Signed encounter note
Reason for visit
Follow-up after completion of a cardiac evaluation for exertional chest pressure.
Interval history
The patient describes two episodes of central chest pressure while walking uphill; each resolved within several minutes of rest. No symptoms have occurred at rest, and the patient reports no fainting or shortness of breath.
Results reviewed
The completed cardiac evaluation is reviewed with the patient.
Assessment and plan
Angina pectoris, unspecified. Continue the prescribed antianginal regimen and review precautions for symptoms that persist or occur at rest.
Work item details
Assignment
- Task
- Code from chart
- Assignment ID
- WRK-007
- Date of service
- 2026-10-14
- Note status
- signed
- Setting
- Outpatient physician office
Official coding reference
FY 2027
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Tabular notes
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