Older Person's Health Assessment - Health Assessment Questionnaire (HAQ)

**Older Person’s Health Assessment (≥75 years)** Date: [date in DD/MM/YYYY format] Doctor: [doctor details] Patient [Patient name] DOB: [DOB in DD/MM/YYYY format] Today I conducted an Older Person’s Health Assessment for [Patient name], aged [Age]. They consent to the plan being performed and have been offered a copy of the plan. Function (Physical, Psychological & Social): [Summary of physical function including ADLs and falls in last 3 months; cognition and mood; social supports and caring responsibilities] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Examination & Screening: [BP, pulse rate & rhythm, continence, immunisation status (influenza, tetanus, pneumococcus, covid, RSV, shingles, others if relevant)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Medication Review: [Current medications including dose, adherence, side effects, interactions, deprescribing considerations, whether medications are webster packed (include pharmacy if mentioned), and whether DMMR (Domiciliary Medicatino Management Review) should be considered] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Preventive Health: [Preventive health advice, vaccinations, education offered, referrals if indicated, whether GP Chronic Conditions Plan is in place and date due for review] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) Management Plan & Reporting: [Summary of agreed plan, written report provided to patient, and to carer if appropriate and consent given] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely. List as bullet points.) "Review of Plan: 12 months" Next clinical review due: [time frame or date when due to come next] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) (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 section blank. Use as many lines or bullet points using "-", depending on the format, as needed to capture all the relevant information from the transcript. This template is specific to older person’s health assessments in patients aged 75 years and over.)