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
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Walk-in/urgent care settings
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Repeat visits for known issues
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Clinics using Medtech Evolution or similar platforms
👥 Who uses it?
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General Practitioners in fast-paced consults
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Telehealth providers
-
After-hours doctors
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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.