Cardiology Clinic Letter

(Write this letter in the second person, addressed directly to the patient. Write in plain English throughout, making the letter patient friendly. Write in a thorough manner. Always spell out acronyms in full. When referring to the clinician, use the first person singular, not first person plural. Do not mention follow up unless it has been explicitly mentioned in the transcript, contextual notes, or clinical note.) Diagnosis: [Confirmed diagnoses and any relevant past medical history, including relevant details and any additional context provided] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not invent or infer a diagnosis. Write in medical terminology without patient friendly descriptions. Write each item on a new line.) Actions for GP: [Actions specifically directed at the general practitioner or other members of the primary care team, including investigations to arrange, referrals, medication reviews, or follow-up tasks] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write each item on a new line.) Plan: [Management plan including investigations, treatments, procedures, referrals, lifestyle advice, and any other actions discussed] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not routinely state to continue medications unchanged unless explicitly discussed in the transcript, contextual notes, or clinical note. Write as bullet points.) Impression: [Clinical impression including detailed medical summary of the presentation, assessment, diagnostic reasoning, and clinical decision making] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not invent or infer a diagnosis. Write in the third person using detailed medical terminology for the benefit of healthcare providers. Write in paragraphs.) Medication: [Medications the patient was taking prior to the clinic visit, followed on a new line by any medication changes recommended during the clinic visit] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write the pre-clinic medication list as a horizontal list with commas between each drug. Write any medication changes on a new line beneath.) [Clinical presentation including reason for attendance, presenting symptoms, symptom characteristics such as onset, duration, severity and progression, and any associated symptoms] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in plain English in the second person as a paragraph of full sentences.) [Patient background including relevant past medical history, previous cardiac investigations or procedures, family history, social history, occupational history, and lifestyle factors such as smoking, alcohol and exercise] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in plain English in the second person as a paragraph of full sentences.) [Physical examination findings and investigation results including vital signs, cardiovascular and relevant systemic examination findings, and results of any investigations such as electrocardiogram, echocardiogram, blood tests, imaging or monitoring] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in plain English in the second person as a paragraph of full sentences.) [Treatment discussion including all treatment options considered, risks and benefits of each option as discussed with the patient, patient preferences, and any shared decision making] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in plain English in the second person as a paragraph of full sentences.) [Management suggestions including recommended next steps, lifestyle modifications, further investigations, referrals, and any safety netting advice given] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in plain English in the second person as a paragraph of full sentences.)