Chapter 23: The Medical Record, Documentation, and Filing (Practice)

What is one of the most widely used methods of charting, appropriate for most types of patient encounters?

A. POMR note
B. HPIP note
C. CHEDDAR note
D. SOAP note



Answer :

Final answer:

The SOAP note is a commonly used method for medical charting, incorporating subjective, objective, assessment, and plan information.


Explanation:

SOAP note is one of the most widely used methods of charting in medical settings, suitable for various patient encounters. The SOAP note includes subjective information, objective data, assessment, and plan, providing a structured way to document patient encounters.

For example, a SOAP note for a patient with a sore throat may include the patient's description of symptoms (subjective), the throat examination findings (objective), the diagnosis of strep throat (assessment), and the prescribed treatment (plan).


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