HK

[Patient name & date of birth] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Patient ID] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Date of consultation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) **Diagnosis:** [Diagnosis including date of diagnosis] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as bullet points.) **Clinical Phenotype:** [Clinical phenotype including any relevant antibodies or markers] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write in full sentences.) **Relevant Medications:** Current medication: [Current medications including dosages and any specific instructions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as bullet points in full sentences.) **Previous Rheumatology Medications / DMARDs / Biological Therapy:** [Previous Rheumatology medicines, biological therapies or DMARDs used] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as bullet points.) **Allergies:** [Any medication allergies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write in full sentences.) **Notable Comorbidities:** [Notable comorbidities including family history if relevant] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write in full sentences.) [Patient's report on symptoms or lack thereof] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write in full sentences.) [Examination findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as bullet points.) **Investigations:** [List of investigations to be conducted] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list.) **Assessment:** [Chaperone option for female patients] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write in full sentences.) [Assessment of the patient's condition including stability and symptom status] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list.) [Examination findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list.) **Plan:** [Treatment plan including medications and dosages] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list.) [Additional tests or referrals] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list.) **Follow up:** [Follow-up period] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Write as a list or single line.) Dr [Doctor's name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Doctor's title and qualifications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (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 for all information you include. If any information related to a placeholder has not been explicitly mentioned, do not state that it has not been mentioned — simply leave the relevant placeholder or section blank. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript. Do not include any patient quotes.)