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For example, hypotheses, notes for consultations, questions, etc. would be considered “process notes”; whereas, SOAP or DAP notes would be considered “progress notes”.

What Is a DAP Note? DAP stands for data, assessment and plan. These are three sections in the DAP note format that walk through the information presented to you, your clinical findings and the plan of action. It covers the necessary details while helping you stay brief.

There are several widely used formats for progress notes that can provide a template for making your note-keeping more efficient, while including all of the necessary key points: DAP (Description, Assessment, Plan) BIRP (Behavior, Intervention, Response, Plan) SOAP (Subjective, Objective, Assessment, Plan)

Tips for Writing Better Therapy Notes Be Clear and Concise. Therapy notes should be straight to the point but contain enough information to give others a clear picture of what transpired. ... Remain Professional. ... Write for Everyone. ... Use SOAP. ... Focus on Progress and Adjust as Necessary. ... Record Better Notes with Sunwave Health.

A perfect example? SOAP notes. Today, the SOAP note – an acronym for Subjective, Objective, Assessment, and Plan – is the most common method of documentation used by providers to input notes into patients' medical records.

The basic difference between DAP and SOAP notes is that the DAP note merges the Subjective and Objective elements under the Data section. The SOAP note splits data into the Subjective and Objective parts.

Progress notes record the date, location, duration, and services provided, and include a brief narrative. Documentation should substantiate the duration and frequency of service delivery. The narrative should describe the following elements: Client's symptoms/behaviors.

The SOAP (Subjective, Objective, Assessment, and Plan) note is probably the most popular format of progress note and is used in almost all medical settings.