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This is the structure Notat follows when it writes the note from the visit — you never fill it in by hand.
S: Here today for diabetes visit. No changes in medication since last seen. Over all feels doing well. Patient currently taking (add diabetic medication) O/E BP: Please see diabetes flow sheet below A1C: [current A1C] increased/decreased from [previous A1C] LDL: [current LDL] increased/decreased from [previous LDL] HDL: [current HDL] increased/decreased from [ previous HDL] Wt: [current wt in kilograms ] increased/decreased from [previous wt in kilograms ] A: Diabetes under good/sub optimal control LDL at target/not at target Weight up/down from last apt BP is at/not at target Discussed insulin regime in detail P: Advised to continue with diabetic diet/exercise etc I have advised to continue with current medication regime I have added the following medications to current regime: I will see back in 3/6 months for diabetic visit See sooner with any other concerns
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Ingrid Dahl
Nurse Practitioner, Norway
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