Letter Back to Referring Clinician

(Never invent or assume patient details, assessments, plans, interventions, or any clinical information. Use only the transcript, contextual notes, or clinical note as the source for all information. If information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, omit that placeholder entirely without stating that the information was not mentioned. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript. Do not leave spaces between headings.) [Patient's full name and date of birth] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write on a single line.) Dear Dr [Referring doctor's surname], (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else write "Dear Dr," without a surname.) Problem(s) List: [The clinician's explicitly stated diagnoses or active problems] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Never invent or infer a diagnosis. Present each diagnosis or problem as a separate bullet point.) Investigations: [Investigations requested or results discussed during the consultation] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, listing each investigation in sentence form.) Medications: [Current medications including name, form, dose, frequency, and duration where stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each medication as a separate paragraph.) Weight: [Patient's weight as stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write on a single line.) Height: [Patient's height as stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write on a single line.) [An introductory paragraph including who was present at the consultation, a clinical progress update, and a summary of relevant past medical history where stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each sentence as a separate paragraph.) On Examination: [Findings from the physical examination as stated by the clinician] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each finding as a separate paragraph.) Discussion: [The discussion held during the consultation including clinical reasoning, patient concerns, and any decisions made as stated by the clinician] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each sentence as a separate paragraph.) Lifestyle Modifications: [Lifestyle modifications discussed during the consultation] (Only include if lifestyle modifications are explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. For each modification mentioned, present it as a separate bullet point. If box breathing is mentioned, print "Box breathing." If yoga or pilates is mentioned, print "Yoga or pilates 10 minutes daily." If shoulder massage is mentioned, print "Shoulder massage for a few minutes a day." If physical exercise is mentioned, print "Physical exercise 30 minutes a day, 7 days a week.") Plan: [The management plan and next steps as stated by the clinician] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each plan item as a separate paragraph.) Follow Up: [Follow-up arrangements as stated by the clinician] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write on a single line.) Copy To: [Full names of individuals to receive a copy of the letter as stated in the transcript, contextual notes, or clinical note] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. List each name on a separate line.)