{"id":1646,"date":"2026-07-11T03:20:11","date_gmt":"2026-07-11T03:20:11","guid":{"rendered":"https:\/\/itaca.ai\/?page_id=1646"},"modified":"2026-07-11T03:20:12","modified_gmt":"2026-07-11T03:20:12","slug":"first-consultation","status":"publish","type":"page","link":"https:\/\/itaca.ai\/en\/notas-clinicas-ia\/plantillas\/primera-consulta\/","title":{"rendered":"First Consultation Note: Template and Clinical Example"},"content":{"rendered":"
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FIRST CONSULTATION<\/p>\n\n\n\n

I arrived at an initial consultation with the organized context.<\/h2>\n\n\n\n

The first visit gathers information that guides subsequent decisions. A clear note should connect the reason for consultation, relevant history, initial assessment, and a plan that the patient and team can follow.<\/p>\n\n\n\n

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Create my first note<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n
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\"Clinical<\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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CLINICAL STRUCTURE<\/p>\n\n\n\n

What should a first consultation note address<\/h2>\n\n\n\n

The goal is not to copy the entire file. It is to record what allows understanding the starting point and following the clinical evolution.<\/p>\n\n\n\n

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\"Reason<\/figure>\n\n\n\n

Reason and background<\/h3>\n\n\n\n

Reason for consultation, current history, allergies, medications, personal and family history that change the assessment.<\/p>\n<\/div>\n<\/div>\n\n\n\n

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\"Initial<\/figure>\n\n\n\n

Initial assessment<\/h3>\n\n\n\n

Vital signs, examination, risk factors, available studies, and findings requiring attention.<\/p>\n<\/div>\n<\/div>\n\n\n\n

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\"Basic<\/figure>\n\n\n\n

Basic plan<\/h3>\n\n\n\n

Clinical impression, studies or references, indications, education, and follow-up date or criteria.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\"Illustrative<\/figure>\n\n\n\n

First consultation note<\/h3>\n\n\n\n