Patient presents with complaints of lower back pain, potentially related to an L1 compression fracture, vertebral fracture, or first lumbar vertebra fracture.  Onset of pain was [Date of onset] and is described as [Character of pain: e.g., sharp, dull, aching, radiating].  Pain is exacerbated by [Exacerbating factors: e.g., movement, coughing, sneezing] and relieved by [Relieving factors: e.g., rest, ice, medication].  Patient denies [Pertinent negatives: e.g., bowel or bladder incontinence, saddle anesthesia, fever].  Physical exam reveals [Physical exam findings: e.g., tenderness to palpation over the L1 spinous process, limited range of motion in the lumbar spine, paraspinal muscle spasm].  Neurological exam is [Neurological exam findings: e.g., intact, with normal strength and sensation in the lower extremities].  Imaging studies including [Imaging studies obtained: e.g., lumbar spine X-ray, CT scan, MRI] demonstrate a fracture of the L1 vertebra, consistent with the diagnosis of L1 fracture.  Differential diagnoses considered include [Differential diagnoses: e.g., lumbar strain, spinal stenosis, herniated disc].  Assessment:  L1 fracture,  ICD-10 code S32.001A.  Plan:  Conservative management with [Treatment plan: e.g., pain medication, bracing, physical therapy].  Patient education provided on [Patient education: e.g., activity modification, fall prevention, proper body mechanics].  Follow-up scheduled in [Follow-up timeframe] to assess response to treatment and monitor for any complications, such as spinal instability or nerve compression.