Clerking

C/c [describe the chief complaint(s) including their onset, duration, character, aggravating and relieving factors, and associated symptoms] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) PMHX [document relevant past medical history, including significant illnesses, hospitalizations, and surgeries] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Social history [detail the patient's social history, including living situation, occupation, smoking status, alcohol consumption, recreational drug use, and other relevant social determinants of health] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Medications and allergies [list all current medications, including dosage, frequency, and route, and any known drug allergies or adverse reactions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) NEWS [record the National Early Warning Score (NEWS) components: respiration rate, oxygen saturation, systolic blood pressure, pulse rate, level of consciousness, and temperature, along with the calculated score] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) O/E [document findings from the physical examination, including general appearance and specific system-based findings] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Blood [detail results from relevant blood tests, including specific laboratory values and their interpretation] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Imaging [summarize findings from any relevant imaging studies, including the type of imaging and key observations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Impression [provide a concise summary of the patient's condition, including differential diagnoses and the most likely diagnosis] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) Plan. [outline the proposed management plan, including further investigations, treatments, referrals, and patient education] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a paragraph.) (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.)