OBJECTIVE & DOCUMENTATION REVIEW 2026
◉ Asked about last visit to a healthcare provider. Answer: Reports
last visit to a healthcare provider was 4 months ago
Reports reason for last visit was annual gynecological exam
Reports last general physical examination was 5 months ago
◉ Asked about current prescription medications. Answer: Reports
taking diabetes medication
Reports having an inhaler
Reports taking prescription birth control pills
◉ Followed up about diabetes medication. Answer: Reports diabetes
medication is metformin
Reports starting taking diabetes medication 5 months ago
, Reports that side effects of diabetes medication abated over time
Reports taking diabetes medication twice daily
Reports diabetes medication dose is 850 mg
Denies adverse effects of diabetes medication
◉ Asked about asthma medication. Answer: Reports asthma
medication has not changed
Reports inhaler is albuterol (Proventil)
Reports using inhaler no more than 2 times per week
Reports recommended dose is 1-3 puffs as needed
Reports typically taking 2 puffs
Reports sometimes needing 3 puffs to control symptoms
Denies adverse effects of asthma medication