132 - GP Letter

Thank you for your referral of [patient's first name], whom I reviewed for [condition, symptoms or results requiring further investigation]. [Summarise the patient's current status, including reasons for the review, any new medical illnesses, changes in medication, or resolution of previous conditions, and overall well-being.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a single paragraph of full sentences.) On examination, [findings of lymphadenopathy or hepatosplenomegaly] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a single sentence.) [Other relevant physical examination findings] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a single sentence.) **Past Medical History:** - [Past medical diagnoses and conditions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a bulleted list. If the bulleted list exceeds more than 5 lines, format into two columns.) **Medications:** - [Current medications] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Include dosage and frequency if available. Write as a bulleted list. If the bulleted list exceeds more than 5 lines, format into two columns.) **Investigations:** [Copy all investigations manually put into context notes by the doctor, do not summarise] (Only include the findings below if explicitly mentioned in transcript, context or clinical note, else omit entirely. Present in the following format:) **SA Path [Date]:** Hb [Hb value] WCC [WCC value] LC [Lymphocyte count value] PLT [Platelet value] Biochem [Biochem result or NAD] Igs all [Immunoglobulin result or NAD] PP 0 SFLC [SFLC ratio result: normal/abnormal] EBV and CMV [EBV/CMV result or not detected] Hep B, Hep C and HIV [hepatitis/HIV result or not detected] **Clinpath [Date]:** Hb [Hb value] MCV [MCV value] WCC [WCC value] LC [Lymphocyte count value] PLT [Platelet value] Biochem [Biochem result or NAD] Igs all [Immunoglobulin result or NAD] B12 [B12 result or normal] Iron studies [Iron studies result or normal] [Urine culture or other microbiology result] ESR [ESR value] CRP [CRP value] HbA1c [HbA1c value] TFTs [TFTs result or NAD] Lipid profile [Lipid profile result or summary] PSA [PSA value] **Clinpath [Date]:** Hb [Hb value] WCC [WCC value] LC [Lymphocyte count value] PLT [Platelet value] Biochem [Biochem result or NAD] **Impression:** - [Primary diagnosis and its current status, including stability of relevant markers] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) - [Secondary diagnoses or resolved conditions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) [Detailed narrative assessment of the patient’s condition, discussing the stability of the primary diagnosis, blood counts, organ function (renal, calcium, haemoglobin), imaging results, and any discussed risks of progression.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a single paragraph of full sentences.) **Suggested Management Plan:** - [Recommendations for ongoing assessments including frequency and specific tests (e.g., serum free light chains, protein electrophoresis, complete blood picture, renal function, electrolytes, liver function testing, IgG, IgM, IgA) and due dates for next testing] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) - [Recommendations for annual physical reviews, including assessment for specific clinical signs such as lymphadenopathy, hepatosplenomegaly, and evaluation for infections including specific immune markers] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) - [Counselling points for annual reviews, such as staying up to date with non-live vaccinations and age-appropriate malignancy screens] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) **An earlier review should be arranged if:** - [Concerning features or symptoms such as constitutional symptoms, new lymphadenopathy or hepatosplenomegaly, CRAB criteria, or rapidly rising K/L ratio] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) - [Criteria for discussing with the referring clinician, such as hypogammaglobulinaemia with frequent infections and potential eligibility for specific treatments] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a single bullet point.) [State the current follow-up plan with the specialist and provide instructions for the referring clinician regarding interim concerns.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in a single paragraph of full sentences.) (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.)