Which of the following statements is true regarding the origin of SOAP and PIE notes?

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The statement that SOAP notes originated from medical records and PIE originated from nursing is accurate.

SOAP notes, which stand for Subjective, Objective, Assessment, and Plan, are widely used in medical documentation and originated from the practices established by physicians and other healthcare providers to systematically document patient encounters. This structured format helps ensure that critical information is communicated clearly among healthcare team members, enhancing patient care and facilitating better decision-making.

On the other hand, PIE notes—Problem, Intervention, and Evaluation—were developed to focus on nursing care, emphasizing the nursing process and patient outcomes. This format allows nurses to document the patient’s specific problems, the interventions they have carried out to address these problems, and the evaluation of the effectiveness of those interventions. The PIE method aligns closely with the nursing process and highlights the roles and responsibilities of nurses in patient care.

Both SOAP and PIE serve vital functions in patient documentation, but their origins and focus points differ significantly, with SOAP notes being rooted in medical practice and PIE notes emerging from nursing practices.

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