Assessment and plan

This is the final part of the H&P. In the assessment, the physician consolidates all of the subjective and objective data of the previous sections to make a concise summary of the chief complaint, along with significant findings from the history, physical examination, and additional tests. The physician lists the most likely causes of the patient’s condition, in an itemized manner for each distinct group of complaints/findings. In the plan, the physician discusses the blueprint for treating the patient, again in an itemized fashion.