What does the term "SOAP" stand for in medical documentation?

The term "SOAP" in medical documentation stands for Subjective, Objective, Assessment, Plan. This format is widely used in clinical settings for organizing patient information and ensuring a comprehensive approach to healthcare documentation.

• The "Subjective" component refers to the patient's personal account of their symptoms, experiences, and feelings, allowing healthcare providers to understand the patient's perspective.

• The "Objective" section includes measurable data collected during examinations, lab tests, and physical assessments, providing an evidence-based foundation for clinical decisions.

• The "Assessment" is the healthcare provider's clinical judgment based on the subjective and objective information, outlining the patient's current health status and potential diagnoses.

• Finally, the "Plan" outlines the proposed interventions, treatments, or further diagnostic steps necessary to address the patient's needs.

This structured approach facilitates clear communication among healthcare professionals and enhances the overall quality of patient care. Other options do not reflect the widely recognized components of the SOAP format, which may lead to confusion in clinical documentation and patient management.