In what type of document is a patient's office visit found?

• A. SOAP
• B. EMR
• C. Invoice
• D. Appointment Note

Answer: (A)

In medical documentation, the office visit is typically captured as a SOAP note. SOAP stands for Subjective, Objective, Assessment, and Plan. The subjective section records what the patient reports about symptoms and history; the objective section notes the clinician’s findings from exam and tests; the assessment outlines the diagnosis or differential; and the plan describes treatment, medications, follow-up, and referrals. This structured format keeps the encounter clear and easy to review, supports consistent communication among providers, and aligns with billing and coding needs. An EMR is the electronic system that stores these notes, not the specific document name. An appointment note isn’t a standardized term for documenting a visit, and an invoice relates to billing rather than the clinical record.