<P> A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms / diagnosis including a differential diagnosis , a list of other possible diagnoses usually in order of most likely to least likely . The assessment will also include possible and likely etiologies of the patient 's problem . It is the patient 's progress since the last visit , and overall progress towards the patient 's goal from the physician 's perspective . In a pharmacist 's SOAP note , the assessment will identify what the drug related / induced problem is likely to be and the reasoning / evidence behind it . This will include etiology and risk factors , assessments of the need for therapy , current therapy , and therapy options . When used in a Problem Oriented Medical Record , relevant problem numbers or headings are included as subheadings in the assessment . </P>
<P> A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms / diagnosis including a differential diagnosis , a list of other possible diagnoses usually in order of most likely to least likely . The assessment will also include possible and likely etiologies of the patient 's problem . It is the patient 's progress since the last visit , and overall progress towards the patient 's goal from the physician 's perspective . In a pharmacist 's SOAP note , the assessment will identify what the drug related / induced problem is likely to be and the reasoning / evidence behind it . This will include etiology and risk factors , assessments of the need for therapy , current therapy , and therapy options . When used in a Problem Oriented Medical Record , relevant problem numbers or headings are included as subheadings in the assessment . </P>
where does diagnosis go in a soap note
where does diagnosis go in a soap note
assessment
assessment