SOAP Method

The S in SOAP stands for

Subjective

The O in Soap stands for

Objective

The A in SOAP stands for

Assessment

The P in SOAP stands for

Plan

A SOAP note is

a pattern used in writing medical notes and a way of thinking

Subjective

A description of the problem in the patient’s own words

Objective

Data collected to assist in understanding the nature of the problem

Assessment

Cause of the problem

Plan

Treatment with medicine or a procedure

Scheduling of a surgery

Plan

Past medical history, family history

Subjective

A diagnosis

Assessment

Patient’s description of the problem or complaint

Subjective

Treatment with medicine

Plan

An identification of the cause of the problem or complaint

Assessment

Lab results

Objective

Determination of how long the patient has had the same complaint

Subjective

Information forms provided by the patient prior to the appointment

Subjective

Initial imaging studies (e.g., an x-ray)

Objective

Differential diagnosis

Assessment

Ordering of more test or images

Plan

The patient’s exam

Objective

List of possible causes that fit the description of the patient’s problem

Assessment