26 Feb Problem-Focused SOAP Note Format
Demographic Data • Age, and gender (must be HIPAA compliant) Subjective • Chief Complaint (CC) unless an Annual Physical Exam (APE) • History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment) • Past Med. Hx (PMH): Medical or surgical problems,...