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SOAP chart - DEE


Posted: Aug 15, 2011

When you are using a SOAP Chart style, do you every use PHSYICAL EXAMINATION in the headings? I have a doctor that added it in today with his dictations. I have never used it before in a SOAP. Thanks

depends... - Proud US MT

[ In Reply To ..]
What are the account specifics for this provider? Does it allow for addition of headings or only as per the template?

The office I type for uses Physical Examination instead of Objective - orthogirl

[ In Reply To ..]
the office I worked for before this one used Objective. It all depends on how the office wants their notes set up. Of course, the person who set up the chart note templates had no training as an MT so she probably did not even know what a SOAP note was.

Soap note - DEE

[ In Reply To ..]
This doctor has never used both,
SUBJECTIVE/OBJECTIVE and then the heading of PHYSICAL EXAMINATION in the Objective, so not sure why he started using both without letting me know.

Thanks, DEE


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