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Primary Care Physician
10-15 minutes

Primary Care Note Based on Problem Evaluation

The Problem Based Primary Clinic Note template by s10.ai is a vital resource for family medicine practitioners, enabling them to document patient encounters with a focus on specific health issues, problems, or requests. This comprehensive template includes sections for history of present illness, review of systems, physical examination, and assessment and plan, all designed to streamline the documentation process. It ensures that notes are thorough and well-organized, making it particularly beneficial for addressing multiple health concerns in a single visit. Ideal for primary care environments, this template enhances efficiency and accuracy in clinical documentation, encouraging clinicians to adopt and explore its capabilities with s10.ai.

2,022 uses
4.3/5.0
M
Michael Thompson
Template Structure

Organized sections for comprehensive clinical documentation

HPI
[1. Concern, issue or inquiry 1 (condition, inquiry or issue name only)]
[Insert the relevant discussion points with the patient for concern 1]
[2. Concern, issue or inquiry 2 (condition, inquiry or issue name only)]
[Insert the relevant discussion points with the patient for concern 2]
[3. Concern, issue or inquiry 3, 4, 5 etc (condition, inquiry or issue name only)]
[Insert the relevant discussion points with the patient for concern 3,4,5 etc]
Review of systems
[Relevant body systems reviewed, including any positive or negative findings]
Physical exam
[Detailed findings from the physical examination, organized by body system or region]
Assessment & Plan:
[1. Concern, issue or inquiry 1 (condition, inquiry or issue name only)]
- [Assessment, likely diagnosis for Concern 1 (condition name only)]
- [Differential diagnosis for Concern 1 (only if applicable)]
- [Investigations planned for Concern 1 (only if applicable)]
- [Treatment planned for Concern 1 (only if applicable)]
- [Relevant referrals for Concern 1 (only if applicable)]
[2. Concern, issue or inquiry 2 (condition, inquiry or issue name only)]
- [Assessment, likely diagnosis for Concern 2 (condition name only)]
- [Differential diagnosis for Concern 2 (only if applicable)]
- [Investigations planned for Concern 2 (only if applicable)]
- [Treatment planned for Concern 2 (only if applicable)]
- [Relevant referrals for Concern 2 (only if applicable)]
[3. Concern, issue or inquiry 3, 4, 5 etc (condition, inquiry or issue name only)]
- [Assessment, likely diagnosis for Concern 3, 4, 5 etc (condition name only)]
- [Differential diagnosis for Concern 3, 4, 5 etc (only if applicable)]
- [Investigations planned for Concern 3, 4, 5 etc (only if applicable)]
- [Treatment planned for Concern 3, 4, 5 etc (only if applicable)]
- [Relevant referrals for Concern 3, 4, 5 etc (only if applicable)]
Sample Clinical Note

Example of completed documentation using this template

HPI
1. Hypertension
The patient mentions experiencing occasional headaches and dizziness. They have been tracking their blood pressure at home, which has shown elevated levels. The patient is concerned about the long-term impact of hypertension and is interested in lifestyle changes to manage it.
2. Type 2 Diabetes
The patient has been experiencing increased thirst and frequent urination. They have a family history of diabetes and are concerned about their recent weight gain. The patient is interested in discussing dietary changes and potential medication adjustments.
3. Seasonal Allergies
The patient reports sneezing, nasal congestion, and itchy eyes, particularly during the spring months. They have been using over-the-counter antihistamines with limited relief and are seeking advice on alternative treatments.
Review of systems
Cardiovascular: Positive for elevated blood pressure readings. Negative for chest pain or palpitations.
Endocrine: Positive for increased thirst and urination. Negative for heat intolerance or changes in skin texture.
Respiratory: Positive for nasal congestion and sneezing. Negative for shortness of breath or wheezing.
Physical exam
Vital signs: Blood pressure 150/95 mmHg, heart rate 78 bpm, respiratory rate 16 breaths/min, temperature 98.6°F.
HEENT: Nasal mucosa swollen, conjunctivae clear.
Cardiovascular: Regular rate and rhythm, no murmurs.
Respiratory: Clear to auscultation bilaterally.
Assessment & Plan:
1. Hypertension
- Assessment: Essential hypertension
- Differential diagnosis: Secondary hypertension
- Investigations planned: 24-hour ambulatory blood pressure monitoring
- Treatment planned: Initiate lifestyle modifications, consider starting an ACE inhibitor
- Relevant referrals: Referral to a dietitian for dietary counseling
2. Type 2 Diabetes
- Assessment: Poorly controlled type 2 diabetes
- Differential diagnosis: None
- Investigations planned: HbA1c test
- Treatment planned: Adjust current medication regimen, emphasize dietary changes
- Relevant referrals: Referral to an endocrinologist for further management
3. Seasonal Allergies
- Assessment: Allergic rhinitis
- Differential diagnosis: None
- Investigations planned: None
- Treatment planned: Prescribe a nasal corticosteroid spray
- Relevant referrals: None
Clinical Benefits

Key advantages of using this template in clinical practice

  • The HPI Clinical Template is an essential tool for healthcare professionals seeking to streamline patient documentation and enhance clinical workflows. This comprehensive template allows clinicians to efficiently capture detailed patient histories, including specific issues, problems, or requests, and facilitates thorough discussions with patients. It includes sections for a systematic review of systems, ensuring all relevant body systems are assessed for positive or negative findings. The physical exam section is meticulously organized by body system or region, providing a structured approach to documenting examination findings. The Assessment & Plan section is designed to support clinical decision-making, offering space to document assessments, likely diagnoses, differential diagnoses, planned investigations, treatments, and referrals for each patient issue. By adopting this template, clinicians can improve documentation accuracy, enhance patient care, and optimize clinical efficiency. Explore the HPI Clinical Template today to elevate your practice's documentation standards.
Frequently Asked Questions

Common questions about this template and its usage

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Primary Care Note Based on Problem Evaluation