Subjective - correct answer ✔The initial portion of the soap note, consists of
subjective observations. these are symptoms verbally given to the HM by the
patient or by a significant other
Objective - correct answer ✔Objective observations include signs the HM
can actually see, hear, touch, feel, or smell
Assessment - correct answer ✔Assessment is the preliminary diagnosis of
patients condition
Plan - correct answer ✔The plan may include laboratory and/or radiology
tests ordered, medications ordered, treatments preformed, patient education
and follow up guidelines.
What are the parts of the subjective part of SOAP notes? - correct answer
✔History of present illness(HPI) which includes chief complaint, OLDCARTS
and OPQRST
History, Constitutional symptoms (ROS)
What are the parts of the past medical history? - correct answer ✔SAMPLE
Past surgical history
Family history
Social history
SurgHx - correct answer ✔Past surgical history