Soap Note

SOAP Note Documentation: Case Study on RUQ Pain in Pregnancy

Patient Initials: Pt. Encounter Number: Date: Age: Sex: Allergies: Advanced Directives: SUBJECTIVE CC: HPI: Describe the course of the patient’s illness: Onset: Location: Duration: Characteristics: Aggravating Factors: Relieving Factors: Treatment: Current Medications: PMH Medication Intolerances: Chronic Illnesses/Major traumas: Screening Hx/Immunizations Hx: Hospitalizations/Surgeries: Family History: Social History: ROS General Cardiovascular Skin Respiratory Eyes Gastrointestinal Ears Genitourinary/Gynecological […]

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Date: February 4th, 2025

Focused SOAP Note for a patient with chest pain

Focused SOAP Note for a patient with chest pain S: CC: “Chest pain” HPI: The patient is a 65 year old AA male who developed sudden onset of crushing chest pain, which began early this morning. The pain is described as “crushing” and is rated nine out of 10 in terms of intensity. The pain […]

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Date: September 28th, 2023

Comprehensive Psychiatric Evaluation and SOAP Note Development

Comprehensive Psychiatric Evaluation 3 Step 1: You will use the Graduate Comprehensive Psychiatric Evaluation Template ,I, to: Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic. Ensure that your evaluation reflects a thorough understanding of the patient’s psychiatric condition. Upload your completed comprehensive psychiatric evaluation as a Word doc. […]

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Date: February 18th, 2023

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