A SOAP note is a traditional method of OT documentation. It includes a Subjective statement, Objective measures of progress, Assessment of progress, and Plan of care. SOAP notes may be used in any OT setting and are often the fall-back method of documentation when another standard is not in place.

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What Is a SOAP Note

Question 23

Multiple Choice

What is a SOAP note?

A) A traditional method of OT documentation. A SOAP note includes a Subjective statement, Objective measures of progress, Assessment of progress, and Plan of care.
B) A traditional method of medical documentation. A SOAP note includes a Standard of care, Objective measure of a patient's status, Area of treatment, and Plan of treatment.
C) An electronic method of documentation specific to electronic medical records.
D) A method of cleaning up documentation.

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