Exam Content
Now it is time to complete the episodic SOAP note for Mr. Tom Walker, including the objective and assessment sections.
Review the Tom Walker Scenario and the feedback you received from your instructor on part 1 related to subjective notes.
Use the SOAP Note Template and the SOAP Note Structure Guide to develop the documentation needed to complete your SOAP note.
The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP note. You will also use this information to complete your E&M coding for the visit. Make sure to:
Document all relevant information using appropriate terminology.
List the appropriate ICD-10 codes and E&M codes using the diagnoses provided.
Submit your assessment.
PLEASE REFER TO THE UPLOAD DOCUMENTS AND THE TEMPLATE FOR THE ASSIGNMENTS. Thanks for the good work.
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