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December 21, 2022

Pediatric Comprehensive SOAP Note

Pediatric Comprehensive SOAP Note Pt. 1: B.P.

Assignment Content

This week you have gained insight about the pediatric assessment, as you have compared the head to toe examination of the infant, child, and adult.

Now it is time to apply your documentation skills by writing a comprehensive SOAP note focused on a 7-year-old well child check with parental concerns of short stature.

Review the B.P Scenario.

Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP note. Make sure to review the The 10 charts in Set 2: Clinical charts with 3rd and 97th percentiles from the National Center for Health Statistics and reference the appropriate chart within the 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.

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