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Sandra LeeCOPD follow-up
Patient name
Sandra Lee
Pre-Visit BriefHide

Recent follow-up after COPD exacerbation. Breathing is improving; O2 sat 96% and exam showed scattered wheeze.

Continue maintenance inhaler, reinforce technique, review tobacco triggers, and confirm quit plan.

Last updated: 5/21/2026
Recording in progressMobile capture ready, even without connection.
Complete. Note supports diagnosis and plan.
Visit summary

COPD symptoms improving after exacerbation. Reviewed inhaler use, tobacco triggers, oxygen saturation, and follow-up plan.

J44.9F17.21099214
Assessment & plan

COPD follow-up with tobacco cessation counseling and medication management documented.

+0.88 RVUsReview suggestions

Current note supports 99214. Could support 99215 with additional information.

9921499215
SOAP noteReady
Send to EHROne click
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