GP Note

Patient Name: [Patient's full name] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Date of Birth: [Patient's date of birth] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Date of Consultation: [Date of the consultation] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Address: [Patient's address] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Gender: [Patient's gender] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 1. Presenting Complaint [Brief summary of the main issue(s) the patient is presenting with today.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 2. Background [Relevant context including social history, occupation, lifestyle factors (e.g., smoking, alcohol, exercise), and family history if applicable.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 3. Medical History / Surgical History - [Chronic conditions (e.g., diabetes, hypertension)] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Past surgeries or hospitalizations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 4. Medication List - [Include all current medications, dosages, and frequency] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Include over-the-counter and herbal supplements if relevant] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 5. Allergies - [List any known drug, food, or environmental allergies] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Include type of reaction if known] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 6. Vital Signs - Blood Pressure: [Blood pressure reading] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Heart Rate: [Heart rate reading] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Respiratory Rate: [Respiratory rate reading] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Temperature: [Temperature reading] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Oxygen Saturation: [Oxygen saturation reading] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Weight / BMI (if relevant): [Weight and/or BMI] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 7. Examination / Assessment - [General appearance] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [System-specific findings (e.g., cardiovascular, respiratory, abdominal, neurological)] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Any relevant investigations or tests performed] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 8. Provisional Diagnosis - [Working diagnosis based on current findings] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Differential diagnoses if applicable] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 9. Red Flags - [Any concerning signs or symptoms that may indicate serious pathology] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Document if none present] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 10. Safety Netting - [Advice given to the patient regarding symptom monitoring] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [When to seek urgent care] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Any handouts or resources provided] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) --- 11. Regular GP Follow-Up - [Timeframe for next review] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Any referrals or investigations to be followed up] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Coordination with other healthcare providers if needed] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (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 placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)