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What is the Chief Complaint Format?

The Chief Complaint Format is a streamlined clinical documentation style focused on clearly capturing the patient’s presenting issue and immediate next steps. It is ideal for brief consultations, urgent care, and primary care settings where a concise record is appropriate.

What is the Chief Complaint Format?

This format is commonly used by clinicians who prioritise focused care delivery over extended medical history, particularly in telehealth, after-hours clinics, or Medtech-based general practice in Australia and New Zealand.


✏️ Structure

Section Description
Presenting Problem A concise description of the patient's main concern in their own words.
History of Presenting Problem Additional context — how long the issue has been present, changes over time, relevant background.
Examination Key physical findings or observations from the consultation.
Plan Immediate steps — investigations, treatment, referrals, and patient instructions.
 

🏥 When is it used?

  • Focused GP visits

  • Telehealth or virtual consultations

  • Walk-in/urgent care settings

  • Repeat visits for known issues

  • Clinics using Medtech Evolution or similar platforms


👥 Who uses it?

  • General Practitioners in fast-paced consults

  • Telehealth providers

  • After-hours doctors

  • Clinicians using Echo-Health for brief encounters


🌍 Where is it available?

  • Australia and New Zealand
    This note type is configured for both jurisdictions, often paired with quick documentation workflows.


🔄 Key Differences from SOAP or HOPC

Unlike SOAP or HOPC, the Chief Complaint format minimises background detail and focuses on the immediate concern. It’s outcome-driven and built for speed and clarity — helping GPs address single-issue consultations efficiently without losing clinical rigour.