CBMP Review

(Write in full sentences and use a narrative style throughout. Each section should flow logically from the previous one. Only include information explicitly mentioned in the transcript, contextual notes, or clinical note.) Reason For Treatment [The primary condition being treated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Never invent or infer a diagnosis. Write as a full sentence in the format "The primary condition being treated is [condition].") [The date of the patient's last review] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The last review was on [date].") [A summary of the patient's response to treatment so far] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The patient's response to the treatment so far has been [summary].") Health Status Update (Only include this entire section if there are new health issues, side effects, or other health changes explicitly mentioned in the transcript, contextual notes, or clinical note. If none are mentioned, omit this section entirely.) [Details of any new health conditions or medications reported by the patient] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The patient reports [details].") [Whether the patient reports any side effects from treatment] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else write: "The patient reports no side effects from the treatment." Write as a full sentence.) [Any of the following health status details that are explicitly mentioned in the transcript, contextual notes, or clinical note] (Only include the introductory phrase "The patient's general physical and mental health status is as follows:" and the relevant items below if at least one of the following points is explicitly mentioned. Omit the introductory phrase and all items if none are mentioned.) General Health Concerns: [Details of any general health concerns reported by the patient] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Hospital Admissions: [Details of any recent hospital admissions] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Mood And Well-Being: [A description of the patient's current mood and overall well-being] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Mental Health Changes: [Details of any specific mental health changes reported or observed] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Sleep: [A description of the patient's sleep patterns or any sleep-related issues] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Self-Harm Or Suicidal Thoughts: [Details regarding any self-harm or suicidal thoughts reported by the patient] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else write: "The patient denies any self-harm or suicidal thoughts." Write as a full sentence on the same line.) Social And Lifestyle Context (Only include this entire section if relevant social or lifestyle factors are explicitly mentioned in the transcript, contextual notes, or clinical note. If none are mentioned, omit this section entirely.) [A description of the patient's current living situation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The patient's current living situation is [description].") [A description of the patient's support system] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "Their support system consists of [description].") [Details of any major life events reported by the patient] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The patient reports [details].") Patient Feedback (Only include this entire section if patient feedback is explicitly mentioned in the transcript, contextual notes, or clinical note. If none is mentioned, omit this section entirely.) [The patient's expressed level of satisfaction with their treatment] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The patient expressed [level of satisfaction].") [The patient's stated goals for their next visit] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "Their goals for the next visit include [goals].") Plan [Whether CBMP therapy is to be continued, discontinued, or modified] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The plan is to [continue/discontinue/modify] CBMP therapy.") [Details of any escalation or action taken as part of the plan] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence.) [A summary of any advice provided to the patient during the consultation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this sentence entirely. Write as a full sentence in the format "The following advice was provided to the patient: [summary].") Prescription: [Prescription details including medication name, form, dose, frequency, and duration where stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit this line entirely. Write as a full sentence on the same line.) Additional Notes [Any additional notes or comments relevant to the consultation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each note as a separate paragraph.)