The SOAPnote Project > Articles by: drgfms

Subjective — Review of systems
4 (2)
DBQ – Diabetes
0 (0)
VA DBQs MA Workflow
0 (0)
DBQ – Ankle
0 (0)
DBQ – Muscle
0 (0)
DBQ – Esophagus
0 (0)
DBQ – Esophagus
0 (0)
DBQ – Shoulder
0 (0)
DBQ – Foot
0 (0)
DBQ – Temporomandibular Joint Conditions
0 (0)
DBQ – Hip and Thigh
0 (0)
DBQ – Work Impact
0 (0)
DBQ – Other Intestinal Problems
0 (0)
DBQ – Skin
0 (0)
DBQ – Scars
0 (0)
DBQ – SHA
0 (0)
DBQ – Ear
0 (0)
DBQ – Headaches
0 (0)
DBQ – Sleep Apnea
0 (0)
DBQ – PERIPHERAL NERVES CONDITIONS
0 (0)
DBQ – Hand
0 (0)
DBQ – Knee
0 (0)
DBQ – Back
0 (0)
DBQ – Kidney
0 (0)
DBQ – Hepatitis
0 (0)
VA DBQ – History
0 (0)
Plan – Medicare personalized plan of service
5 (1)
Subjective – Medicare Health Risk Assessment
0 (0)
Internal – Pre-visit planning and Checklists
0 (0)
Internal – SBAR Handoff for office messages and communication
0 (0)
Frontload include — Lab Picklist
0 (0)
frontload include — condition checkbox list
0 (0)
frontload include — condition and diagnosis dropdown
0 (0)
frontload include — psych and addiction symptoms severity
0 (0)
frontload include – 6 condition history block
0 (0)
Objective — Physical Exam — Pediatric well and sports participation
0 (0)
Subjective — HPI — Psychiatric follow-up
0 (0)
Subjective — Transitional Care Management Encounter
0 (0)
Hospital Running DC Summary and Hand Off
0 (0)
Complete Note — Telemed
0 (0)

Assessment — O2 Therapy continues to Benefit
0 (0)
Procedure — Epicondyle (tennis elbow) Injection
0 (0)
Subjective — HPI — Diabetes Mellitus History
0 (0)
Assessment — Wells Clinical Prediction Rule for DVT
0 (0)
Assessment — Ontario Family History Assessment Tool Breast and ovarian cancer
0 (0)
Procedure — Toenail Removal
0 (0)
Subjective — HPI — Headache/Migraine
0 (0)
Complete Note — Power Wheelchair/POV certification
0 (0)
Care Plan — Handout — Cortisone Injections
0 (0)
Assessment – DME hospital bed
0 (0)
Care Plan — 3×3, 4×4 insulin adustment
0 (0)
Assessment — Wells Clinical Prediction Rule for Pulmonary Embolism
0 (0)
Plan — Coumadin adjustment calculator
0 (0)
Assessment and Plan – Adult Well Visit
0 (0)
Subjective — HPI — Well Man Adult
0 (0)
Assessment, goals and plan – Psychiatric
0 (0)
chronic condition history building block
5 (1)
Administrative – Controlled Substances Agreement
0 (0)
Objective – Comprehensive Psychiatric Exam
0 (0)
Subjective – HPI – Psychiatric follow-up
0 (0)
Assessment — Acute Bacterial Rhinosinusitis Decision Tool
5 (1)
Subjective – HPI – Peds Well Visit
0 (0)
Subjective — HPI — Well Woman Adult
0 (0)
Objective – Physical Exam – General IM Exam
0 (0)
Assessment – DME – Wheelchair certification
0 (0)
Encounter Timer
0 (0)
Assessment and Plan – Musculoskeletal
5 (1)
Objective – Physical Exam – Adult Chronic Exams
0 (0)
Procedure – Large Joint Injection
0 (0)
Subjective – HPI – Adult Acute Visit
0 (0)
Assessment
0 (0)
Assessment – ASCVD Risk Estimator
0 (0)
Plan
0 (0)
Comprehensive Patient Profile – Chronic Conditions – Acute Problem – HPI
0 (0)
Subjective — Questionnaire — Fibromyalgia symptoms – Widespread Pain Index
0 (0)
Psychiatric Intake and Followup
5 (1)
Objective – Physical Exam – Musculoskeletal
0 (0)
Subjective — Simple/Additional HPI, ROS, and Questionnaires — Adult Visit
0 (0)
Subjective – HPI – Chronic Condition History
0 (0)