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<regulation prefix="Regulation" num=".02" citation="COMAR 10.43.14.02" title_num="10" subtitle_num="43" chapter_num="14" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Board” means the Maryland Board of Chiropractic Examiners.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“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.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Examination” means varied procedures such as analysis, assessment, and evaluation performed by the chiropractor to determine a diagnosis.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>"History" means the patient's account of past, present, and familial health.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Subjective, objective, assessment, and plan (SOAP) notes” means the written record maintained by the chiropractor of:</text>
      <paragraph num="(a)">
        <text>The patient's qualitative or quantitative description of the patient's condition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Findings pertaining to the patient's condition based on examination and tests;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The chiropractor's clinical opinion of the condition; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>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.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>