3-2-1 Code It! Exam 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which portion of the SOAP note contains observations about physical findings or lab results?

Plan

Subjective

Assessment

Objective

The correct choice encompasses the segment of the SOAP note that presents factual, measurable, and observable evidence regarding a patient's condition. This includes vital signs, laboratory results, physical examination findings, and any other data that can be quantified or objectively verified. In this context, 'Objective' information forms the basis for the healthcare provider's clinical decisions and actions, differentiating it from subjective reports, which are primarily based on the patient's personal experiences and statements.

Understanding this structure is vital for effective documentation in medical settings, as it allows for clear communication regarding a patient’s status and treatment plans. This ensures that both present and future healthcare providers can make informed decisions based on reliable and verifiable information.

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