Comprehensive SOAP Template This template is for a full history and physical. For this course include only areas that are related to the case. Patient Initials: _______ Age: _______ Gender: _______ Note: The mnemonic below is included for your reference and should be removed before the submission of your final note. O = onset of symptom (acute/gradual) L= location D= duration (recent/chronic) C= character A= associated symptoms/aggravating factors R= relieving factors T= treatments previously tried – response? Why discontinued? S= severity SUBJECTIVE DATA: Include what the patient tells you, but organize the information. Chief Complaint (CC): In just a few words, explain why the patient came to the clinic. History of Present Illness (HPI): This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes ofeach principal symptom in paragraph form not a list: 1. Location 2. Quality 3. Quantity or severity 4. Timing, including onset, duration, and frequency 5. Setting in which it occurs 6. Factors that have aggravated or relieved the symptom 7. Associated manifestations Medications: Include over-the-counter, vitamin, and herbal supplements. List each one by name with dosage and frequency. Allergies: Include specific reactions to medications, foods, insects, and environmental factors. Identify if it is an allergy or intolerance. Past Medical History (PMH): Include illnesses (also childhood illnesses), hospitalizations. Past Surgical History (PSH): Include dates, indications, and types of operations. Sexual/Reproductive History: If applicable, include obstetric history, menstrual history, methods of contraception, sexual function, and risky sexual behaviors. Personal/Social History: Include tobacco use, alcohol use, drug use, patient’s interests, ADL’s and IADL’s if applicable, and exercise and eating habits. Immunization History: Includelast Tdap, Flu, pneumonia, etc. Significant Family History: Include history of parents, grandparents, siblings, and children. Lifestyle: Include cultural factors, economic factors, safety, and support systems and sexual preference. Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses).Remember that the information you include in this section is based on what the patient tells you so ensure that you include all essentials in your case (refer to Chapter 2 of the Sullivan text). General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here. HEENT: Neck: Breasts: Respiratory: Cardiovascular/Peripheral Vascular: Gastrointestinal: Genitourinary: Mu.

1. Comprehensive SOAP Template
This template is for a full history and physical. For this course
include only areas that are related to the case.
Patient Initials: _______
Age: _______
Gender: _______
Note: The mnemonic below is included for your reference and
should be removed before the submission of your final note.
O = onset of symptom (acute/gradual)
L= location
D= duration (recent/chronic)
C= character
A= associated symptoms/aggravating factors
R= relieving factors
T= treatments previously tried – response? Why discontinued?
S= severity
SUBJECTIVE DATA: Include what the patient tells you, but
organize the information.
Chief Complaint (CC): In just a few words, explain why the
patient came to the clinic.

2. History of Present Illness (HPI): This is the symptom analysis
section of your note. Thorough documentation in this section is
essential for patient care, coding, and billing analysis. Paint a
picture of what is wrong with the patient. You need to start
EVERY HPI with age, race, and gender (e.g., 34-year-old AA
male). You must include the seven attributes ofeach principal
symptom in paragraph form not a list:
1. Location
2. Quality
3. Quantity or severity
4. Timing, including onset, duration, and frequency
5. Setting in which it occurs
6. Factors that have aggravated or relieved the symptom
7. Associated manifestations
Medications: Include over-the-counter, vitamin, and herbal
supplements. List each one by name with dosage and frequency.
Allergies: Include specific reactions to medications, foods,
insects, and environmental factors. Identify if it is an allergy or
intolerance.
Past Medical History (PMH): Include illnesses (also childhood
illnesses), hospitalizations.
Past Surgical History (PSH): Include dates, indications, and
types of operations.
Sexual/Reproductive History: If applicable, include obstetric
history, menstrual history, methods of contraception, sexual
function, and risky sexual behaviors.
Personal/Social History: Include tobacco use, alcohol use, drug
use, patient’s interests, ADL’s and IADL’s if applicable, and

3. exercise and eating habits.
Immunization History: Includelast Tdap, Flu, pneumonia, etc.
Significant Family History: Include history of parents,
grandparents, siblings, and children.
Lifestyle: Include cultural factors, economic factors, safety, and
support systems and sexual preference.
Review of Systems: From head-to-toe, include each system that
covers the Chief Complaint, History of Present Illness, and
History (this includes the systems that address any previous
diagnoses).Remember that the information you include in this
section is based on what the patient tells you so ensure that you
include all essentials in your case (refer to Chapter 2 of the
Sullivan text).
General: Include any recent weight changes, weakness, fatigue,
or fever, but do not restate HPI data here.
HEENT:
Neck:
Breasts:
Respiratory:
Cardiovascular/Peripheral Vascular:
Gastrointestinal:
Genitourinary:

4. Musculoskeletal:
Psychiatric:
Neurological:
Skin:
Hematologic:
Endocrine:
Allergic/Immunologic:
OBJECTIVE DATA: From head-to-toe, includewhat you see,
hear, and feel when doing your physical exam. You only need to
examine the systems that are pertinent to the CC, HPI, and
History unless you are doing a total H&P- only in this course.
Do not use “WNL” or “normal.” You must describe what you
see.
Physical Exam:
Vital signs: Include vital signs, ht, wt, and BMI.
General: Include general state of health, posture, motor activity,
and gait. This may also include dress, grooming, hygiene, odors
of body or breath, facial expression, manner, level of
consciousness, and affect and reactions to people and things.
HEENT:
Neck:

5. Chest
Lungs:
Heart
Peripheral Vascular: Abdomen:
Genital/Rectal:
Musculoskeletal:
Neurological:
Skin:
Include any labs, x-rays, or other diagnostics that are needed to
develop the differential diagnoses.
ASSESSMENT: List your priority diagnosis (es). For each
priority diagnosis, list at least three differential diagnoses, each
of which must be supported with evidence and guidelines. For
holistic care, you need to include previous diagnoses and
indicate whether these are controlled or not controlled. These
should also be included in your treatment plan.
PLAN: This section is not required for the assignments in this
course (NURS 6512) but will be required for future courses.
Treatment Plan: If applicable, include both pharmacological and
non-pharmacological strategies, alternative therapies, follow-up
recommendations, referrals, consultations, and any additional
labs, x-ray, or other diagnostics. Support the treatment plan
with evidence and guidelines.
Health Promotion: Include exercise, diet, and safety
recommendations, as well as any other health promotion
strategies for the patient/family. Support the health promotion
recommendations and strategies with evidence and guidelines.
Disease Prevention: As appropriate for the patient’s age,
include disease prevention recommendations and strategies such
as fasting lipid profile, mammography, colonoscopy,

6. immunizations, etc. Support the disease prevention
recommendations and strategies with evidence and guidelines.
REFLECTION:This section is not required for the assignments
in this course (NURS 6512) but will be required for future
courses. Reflect on your clinical experience, and consider the
following questions: What did you learn from this experience?
What would you do differently? Do you agree with your
preceptor based on the evidence?
© 2014 Laureate Education, Inc.
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ShoppingBay is an online auction service that requires several
reports. Date for each auctioned item includes an ID number,
item description, length of auction in days, and minimum
required bid. Design a flowchart or pseudocode for the
following: A program that accept data for one auctioned item.
Display data for an auction only if the minimum requited bid is
over $100,000. In order to create this flowchart, you must
follow the instructions below.
1. Submit the .vls file you create in Visual Logic as well as a
screenshot of the output. For full credit, the program must
function correctly, produce the correct answer, and be logically
succinct.
2. Write a short answer (four to five [4-5] sentences) in the
comment text box located with the assignment submission link
to the following:
1. A summary of the technical experiences that you used in
completing this lab.

7. 2. The commands that were of greatest benefit to you.
3. Your general comments on the overall lab experience.