The essential SOAP note in an EHR age

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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 criticaldocumentation details with or without an electronic health record.

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Pearce, P. F., Ferguson, L. A., George, G. S., & Langford, C. A. (2016, February 18). The essential SOAP note in an EHR age. Nurse Practitioner. Lippincott Williams and Wilkins. https://doi.org/10.1097/01.NPR.0000476377.35114.d7

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