In proper documentation, which SOAP note section would be most important to ensure accuracy?
A) The assessment section would be the most important because it documents the summary of the objective and subjective sections.
B) The subjective section would be most important because it documents the patient's responses to treatment.
C) The objective section would be most important because it documents the patient's progress within the plan of care.
D) The plan section would be the most important because it documents the plan outlined for the patient's care.

Question

Quizplus · Accepted Answer

Although all parts of the SOAP note are important and would be reviewed in a legal hearing, the assessment section will be used to determine if the patient was improving with therapy and what the patient's discharge status was when therapy was discontinued. This section is a summary of the subjective and objective sections and gives the court a process to determine what happened to the patient during therapy, how the patient improved with therapy, and when the patient was ready for discharge.

In Proper Documentation, Which SOAP Note Section Would Be Most