Split Notes for Multiple Patients
Created by
Andrew Kelly
Specialty
General Practitioner
Last edited
10/20/2026
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0 times
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About this template
A reusable structure for documenting consultations with several patients in one session. It organises each patient’s summary, history, examination, assessment and plan while keeping information attributed only when explicitly linked.
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Patient: Liam O'Connor, DOB 14/05/2018
Summary Statement
- 6 yo M presenting with R otalgia and fever x 2 days.
- Diagnosed with acute otitis media; prescribed oral antibiotics.
History
Presented with mother for acute onset R ear pain starting 48 hours ago. Associated with subjective fevers, reduced appetite, and poor sleep. Preceded by a 4-day history of coryzal symptoms. No ear discharge, vomiting, or lethargy. Attending childcare. Immunisations up to date. NKDA.
Examination
Temp 38.4 °C, HR 110 bpm, RR 22/min. Alert, mildly distressed by pain. ENT: R tympanic membrane erythematous, bulging, with loss of light reflex. No mastoid tenderness. L tympanic membrane normal. Pharynx mildly erythematous, no tonsillar exudate. Anterior cervical lymphadenopathy noted bilaterally. Chest: Clear to auscultation bilaterally.
Assessment
Right acute otitis media.
Plan
- Regular analgesia: paracetamol 240 mg PO QID PRN and ibuprofen 150 mg PO TID PRN.
- Prescribed amoxicillin 400 mg PO TID for 5 days given high fever and severe bulging of tympanic membrane.
- Advised to return if symptoms fail to improve after 48 hours, or earlier if swelling behind the ear, lethargy, or persistent vomiting develops.
Patient: Chloe O'Connor, DOB 22/11/1988
Summary Statement
- 35 yo F presenting for asthma review and repeat prescriptions.
- Mildly uncontrolled symptoms over past fortnight due to viral URTI.
History
Requested scripts while attending with son. Reports increased use of reliever inhaler over the past 2 weeks following a mild viral head cold. Experiencing nocturnal cough 2 nights per week and mild wheeze on exertion. Admits to intermittent compliance with preventer inhaler prior to recent illness. Non-smoker. No chest pain or fevers.
Examination
BP 118/74 mmHg, HR 76 bpm, SpO2 98% on room air, Temp 36.7 °C. Chest: Good air entry bilaterally, faint end-expiratory wheeze in bilateral lower zones. No increased work of breathing. Peak expiratory flow 410 L/min.
Assessment
Mild persistent asthma, recent viral exacerbation.
Plan
- Provided repeat script for budesonide/formoterol 200 mcg/6 mcg INH, 1 puff BD maintenance and PRN for symptom relief.
- Counselled on importance of regular preventer adherence.
- Updated written Asthma Action Plan.
- Advised to book a dedicated follow-up appointment in 4 weeks for formal spirometry and review.
- Safety-netting provided regarding acute severe asthma symptoms requiring urgent medical attention.
How to use this template
This template can be used to assist with various tasks in the medical field. You can use it to generate notes, manage patient information, or assist with diagnosis and the Assessment and Plan. To use this template, simply click the “Use Template” button above. If you have any questions or need assistance, feel free to reach out to the support team or refer to the description and example output provided above.