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Outpatient Consultation & Encounter
Ava Thompson
In Consultation Token #T-01276 bpm
Normal Rhythm124/82 mmHg
Optimal Range98.6 °F
Afebrile98% SpO2
Room Air16 bpm
Eupnea22.4 kg/m²
62 kg / 166 cmCardiology
Outpatient Specialty
12 min
Check-in to Consultation
Follow-up
Hypertension Review
Active Encounter
Physician SOAP Consultation Notes
Clinical Evaluation by Dr. Robert Chen, MD
Subjective (S):
34-year-old female presents for routine 4-week follow-up regarding hypertension management. Patient reports good compliance with prescribed Amlodipine 5mg daily. Denies chest pain, shortness of breath, palpitations, visual disturbances, or peripheral edema. Energy levels good.
Objective (O):
Vitals: BP 124/82 mmHg, HR 76 bpm, SpO2 98% on room air. Cardiovacular: S1 and S2 present, regular rate and rhythm, no murmurs, rubs, or gallops. Lungs clear to auscultation bilaterally. Recent ECG shows normal sinus rhythm without ischemic ST changes.
Assessment & Plan (A/P):
1. Essential Hypertension — Well controlled on current dosage.
2. Continue Amlodipine 5mg PO daily for 90 days.
3. Ordered routine lipid panel and serum electrolytes today.
4. Return to OPD clinic in 3 months or sooner if blood pressure spikes above 140/90 mmHg.
Active Outpatient Prescriptions (E-Rx)
Prescribed medications for current encounter
| Medication Name | Dosage | Frequency | Duration | Pharmacy Status |
|---|---|---|---|---|
| Amlodipine Besylate | 5 mg (Oral Tablet) | Once Daily (Morning) | 90 Days (90 Tabs) | DISPENSED |
| Atorvastatin Calcium | 10 mg (Oral Tablet) | Once Daily (Bedtime) | 30 Days (30 Tabs) | PROCESSING |
OPD Patient Journey & Encounter Timeline
Real-time status tracking from check-in to discharge
Registered & Token Issued
08:45 AMToken T-012 assigned at OPD Reception Desk 02
Triage & Vital Signs Recorded
08:52 AMVitals captured by Nurse Alicia (BP 124/82, HR 76)
In Consultation
Active NowDr. Robert Chen, MD · Cardiology Consultation Room 204
Diagnostics & E-Prescription
PendingLipid panel sample collection & Pharmacy order dispensation