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Review
. 2016 Feb 18;41(2):29-36.
doi: 10.1097/01.NPR.0000476377.35114.d7.

The essential SOAP note in an EHR age

Patricia F Pearce  1 , Laurie Anne Ferguson, Gwen S George, Cynthia A Langford
Affiliations
Review

The essential SOAP note in an EHR age

Patricia F Pearce et al. Nurse Pract. .

Abstract

This article reviews the traditional Subjective, Objective, Assessment, and Plan (SOAP) note documentation format. The information in the SOAP note is useful to both providers and students for history taking and physical exam, and highlights the importance of including critical documentation details with or without an electronic health record.

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