Question

Which of the following is included in the SOAP approach to documentation?

A. Applicable financial information
B. Opinion of the medical assistant
C. Problem
D. System of conditions
E. Plan of action

Answer 1

The SOAP approach to documentation includes subjective, objective, assessment, and plan.

Step-by-step explanation:

The SOAP approach to documentation is commonly used in the field of medical and healthcare. SOAP stands for Subjective, Objective, Assessment, and Plan. In this approach, the following components are included:

1. Subjective: This includes the patient's history, symptoms, and any information provided by the patient.
2. Objective: This includes measurable data such as vital signs, physical examination findings, and test results.
3. Assessment: This refers to the medical professional's assessment or diagnosis of the patient's condition based on the subjective and objective information.
4. Plan: This includes the recommended plan of action, which may involve further tests, treatments, or referrals.