Basic GPMP Notes - Item 721

GP MANAGEMENT PLAN (MBS ITEM No. 721) Patient’s Name: John Smith Date of Birth: 15/06/1975 Contact Details: 123 Main Street, Springfield, 555-1234 Medicare or Private Health Insurance Details: Medicare No. 1234 56789 0 Details of Patient’s Usual GP: Dr. Emily Johnson 456 Health Avenue, Springfield 555-6789 Details of Patient’s Carer (if applicable): N/A Date of last Care Plan/GP Management Plan (if done): 01/05/2024 Other notes or comments relevant to the patient’s management plan: Patient is motivated to improve lifestyle and manage diabetes effectively. PAST MEDICAL HISTORY: Type 2 Diabetes, Hypertension, Hyperlipidemia FAMILY HISTORY: Father had Type 2 Diabetes, Mother had Hypertension MEDICATIONS: Metformin 500mg twice daily, Lisinopril 10mg once daily, Atorvastatin 20mg once daily ALLERGIES: Penicillin GP MANAGEMENT PLAN: Patient problems / needs / relevant conditions: Management of Type 2 Diabetes and Hypertension Goals - changes to be achieved: Achieve HbA1c below 7%, maintain blood pressure below 130/80 mmHg Required treatments and services including patient actions: Continue current medications, attend diabetes education sessions, follow a low-carb diet, exercise 30 minutes daily Arrangements for treatments/services (when, who, and contact details): Diabetes education session on 15/11/2024 with Nurse Jane Doe, contact 555-9876 Copy of GP Management Plan offered to patient? Yes Copy / relevant parts of the GP Management Plan supplied to other providers? Yes GP Management Plan added to the patient’s records? Yes Date service was completed: 01/11/2024 Proposed Review Date: 01/05/2025 I have explained the steps and any costs involved, and the patient has agreed to proceed with the plan. GP’s Signature: Dr. Emily Johnson Date: 01/11/2024