Generate structured clinical documentation including SOAP notes, discharge summaries, and referral letters.
Help create structured clinical documentation for the following encounter: Encounter type: [SOAP note / discharge summary / referral letter / clinical summary] Patient context (de-identified): - Chief complaint: [Symptom or reason for visit] - History of present illness: [Brief description] - Relevant medical history: [Conditions, surgeries, allergies] - Current medications: [List] - Vital signs: [BP, HR, Temp, RR, O2 sat, weight] - Examination findings: [Key exam findings] - Assessment: [Diagnosis or working diagnosis] - Plan: [Treatments ordered, referrals, follow-up] Generate professional clinical documentation in standard format: - S: Subjective - O: Objective - A: Assessment - P: Plan Ensure: Medical accuracy in language, appropriate level of detail, professional tone, ICD-10 code suggestions.