Discussion Post: Medical Terminology
For this discussion post, complete the following:
Using course materials and online resources, respond to the following scenario:
Mrs. Goldman is a current patient who is in your clinic seeing her usual doctor. Due to her nonhealing injury, she is now being referred to the specialist down the hall in the surgery clinic. As the office manager, you coordinate the referral, and fortunately, the specialist is able to see Mrs. Goldman today. You send Mrs. Goldman and her daughter to the specialist's office along with a paper copy of the EHR doctor's note from today's visit. Prior to leaving your office, Mrs. Goldman asks you to interpret her copy of the doctor's visit (SOAP note).
Read Mrs. Goldman's EHR Orthopedic Clinic Note using this link. Then, complete the following:
o Explain to Mrs. Goldman and her family, in your own words (using layman's terms), what each section (subjective, objective, assessment, and plan) of the Orthopedic Clinic Note means.
To do this, you will have to look up all of the bold terms and abbreviations in the EHR Orthopedic Clinic Note.