Transcript

[SYSTEM INSTRUCTION: If the transcript explicitly states 'The clinical notes are' (or similar), you MUST use ONLY that explicitly dictated content to fully fill out the clinical note sections. Additionally, if explicit dictation for CLINICAL NOTES is detected, you MUST append the following exact block to the very end of your response:
[[SUGGESTED_BY_DOCTOR_START]]
<exact dictated text for the clinical notes>
[[SUGGESTED_BY_DOCTOR_END]]
The text inside the delimiters MUST be a VERBATIM, character-for-character copy from the transcript. Do NOT fix typos, do NOT reformat, and do NOT correct medical terms. Do NOT output 'Suggested by Doctor:' in the main text. Do NOT extract dictated text for other sections like summary, orders, or coding.]

[TRANSCRIPT]
ENCOUNTER ID: longitudinal_v1 (Visit 1 of 3)
SPECIALTY: Neurology

PATIENT
Name: Demo Patient L1
Age: 45
Sex: F
Status: New patient

VISIT
Date: 2026-04-10
Type: In-person
Location: US clinic
Reason for visit: New diagnosis — chronic migraine, discussing CGRP inhibitor therapy

PAYER
Type: Private
Plan: Demo PPO Gold
Region: US

CLINICAL SUMMARY
Initial diagnosis of chronic migraine. Starting CGRP inhibitor. Prior authorization submitted and approved.

SYSTEM MEMORY STATE
No prior history — this is the baseline visit that establishes patient context and payer approval on file.

EXPECTED WORKFLOW TRIGGERS
- Clinical note generation
- Medical coding (ICD-10 / CPT)
- Prior authorization: CGRP inhibitor — APPROVED
- Follow-up scheduling in 6 weeks