Patient presents with a history of hyperlipidemia, diagnosed in [Date of Diagnosis] with initial presentation of [Initial Presenting Symptoms, e.g., elevated cholesterol on routine screening, or symptoms related to atherosclerotic complications].  Past medical history includes [List relevant medical history, e.g., hypertension, coronary artery disease, diabetes mellitus, family history of dyslipidemia].  Current medications include [List current medications including lipid-lowering agents such as statins, fibrates, niacin, bile acid sequestrants, or PCSK9 inhibitors, as well as other medications relevant to the patient's overall health].  Review of systems reveals [Document pertinent findings related to hyperlipidemia and its potential complications, e.g., xanthomas, xanthelasmas, abdominal pain suggestive of pancreatitis, chest pain suggestive of angina, symptoms of peripheral artery disease].  Physical exam findings include [Document relevant physical findings, e.g.,  blood pressure, body mass index (BMI), presence or absence of xanthomas or xanthelasmas, auscultation of the heart and lungs, assessment of peripheral pulses].  Laboratory results show [Include lipid panel results including total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, and non-HDL cholesterol].  Assessment:  History of hyperlipidemia.  ICD-10 code: E78.5.  Differential diagnoses considered include [Consider and document relevant differential diagnoses, e.g., familial hypercholesterolemia, secondary dyslipidemia due to medications or underlying medical conditions].  Plan:  Continue current lipid-lowering therapy with [Medication name and dosage].  Discussed lifestyle modifications including diet, exercise, and weight management.  Patient education provided on the importance of medication adherence and follow-up appointments.  Scheduled follow-up in [Timeframe] to reassess lipid profile and monitor for treatment efficacy and potential adverse effects.  Patient understands and agrees with the plan.