Skin Check

Indoor F2F consult Patient consents to use of note taking software Skin check **History:** Past history of skin cancer: [document history of melanoma, BCCs (basal cell carcinomas), SCCs (squamous cell carcinomas), or note 'Nil Skin Ca' if none] (Only include if explicitly mentioned in transcript, context or clinical note. Write as bullet points or brief paragraph.) Family history of skin cancer: [document family history of melanoma, BCCs, SCCs, or note 'Nil Skin Ca' if none] (Only include if explicitly mentioned in transcript, context or clinical note. Write as bullet points or brief paragraph.) Anticoagulant medications: [list any anticoagulants such as Aspirin, Apixaban, Eliquis, Warfarin, Clopidogrel] (Only include if explicitly mentioned in transcript, context or clinical note, otherwise omit section.) Drug allergies (including medical substances or wound dressings): [include allergy and type of reaction if mentioned] (Only include if explicitly mentioned in transcript or context.) Youth sun exposure: [document level of exposure: low / medium / high] (Only include if explicitly mentioned.) Blistering sunburn before 10 years old: [yes / no] (Only include if explicitly mentioned.) Adult sun exposure: [document level of exposure: low / medium / high] (Only include if explicitly mentioned.) Solarium use: [yes/no. If yes, note approximate number of times and age of use] (Only include if explicitly mentioned.) Last full skin check: [insert date, provider, and findings if available] (Only include if explicitly mentioned.) Immunocompromised status: [document if patient is on immunosuppressants, chemotherapy, radiotherapy, or immune-modulating medications] (Only include if explicitly mentioned.) Fitzpatrick skin phototype: [type 1–6] (Only include if explicitly mentioned.) Lifetime risk for melanoma (%): [insert percentage only if patient is Australian-born and aged 18 years or older] (Only include if explicitly mentioned.) Lesions of concern: [document site, duration, features such as new, changing, pain, or bleeding] (Only include if explicitly mentioned. Write as bullet points.) Chaperone offered: [accepted / declined] (Only include if explicitly mentioned.) Usual GP(s): [insert name and medical centre location] (Only include if explicitly mentioned.) **Examination:** Detailed scalp to toes examination Pt undressed to underwear with consent Naevi count: [document as '<100 banal naevi' or '>100 banal naevi'] (Only include if explicitly mentioned.) Lesion findings: [for each lesion, write in the format: Lesion 1: [location]: [size in mm] [description], ?[diagnosis if suggested] E.g. "Lesion 1: L distal arm: 4x3mm pink macule, ?BCC"] (Only include if explicitly mentioned. Use "?" when query terms like “question mark BCC” are heard.) **Plan:** - Next full skin check in: [insert timeframe] (Only include if explicitly mentioned.) - Return earlier if any concerns - Suggested monthly self-skin checks, return if detects any SCAN (sore, changing, abnormal looking/behaving, new) lesions - Reviewed photos of skin cancers in their early stages to help pt understand SCAN method in early detection - Advised to wear sunscreen, long sleeve clothing regularly - Able to have 10–30 mins of daily sun exposure for Vit D, preferable morning and late afternoon during UV rating <3 (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 bullet points or paragraphs as needed to capture all the relevant information from the transcript.)