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SOAP

SOAP method definitions

TermDefinition
subjective how pt feels, describes his problem, PMHx, FHx, in own words, exacerbating or relieving factors
objective PT PE, RR, HR, T, BP , lab findings and imaging results at this visit
assessment Dx, DDx, identification of problem
plan course of action/treatment plan, rx, procedure, surgery more test etc
Created by: Aharrissmith
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