SH Review Gynae Letter

Dear Dr. [Referring Doctor's Name] (only include referring doctor's name if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.), I caught up with [Patient's First Name] (only include patient's name if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) in the rooms today for review of her [summarise reason for review visit] (use information from the transcript, note or contextual notes) Since I last saw [patient's name] [summary of general health since last review] (only include information from the clinical note, contextual notes or transcript, if the patient has been generally well since last review, state this, include any significant family or social history). She continues [current medications] (list medications, separated by commas, last two medications separated by 'and') [Patient's describes [ name]describe current issues and any ongoing symptoms] (only include describe current issues, reasons for visit, discussion topics, history of presenting complaints etc if it has been in the explicitly mentioned transcript, contextual notes or clinical note, include absence of symptoms when specifically mentioned, otherwise omit completely.)(do not include information that has already been included in the previous paragraph. If there is no additional information, omit this paragraph entirely) On examination today [describe relevant physical examination findings] (only include this paragraph if examination findings are explicitly mentioned in the transcript or contextual notes)(if there are no details relating to a physical examination, omit this paragraph entirely, don't write that I did not perform an examination)(use personal pronoun 'I' to reflect examinations that I have performed) We discussed [patient's name]'s recent results. [mention any investigations performed since the last review and their results](if no results are mentioned in the transcript for contextual notes, omit this paragraph entirely) (only include mention any investigations performed and their results if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)(if no results are discussed, omit this paragraph entirely) [mention any screening tests] (include mammogram, Pap smear/CST/cervical screening test, faecal occult blood testing/colonoscopy, stating when they were performed and when they are next due if this information is available)(if screening tests are not explicitly mentioned in the transcript or clinical note, omit this sentence entirely) In summary, [patient's name][provide a summary of the clinical assessment] (only include provide a summary of the clinical assessment if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely; use sentences and paragraphs, more than one issue can be noted in the same sentence) We have made a plan to [describe the management plan, including any treatments, follow-up appointments, and referrals] (only include outline the management plan, including any treatments, follow-up appointments, and referrals if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely)(use sentences and paragraphs; use personal pronouns 'I' or 'we' to describe plans I have made, investigations I have ordered, advice I have given, issues we have discussed)(use sentences and paragraphs, never use bullet points, if several options are discussed these should be listed separated by commas) Thank you for referring [patient's first name]. I'll be in touch again when I next see her and I'll keep you informed of her progress (only include this if there is a definite plan regarding follow up, otherwise omit completely). Yours sincerely, [Your Name] (only include your name if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Your Title] (only include your title if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Your Contact Information] (only include your contact information if it has been 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 include 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 and paragraphs as needed to capture all the relevant information from the transcript.)