00:12 the cough started about three days ago, mostly at night…
“Any fever? Chills?” — “No, just worn out.”
01:47 okay, deep breath for me…
“Let’s go over what we’ll do next, in Spanish too for your daughter.”
DRAFT SOAP note · pending clinician review
Subjective Cough for three days, worse at night. Reports fatigue. Denies fever or chills.
Objective Breath sounds assessed during visit. Vitals reviewed and recorded.
Assessment Drafted for the clinician — every section reviewed and signed off before export.
Plan After-visit instructions prepared in English and Spanish, ready to print.