What a great thread. Brian has a terrific solution for those of us, (like me!) that us a "modified" SOAP format. Every item in the plan should be attributed to the appropriate item(s) in the assessment. AC scrambles that completely the way I have been using it. I am going to try Brian's work around. The staff need the match up in order to get the proper ICD-9's onto lab slips, x-ray orders and so forth. (This past Monday I had a request for a PET scan going out with Acute Bronchitis as the DX because the MA didn't recognize Actinomycosis or Hemoptysis as lung related.)
