User Tools
Sidebar
emr:soap
**This is an old revision of the document!**
Table of Contents
SOAP
Assessment / Plan
65M with history of x, initially admitted for X, now with x.
Acute hypoxemic respiratory failure
Septic shock from GNR bacteremia
Acute kidney injury, grade 2
Recommendations
- XX
- xxx
Subjective
- overnight, no acute events
- reports no specific concerns
Full ROS performed. Negative except as mentioned above.
Objective
Vitals: Tmax x
Exam: RRR.CTAB
Labs & Imaging: All labs and imaging within past 24 hr personally reviewed by me.
E/M billing
emr/soap.1698865774.txt.gz · Last modified: 2023/11/01 19:09 by admin
Except where otherwise noted, content on this wiki is licensed under the following license: CC Attribution-Share Alike 4.0 International
