NEW Follow up template (Virtual)

Chief Complaint

Follow up template

Template

[patient name] is [age] years old and was seen on [date] with regards to [reason of visit]. This was a virtual appointment, and [pronoun] consented to this process. MEDICATION: [List the patient's current medications, including dosages and frequencies, or indicate if there are no medications to report.] 1. [medications] [Frequency][Dosage] 2. [medications] [Frequency][Dosage] INTERVAL HISTORY: [If mentioned, provide a list of summary of the patient's interval history since the last visit, including any updates on symptoms, treatments, or other relevant changes.] There is no new past medical history, family history, or social history to report. HISTORY OF PRESENT ILLNESS: [Provide a detailed narrative of the patient's presenting illness, including onset, duration, frequency, severity, associated symptoms, and any relevant context or contributing factors.] PHYSICAL EXAM: - The patient looks [well]. - The nasal mucosa appears [healthy|edematous]. - There is [no|clear|purulent] discharge. - There [are|are no] visible polyps. The oropharynx cavity is normal. - The conjunctiva and lids appear [normal]. - The lungs [are clear to auscultation|reveal wheezing|crackles]. - There are [no audible cardiac murmurs.] - Limited skin examination [is unremarkable|shows eczematous lesions on the arms|legs|trunk|face|eyelids]. SKIN PRICK TESTING: - Skin prick testing was done to a panel of common aeroallergens. - Sensitivity to [tree mix|grass mix|weed mix|ragweed|mold mix|alternaria|hormodendrum|penicillium|aspergillus|house dust mites|cockroach|cat|dog|feather|oak|birch|mouse|rat] was identified. - [There were appropriate positive and negative controls|The patient was dermatographic]. ASSESSMENT & PLAN: [[Provide a list of the clinical findings and diagnostic impressions. Outline the corresponding management plan, including any treatments, medications, referrals, or follow-up recommendations. Include patient education and any specific instructions provided.] For Example 1. [Problem 1] ([Code]): • [Management Strategy 1] • [Management Strategy 2] ... 2. [Problem 2] ([Code]): • [Management Strategy 1] • [Management Strategy 2] ... n. [Problem n] ([Code]): • [Management Strategy 1] • [Management Strategy 2] ] [name] had the opportunity to ask questions and was agreeable with the plan. Thank you for involving me in the care of [name]. Informed consent was obtained from this patient for Empathia AI-assisted ambient charting. Accuracy of the note has been verified by your clinician. [Do no generate any other section other than listed]