You must use this template for Soap note 1. Use the informationprovided in the PDF as an “EXAMPLE”. You must use the word templefile and tailor it to your patient and their diagnosis. Using this
template will make it very easy to learn the things neededin the note and help you not forget to put something or lose points due toincorrect format or missing information.
The Chief Complaint, Patient info, HPI, Plan section, and referencesmust all be of your own work and no copy-paste.
The Main Areas of Focus that will be checked for plagiarism isChief Complain, History of Present Illness (HPI), Assessment with Rationale andExplanation, and the Plan. All of this should be in your own words and not copy-pastedfrom a past note or website or book. There should be minimum likeness noted byturn it in software in these areas.
The Objective and Subjective information can be from a template(Standard Documentation) and will only be looked at for content and not forplagiarism.
This is a made-up patient, so review your diagnosis and havethe patient have the standard presentation, objective and subjective symptoms thatwould typically present and adjust them on your patient.
Follow the MRU Soap Note Rubric as a guide
Use APA (7) format and must include minimum of 4 Scholarly Citations.
Soap notes will be uploaded to Moodle and put through TURN-It-In(anti-Plagiarism program)
MI PATIENT: 43-year-old Female with (Acute cystitis with hematuria (ICD-10: N30.01)
Female, Hispanic
(The patient does not have any health problems}
I am attaching, a sample template for soap note, in addition two more works (soap notes), as anexample to make the soap note. The soapnote must be done in the attached sample template.
Testimonials
