Annual Health Check

Patient attends for their annual health check. Last health check was [insert date] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.). Verbal informed consent obtained for use of Heidi AI transcription programme during consultation. Current Health Concerns: [bullet point current issues, reasons for visit, discussion topics, history of presenting complaints] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Past Medical/Surgical History: [bullet point past medical history, previous surgeries, births, hormone issues] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Current Medications and Drug allergies: [bullet point medications, dosage and frequency, as well as supplements and any herbal treatments. Bullet point any medication allergies with symptoms of allergy] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Family History: [bullet point medical problem and list family member next to it] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Social History: [bullet point social history detailing all that is said such as occupation; children; pets; smoking; alcohol; exercise; diet; caffeine; illicit drugs] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Screenings: [bullet point screenings completed and screenings due] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Vaccinations: [bullet point vaccinations up to date and vaccinations which are due] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Systems Review: [bullet point systems review under subheadings mentioning if normal and detailing when not] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit section entirely. List as bullet points.) - Eyes / Vision: [findings of flashing lights, floaters, blurring, glare, glasses, contact lenses, last eye check] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Dental Health: [findings of dental problems, last dental check] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Ears, Nose and Throat Systems: [findings of hearing, tinnitus, ear infections, lack of smell, nose bleeds, difficulty in swallowing, sore throat and sinus pain] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Cardiovascular System: [findings of chest pain, palpitations, blood pressure issues and ankle swelling] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Respiratory System: [findings of cough, wheeze and shortness of breath] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Abdominal System: [findings of abdominal pain, indigestion, change in bowel habit, blood in stool and bloating] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Neurological Systems: [findings of headaches, dizziness, fainting, numbness, weakness and quality of memory] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Breast and Gynae: [findings for female patients only on breast pain, breast lumps, breast cysts, period cycle frequency and days bleeding, pain on intercourse, vaginal infections or discharge] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Urinary Systems: [findings of urine infections, bladder pain, stress or urge incontinence] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Prostate and Sexual Function: [findings for male patients only on erections; flow, nocturia] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Musculoskeletal Systems: [findings of joint pains, knee, hip, shoulders, back, stiffness, myalgia] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Skin: [findings of any skin concerns, moles, crusty lesions which have not healed and rashes] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - Mental Health: [findings of mood, sleep, anxiety and stress] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) Examination: - [State if chaperone offered and accepted or declined] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely.) - [bullet point examination findings in detail, weight in kgs, height in cms, blood pressure in mmHg, waist circumference in cms, urinalysis, ECG findings] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Plan: [bullet point plan, interventions, evaluation, and plan for continuing care] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.)