Week 11 Flashcards
1
Q
SOAP
A
Subjective
Objective
Assessment
Plan
2
Q
Subjective
A
Information obtained from the patient
3
Q
Objective
A
Information obtained from a measurement or test
4
Q
Assessment
A
Eval of problems
5
Q
Plan
A
Your recommendations
6
Q
Chief Complaint
A
Patients own words
Short
7
Q
Medications
A
Name, dose, route, schedule
8
Q
Labs
A
Pertinent only
9
Q
Things to remember
A
No plan in assessment
No assessment in plan
Prioritize problems
No new info in A or P
