[Today's Date]
1 November 2024
Dr. Eleanor Vance
Urology Associates
123 Harley Street
London, SW1A 1AA
Re: John Smith - Follow up consultation
Dear Dr. Vance,
I touched base with John Smith in my Prostate Clinic at the Harley Street Clinic today.
Mr. Smith presented today for a follow up consultation following his recent prostate biopsy. He reports some mild urinary frequency but no other significant symptoms. The biopsy results confirmed a Gleason score of 6 (3+3), indicating low-grade prostate cancer. We discussed the results and management options.
Plan:
- Discussed active surveillance as a primary management option.
- Ordered PSA blood test to monitor for changes.
- Scheduled a follow-up appointment in six months.
If you have any questions, please do not hesitate to contact me.
Your sincerely,
Dr. Thomas Kelly
Consultant Urologist
7894561
020 7123 4567
[Date]
[Referring Clinician's Name] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely)
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Re: [Patient's Name] - [Reason for referral] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely)
Dear [Referring Clinician's Name] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely),
I touched base with [Patient's Name] in my Prostate Clinic at the [location of clinic] today.
[Brief summary of healthcare encounter] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely)
Plan:
- [First key point of plan] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely)
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- [Third key point of plan] (include only if explicitly mentioned in the transcript, context or clinical note, else omit completely)
[Closing statement]
Your sincerely,
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(Never come up with your own referring clinician details, 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 to include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, just leave the relevant placeholder or section blank.)