Remove Documentation Remove Medical History Remove Physical Exams
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What Are SOAP Notes and How Do You Write Them?

Valant

The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Check out Valant’s clinical documentation features to learn more. This information is shared with insurance companies to justify claims.

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Friday Reflection 27: The Poor Historian

Sensible Medicine

There is a differential diagnosis for the patient who cannot describe the history of their medical concerns. Often, the inability of a doctor to obtain a history is actually a physical exam finding – an extremely non-specific finding, but a finding nonetheless.