NWNTPCN Template (eGP)

(Write entire note with United Kingdom British English) (Include all negative findings in medical history and examination) (Do not include profanity if used during the consult) (Remove "-" at the beginning of sentences) (Do not have a bullet point without a sentence after it) (Do not write the word 'report' so frequently at the start of each sentence) [Current issues, reasons for visit, history of presenting complaints] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Any other associated symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Past Medical History: [Medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Surgical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Family history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Medications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Social history] (Include any relevant social factors, including smoking, alcohol, drug use, or occupational exposures. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Allergies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Exam findings [Vital signs] (Include metrics such as pulse, blood pressure, temperature, respiratory rate, oxygen saturation. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Physical or mental state examination findings, including system-specific examination(s)] (Make sure each system’s examination findings are separated line by line. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Impression & Plan: [1. Issue, problem or request 1 (issue, request or condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Impression, likely diagnosis for Issue 1 (condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Differential diagnosis for Issue 1 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Investigations planned for Issue 1 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Treatment planned for Issue 1 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Relevant referrals for Issue 1 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [2. Issue, problem or request 2 (issue, request or condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Impression, likely diagnosis for Issue 2 (condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Differential diagnosis for Issue 2 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Investigations planned for Issue 2 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Treatment planned for Issue 2 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Relevant referrals for Issue 2 (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [3. Issue, problem or request 3, 4, 5 etc (issue, request or condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Impression, likely diagnosis for Issue 3, 4, 5 etc (condition name only)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Differential diagnosis for Issue 3, 4, 5 etc (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. Do not invent or infer a diagnosis.) [Investigations planned for Issue 3, 4, 5 etc (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Treatment planned for Issue 3, 4, 5 etc (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Relevant referrals for Issue 3, 4, 5 etc (only if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) (If plans are duplicated, do not include this in repetition; the actions should be listed only once.) [Summary] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. If multiple issues or detailed plans, create an overall summary of actions for the patient and clinician on the actions needed by both. Do not repeat actions; keep this summary to 2-3 sentences. Any actions repeated by the clinician to the patient should be summarised in this section.) [Safety net such as any specific follow-up details or when to contact the practice or other healthcare services] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)