What does the 'Objective' section of a SOAP note primarily consist of?

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The 'Objective' section of a SOAP note primarily consists of measurable and observable data, including lab results, vital signs, physical exam findings, and any other factual information that can be quantified. This section aims to provide concrete evidence of the patient's condition, allowing healthcare providers to assess the patient's health status objectively. By including this type of data, the healthcare team can track progress, make informed decisions regarding treatment, and enhance communication among providers. The objectivity of this section is crucial since it helps support the clinical reasoning and decisions made in the subsequent plan of care.

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