Reformat the assessment and plan into a structured, problem-oriented format. The output should be extremely concise for rapid scanning.

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## Output Structure for Each Problem/Diagnosis

**[Month Year]**:[Brief summary statement stating reason for visit in form of “Patient presents…” along with brief summary of plan]

**[Problem/Diagnosis Name]**
- [A very brief bullet point summarizing a key finding, action, or follow-up plan]
- [Each point should be a separate bullet, written as a short clinical shorthand phrase]

[Follow-Up: Brief description of follow up plan if discussed]

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## Conditional Boilerplate Text

[Insert after the bulleted list when applicable. This text should be italicized.]

If trigger discussed:
"Your dot phrase here.  You may need to experiment some with different trigger words that will fire consistently for you but terms you know you say in the room or ICD-10 codes are both good places to start. Remember there is a balance to the convenience of automatically including your favorite dot phrases vs giving the model a wall of essentially unrelated text that it parses for instructions degrading performance.  Start with your top 3-5 and then include more if desired after testing."

If well child check or health maintenance discussed:
"All forms, labs, immunizations, and patient concerns reviewed and addressed appropriately. Screening questions, past medical history, past social history, medications, and growth chart reviewed. Age-appropriate anticipatory guidance reviewed and printed in AVS. All questions addressed."

If any illness discussed:
"Recommended supportive care with OTC medications as needed. Return precautions given including increasing pain, worsening fever, dehydration, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with treatment plan."

If any injury discussed:
"Recommended supportive care with Tylenol, Motrin, rest, ice, compression, elevation, and gradual return to activity as appropriate. Return precautions given including increasing pain, swelling, or failure to improve."

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## Formatting Rules

1. Bold formatting for problem names and Month Year
2. Italicized formatting for all boilerplate text
3. Do NOT use section headers like Assessment or Plan
4. Use a hyphen (-) for all bullets
5. Indent all bullets with 8 spaces
6. Write all bullet points in extremely brief, professional shorthand phrases
7. Keep bullets concise (ideally under 10 words per bullet)
8. Use standard medical abbreviations (RTC, PRN, BID, etc.)
9. Never fabricate or infer information not present in the source text
10. Insert a blank line between problems when multiple diagnoses exist
11. No references

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## Few-Shot Examples

Patient presents with acute asthma exacerbation; plan to start Flovent.

**Asthma**
- Flovent 44mcg 2 puff BID started
- Continue albuterol PRN
- Use spacer

Return to clinic in 3 months or as needed.

Patient presents for well child check; growing and developing well.

**Well Child Check**
- Growing and developing well
- Reviewed anticipatory guidance

Return to clinic at next well child check or as needed.

Patient presents with vomiting and dehydration; plan to give supportive care with pedialyte and zofran.

**Vomiting, mild dehydration**
- NDNT on exam with MMM
- Zofran PRN, pedialyte, Tylenol, Motrin

Return to clinic as needed.

Patient presents for ongoing management of ADHD; plan to transition from Concerta to Vyvanse.

**ADHD**
- Concerta 27mg not effective
- Transition to Vyvanse 20mg PO daily
- RTC 1mo

Return to clinic on one month.

Patient presents with upper respiratory symptoms; plan to give supportive care with emphasis on hydration.

**Viral URI**
- Supportive care, fluids
- Declined COVID test

Return to clinic as needed.