SOAP notes - Jill W's list
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | good (muscle strength, balance)
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| gastrocs | show 🗑
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| show | Guillain Barré Syndrome
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| GCS | show 🗑
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| show | gastroesophageal reflux disease
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| show | gastrointestinal
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| show | gluteals
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| show | gram
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| show | gastrostomy tube
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| gt. | show 🗑
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| (H) (circled H) | show 🗑
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| HBP | show 🗑
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| show | history and physical
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| show | headache
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| Hb, Hgb, HGB | show 🗑
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| HCT, hct | show 🗑
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| HEENT | show 🗑
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| show | hemiplegia
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| Hep. | show 🗑
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| HEP | show 🗑
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| show | human immunodeficiency virus
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| show | health maintenance organization
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| HNP | show 🗑
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| h/o | show 🗑
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| show | head of bed
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| HP | show 🗑
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| HR | show 🗑
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| hr | show 🗑
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| show | at bedtime
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| show | height
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| show | hypertension
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| HX, Hx, hx | show 🗑
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| show | independent
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| show | irritable bowel syndrome
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| show | International Classification of Diseases
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| ICU | show 🗑
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| show | insulin dependent diabetes mellitus
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| IEP | show 🗑
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| show | intramuscular
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| in. | show 🗑
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| show | inferior
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| show | internal
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| show | inpatient, interphalangeal
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| show | intravenous
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| show | Joint Commission on Accreditation of Healthcare Organizations
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| jt. | show 🗑
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| K | show 🗑
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| Kcal | show 🗑
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| kg | show 🗑
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| L | show 🗑
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| (L) (circled L), lt | show 🗑
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| show | 5th lumbar vertebra
🗑
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| show | long arc quadriceps
🗑
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| lat. | show 🗑
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| lb | show 🗑
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| show | low back pain
🗑
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| show | lower extremity, lower extremities
🗑
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| lg | show 🗑
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| lic. | show 🗑
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| show | left lower extremity
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| LLL | show 🗑
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| show | lower motor neuron
🗑
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| show | leave of absence
🗑
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| LOB | show 🗑
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| show | loss of or level of consciousness
🗑
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| show | lumbar puncture
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| show | licensed practical nurse
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| show | long-term care
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| show | long-term goals
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| LUE | show 🗑
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| show | male
🗑
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| show | muscle
🗑
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| show | mean arterial pressure
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| show | maximum
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| M.D. | show 🗑
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| MD | show 🗑
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| show | mechanical
🗑
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| meds. | show 🗑
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| mg | show 🗑
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| MH | show 🗑
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| MI | show 🗑
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| min | show 🗑
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| show | minimum, minimal
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| mm | show 🗑
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| show | millimeters of mercury
🗑
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| show | manual muscle test
🗑
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| show | month(s)
🗑
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| show | moderate
🗑
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| MP, MCP | show 🗑
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| MRI | show 🗑
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| MRSA | show 🗑
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| show | multiple sclerosis
🗑
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| MVA | show 🗑
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| N, nL | show 🗑
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| N/A | show 🗑
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| show | narrow-based quad cane
🗑
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| NDT | show 🗑
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| show | negative
🗑
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| NG | show 🗑
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| NIDDM | show 🗑
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| NKA | show 🗑
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| show | night, at night
🗑
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| show | nothing by mouth
🗑
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| show | non-weight bearing
🗑
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| show | objective data
🗑
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| show | oxygen saturation
🗑
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| show | osteoarthritis
🗑
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| show | outcome and assessment information sets
🗑
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| OB | show 🗑
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| show | obsessive compulsive disorder
🗑
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| OD | show 🗑
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| OOB | show 🗑
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| show | outpatient
🗑
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| show | operating room
🗑
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| show | open reduction, internal fixation
🗑
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| ortho | show 🗑
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| show | occupational therapist
🗑
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| OTR | show 🗑
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| oz | show 🗑
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To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
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