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Document Normal Lumbar Spine Exam Findings

  1. Open the SOAP template.
  2. In the Physical Exam panel, click Lumbar spine in the left pane.
    The PE - Lumbar Spine Exam template opens.
    PE - Lumbar Spine Exam

  3. Click the Quick exams field and select Normal.
    The respective fields in the PE - Lumbar Spine Exam template are populated with the normal values.
  4. Select the diagnosis codes from the Dx1 or Dx2 fields. Two diagnosis codes can be entered for this physical exam.
  5. Click the corresponding Status field to select the status of each diagnosis.
  6. Click OK.