Cardiology OP Clinic Letter

(Use as many lines or paragraphs as needed to capture all relevant information from the transcript. Always use abbreviated SI units. All dates should be written with the month in words. Do not include any quotes in your output, remove every patient quote from the note before outputting, there must be no quotes from the transcript in your note or you will fail. Do not use bullet points or hyphens in your output, there must be no bullet points or hyphens in your note or you will fail. Use "symptoms" instead of "complaint" when discussing patient presentations. Use "has noticed" instead of "complains of" when discussing symptoms. Use "has not noticed" instead of "denies" when discussing symptoms. Use gender matched pronouns unless otherwise specified in the transcript or contextual notes. Never invent or infer a diagnosis. Never come up with your own patient details, assessment, plan, interventions, evaluation or plan for continuing care, use only the transcript, contextual notes or clinical note as a reference for all information. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, do not state that the information has not been mentioned, just omit the placeholder completely.) Diagnosis: [Clinician's explicitly stated diagnoses, cardiology-specific investigations with results, cardiovascular risk factors and other non-cardiovascular diagnoses] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as an abbreviated list with each item on a new line ending in a full stop. List cardiology-specific diagnoses first in the format of diagnosis followed by offered treatments if mentioned followed by date of diagnosis. List cardiology-specific investigation results next in the format of result followed by name of test followed by date of test. List cardiovascular risk factors next. List all other non-cardiovascular diagnoses last.) Medications: [All current medications including drug name, dose and frequency] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. List cardiac medications first followed by all other medications. Write each medication on a separate line with dose in abbreviated SI units and frequency in words. Do not end each line with a full stop.) Summary Plan: [Concise summary of the proposed management plan] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write each item of the plan on a separate line.) [Opening sentence identifying the patient by age and gender and the reason for the clinic encounter] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a single sentence beginning with "I met this" followed by the patient's age and gender.) [Introduction and reason for referral or correspondence including relevant patient demographics and the primary concern] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Presenting symptoms including onset, duration, character and any aggravating or alleviating factors] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Significant past medical conditions including dates of diagnosis and relevant treatments] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Relevant social factors including smoking status, alcohol consumption, occupation and living situation] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Significant medical conditions in immediate family members followed by any non-first-degree family history in a separate sentence] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. List first-degree family history covering parents, siblings and children first, then all other non-first-degree family history in a separate sentence. Write as a flowing paragraph of full sentences.) [Findings from relevant physical examinations including vital signs and system-based findings] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. If weight and height are both explicitly mentioned, calculate the body mass index and write as: "Weight was [weight] kg, which, with height [height] cm, gives BMI [calculated value] kg/sqm." Write as a flowing paragraph of full sentences.) [Results of cardiac investigations] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Present each type of cardiac investigation result in a separate paragraph in the following order where mentioned: ECG, echocardiogram, ambulatory ECG monitoring, ambulatory blood pressure monitoring, CT coronary angiography, cardiac magnetic resonance imaging, invasive coronary angiography. If ECG results are mentioned, write in the following format: "Resting ECG shows sinus rhythm at [heart rate] bpm, with a normal QRS axis and duration. ST segment and T wave morphology are normal and the corrected QT interval is [value] ms." Write each investigation as a flowing paragraph of full sentences.) [Results of other imaging tests including chest X-ray, CT scans and MRI scans] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Results of blood tests] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write normal results first followed by abnormal results. Where a prior result is available, compare the current result to the prior result. If a lipid profile is mentioned, write as: "A lipid profile on [date] showed non-HDL and LDL cholesterol levels of [non-HDL value] mmol/L and [LDL value] mmol/L respectively." Omit the LDL result if only non-HDL is mentioned. Write as a flowing paragraph of full sentences.) [Clinician's explicitly stated differential diagnoses with the pertinent rationale for each based on history, physical signs and investigations, collated with the proposed treatment plan for each including pharmacological interventions, lifestyle modifications and referrals] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Never invent or infer a diagnosis. Write each differential diagnosis and its corresponding plan as a separate flowing paragraph of full sentences.) [Discussion of expected outcome and potential challenges] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Write as a flowing paragraph of full sentences.) [Valedictory paragraph summarising planned further contact and any general patient instructions provided] (Only include if explicitly mentioned in transcript, contextual notes or clinical note, else omit section entirely. Include details of any planned further contact. Include any general patient instructions outlined in the transcript or contextual notes. If no general patient instructions are present, write: "I have advised the patient to live life completely normally." Write as a flowing paragraph of full sentences.)