NSG5906 Week 3 SOAP Note
Subjective Data The Chief Complaint is clear, concise, and verbatim from pt. History of Present Illness is thorough yet concise and provides a chronological account of symptoms and contextual factors that are sufficiently descriptive (OLDCARTS) to validate Dx per DSM-5 TR criteria. Besides, all pertinent negatives are included. A longitudinal course of illness is clear. […]