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S.O.A.P Note – Subjective (OP 3) Quizzes with Correct Verified Answers It is common to encounter patients who are seeking evaluation for a symptom they have experienced in the past. For these patients, it is important to document: - ANSWER Anything new o$12.99
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S.O.A.P Note – Subjective (OP 3) Quizzes with Correct Verified Answers It is common to encounter patients who are seeking evaluation for a symptom they have experienced in the past. For these patients, it is important to document: - ANSWER Anything new o
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SOAP NOTE Subjective
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SOAP NOTE Subjective
S.O.A.P Note – Subjective (OP 3) Quizzes
with Correct Verified Answers
It is common to encounter patients who are seeking evaluation for
a symptom they have experienced in the past. For these patients,
it is important to document: - ANSWER Anything new or different about their symptoms today...
S.O.A.P Note – Subjective (OP 3) Quizzes
with Correct Verified Answers
It is common to encounter patients who are seeking evaluation for
a symptom they have experienced in the past. For these patients,
it is important to document: - ANSWER ❑ Anything new or different about their symptoms today
❑ How long ago did the similar symptoms occur?
❑ Did the patient seek professional treatment at that time?
❑ Was there any result or diagnosis from previous evaluation?
If the patient has had any prior testing related to his complaint, it is important to document
the following: - ANSWER ❑ Who ordered the test? (Name and specialty)
❑ Specific name of the test (lab, XR, CT, MRI, etc.)
❑ Date of the test
❑ Results
❑ Diagnosis given to the patient
1. Why is documenting a thorough HPI important?
2. Name the 8 elements of the HPI.
3. Explain a method of "checking" your chart for completeness.
4. Is the chief complaint one of the eight ELEMENTS of the
HPI? - ANSWER 1. The HPI is a vital component of the chart. It is the basis for the entire workup
that follows.
3. One way to "check" your chart for completeness is to find the subjective complaints in the HPI and
follow them through the rest of your chart. They should be documented in the:
• HPI
• ROS
• PE and/or results
, • Assessment and plan
4. no
HPI - Single Complaint Formula - ANSWER 1. age and sex of patient
2. complaint and onset
3. quality, timing, and location
4. modifying factors
5. list associated Sx and pertinent negatives
6. describe any other important context (she has had similar HAs in the past but has not been Dx
with migraines)
The "multiple complaint formula" structure is most commonly used
in a primary care or internal medicine OP practice. It is effective
for patients who have: - ANSWER ❑ Multiple complaints - each complaint is documented in a
separate paragraph
❑ Routine follow-up for chronic illnesses
❑ Different treatment plans for different complaints
The "chronologic" structure is best for complex stories: - ANSWER ❑ Patients with
multiple comorbidities
❑ Patients who have had a significant workup in the past
❑ Established patients here for follow-up of a chronic illness
HPI - Chronologic Structure - ANSWER 1. age and sex
2. relevant PMHx
3. previous evaluation
4. previous treatment
5. context
6. elements of second complaint
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