NRP571 Advanced Health Assessment IIand Clinical Procedures
Week 2 Assignment 1
Signature Assignment Episodic SOAP Note Pt. 1 Craig Harris
Assignment Content
This week focused on the male genitourinary system and how to collect a proper history. It is time to practice your documentation skills by completing an episodic SOAP note for Craig Harris.
Review the Craig Harris Scenario.
Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP note.
The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP note. You will also use this information to complete your E&M coding for the visit. Make sure to:
Document all relevant information using appropriate terminology.
List the appropriate ICD-10 codes and E&M codes using the diagnoses provided.
Submit your assignment.
Resources
Center for Writing Excellence
Reference and Citation Generator
Grammar and Writing Guides
