- id: note-1
date: 2024-03-15
type: Progress Note
provider: Dr. Sarah Smith
summary: Follow-up for hypertension and diabetes management
content: |
Patient presents for routine follow-up. Reports good compliance with medications.
Blood pressure well controlled at 128/82 mmHg. Blood glucose levels have been stable
with HbA1c at 6.8%. No adverse effects from current medications reported.
Assessment: Hypertension and Type 2 Diabetes - well controlled
Plan: Continue current medications. Follow up in 3 months. Referred for annual
lipid panel and comprehensive metabolic panel.
attachments:
- id: att-1
filename: lab-results-2024-03.txt
type: text/plain
description: Lab results from March 2024 visit
- id: note-2
date: 2023-12-10
type: Annual Physical
provider: Dr. Sarah Smith
summary: Annual physical examination
content: |
Patient in for annual wellness visit. Overall doing well with chronic conditions
well-managed. Physical exam unremarkable. Vital signs stable.
Reviewed preventive care:
- Colonoscopy due in 2024
- Flu vaccine administered today
- Continue current medication regimen
Assessment: Overall health good, chronic conditions stable
Plan: Annual follow-up in 12 months
attachments: []
- id: note-3
date: 2024-06-20
type: Procedure Note
provider: Dr. Robert Johnson
summary: Colonoscopy procedure
content: |
Procedure: Colonoscopy with biopsy
Indication: Routine screening, age 50+
Findings: Examination of entire colon completed. One small polyp identified
in ascending colon, removed and sent for pathology. No other abnormalities noted.
Impression: Successful colonoscopy with polypectomy
Recommendation: Follow-up in 5 years unless pathology indicates otherwise
attachments:
- id: att-2
filename: colonoscopy-pathology-2024-06.txt
type: text/plain
description: Pathology report for polyp biopsy