Patient: Johnathan Doe

DOB: 02/14/1950 (Age 74)

MRN: 1002457

Management Period: 10/01/2025 - 10/31/2025

Date of Service: 10/31/2025

Provider: Minnie Mouse, MD

Chronic Conditions

• Type 2 Diabetes Mellitus (diagnosed 2010)
• Hypertension (diagnosed 2005)
• Hyperlipidemia (diagnosed 2008)

Time Spent

• Total time: 26 minutes this month
  • 10/08/2025 - 15 minutes: direct phone conversation with patient
  • 10/10/2025 - 6 minutes: care plan documentation and updates
  • 10/15/2025 - 5 minutes: communication with cardiology office

Care Plan Review & Updates

• Diabetes: Last A1c 7.8% (08/2025). Encouraged daily glucose checks, adherence to metformin and insulin regimen. Referral to dietitian confirmed.
• Hypertension: BP at last visit 146/88 mmHg. Patient instructed to monitor BP at home twice daily and record readings. Medication adherence reinforced.
• Hyperlipidemia: On atorvastatin; tolerating well. Lipid panel due next month—order placed.