Primary Care:
Wellness
Mr. X is a X y/o X with a PMH of X presents for annual wellness exam.

#Wellness
-Mood:
-Exercise:
-Diet:
-Tobacco:
-Alcohol:
-Drugs:
-Sexual history:
-Flu vaccine: ***
-COVID vaccine: ***
-Last Tdap vaccine: ***
-Add if >50 or otherwise indicated: Shingles vaccine:
-Add if >65 or otherwise indicated: Pneumococcal vaccine:
-Family History of CRC:
-Add if >45: CRC Screening:
-Add if smoker + 20 pack-year history + last cigarette within 15 years: LDCT:
-Add if smoker + M + >65: AAA screening:

Inpatient:
Mr. X is a X y/o X with a h/o X admitted for X presenting with X

#Subjective
HPI:

#Objective
VS:
BP:
HR:
Pulse:
RR:

#Assessment and Plan