- Medication names, doses, routes, frequencies
- Allergies and adverse reactions
- Laterality (left/right) for examinations and procedures
- Red flags and safety netting advice
- Follow-up timing and responsibilities
- Key negatives and qualifiers
- Symptom descriptions and time courses
- Examination findings
- Assessment and differential diagnosis
- Management plan and rationale
- All discussed topics are documented
- Nothing important is missing
- No irrelevant content is included