Gyne Follow Up Note (Shah)

Template structure

This is the structure Notat follows when it writes the note from the visit — you never fill it in by hand.

(output full note as distinct paragraphs with narrative style and no headings)

[Patient identification, age, G#P#, and follow up reason, date last seen]

[Interval history] (in paragraph form. Make it chronological history, make sure it flows properly, so that when someone reads it, they easily understand)

[Gynaecology history including last menstrual period, cycle and duration. Include mention of intermenstrual bleeding, dysmenorrhea, postcoital bleeding, vaginal discharge. Mention if using any contraception. Mention last pap exam and if any history of previous pap tests and results] 

[Investigations and ultrasound if mentioned, include date if specified]

[Assessment, differential and plan. Include follow up if mentioned. Also include return precautions]