SOAP Note: Subjective, Objective, Assessment, and Plan
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SOAP Note: Subjective
This section usually includes the patient's chief complaint, or reason why they came to the physician.
Objective
Documents objective, repeatable, and traceable facts about the patient's status.
Assessment
The physician's medical diagnoses for the medical visit on the given date of a note written.
Plan
This describes what the healthcare provider will do to treat the patient – ordering labs, referrals, procedures performed, medications prescribed, etc.
Attending Physicians
Is the individual who has final responsibility, legal and otherwise, for patient healthcare.
Office visit: used in SpringCharts to designate the GUI.
Metric units: system of weights and measures, based on the metric system.
Imperial units: system of weights and