Patient presents with a history of paroxysmal supraventricular tachycardia (PSVT).  Onset, duration, and frequency of SVT episodes are documented, including any triggers such as caffeine, stress, or exertion.  Symptoms experienced during tachycardia episodes are detailed, including palpitations, chest pain, shortness of breath, dizziness, lightheadedness, or syncope.  Electrocardiogram (ECG) findings during symptomatic episodes, if available, are described, noting the heart rate, rhythm, and presence of any pre-excitation features suggestive of Wolff-Parkinson-White syndrome.  Previous diagnostic testing for SVT, such as Holter monitoring, event monitoring, or electrophysiology studies, is reviewed.  Current management of SVT is outlined, including medications such as beta-blockers, calcium channel blockers, or antiarrhythmic drugs.  Prior interventions such as catheter ablation or cardioversion are also documented.  Patient's understanding of their condition, medication adherence, and response to treatment are assessed.  Differential diagnoses considered include atrial fibrillation, atrial flutter, and sinus tachycardia.  Patient education provided regarding SVT management, lifestyle modifications, and when to seek medical attention is documented.  Follow-up plan, including frequency of visits and any planned diagnostic testing, is clearly stated.  ICD-10 code I47.1, Paroxysmal supraventricular tachycardia, is confirmed as applicable.