Asked by stephanie stang on May 31, 2024
Verified
The SOAP note containing the diagnosis is which part of the note record?
A) the patient's report of symptoms
B) the health professional's observations
C) a plan of care
D) assessment
SOAP
An acronym for Subjective, Objective, Assessment, and Plan; a method used in medical documentation to organize patient notes.
Assessment
The evaluation or estimation of the nature, quality, or ability of someone or something.
Diagnosis
The process of identifying a disease or condition from its signs and symptoms, often involving tests and examinations.
- Understand the configuration and significance of medical records, encompassing SOAP documents.
Verified Answer
CC
chandan chawlaJun 05, 2024
Final Answer :
D
Explanation :
The SOAP note is an acronym for Subjective, Objective, Assessment, and Plan. The diagnosis is part of the Assessment section, which is referred to as the "A" in SOAP. The subjective section contains the patient's report of symptoms, the objective section contains the health professional's observations, and the plan of care is listed in the "P" section.
Learning Objectives
- Understand the configuration and significance of medical records, encompassing SOAP documents.
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