Assessment
Subjective Current Health Status (11) - Current health problems.
Last visit to PCP.
Current prescription meds.
Follow up about diabetes meds.
Ask about asthma meds.
Follow up about birth control.
Asked about non-prescription meds.
Follow up on ibuprofen.
Ask about allergies.
Ask about diabetes management through lifestyle.
Ask about blood glucose monitoring.
Psychosocial History (8) - Diet
Caffeine intake
Alcohol intake
Tobacco use
Illicit drug use
Exercise
Sexual activity
Mental health
Review of Systems (9) - Constitutional Health (fatigue, weight loss, fever)
HEENT
Respiratory
Cardiovascular
GI
Genitourinary
Musculoskeletal
Neurological
HSN