Pacheco Assessment & Plan

Assessment & Plan: 1. Problem [describe the patient's current condition and diagnosis] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) [mention any relevant findings from the physical examination, lab results, or imaging studies] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) [note any changes in the patient's condition since the last visit] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Plan: - [outline the treatment plan, including medications, therapies, and lifestyle recommendations] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [mention any referrals to specialists or other healthcare providers] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [describe any follow-up plans, including the timing of the next visit] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [note any patient education or counselling provided] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)