The acceptable time frame for completing SOAP notes after a patient encounter typically ranges from 24 to 48 hours, though same-day documentation is considered best practice. Many healthcare facilities and regulatory bodies require documentation to be completed within 24 hours of the patient encounter to ensure accuracy and continuity of care. This timeframe helps maintain the integrity of the medical record as memory fades quickly after encounters, potentially leading to omission of important clinical details. Timely documentation also facilitates proper billing, supports communication among healthcare team members, and ensures that other providers have access to current patient information. Some institutions may have stricter policies requiring completion before the end of a shift, while others might allow up to 72 hours for complex cases. Regardless of specific institutional policies, documenting as soon as possible after the encounter is always recommended to maintain clinical accuracy and meet legal and regulatory requirements.
What is the acceptable time frame from patient encounter to completion of Subjective, Objective, Assessment, and Plan (SOAP) notes?
Last updated: May 12, 2025 • View editorial policy
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