Patient presents with complaints of poor sleep quality, characterized by difficulty falling asleep (sleep onset insomnia), frequent awakenings during the night (sleep maintenance insomnia), and early morning awakening (terminal insomnia).  Symptoms impact daytime functioning, including fatigue, daytime sleepiness, difficulty concentrating, irritability, and reduced energy levels.  Patient reports sleep disturbance duration of [duration], with an average of [number] hours of sleep per night.  Review of systems reveals potential contributing factors, including [list factors e.g., stress, anxiety, pain, medication side effects, caffeine intake, restless legs syndrome, sleep apnea].  Objective findings include [list objective findings, e.g., dark circles under eyes, yawning].  Differential diagnoses considered include insomnia, sleep apnea, circadian rhythm sleep disorders, restless legs syndrome, and medical conditions affecting sleep.  Assessment: Poor sleep quality impacting daily functioning.  Plan:  Initial treatment plan includes sleep hygiene education, cognitive behavioral therapy for insomnia (CBT-I) techniques, and further evaluation to rule out underlying medical conditions.  Follow-up scheduled in [timeframe] to assess treatment efficacy and consider additional interventions such as pharmacological management if indicated.  ICD-10 code: [relevant ICD-10 code e.g., G47.00, G47.01,  F51.01, F51.02 depending on clinical presentation].