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

On SOAP note: S: History of Present Illness: Bob is a pleasant..... or S: History of present illness: Bob is a pleasant.... or S: HISTORY OF PRESENT ILLNESS: Bob is a pleasant.... Thanks in advance! ...

I hope this is correct board to use. 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. ...

How do you make a hanging indent in word for a SOAP note. Not the same as WordPerfect. ...

Started in 1973 and my passion has remained steady over the years, a few years not so much. Seeing the change and didn't like it but it was something I couldn't walk away from. Set out to become as proficient as possible; do every worktype, every specialty. I wanted to be good at all of it..to be wanted, needed, and sought after. Also offered the security I needed when I was younger, single mom;l life not so secure. Being an MT was my haven, my source of being grounded.&nbs ...

Need info please. Not finding much in archives. First impression from interview is good, but....that has happened before and got burned. ...

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 ...

Does anyone know anything about SOAP transcription, or QED? Thinking about applying. Thanks ...

Anyone work for them or have info on them.... about to sign a contract. ...

I have over 15 years of experience in this field. Tested with SOAP just to be told I am not a "good fit". Is anyone else out there tired of taking the ridiculous tests and questionaires? And when you are a "fit" somewhere its at 6 cpl. Seriously? They want all our expertise, we pay for equipment, and now have to be IT specialists. Does anyone know of a decent company out there anymore? ...

I was just looking at the careers on Nuance's website and they have a position for "Soap Absorption MTs." Can anyone tell me what that is? I've never heard of it and have been transcribing for a long time. ...

Forewarning and forearming on these two companies. SOAP subcontracts to Care Tech -- HEAVY, heavy ESLs and I have 30+ years experience -- I got hired three weeks ago, started last week and the transcription manager of Care Tech, was "on and off" with school, days off so on and so forth. Thursday, I got the first NASTY virus of my "computer days" -- Ezula - it embeds on a toolbar -- I think coupon stuff. Anyway, I tried to "clock in" -- ...

Does anyone have any info about SOAP transcription? ...

Just curious because I did see the ad that SOAP had posted and maybe I missed it, but I did not see anything in the ad about them supplying the computer. I had a similar situation with using my personal computer to look stuff up on and the company computer for company stuff, but I have to agree, that it was a bit harsh on their part. I was just wondering why you were supplied a computer, if there was no need to use one of theirs. ...

Has anyone else out there applied for one of there many positions and not heard anything? I applied for a few of them over a month ago and have not heard anything. I even sent them notes wondering if they got my resume and have not heard anything. ...

Hello, can anyone tell me of a good company that just does SOAP formats for clinics? Trying to find something to work on evenings and weekends. thank you ...

Is this a scam or a legit company? ...

I have a interview Friday with SOAP Tanscription and wondered if anyone can tell me a little about what they look for/ ask in the interview. Thanks so much! ...

I'm curious about something and I hope you all can clarify it for me. I've always understood that when using a SOAP format, you do not use headings such as HPI, physical examination, review of systems, etc. I've got a situation at work where initially we were to use HPI, ROS, PE, etc., no matter what the dictator said. This was for a variety of reasons but a lot of it had to do with the coders. Now, the directive is to use the heading the dictator says.& ...

Learning a new acct and not familiar with pain management. S/L SOAP R TEST. Appreciate help on this. Thanks. ...

I wonder if anyone works for SOAP Transcription out of Michigan, and if so can you tell me anything about the company? Thanks in advance. ...

Does anybody have any current information about SOAP transcription? I have a job now that is not enough hours and have been thinking of applying with them if they are any good. I don't want to quit my current job and get in a worse situation if it's not a great company to work for. Any information would be helpful. TIA. ...

I've looked through the archives here and I'm not finding any current information on SOAP Transcription. Does anyone have any recent info for me on the company? Are they a good company to work for? What is their pay like? I read on their website that they hire someone with a Learntranscription.com certificate or a certificate from any accredited AHDI affiliation. Is that a must to get hired there? I don't have any certifications, but I have quite a bit of experience. ...

Okay, i have a doc that is dicating pretty much an H&P but account specifics require SOAP format for all dicators. Would most everything go under subjective heading such as social history, family history, no known allergies, etc.? I know PE will go under objective, but would the ROS go under objective as well or subjective? Thanks! ...

Hi! Anyone heard of or work for Craft Transcription or SOAP Transcription??? I have a interview today with SOAP. Any information is appreciated. ...

The fundus was then grasped with a s/l "shaney"______, and the uterus was flipped. The final pedicles were then clamped, cut, and ligated with a 2-0 Vicryl with a s/l 4NF_____ and a stay suture bilaterally. ...

In regards to his ears, he is status post tube placement, adenotonsillectomy, and left s/l "cleft or cales utoma" removal. thanks for any help! ...

The physician request that I format in an ER Note, but all I can find is an ER Consultation, progress Note, or soap note. How do I decide which to use? I need one that can handle the history, past medical history, and review of systems. Does anyone have a site I can locate this information plz. ...

OK, am editing an op note that ASR typed as......maintained the dorsal wrist artery with an ERECT MALE and using bipolar cautery. Where do I sign up for OR tech classes? :) ...

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

SOAP - Assessment

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