|
COVID Swab performed
|
Routine lab draw
|
|
COVID swab and ab test
|
COVID Ab only
|
|
Other Diagnosis 1
|
Plan 1
|
|
Other Diagnosis 2
|
Plan 2
|
|
COVID-19 screening plan
|
|
|
HTN
|
Plan
|
|
CAD
|
Plan
|
|
CHF
|
Plan
|
|
Afib
|
Plan
|
|
DM2
|
Plan
|
|
HLD
|
Plan
|
|
COPD
|
Plan
|
|
Asthma
|
Plan
|
|
Hypothyroid
|
Plan
|
|
GERD
|
Plan
|
|
Other Diagnosis 3
|
Plan 3
|
|
Other Diagnosis 4
|
Plan 4
|
|
COVID AB Negative Result
|
|
|
COVID AB Positive Result
|
|
|
Advanced Directives
• • •
|
|
|
Time spent on patient care
|
|
|
NH instructions/disclaimer
|
|
|
Discussion of Assessment and Plan
• • •
|
|
|
Cosign
|
|
