Paediatric Template

Paediatric Audiology Assessment Attendees: [List of clinicians, audiologists, support persons, or family members present during the assessment] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) Presenting Problems: [describe the child’s main hearing, listening, or speech concerns as reported by caregivers or referring clinicians] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.) ENT History: [mention any ENT consultations, diagnoses, or findings] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.) [grommet history or status] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.) Family History: [mention any family history of hearing loss, ear disorders or speech/language delays] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.) Developmental History: [note any developmental delays including motor, language or cognitive delays] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single bullet point.) Audiological Assessment: Otoscopy: [findings from visual examination of the ear canal and tympanic membrane] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) Pure Tone Audiometry (PTA): [describe thresholds and interpretation if conducted] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) Tympanometry: [results including tympanogram type and interpretation] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) Speech Testing: [results from age-appropriate speech discrimination or recognition tasks] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) Explanation to Caregiver: [summary of explanation provided to parent/caregiver] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single sentence.) Report to GP/ENT: [mention if report was or will be sent to GP or ENT, and what it includes] (Only include if explicitly mentioned in transcript, context or clinical note; else omit completely. Write as a single line.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, or 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, leave the relevant placeholder or omit the placeholder completely. Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)