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Patient is a GP who presents to establish OB care.

Patient is sure lmpsure of her LMP unsure of lmp LMP EDD: 01/02/2026

multigravidPatient has a previous pregnancy history that is uncomplicateduncomplicated. complicated.

Past medical history and past surgical history is reviewed. significant for

transfer ob care

Number of family members with a history of Colon Cancer:

Family Member 1

Select Family Member:FatherMotherOlder BrotherYounger BrotherOlder SisterYounger SisterGrandparentMaternal GrandfatherPaternal GrandfatherMaternal GrandmotherPaternal GrandmotherMaternal AuntPaternal AuntMaternal UnclePaternal UncleMaternal CousinPaternal CousinMaternal NephewPaternal NephewMaternal NiecePaternal Niece

Age at diagnosis of CRC: in their 20s20212223242526272829in their 30s30313233343536373839in their 40s40414243444546474849in their early 50s505152535455in their late 50s56575859in their 60s60616263646566676869in their 70s70717273747576777879in their 80s80818283848586878889in their 90s

Lists:Relatives: Age Group: Unknown name "agegroup01"

Please enter the following information about the patient:

Age (number of years):

Sex: femalemale

- The patient is a year old .

- The patient's chart was reviewed and reconciled as noted in the HPI

- The patient's lifestyle was reviewed for possible impacts on health. I identified and addressed any barriers to improved health, such as age, gender, ethnic background, and, racial identity. Status of advanced health care planning was reviewed.

- The patient's self-reported or lab-reported vital signs were reviewed.

- Information was provided regarding healthy lifestyle choices and vaccinations.

- Based on recommendations for all or almost all adults, the patient was:

• Screened for depression, unhealthy alcohol use, smoking, and unhealthy drug use
• Screened for hypertension or recommended to screen for hypertension
• Offered screening for Hepatitis C and HIV
• Counseled regarding advanced care planning, including advanced directives, and offered follow up for future discussion if desired.

Specific concerns for this patient, if any:

BMI over 25

BMI over 30

Having more than 1 partner in 12 months

Requesting testing for sexually transmitted infections

Sexually active

Specific risk of HIV

Increased risk of Tuberculosis

Tobacco/Nicotine use now or in the past

Unhealthy alcohol use

Concern of depression or anxiety

Elevated blood pressure

Female with personal or family history of BRCA related cancer or of Ashkenazi Jewish Ancestry

History of diabetes, hypertension, or tobacco use

Fair skin

Concern for memory loss

No specific concerns noted above.

The following statements are generated based on age and sex entered at the top

Testing or screening ordered during this visit:

Referrals placed during this visit:

The patient was advised to follow up at least annually for preventive health care, sooner as needed for review of results or discussion of concerns raised.

The patient verbalized a clear understanding of my instructions and was agreeable with the plan.