Term
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Definition
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Term
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Definition
History of Present Illness |
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Definition
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Definition
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Definition
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Definition
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Definition
Subjective / Objective / Assessment / Plan |
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Term
During SOAP, items that are S |
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Definition
Subjective...Items that are given by the Px |
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Term
During SOAP, Items that are O |
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Definition
Objective...Items that tests revealed...facts, PE, ORS, Labs, Tests, Imaging |
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Term
During SOAP, Items that are A |
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Definition
Assessment...Diagnosis / Differential Diagnosis |
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Term
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Definition
Diagnosis or Differential Diagnosis |
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Term
During SOAP, Items that are P |
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Definition
Plan...Treatment Plan, Therapy, Prescription, Surgery, Referrals, Additional Tests required |
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