Family Medicine Soap Note

SOAP Note

This SOAP note, prepared by Eric M. Weir of NexGen Builders, documents the essential aspects of the patient's visit, encompassing the Subjective, Objective, Assessment, and Plan. By reviewing this SOAP note, the continuity of care, tracking of patient's condition, and trend changes can be meticulously observed over time.

Component

Description

Subjective

  • Patient: Oliver White

  • Age: 42

  • Gender: Male

  • }

  • Height: 6'1"

  • Weight: 180 lbs

  • Major complaints : None

Objective

  • Vital signs within normal limits

  • Physical examination unremarkable

  • Laboratory tests ordered

Assessment

  • Patient appears generally healthy

  • Awaiting results of laboratory tests

  • Family Medicine considerations for overall health improvements

Plan

  • Await lab results

  • Advise on general healthy living guidelines

  • Schedule follow-up visit

Medically compiled by: Eric M. Weir , Date: April 1, 2050 , Facility: NexGen Builders

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