Asked by
Samantha Shing
on Dec 14, 2024Verified
The type of documentation that provides an orderly series of steps for dealing with any medical case is ____.
A) charting by exception
B) SOAP
C) source recording
D) focus charting
E) daily charting
SOAP
An approach to medical records documentation that documents information in the following order: S (subjective data), O (objective data), A (assessment), P (plan of action).
Documentation
Written or printed material that provides official information or evidence, or that serves as a record.
- Recognize the crucial role that communication and documentation play in patient care.
- Understand the structure and use of problem-oriented medical records (POMR).
Verified Answer
VG
Learning Objectives
- Recognize the crucial role that communication and documentation play in patient care.
- Understand the structure and use of problem-oriented medical records (POMR).