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11 Cards in this Set
- Front
- Back
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reports
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teslls a story
summarization used to reach conclusion, diagnosis, plan |
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SOAP
|
condensed version of report
|
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progress notes
|
simple and condensed
pt presenting complaint procedures refresh memory regarding pt particulars |
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what to always include in SDSU progress note
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what pt paid!
if pt owes money (highlight) follow up |
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treatment plan
|
set goals and objectives
specify stratevies for specific outcome can be included w/in report may be summarized in progress note |
|
|
reports
|
teslls a story
summarization used to reach conclusion, diagnosis, plan |
|
|
SOAP
|
condensed version of report
|
|
|
progress notes
|
simple and condensed
pt presenting complaint procedures refresh memory regarding pt particulars |
|
|
what to always include in SDSU progress note
|
what pt paid!
if pt owes money (highlight) follow up |
|
|
treatment plan
|
set goals and objectives
specify stratevies for specific outcome can be included w/in report may be summarized in progress note |
|
|
oral report
|
patient
referral source colleagues formal presentation |
