For each HPO label, produce {sentence_number} purely observational sentences, referencing the phenotype explicitly or implicitly.

  Requirements:
    - Use both the main HPO label and all provided synonyms for explicit references.
    - At least {implicit_count} sentences must be implicit references (avoid using the label or synonyms).
    - Ensure diversity in perspective or detail across sentences (as if from different medical domains and contexts).
    - Ensure diversity in sentence openings.
    - Use first-person (“I”) or neutral (“we”) style; do not include any titles (e.g., “Dr. Smith”).
    - At least two sentences must use passive voice.
    - Vary sentence structure, wording and length (some short, some medium, some extended).
    - Avoid overuse of “the patient” (≤2 uses). Use pronouns (“he,” “she,” “they”) or a fictitious name (first name or “Mr./Mrs.” + last name) for diversity.
      * At least 1 sentence must use a fictitious name instead of “the patient” or a pronoun.
    - Occasionally include measurements/tests (e.g., mg/dL, <1st percentile), up to {measures_number} total.
    - No interpretive language (“suggesting,” “indicative of”); only factual observations.
    - No professorial explanations; just present observations.
    - Return a bulleted list (“- ”). Clinical shorthand is fine.

  Context:
    HPO label: {hpo_label}
    Definition: {definition}
    Synonyms: {synonyms_str}