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Q: What element of the SOAP progress medical notes is the Chief Complaint found?
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What is a statement describing the reason for encounter and is a history element?

Chief Complaint


What is a statement describing the reason for the encounter and is a history element?

Chief Complaint


What does chief complaint mean in medical terms?

Chief Complaint in medical terms means the reason for the patient's visit, usually in the patient's own words or in the words of a caregiver for family member.


What is the chief complaint of patient with jaundice?

If that's what the patient said, it could be a chief complaint. Traditionally, the chief complaint is in the patient's own words.


What is icd-9 780.7?

ICD 9 780.7 is the code for malaise and fatigue. It's not a medical diagnosis, but reflects the patient's chief complaint.


How will the duration of chief complaint be determined?

Since the chief complaint is in the patient's words, his or her account of her illness or symptom will determine the duration of the complaint. If someone says, "I've had this rash since I came back from Aruba three weeks ago," the duration of the chief complaint is three weeks.


What does the abbreviation cc mean medical?

CC can mean cubic centimeter, which is equivalent to a milliliter, carbon copy, or Chief Complaint if you are referring to a specific case.


What does the medical abbreviation CC mean?

CC can mean cubic centimeter, which is equivalent to a milliliter, carbon copy, or Chief Complaint if you are referring to a specific case.


Differences between source oriented problem oriented medical record?

In a POMR or problem oriented medical record, the record is kept together by problem number (a number is assigned to each problem. Progress notes in these records are kept in SOAP format. S=subjective (chief complaint, present illness), O=objective (physical exam, labs), A=assessment (diagnosis, prognosis), P=plan (treatment). In a SOMR or source oriented medical record, the record is kept together by subject matter (labs are all together, progress notes are all together). Progress notes in a SOMR are written in paragraph format.


What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have?

History Taking: This is a step within the patient assessment process that provides detail about the patient's chief complaint and an account of the patients signs and symptoms. This is usually the time when you use SAMPLE to get the info needed.


The reason given by a patient for seeking health care is referred to as the A. chief complaint B. primary diagnosis C. brief history D. morbidity factor?

chief complaint


Is your sister was diagnosed with a retinal detachment a chief complaint?

yes