Review
doi: 10.1097/01.NPR.0000476377.35114.d7.
The essential SOAP note in an EHR age
Affiliations
- PMID: 26795838
- DOI: 10.1097/01.NPR.0000476377.35114.d7
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Review
The essential SOAP note in an EHR age
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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