Patient presents with a lip lesion, concerning for potential cheilitis, actinic keratosis, or squamous cell carcinoma.  Chief complaint includes [insert chief complaint, e.g., a sore, bump, or discoloration on the lip].  Onset of the lip lesion was [insert timeframe, e.g., two weeks ago].  Location of the lesion is [insert specific location, e.g., vermillion border of the lower lip, left commissure].  Lesion characteristics include: size [insert measurement in mm], shape [e.g., round, irregular], color [e.g., red, white, pink], texture [e.g., smooth, rough, ulcerated], and tenderness [e.g., tender, non-tender].  Patient reports [presence or absence of] associated symptoms such as bleeding, pain, burning, itching, or numbness.  Relevant medical history includes [list relevant medical history, e.g., sun exposure, smoking history, history of skin cancer].  Social history includes [list relevant social history, e.g., occupation, tobacco use].  Family history is significant for [list relevant family history, e.g., skin cancer].  Differential diagnosis includes cheilitis, actinic keratosis, squamous cell carcinoma, mucocele, and herpes simplex.  Assessment includes visual inspection and palpation.  Plan includes [insert plan, e.g., biopsy, referral to dermatology, prescription for topical medication, patient education on sun protection].  ICD-10 code[s] to be considered include [insert appropriate ICD-10 code(s), e.g., K00.6, L57.0, C44.0].  Follow-up is scheduled for [insert timeframe].