introduction to health records Flashcards
1
Q
SOAP method
A
subjective
objective
assessment
plan
2
Q
subjective
A
problems that the patient states that they have
3
Q
objective
A
data collected by the healthcare provider
4
Q
superior
A
above
5
Q
inferior
A
below
6
Q
proximal
A
close
7
Q
distal
A
far away
8
Q
anterior, ventral
A
front
9
Q
posterior, dorsal
A
back
10
Q
cranial
A
towards top
11
Q
caudal
A
toward bottom
12
Q
supine
A
on back
13
Q
prone
A
on stomach
14
Q
medial
A
towards midline
15
Q
contralateral
A
opposite side
16
Q
ipsilateral
A
same side
17
Q
unilateral
A
one side
18
Q
bilateral
A
both sides
19
Q
dorsum
A
top
20
Q
SOAP colors
A
blue - subjective
red - objective
yellow - assessment
green - plan
