Virtual Consult (Semble)

(Write the entire summary in the second person, as if addressing the patient directly. Use "you" and "your".) **Virtual consultation summary** **Re: [Insert brief reason for the outpatient visit]** (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank.) **Summary of Consultation:** - [Describe current issues and reasons for visit] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write as bullet points using second person.) - [Provide summary of history and any relevant past medical information] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write as bullet points using second person.) **Self-reported examination findings:** - [Describe findings from physical or mental status examination] (If examination is not mentioned in transcript, contextual notes, or clinical note then write "No examination was carried out as this was a virtual consultation", else document the findings using second person. Write as bullet points.) **Test Results Discussed:** - [Include any relevant test results discussed and their implications] (If no test results are mentioned in transcript, contextual notes, or clinical note then write "No investigations were available for review", else document the results using second person. Write as bullet points.) **Diagnosis:** - [Provide diagnosis or differential diagnosis as stated by the clinician] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Do not invent or infer a diagnosis. Write as bullet points using second person.) **Treatment Plan:** - [Outline treatment plan including any medications prescribed and lifestyle recommendations] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write as bullet points using second person.) - [Mention any follow-up appointments or referrals to other specialists] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write as bullet points using second person.) **Important Information:** - [Include any other important information discussed during visit] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write as bullet points using second person.) [Insert closing statement] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else leave blank. Write using second person.)