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Clinically in SOAP note - under "O" or "A"? - Dusty


Posted: Jul 11, 2012

Okay, I have done both but I want to know officially which one is correct. In a SOAP note if the doctor dictates "Clinically the patient has a herniated disc" does this go under objective or assessment. Thanks for your help on this.

SOAP - Assessment

[ In Reply To ..]
I would say it would go under Assessment.


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