Follow-Up Consult (Vascular Surgery)

(All notes should be listed without full stops at the end of the sentence.) (Use British English spelling to generate all notes.) (No full stops to be used after titles or initials.) (All numbers to be in numerical format, not text.) (Only use bullet points when generating a multi-level list as in the Assessment section, not in the rest of the template.) (Generate notes in telegraphic style. Use short phrases, no filler words. Omit articles such as the, a, an. Summarised, concise format preferred.) PATIENT [Full name of patient] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) DATE OF CONSULTATION [Date of consultation] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) PLACE OF CONSULTATION [Location of consultation including whether the patient was seen in rooms or in hospital, and if so, which rooms or which hospital] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) PROBLEM LIST [Patient age] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave the placeholder blank and do not omit the heading.) -year-old [male or female] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave the placeholder blank and do not omit the heading.) [Duplicate of the Assessment section from the last patient encounter as indicated in the contextual notes, reproduced word for word] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Duplicate word for word.) NEW CONCERNS/COMPLAINTS [New complaints or concerns raised by the patient, or confirmation that no new complaints were raised] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) CLINICAL EXAMINATION [New relevant clinical findings and absence of relevant findings where applicable] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) SPECIAL INVESTIGATIONS Laboratory Results [New completed laboratory investigations with results] (Only include completed investigations with results if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Planned or ordered investigations should be documented under the Plan section.) Imaging Studies [New completed imaging investigations with results] (Only include completed investigations with results if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Planned or ordered investigations should be documented under the Plan section.) Other [New completed investigations not listed under laboratory or imaging, including electrocardiogram and echocardiogram, with results] (Only include completed investigations with results if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Planned or ordered investigations should be documented under the Plan section.) ASSESSMENT [Patient age]-year-old [male or female] [Updated problem list based on the Problem List section of this note, incorporating new findings from today's history, examination, and investigations while retaining original wording, with each problem named clearly, stratified by severity or risk stage, and including control status where relevant] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not invent or infer a diagnosis. Write as a multi-level bullet-point list using concise clinical wording without filler words. If the patient is diabetic, include type of diabetes, insulin use, level of glycaemic control based on HbA1c, and any evidence of diabetic complications. If the patient has hypertension, include whether it is controlled, the number of antihypertensive agents, and any evidence of target organ damage. If the patient has chronic obstructive pulmonary disease, include severity according to GOLD classification if lung function tests are available and frequency of exacerbations. Include relevant imaging findings and previous interventions under the corresponding condition.) PLAN [Investigations planned, treatments planned, and any other relevant actions including counselling, referrals, and lifestyle recommendations] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write as a multi-level bullet-point list.) TTO [To take out medications] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave the placeholder blank and do not omit the heading.) FOLLOW-UP DATE [Follow-up date] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave the placeholder blank and do not omit the heading.) DOCTORS TO BE COPIED IN [Names of all doctors involved in the patient's care to whom the report should also be sent] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Comments [Patient education, monitoring and management instructions, and any specific patient or family concerns addressed during the consultation] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave the placeholder blank and do not omit the heading.)