Signed encounter note
Reason for visit
Follow-up for blood-pressure control and chronic kidney disease monitoring.
Interval history
The home blood-pressure log was reviewed. Readings remain near the current goal, and prescribed antihypertensive medication is taken consistently.
Renal results
Serial renal laboratory results were reviewed. Kidney function remains stable; chronic kidney disease stage 2 is documented.
Assessment and plan
Hypertension; continue current therapy. Chronic kidney disease stage 2; continue renal monitoring and avoid nephrotoxic medicines. Repeat blood pressure and renal studies at the next visit.
Work item details
Assignment
- Task
- Code from chart
- Assignment ID
- WRK-020
- Date of service
- 2026-10-29
- Note status
- signed
- Setting
- Outpatient physician office
Official coding reference
FY 2027
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Tabular notes
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