New Patient - Note [Orthopaedic Surgeon]

Summary: - [Age] [sex] presents with [presenting symptoms] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Diagnoses] (Only include if at least one diagnosis is explicitly mentioned. Write in the format: "Diagnosis: [diagnoses]" and include all explicitly mentioned diagnoses.) - [Plan summary] (Only include if plan is explicitly mentioned. Write in the format: "Plan: [brief summary of management plan]") HOPC: - [History of presenting complaint] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Specific musculoskeletal concerns such as joint pain, stiffness, swelling, injuries, fractures, deformities] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Onset, duration, severity, aggravating/alleviating factors, associated symptoms, previous injuries or trauma] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Previous treatments such as physiotherapy, medications, surgeries and their outcomes] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Patient’s goals for this visit] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Patient's ideas, concerns, and expectations] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Past medical and surgical Hx:] (Include this section heading only if any past medical or surgical history is explicitly mentioned.) - [Past medical history] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Previous surgeries] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Medications:] (Include this section heading only if medications are explicitly mentioned. Omit completely if “nil medications” or similar is stated.) - [Current medications] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Allergies:] (Include this section heading only if allergies are explicitly mentioned. Omit completely if "NKDA", "no known allergies", or similar is stated.) - [Allergies including type of reaction if mentioned] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Social history:] (Include this section heading only if any social history is explicitly mentioned.) - [Details such as handedness, employment, sports/physical activities, smoking, alcohol use, drug use, home supports, hobbies] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Examination and Investigations:] (Include this section heading only if any examination or investigation findings are explicitly mentioned.) - [Musculoskeletal examination including inspection, palpation, ROM, strength, joint stability, deformity, swelling, tenderness] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) - [Investigations including date (month/year), type (e.g., X-ray, CT, MRI), imaging provider (e.g., PRC, SKG, i-Med), and findings] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) [Discussion and Plan:] (Include this section heading only if discussion or plan is explicitly mentioned.) - [Discussion including diagnosis explanation, treatment options (operative/non-operative), informed consent, education, post-operative instructions, complications to watch for, rehabilitation plan, family/patient concerns addressed, and relevant referrals] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, otherwise omit completely.) (Never create patient details, assessment, plan, interventions, evaluation, or continuing care not explicitly mentioned in the transcript, contextual notes or clinical note. If information related to a placeholder is not explicitly mentioned, omit the placeholder completely without stating that information is missing. For imaging providers, include the exact name as stated in the transcript. For dates, format as month/year (e.g., "January 2023"). For wound care, state briefly if mentioned. Do not quote patient or audio recording directly.)