brevaHypertension follow-up
Encounter
Patient name: [ ] Date of birth: [ ] Date and time of encounter: [ ] Clinician: [ ]
Interval history
Changes since the previous visit: [ ] Symptoms reported: [ ] Medication use as reported, adherence and adverse effects: [ ] Salt intake, activity, alcohol and other factors discussed: [ ]
Blood pressure readings
Office readings today, with position, arm and time: [ ] Repeat readings if taken: [ ] Home readings reviewed, with device, dates and number of readings: [ ]
Findings
Other vitals measured today, with units: [ ] Relevant examination findings: [ ] Laboratory results reviewed with dates: [ ]
Assessment and plan
Current control and supporting readings: [ ] Medication decisions and rationale: [ ] Agreed target and home monitoring plan: [ ] Orders and counseling provided: [ ]
Follow-up
Follow-up timing and purpose: [ ] Return precautions discussed: [ ] Patient questions and understanding: [ ]