What is a SOAP Note?
Jump to navigation
Jump to search
A SOAP note is they way providers use to document a patient's encounter.
- SOAP stands for Subjective * Objective * Assessment * Plan
This translates to modern note sections as follows:
- Subjective = Reason for Visit or Chief Complaint; HPI; ROS
- Objective = Physical Exam; Results
- Assessment = Assessment, this is still the summary of the patient's complaints or the provider's diagnoses based on the subjective and objective information gathered for the patient during the visit.
Plan - Unchanged, this is the plan for the patient's condition or complaint.