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The Subjective, Objective, Assessment, Plan (SOAP) came from the _____.

A. SNOMED CT
B. DSM-5
C. LOINC
D. Progress Notes

User Sez
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Final answer:

The SOAP (Subjective, Objective, Assessment, Plan) format originated from Progress Notes in the medical field, developed by Dr. Lawrence Weed. It is a structured method for documenting patient progress and treatment plans used widely by healthcare providers.

Step-by-step explanation:

The Subjective, Objective, Assessment, Plan (SOAP) format originated from the Progress Notes used in the medical field. This methodology for writing notes was developed as part of the problem-oriented medical record (POMR) by Dr. Lawrence Weed in the 1960s. It's a way for healthcare providers to document a patient's progress and treatment in a structured and efficient manner.

The SOAP notes are a critical component of patient documentation and consist of four parts:

  • Subjective - The patient's subjective description of their problem or condition.
  • Objective - The objective observation of the healthcare provider, including physical examination findings and lab results.
  • Assessment - The healthcare provider's assessment or diagnosis of the patient's condition.
  • Plan - The treatment plan for the patient going forward.

This format is widely used in various healthcare settings and ensures a clear and concise way to communicate between caregivers and maintain comprehensive patient records.

User Sola Yang
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