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SOAP notes : the down and dirty on squeaky clean documentation

Author: Jeremiah Fleenor
Publisher: Denver, CO : Shift 4 Pub., ©2007.
Edition/Format:   Print book : English
Summary:
A SOAP note records an encounter with a patient. The components are Subjective (what the patient tells the recorder), Objective (what the recorder observes), Assessment (recorder's summation), Plan (recorder's actions, based on the assessment).
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Document Type: Book
All Authors / Contributors: Jeremiah Fleenor
ISBN: 9780977955923 0977955923
OCLC Number: 212380313
Description: xii, 62 pages : illustrations ; 22 cm
Contents: Hot topics --
Abbreviations --
Gathering data quickly for the SOAP note --
S and O of the SOAP note --
Philosophical transition : S, O [to] A, P --
General note writing settings --
Tips for oral presentation and honoring clerkships --
Quick reference guide.
Other Titles: Subjective Objective Assessment Plan notes
Down and dirty on squeaky clean documentation
Responsibility: Jeremiah Fleenor.

Abstract:

A SOAP note records an encounter with a patient. The components are Subjective (what the patient tells the recorder), Objective (what the recorder observes), Assessment (recorder's summation), Plan (recorder's actions, based on the assessment).

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