Which item belongs in the Plan section of a SOAP note?

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Multiple Choice

Which item belongs in the Plan section of a SOAP note?

The plan portion is where you lay out the management actions you will take. It includes concrete steps like treatments prescribed, medications to start or adjust, orders for tests or referrals, procedures, patient education, and follow-up plans. Vital signs are objective data recorded during the visit and belong in the objective section. Diagnoses belong in the assessment, where you summarize and reason about the patient’s conditions. Past medical history is background information captured in the history section. So the item that belongs in the Plan is the treatments prescribed, because that is the concrete course of action you intend to implement to manage the patient’s care.

The plan portion is where you lay out the management actions you will take. It includes concrete steps like treatments prescribed, medications to start or adjust, orders for tests or referrals, procedures, patient education, and follow-up plans. Vital signs are objective data recorded during the visit and belong in the objective section. Diagnoses belong in the assessment, where you summarize and reason about the patient’s conditions. Past medical history is background information captured in the history section. So the item that belongs in the Plan is the treatments prescribed, because that is the concrete course of action you intend to implement to manage the patient’s care.

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