In a standard SOAP-format clinic progress note used in ambulatory care, which of the following types of information belongs in the S (Subjective) section?
The patient's own description of current symptoms
The clinician's differential diagnosis
Medication orders written for the patient
Blood pressure and other vital signs recorded during the visit
The Subjective section records information reported directly by the patient (or caregiver), such as the chief complaint and a description of present symptoms. Objective data such as vital signs, the clinician's differential diagnosis, and medication orders are documented in other sections (Objective, Assessment, or Plan). Including the patient's own symptom description in the Subjective section provides essential context for assessment and care planning.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is the importance of including subjective patient statements in a progress note?
Open an interactive chat with Bash
What are some examples of subjective statements a patient might make?
Open an interactive chat with Bash
What are objective observations in a clinic progress note?
Open an interactive chat with Bash
AAMA CMA
Administrative
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Nursing and Medical Assistants Package Join Premium for Full Access