Documented for a composite older adult with cough, this MN690 Unit 6 note changes from video to audio partway through and states its examination limits inside the exam itself. Searches like "mn 690 unit 6 assignment example", "mn690 unit 6 sample" and "mn690 unit 6 example" land here.
Virtual Visit Note: Day 4 of Cough in a 71-Year-Old Woman, Video Converted to Telephone at Minute 9
[Student Name]
Purdue University Global
MN690: Telehealth Application
Unit 6 Assignment
[Instructor Name]
[Date]
Composite patient and visit written as a model document. No real patient is described.
Telehealth Header
Date: November 3, 2026. Start 10:02; end 10:24. Modality: synchronous video, converted to audio-only telephone at 10:11 when video froze and could not be restored after two reconnection attempts. Patient location: [street address], [town], Wisconsin, confirmed verbally at the start of the visit. Clinician location: clinic office, [town], Wisconsin. Participants: patient; her daughter, present in the home, with the patient's agreement. Identity confirmed by name and date of birth. Consent: verbal consent to telehealth obtained after explaining that the visit would be by video, that some examination elements are not possible remotely, that the patient could choose an in-person visit instead and that the visit would not be recorded.
Subjective
Chief complaint: "Cough for four days, and I get winded on the stairs." Cough began October 30, initially dry, now producing small amounts of yellow sputum. Low-grade fever to 37.9 C on the second day by oral thermometer, none since. Mild breathlessness climbing one flight of stairs; none at rest. No chest pain, no coughing blood, no leg swelling. Eating and drinking normally, passing urine as usual, sleeping in bed rather than propped upright. History: hypertension on lisinopril; former smoker, quit 20 years ago; no known lung disease. Influenza vaccine received in October; last COVID-19 vaccine in September.
Objective
Observed on video, 10:02 to 10:11: Alert, conversant, speaking in full sentences without pausing for breath. Respiratory rate 20, counted over 30 seconds and doubled, with chest in view. No accessory muscle use at the neck. Lips and face pink in natural window light. Counted to 20 in one breath.
Reported during audio portion, 10:11 to 10:24: Oxygen saturation 95 percent and pulse 88 on the daughter's home pulse oximeter, read aloud by the daughter. Oral temperature 37.2 C, taken by the patient during the call.
Not performed: auscultation, percussion and any visual reassessment after 10:11, because the visit continued by telephone.
Assessment
Acute lower respiratory tract infection, likely viral bronchitis, without signs of respiratory distress on observation. Pneumonia not excluded, since auscultation was not possible and she is over 65 with a fever earlier in the illness. Home oximeter readings can overestimate saturation, so a reading of 95 percent is reassuring but not conclusive (U.S. Food and Drug Administration, 2021).
Plan
Supportive care: fluids, rest, honey for cough. No antibiotic at this time. Return criteria reviewed with the patient and daughter, who repeated them back: saturation below 94 percent on two readings, breathlessness at rest or when talking, new fever above 38.3 C, chest pain or coughing blood; any of these calls for a same-day in-person visit, and severe breathlessness, confusion or chest pain calls for 911. Follow-up telephone call scheduled for November 5 at 10:00, at 48 hours, sooner if she worsens. If symptoms have not improved by day 7, in-person visit with chest examination and consideration of a chest radiograph, consistent with guidance on remote assessment of respiratory illness (Greenhalgh et al., 2020).
Documentation Notes
The switch from video to telephone is documented as an event with a time and a reason, because findings recorded before and after it rest on different evidence. Documenting modality, location, participants and consent in a header is consistent with federal telehealth best-practice guidance (U.S. Department of Health and Human Services, n.d.).
References
Greenhalgh, T., Koh, G. C. H., & Car, J. (2020). Covid-19: A remote assessment in primary care. BMJ, 368, m1182. https://doi.org/10.1136/bmj.m1182
U.S. Department of Health and Human Services. (n.d.). Telehealth best practice guide. Telehealth.HHS.gov. https://telehealth.hhs.gov/providers/best-practice-guides
U.S. Food and Drug Administration. (2021). Pulse oximeter accuracy and limitations: FDA safety communication. U.S. Food and Drug Administration.
How this MN690 Unit 6 example is structured
The note is organized so that any reader, a covering clinician, an auditor or a payer, can tell what was seen, what was heard and what was never assessed. The header precedes clinical content because every later entry depends on it: the modality defines what the objective section could contain, and the address defines which state's rules governed and where help would be sent. The switch is documented as an event with a time and a reason, since findings recorded before and after it rest on different evidence. Reported data are attributed to their source, the daughter reading the device, rather than written as clinician measurements. The assessment is worded to match the limits: lower respiratory infection without signs of distress on observation, pneumonia not excluded. The plan closes the loop with specific return criteria and a follow-up call at 48 hours.
Get an MN690 Unit 6 example written to your instructions
Describe the remote encounter your Unit 6 note documents, including the modality, anyone present and what could not be examined, and include the note template and rubric. The note returns with a telehealth header, observed and reported findings kept apart, an explicit limitations line and return criteria. First custom sample free, 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
MN690 Unit 6 questions, answered
What does a telehealth note need that an in-person note does not?
Usually a record of how the visit was conducted, where the patient was sitting, where the clinician was, who joined at each end, how identity was checked and what consent covered. Some payers and organizations add start and end times or set statements. The exam has to reflect what the connection allowed, with limits written out rather than implied, and a local template may ask for more.
How should the note handle a switch from video to audio?
As an event with a time and a reason, recorded where it happened. Findings before and after the switch rest on different evidence, and the note should make clear which is which. Coding and billing for mixed-modality visits follow payer rules that have changed repeatedly, so the documentation of what actually occurred matters more than any assumption about how it will be billed.
Can a telehealth note use normal exam templates?
Only after editing. Many templates auto-populate normal findings for systems that cannot be examined remotely, and leaving them unchanged creates a record claiming an examination that never happened. The safer practice is a remote-specific template or deleting every element not assessed, then stating limitations. Markers and auditors both treat auto-filled normals in a video note as a documentation error.