Current through Register Vol. 51, No. 25, December 13, 2024
Section 10.43.14.02 - DefinitionsA. In this chapter, the following terms have the meanings indicated.B. Terms Defined. (1) "Board" means the Maryland Board of Chiropractic Examiners.(2) "Diagnosis" means the determination by the chiropractor of the nature and cause of a disease or injury through evaluation of patient history, examination, and review of any laboratory and radiological data.(3) "Examination" means varied procedures such as analysis, assessment, and evaluation performed by the chiropractor to determine a diagnosis.(4) "History" means the patient's account of past, present, and familial health.(5) "Subjective, objective, assessment, and plan (SOAP) notes" means the written record maintained by the chiropractor of: (a) The patient's qualitative or quantitative description of the patient's condition;(b) Findings pertaining to the patient's condition based on examination and tests;(c) The chiropractor's clinical opinion of the condition; and(d) Instructions given to the patient, orthopedic appliances provided to the patient with instructions for usage, and recommendations for treatment, including modalities used and areas treated.Md. Code Regs. 10.43.14.02
Amended and recodified from .02 effective 43:26 Md. R. 1446, eff. 1/2/2017