Medical Studies > EXAM > Scribe Final Exam Questions and Answers Rated A (All)
SOAP ✔✔Subjective-HPI, ROS, Past Med, Fam, and Social Hx (Patient's point of view) Objective-Physical exam, Medical Decision Making (labs, x-rays, etc.) Assessment-Diagnosis (determined by combi... ning subjective/objective info) Plan-Disposition (Admission, Discharge, Transfer instructions) 7 Parts of the HPI ✔✔1. Context 2. Time/Duration; time = course of symptoms (improving, worsening, constant, intermittent, etc.); duration = total time sympto [Show More]
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