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Chapter 2
Definition and Terms
| Term | Definition |
|---|---|
| RRR | regular rate and rhythm |
| (S)OAP | Subjective: what the patient says |
| S(O)AP | Objective: what test reveal |
| SO(A)P | Assessment: the analysis of the subjective and objective information; performed by health care provider |
| SOA(P) | Plan: the course of action for the patient |
| HEENT | head, eyes, ears, nose, and throat |
| CC | Chief complaint |
| marked | it really stands out |
| Febrile | to have fever |
| PMHx | past medical history |