Step 4 “Opening”

Opening Paragraph is the first paragraph of a letter. We write the Opening Paragraph using PRPPD.

P	Patient’s Name	Mr Mark John…
R	Requires	requires…
P	Purpose.	further treatment and follow up.
P	Present Condition.	He has symptoms suggestive of internal brain injury probably due to a fall three days ago …
D	Date of Discharge / Transfer.	and will be transferred tomorrow.

Sample

Mr Mark John requires further treatment and follow up. He has symptoms suggestive of internal brain injury probably due to a fall three days ago and will be transferred tomorrow.

UPRPPD

If the patient is a Known Case, we add U to PRPPD.

This is to update the health status of Mr Mark John who requires further treatment and follow up. He has symptoms suggestive of internal brain injury probably due to a fall three days ago and will be transferred tomorrow.