Theatre Notes

Date of surgery: [Insert date of surgery] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) File Number: [Insert file number] Patient Name: [Insert patient name] Date of birth: [Insert date of birth in DD/MM/YYYY format] Age: [Insert patient age in years] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Patient's weight: [Insert patient's weight] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Patient's height: [Insert patient's height] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Patient's BMI: [Insert patient's BMI] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Surgeon: [Insert surgeon's name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Additional surgeon: [Insert additional surgeon's name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Assistant: [Insert assistant's name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Anaesthesiologist: [Insert anaesthesiologist's name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Diagnosis: [Insert diagnosis with ICD-10 code in brackets] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Procedure: [Insert procedure name] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Rule J Motivation: [Insert motivating reasons for Rule J as a numeric list] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Instrumentation: [Insert names of instruments used] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Prophylactic antibiotics: [Insert antibiotics administered] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Start time: [Insert surgery start time] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) End time: [Insert surgery end time] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Duration of surgery: [Insert duration in minutes] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Estimated blood loss: [Insert estimated blood loss] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Cell Saver: [Insert volume of blood reinfused] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Procedural steps: 1. [Insert procedural steps in chronological order] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Complications: [Insert complications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Postoperatively: [Insert postoperative evaluation, instructions, and ward destination] (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.)