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    Soap Notes
    Organizing and summarizing search results for you
    An example of a SOAP note for an emergency room is as follows:
    • S (Subjective): A (XX)-year-old male presents with a chief complaint of rapid heart rate. He reports feeling anxious and lightheaded.
    • O (Objective): Vital signs show a heart rate of 120 bpm, blood pressure 130/80 mmHg. Physical examination reveals no signs of distress, but the patient appears anxious.
    • A (Assessment): The patient is experiencing tachycardia, likely due to anxiety or possible underlying cardiac issues.
    • P (Plan): Monitor vital signs, provide reassurance, and consider an ECG if symptoms persist.
      mtsamplereports.com

      Another example includes a (XX)-year-old female presenting with frequency and urgency of urination, with a history of dysuria for 3 days. Vital signs are stable, and a urinalysis is planned to rule out a urinary tract infection.
      mtexamples.com
    2 Sources
    ER SOAP Note Medical Transcription Sample Reports
    ER SOAP Note Sample #1. DATE OF ADMISSION: MM/DD/YYYY. CHIEF COMPLAINT: Rapid heart rate. HISTORY OF PRESENT ILLNESS: This is a (XX)-year-old male who presents to the emergency dep…
    MT Sample Reports
    https://www.mtsamplereports.com/er-soap-note-medical-transcription-sample-reports/
    ER Reports Medical Transcription Samples
    ER Reports Sample Report #1. DATE OF ADMISSION: MM/DD/YYYY. CHIEF COMPLAINT: Frequency and urgency and a growth on the labia. HISTORY OF PRESENT ILLNESS: This (XX)-year-old female …
    Medical Transcription Examples
    https://www.mtexamples.com/e-r-medical-transcription-sample-reports/
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