Final answer:
The acronym SOAP stands for Subjective, Objective, Assessment, and Plan in E/M services. It is a standardized format used in medical documentation to ensure comprehensive communication between healthcare providers.
Step-by-step explanation:
SOAP Acronym in E/M Services
The acronym SOAP stands for Subjective, Objective, Assessment, and Plan.
- Subjective: This refers to the patient's history, symptoms, and any information provided by the patient regarding their condition.
- Objective: This includes measurable and observable data, such as physical examinations, lab results, and imaging studies.
- Assessment: This is the healthcare professional's evaluation and diagnosis based on the subjective and objective information.
- Plan: This outlines the recommended treatment or management plan for the patient.
SOAP is a widely used format in medical documentation to ensure standardized and comprehensive communication between healthcare providers.