What is a SOAP Note?

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Revision as of 22:21, 31 January 2012 by Noah.Orr (talk | contribs)
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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.