Fampridine follow-up assessment

FAMPRIDINE CLINIC – FOLLOW-UP ASSESSMENT ---------------------------------------- PATIENT DETAILS "Full Name: " [patient's full name] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "DOB: " [patient's date of birth] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " (Age: " [patient's age] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)")" "NHS Number: " [patient's NHS number] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "Hospital/CH No: " [patient's hospital or clinic number] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) BASELINE MEASURES (Pre-treatment) "10m Walk: " [baseline 10-meter walk time in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "9HPT – Dominant: " [baseline 9-Hole Peg Test time for dominant hand in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "9HPT – Non-Dominant: " [baseline 9-Hole Peg Test time for non-dominant hand in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "DSST: " [baseline Digit Symbol Substitution Test score] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) CURRENT FOLLOW-UP MEASURES "10m Walk: " [current 10-meter walk time in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "9HPT – Dominant: " [current 9-Hole Peg Test time for dominant hand in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "9HPT – Non-Dominant: " [current 9-Hole Peg Test time for non-dominant hand in seconds] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " sec" "DSST: " [current Digit Symbol Substitution Test score] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) CALCULATED CHANGE "10m Walk Improvement: " [calculated percentage improvement in 10-meter walk test] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " %" "Responder threshold: ≥20%" "Responder status:" [responder status based on 10m walk improvement and threshold, with corresponding continuation or discontinuation advice for fampridine] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "9HPT – Dominant: " [baseline 9-Hole Peg Test time for dominant hand] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " → " [current 9-Hole Peg Test time for dominant hand] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " (Δ ______ %)" "9HPT – Non-Dominant: " [baseline 9-Hole Peg Test time for non-dominant hand] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " → " [current 9-Hole Peg Test time for non-dominant hand] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " (Δ ______ %)" "DSST: " [baseline Digit Symbol Substitution Test score] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " → " [current Digit Symbol Substitution Test score] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) " (Δ ______ %)" CLINICAL IMPRESSION "Mobility improvement noted: " [description of observed or reported mobility improvement] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "Patient-reported benefit: " [description of patient's subjective report of benefit from treatment] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "Adverse events: " [details of any adverse events reported by the patient] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) CLINICIAN NOTES [detailed notes from the clinician regarding the patient's assessment, progress, and relevant observations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) DECISION [final decision regarding the patient's treatment plan, including rationale] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "Clinician: " [name of the clinician] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) "Date: " [date of the assessment] (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.)