What is a SOAP progress note? Give an example of each part.

What is a SOAP progress note? Give an example of each part.



Answer: SOAP is the format medical records should follow: Subjective, Objective, Assessment, Plan. Subjective information is the reason for the patient's visit. Objective information includes the physical exam. Assessment is the conclusions that can be reached from the subjective and objective sections, including possible diagnosis. The plan includes any diagnostic workup recommended, along with intended communications for the owner.


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