What information typically constitutes the "Objective" portion of a SOAP note?

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The "Objective" portion of a SOAP note is focused on observable, measurable data collected during a patient's examination. This section includes vital signs, physical exam findings, results from laboratory tests, and imaging studies. The objective data provides healthcare providers with concrete evidence to assess the patient's condition, supporting the subjective information reported by the patient.

In contrast, the other options represent different components of a patient's evaluation. The patient's reported symptoms and feelings fall under the "Subjective" section, which captures the patient's personal experience of their condition. A healthcare provider's professional diagnosis is often stated in the assessment but is not part of the objective data itself. Lastly, information about a patient's social history and lifestyle factors is generally documented in the subjective or history components and does not pertain to the observable data collected during the examination. Therefore, the correct understanding of the "Objective" portion centers on the measurable and observable data, making it crucial for an accurate clinical assessment.

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