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SOAP Note - Subjective, Objective, Assessment, PlanJoseph Sunny
Original Start Date: October 31, 2005
SOAP Note will create a standard patient encounter document. The subjective part describes what the patient says. It can include relevant family history, past medical history, past surgeries, medications, and allergies. Objective areas contain what the doctor observes. It can include a physical exam, lab work, and imaging. Assessment and plan are usually organized by problems or organ systems.
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I've added an electronic
health record forum.
Questions for Medical History
"What is this patient's past medical history?"
About the site and its author: Joseph K. Sunny, Jr. MD. Most of the pages are created from my reading or clinical experience.