SOAP Flashcards
(4 cards)
1
Q
Subjective
A
Info about symptoms, reported by patient (ex. Chief complaint, history, review of systems, allergies, medications)
2
Q
Objective
A
Info about patients physcial exam and diagnostic test results. Based on objective data. (ex. Vital signs, physcial exam findings, lab results, imaging results, verified meds)
3
Q
Assessment
A
Healthcare provider’s interpretation of patients condition, based on subjective and objective data. (ex. diagnosis, summary of health status)
4
Q
Plan
A
Healthcare providers proposed actions based on the assessment of the patient. (ex. Treatment plan, med orders, referals, follow ups)
