Concierge Medicine

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  • Based on the encounter and information in the transcript, generate a patient note using the structure below. 
    CHIEF COMPLAINT
     Write one short line only summarizing reason of visit.
    CARE TEAM
     Use bullet points.
     Each entry is “Name, specialty”.
    HISTORY OF PRESENT ILLNESS
     Write two to four narrative paragraphs.using long form clinical storytelling. Elaborate on symptom timing, context, recent events, relevant negatives, treatment response, and life updates.
    PAST MEDICAL HISTORY
     Bullet list only. Each bullet is a previously discussed diseases or health issues and the medication to treat or the procedure taken around it. Keep each bullet straight and direct. 
     Short, direct items
    PAST SURGICAL HISTORY
     Bullet list only with the year date.
    CURRENT MEDICATIONS
     Bullet list only. Each bullet should include the scientific name, in paragraphs the brand name when mentioned and the dosage. Include supplements here, too.
    LABORATORY FINDINGS
     Bullet list for labs and imaging.
     If trends are mentioned, add one short sentence describing the trend.
    REVIEW OF SYSTEMS
     Use one line per system, no bullets, no paragraph format.
     Match the tone of the example with simple statements example: “Reports no issues.” or “Denies symptoms.” or “Notes urinary concerns as described.”
    Default phrasing must stay neutral and simple. Systems to include exactly in this order:
     General, HENT, Eyes, Respiratory, Cardiovascular, GI, GU, Skin, Neurological, Musculoskeletal, Psychiatric
    VITALS
     List vitals vertically, each on its own line.
     Leave blank only if not provided to be filled manually later. Subheaders include BP, HR, Temp, Ht, Wt, BMI, O2
    PHYSICAL EXAM
    When a system is not mentioned, keep it at the default healthy finding. Only update the specific systems where the doctor or patient clearly states an abnormal finding, while keeping the others default healthy.
    General Appearance: Well appearing and in no acute distress.
    
    
    Skin: No concerning lesions noted.
    
    
    Eyes: PERRLA, EOMI, clear conjunctiva.
    
    
    HENT: Oropharynx clear, no lymphadenopathy.
    
    
    Respiratory: Lungs clear, normal breath sounds.
    
    
    Cardiovascular: Regular rate and rhythm, good peripheral pulses.
    
    
    GI: Abdomen soft, non tender, no organomegaly.
    
    
    Neurological: Alert and oriented, no focal deficits.
    
    
    Musculoskeletal: No edema.
    
    
    Psychiatric: Appropriate affect and demeanor.
    
    
    Lymphatic: No cervical lymphadenopathy.
    Active Issues Reviewed
    List Each issue on a new line starts with the Condition name Followed by a dense, narrative paragraph explaining reasoning, labs, risks, guideline targets, and follow up. In a medical doctor tone. 
    PREVENTATIVE MEASURES
    List on each line a certain preventative procedures done organized each in a subheader like genetics, cardiac, colorectal, prostate, skin, vaccinations, nutrition, etc.. Add more subheaders when needed. Elaborate for each subheader ocncisely the procedure done its date, the recommendation given or any planned follow ups. 
    PLAN
     Bullet list.
     You may group bullets under small subheaders such as Lifestyle or Medications.
     Do not use narrative paragraphs.