EHR Physical Note Summary
Female patient, 69 y/o, retired, poor health
Comorbidities:
Crohn's, T2D, overweight
Summary:
Complains of chronic pain from spinal fusion surgery, arthritis both knees and back, limited mobility, resists aggressive physical therapy, exaggerates pain 8 of 10, potential drug-seeking family
Prescription:
800 mg ibuprofen, no refill