 3 months: [Confirm whether a follow-up has been made, and with whom (doctor/nurse), and whether it is face-to-face, phone, or video.] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) GP Chronic Condition Management Plan (GPCCMP): **1. [State the patient’s first chronic condition or specific healthcare need]** - **Patient Actions/ Lifestyle Goals** [List patient goals for this condition, using shared decision-making. Ensure goals are specific and measurable.] - **Required Treatments and Services** [List medications, lifestyle modifications, monitoring needs, and referrals.] - **Multidisciplinary Care Providers** [List relevant providers involved in care, or state GP only if no others involved.] **2. [State the patient’s second chronic condition or specific healthcare need]** - **Patient Actions/ Lifestyle Goals** [List patient goals for this condition, using shared decision-making. Ensure goals are specific and measurable.] - **Required Treatments and Services** [List medications, lifestyle modifications, monitoring needs, and referrals.] - **Multidisciplinary Care Providers** [List relevant providers involved in care, or state GP only if no others involved.] **3. [State the patient’s third chronic condition or specific healthcare need]** - **Patient Actions/ Lifestyle Goals** [List patient goals for this condition, using shared decision-making. Ensure goals are specific and measurable.] - **Required Treatments and Services** [List medications, lifestyle modifications, monitoring needs, and referrals.] - **Multidisciplinary Care Providers** [List relevant providers involved in care, or state GP only if no others involved.] (Continue adding additional chronic condition or specific healthcare need sections as discussed.) -- **GPCCMP Process Documentation:** - **Patient Consent and Agreement:** [Document verbal confirmation of patient's consent for plan preparation.] - **Offer of Plan Copy to Patient/Carer:** [Document whether copy of plan was offered and accepted/declined.] - **Plan Added to Medical Records:** [Confirm that the plan will be uploaded to the patient’s medical record.] - **Progress towards Goals (for Review):** [If this is a review, summarise patient’s progress toward previously documented goals.] - **Updates to GPMP (for Review):** [If this is a review, describe any updates made to the GPMP.] - **Information from Multidisciplinary Team (for Review):** [If this is a review, include updates or notes from other providers.] (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 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 section completely.) (Use as many lines, paragraphs or bullet points as needed to capture all relevant details clearl