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The assessment section is where you document your analysis and interpretation as an occupational therapist of both the subjective and objective information, specifically looking at: How the client did during their session. The client's progress toward their occupational therapy goals.

The acronym SOAP stands for Subjective, Objective, Assessment, and Plan. Even though therapists don't usually use a traditional SOAP Note format, Catalyst refers to session or progress notes as SOAP Notes.

Navigate to SOAP Note Templates Access SOAP Notes from the Administration Menu in the Administration Section. Locate desired SOAP Note Template and click the Actions ellipses. Select Edit.

Assessment. It can help to think of the assessment section of a SOAP note as the synthesis between the subjective and objective information you have gathered. Using your knowledge of the patient's symptoms and the signs you have identified will lead to a diagnosis or informed treatment plan.

The assessment section is where you document your thoughts on the salient issues and the diagnosis (or differential diagnosis), which will be based on the information collected in the previous two sections.

The 4 headings of a SOAP note are Subjective, Objective, Assessment and Plan. Each heading is described below. This is the first heading of the SOAP note. Documentation under this heading comes from the subjective experiences, personal views or feelings of a patient or someone close to them.

Results of diagnostic tests, such as lab work and x-rays can also be reported in the objective section of the SOAP notes. Assessment: The next section of a SOAP note is assessment. An assessment is the diagnosis or condition the patient has.

SOAP notes. Today, the SOAP note an acronym for Subjective, Objective, Assessment and Plan is the most common method of documentation used by providers to input notes into patients' medical records. They allow providers to record and share information in a universal, systematic and easy to read format.

The 4 headings of a SOAP note are Subjective, Objective, Assessment and Plan. Each heading is described below. This is the first heading of the SOAP note. Documentation under this heading comes from the subjective experiences, personal views or feelings of a patient or someone close to them.

However, all SOAP notes should include Subjective, Objective, Assessment, and Plan sections, hence the acronym SOAP.