Assessment & Plan Elements
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[comment memo="coding blurbs" memo_size="small"][checkbox value="-The above SocHx/Allergies/Meds/PMHx/PSHx/FMHx were reviewed & updated at today's visit.
"][checkbox value="-The scribe/medic/nurse/student assisted in collecting and documenting the patient's history.
-I have personally reviewed it and verified its accuracy.
"][checkbox value="-The scribe/medic/nurse/student assisted in documenting the physical exam performed by me.
-I have personally reviewed it and verified its accuracy.
"][checkbox value="-Laboratory results as displayed were reviewed and interpreted
"][checkbox value="-Radiologic study results as displayed were reviewed and interpreted
"][checkbox value="-Radiologic study images which results are displayed in note were reviewed and interpreted
"][checkbox value="-Pap smear was performed and sample collected at today's visit, sample to be sent to lab for analysis
"]A/P
#WELL ADULT VISIT
-Spent [text size="5"] minutes discussing:[comment memo="USPSTF Guidelines"][checkbox memo="M 65-75yo who haved smoked" memo_size="small" name="USPSTFg1" value="--AAA screening"][conditional field="USPSTFg1" condition="(USPSTFg1).is('--AAA screening')"]- discussed, [checkbox value="patient declined|patient accepted|ordered"]
[/conditional][checkbox memo="M/F 50-59yo with >10% CV risk" memo_size="small" name="USPSTFg2" value="--ASA for Primary CVD prevention"][conditional field="USPSTFg2" condition="(USPSTFg2).is('--ASA for Primary CVD prevention')"]- discussed, [checkbox value="patient declined|patient accepted/agreed|ordered"]
[/conditional][checkbox name="USPSTFg3" value="--BRCA risks assessment tool"][conditional field="USPSTFg3" condition="(USPSTFg3).is('--BRCA risks assessment tool')"]- discussed, per risk tool [checkbox value="risk lower than average|risk average|risk above average"]
[/conditional][checkbox name="USPSTFg4" value="--Breast CA primary prevention with medication"][conditional field="USPSTFg4" condition="(USPSTFg4).is('--Breast CA primary prevention with medication')"]- discussed, [checkbox value="patient declined|patient accepted/agreed|ordered"]
[/conditional][checkbox memo="F 50-79yo" memo_size="small" name="USPSTFg5" value="--Breast CA screening with imaging"][conditional field="USPSTFg5" condition="(USPSTFg5).is('--Breast CA screening with imaging')"]- discussed, [checkbox value="patient declined|patient requested|ordered|not indicated for patient at this time"]
[/conditional][checkbox memo="F 21-65yo" memo_size="small" name="USPSTFg6" value="--Cervical CA screening"][conditional field="USPSTFg6" condition="(USPSTFg6).is('--Cervical CA screening')"]- discussed, [checkbox value="patient declined/deferred|patient requested|PAP performed, obtained sample and sent to lab|separate appointment arranged|not indicated for patient at this time"]
[/conditional][checkbox memo="F under 24yo or high risk behavior" memo_size="small" name="USPSTFg7" value="--GC and Chlamydia screening"][conditional field="USPSTFg7" condition="(USPSTFg7).is('--GC and Chlamydia screening')"]- discussed, [checkbox value="patient declined|patient requested|ordered|not indicated for patient at this time"]
[/conditional][checkbox memo="M/F 40-70yo or other risk factors" memo_size="small" name="USPSTFg8" value="--DM screening"][conditional field="USPSTFg8" condition="(USPSTFg8).is('--DM screening')"] with FPG/A1c- discussed, [checkbox value="patient declined|patient requested|ordered|not indicated for patient at this time"]
[/conditional][checkbox memo="M/F >65yo with increased risk(s)" memo_size="small" name="USPSTFg9" value="--Falls Prevention exercise interventions"][conditional field="USPSTFg9" condition="(USPSTFg9).is('--Falls Prevention exercise interventions')"] - discussed, [checkbox value="demonstrated|provided handout|not indicated for patient at this time"]
[/conditional]
coding blurbs A/P
#WELL ADULT VISIT
-Spent minutes discussing:USPSTF Guidelines M 65-75yo who haved smoked M/F 50-59yo with >10% CV risk F 50-79yo F 21-65yo F under 24yo or high risk behavior M/F 40-70yo or other risk factors M/F >65yo with increased risk(s)

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