Difference between revisions of "What is a SOAP Note?"
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Jerri.cowper (talk | contribs) (Created page with 'A SOAP note is they way providers use to document a patient's encounter. SOAP stands for '''S'''ubjective * '''O'''bjective * '''A'''ssessment * '''P'''lan This translates to …') |
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A SOAP note is they way providers use to document a patient's encounter. | A SOAP note is they way providers use to document a patient's encounter. | ||
| − | SOAP stands for '''S'''ubjective * '''O'''bjective * '''A'''ssessment * '''P'''lan | + | *SOAP stands for '''S'''ubjective * '''O'''bjective * '''A'''ssessment * '''P'''lan |
This translates to today's note sections as follows: | This translates to today's note sections as follows: | ||
Revision as of 22:18, 31 January 2012
A SOAP note is they way providers use to document a patient's encounter.
- SOAP stands for Subjective * Objective * Assessment * Plan
This translates to today's note sections as follows:
Subjective - Reason for Visit or Chief Complaint; HPI; ROS
Objective - Physical Exam; Results
Assessment - Unchanged, this is still the assessment of the patient's complaints or the diagnosis the provider assesses the patient for today.
Plan - Unchanged, this is the plan for the patient's condition or complaint.