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Treatment appointment
Seen by: Dr. Emily Carter
Assisted by: Sarah Jones
M/H: No changes
S/H: No changes
C/O: Nil
Attends with: None
Examination (VCG given):
E/O: Temporalis, TMJ, MoM, glands, nodes checked.
Findings: NAD
I/O Soft: Lips, buccal mucosa, gingiva, tongue, palate, FoM, tonsillar tissue checked.
Findings: NAD
I/O Hard: No changes
PLAN: Prophylaxis and fluoride application.
Discussion: Explained the importance of regular dental check-ups and proper oral hygiene techniques, including brushing and flossing.
VCG given for Tx: Explained the procedure and obtained verbal consent.
LA:
SITES: buccal infiltration
EXP: 01/01/2026
BATCH: ABC123
AMOUNT: 2.2ml
ASP: -VE
Post-op instructions given r.e. Avoid eating or drinking for 30 minutes after fluoride application.
NV: Recall for check-up in six months.
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Treatment appointment
Seen by: [Clinician name]
Assisted by: [Assistant name]
M/H: No changes
S/H: No changes
C/O: Nil
Attends with: [Accompanying person] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Examination (VCG given):
E/O: Temporalis, TMJ, MoM, glands, nodes checked.
Findings: NAD
I/O Soft: Lips, buccal mucosa, gingiva, tongue, palate, FoM, tonsillar tissue checked.
Findings: NAD
I/O Hard: No changes
PLAN: [Plan details] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Discussion: [Discussion details] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
VCG given for Tx: [VCG details] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
LA:
[Local anesthetic details] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
SITES: buccal infiltration
EXP: [Expiration date] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
BATCH: [Batch number] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
AMOUNT: 2.2ml
ASP: -VE
Post-op instructions given r.e. [Post-op instructions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
NV: [Next visit details] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)
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