COMPREHENSIVE
ASSESSMENT TINA
JONES SHADOW
HEALTH
TRANSCRIPT,
SUBJECTIVE,
OBJECTIVE &
DOCUMENTATION
,Transcript
All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394)
Greet
07/22/20
Hello, my name is Tammy. I will be conducting an interview and a
physical exam. 5:37 PM
EDT
Hey.
Question
07/22/20
What is your name? 5:37 PM
EDT
Tina Jones.
Question
07/22/20
What is your date of birth? 5:37 PM
EDT
February 17th.
Question
How old are you? 07/22/20
5:43 PM
EDT
I’m 28.
, Question
07/22/20
What brings you into the clinic today? 5:43 PM
EDT
I came in because I’m required to have a recent physical exam for
the health insurance at my new job.
Question
07/22/20
Do you have any current health problem? 5:44 PM
EDT
I don’t have anything specific going on today. I mean, I still have
asthma and diabetes, but both of those are under control. I’m taking
good care of my health these days.
Question
07/22/20
What is your new job? 5:44 PM
EDT
I’m going to be an Accounting Clerk at Smith, Stevens, Stewart,
Silver & Company. I’ll be helping a more experienced accountant
with her clients, and then eventually I’ll get more responsibility,
and build my own client list. I start in two weeks–I’m really
excited!
Empathize
07/22/20
That is great. 5:45 PM
EDT
Thanks.
Question
07/22/20
When was your last physical exam? 5:45 PM
EDT
, Let’s see . . . I had two doctor’s appointments earlier this year.
About five months ago, I came in here for a check-up, and the
nurse practitioner got me on metformin. Then a few weeks later I
saw a gynecologist for a pap smear.
Question
07/22/20
What did your gynecologist say? 5:45 PM
EDT
She said everything looked good, except that I had PCOS, which
the nurse here had said was possible. She started me on birth
control, and it seems to be helping things.
Question
07/22/20
How often do you take birth control? 5:48 PM
EDT
I take it every morning, with breakfast.
Question
07/22/20
What is the name of the birth control pill you took? 5:49 PM
EDT
They’re called Yaz.
Question
07/22/20
Has your menstrual cycle improved since taking Yaz? 5:50 PM
EDT
Now that I’m on the pill I’m getting my period every month.
ASSESSMENT TINA
JONES SHADOW
HEALTH
TRANSCRIPT,
SUBJECTIVE,
OBJECTIVE &
DOCUMENTATION
,Transcript
All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394)
Greet
07/22/20
Hello, my name is Tammy. I will be conducting an interview and a
physical exam. 5:37 PM
EDT
Hey.
Question
07/22/20
What is your name? 5:37 PM
EDT
Tina Jones.
Question
07/22/20
What is your date of birth? 5:37 PM
EDT
February 17th.
Question
How old are you? 07/22/20
5:43 PM
EDT
I’m 28.
, Question
07/22/20
What brings you into the clinic today? 5:43 PM
EDT
I came in because I’m required to have a recent physical exam for
the health insurance at my new job.
Question
07/22/20
Do you have any current health problem? 5:44 PM
EDT
I don’t have anything specific going on today. I mean, I still have
asthma and diabetes, but both of those are under control. I’m taking
good care of my health these days.
Question
07/22/20
What is your new job? 5:44 PM
EDT
I’m going to be an Accounting Clerk at Smith, Stevens, Stewart,
Silver & Company. I’ll be helping a more experienced accountant
with her clients, and then eventually I’ll get more responsibility,
and build my own client list. I start in two weeks–I’m really
excited!
Empathize
07/22/20
That is great. 5:45 PM
EDT
Thanks.
Question
07/22/20
When was your last physical exam? 5:45 PM
EDT
, Let’s see . . . I had two doctor’s appointments earlier this year.
About five months ago, I came in here for a check-up, and the
nurse practitioner got me on metformin. Then a few weeks later I
saw a gynecologist for a pap smear.
Question
07/22/20
What did your gynecologist say? 5:45 PM
EDT
She said everything looked good, except that I had PCOS, which
the nurse here had said was possible. She started me on birth
control, and it seems to be helping things.
Question
07/22/20
How often do you take birth control? 5:48 PM
EDT
I take it every morning, with breakfast.
Question
07/22/20
What is the name of the birth control pill you took? 5:49 PM
EDT
They’re called Yaz.
Question
07/22/20
Has your menstrual cycle improved since taking Yaz? 5:50 PM
EDT
Now that I’m on the pill I’m getting my period every month.
