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Scribe America Scribe U Final Exam Study 2022 With 100% COMPLETE SOLUTIONS
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Scribe America Scribe U Final Exam Study 2022 With 100% COMPLETE SOLUTIONS
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JACKLINEScribe America Scribe U Final Exam Study 2022 With 100% COMPLETE SOLUTIONS
Terms in this set (126)
Define SOAP subjective, objective, assessment, plan
CC chief complaint
what terms are important to have to make sure discuss, management, evaluation
the provider is reimbursed
HPI history of present illness (the story of the symptoms)
What are the 8 elements of the HPI? Onset, Timing, Location, Quality, Severity, Modifying Factors, Associated Symptoms, Context
when the symptoms began , never write days of the week, use 3 days ago, weeks ago, months
Onset
ago
Modifying Factors What makes it better? What makes it worse? (ex. sleeping on my right side makes it better)
severity
Scribe America Scribe U how bad is the pain, mild, moderate, severe, on a scale of 1-10
Final Exam Study 2022
1/8
, Timing the frequency of the reported symptoms, constant, intermittent, waxing and waning
Location where the discomfort is coming from
quality describing the pain, sharp, dull, aching, cramping
Scribe America Scribe U Final Exam Study 2022
2/8
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