SOAP Note

The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by health care providers to write out notes in a patient's chart, along with other common formats, such as the admission note. Documenting patient encounters in the medical record is an integral part of practice workflow starting with patient appointment scheduling, to writing out notes, to medical billing. Prehospital care providers such as EMTs may use the same format to communicate patient information to emergency department clinicians.

Read more about SOAP Note:  Components, An Example

Other articles related to "soap note, notes":

SOAP Note - An Example
... This example resembles a surgical SOAP note medical notes tend to be more detailed, especially in the subjective and objective sections Surgery Service, Dr ...

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