ScribeAmerica Final Exam Top Ranked Study Materials(A+ GRADE)
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Course
ScribeAmerica
Institution
ScribeAmerica
SOAP - ANSWER-subjective, objective, assessment, plan
Examples of subjective data - ANSWER-HPI, ROS, PHx (medical, surgical, social, family
Examples of objective data - ANSWER-Physical exams, orders and results
Chief Complaint - ANSWER-The main reason for the patient's visit
EMR/EHR - A...
ScribeAmerica Final Exam Top Ranked Study
Materials(A+ GRADE)
SOAP - ANSWER-subjective, objective, assessment, plan
Examples of subjective data - ANSWER-HPI, ROS, PHx (medical, surgical, social,
family
Examples of objective data - ANSWER-Physical exams, orders and results
Chief Complaint - ANSWER-The main reason for the patient's visit
EMR/EHR - ANSWER-Electronic Medical Record/Electronic Health Record
Subjective - ANSWER-Feeling
Objective - ANSWER-Factual information from provider
Pain - ANSWER-Feeling of discomfort
Tenderness - ANSWER-Doctor's finding of reproducible pain
Acute - ANSWER-New onset, likely concerning
Chronic - ANSWER-Long-standing, not of direct concern
Diagnostic Visit - ANSWER-New problem, chief complaint: new symptom, goal is to
determine the cause of the problem and appropriate treatment
Health Management Visit - ANSWER-Check-up, Chief Complaint: Routine physical or
management of chronic problem(s), and Goal is preventative care and/or assessing
progress of ongoing medical problems
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