**Jane Smith**
**Date of birth and age:** 12 March 1985 (40 years)
**Date of consultation:** 5 January 2026
**Presenting complaint**
- Persistent dry cough for 3 weeks
- Intermittent shortness of breath on exertion
**Past medical history**
- Asthma
- Allergic rhinitis
**Examination**
- Mild wheeze on auscultation bilaterally
- Oxygen saturation 97% on room air
**Diagnosis**
- Asthma exacerbation (ICD-10: J45.901)
**Comment**
- Symptoms discussed in the context of poor adherence to preventer inhaler. Inhaler technique reviewed during consultation.
**[PATIENT NAME]** (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
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**Date of birth and age:** [Insert date of birth and patient age in years] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
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**Presenting complaint**
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**Past medical history**
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**Examination**
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**Diagnosis**
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**Comment**
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**Plan**
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