Explain the purpose and importance of medical documentation.
Explanation should include the concept that documentation is a written record of observations and actions related to a certain medical event. It should emphasize that documentation facilitates communication among healthcare professionals and other significant parties.
- What is a subjective, objective, assessment and plan (SOAP) note? When should SOAP notes be written by certified/licensed allied healthcare professionals?
- What is involved in each of the components of a SOAP note?
- What are other types of documentation? What is the purpose of each?
- What parties may benefit from medical documentation? How might they benefit?
Related Standards of Learning
- Apply information from texts to clarify understanding of concepts.
- Read and correctly interpret an application for employment, workplace documents, or an application for college admission.
- Analyze technical writing for clarity.
- Paraphrase and synthesize ideas within and between texts.
- Draw conclusions and make inferences on explicit and implied information using textual support.
- Analyze multiple texts addressing the same topic to determine how authors reach similar or different conclusions.
- Analyze false premises, claims, counterclaims, and other evidence in persuasive writing.
- Recognize and analyze use of ambiguity, contradiction, paradox, irony, sarcasm, overstatement, and understatement in text.
- Generate and respond logically to literal, inferential, evaluative, synthesizing, and critical thinking questions about the text(s).
- Use critical thinking to generate and respond logically to literal, inferential, and evaluative questions about the text(s).
- Identify and synthesize resources to make decisions, complete tasks, and solve specific problems.
- Recognize and analyze use of ambiguity, contradiction, paradox, irony, overstatement, and understatement in text.
- Analyze false premises claims, counterclaims, and other evidence in persuasive writing.