Patient presents with a history of gastric cancer, status post total gastrectomy performed on [Date].  The patient reports [Symptoms, e.g., dysphagia, early satiety, abdominal pain, nausea, vomiting, weight loss, fatigue].  Review of systems reveals [Pertinent positives and negatives].  Physical examination reveals [Findings, e.g., abdominal tenderness, palpable masses, lymphadenopathy].  Past medical history is significant for [Relevant comorbidities, e.g., anemia, H. pylori infection, pernicious anemia, previous chemotherapy or radiation therapy].  Family history includes [Family history of gastric cancer or related cancers].  Medications include [Current medications].  Current diagnostic considerations include surveillance for recurrence, nutritional deficiencies, and management of post-gastrectomy complications.  Differential diagnosis previously included gastric ulcer, gastroesophageal reflux disease (GERD), gastritis, and other gastrointestinal malignancies.  Initial diagnosis of gastric cancer was confirmed by [Diagnostic method, e.g., endoscopic biopsy, histopathology].  Staging at diagnosis was [Stage, e.g., TNM stage].  Treatment included [Treatment details, e.g., surgical resection, chemotherapy regimen, radiation therapy].  Plan includes [Follow-up plan, e.g., ongoing surveillance with imaging, blood tests, endoscopic evaluation, nutritional counseling, and symptom management].  Patient education provided on post-gastrectomy diet, potential complications, and importance of follow-up care.  ICD-10 code Z85.01 (Personal history of malignant neoplasm of stomach) is applicable.