SOAP Notes

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11 Terms

1
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S

Subjective/Opinion

2
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O

Objective/Facts

3
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A

Assessment

4
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P

Plan

5
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<p>Subjective(ONSET)</p>

Subjective(ONSET)

When did it START?

6
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<p>Subjective(Provocation + Palliation)</p>

Subjective(Provocation + Palliation)

Does anything make the pain BETTER/WORSE?

7
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<p>Subjective(Quality)</p>

Subjective(Quality)

What does the pain FEEL like?

8
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<p>Subjective(Radiation/Region)</p>

Subjective(Radiation/Region)

Does the pain MOVE anywhere?

9
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<p>Subjective(Severity)</p>

Subjective(Severity)

Rate the pain(0-10)

10
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<p>Subjective(Time/Trauma)</p>

Subjective(Time/Trauma)

Has this ever happened BEFORE?

11
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<p>Subjective(Understanding)</p>

Subjective(Understanding)

Knowing a patient’s daily ROUTINE