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Joseph Sunny > Medicine Home > SOAP Note

SOAP Note - Subjective, Objective, Assessment, Plan

Joseph Sunny

Original Start Date: October 31, 2005

SOAP Note will create a standard patient encounter document. The subjective part describes what the patient says. It can include relevant family history, past medical history, past surgeries, medications, and allergies. Objective areas contain what the doctor observes. It can include a physical exam, lab work, and imaging. Assessment and plan are usually organized by problems or organ systems.

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Questions for Medical History

"What is this patient's past medical history?"
"What is the patient's past surgical history?"
"What medications does this patient take?"
"What are this patient's allergies?"

Table Properties

Width (%): Border:

Text Properties

Header Properties

Weight: Color:

Text Properties




Assessment and Plan:





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About the site and its author: Joseph K. Sunny, Jr. MD. Most of the pages are created from my reading or clinical experience.

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