SOAP notes (Subjective, Objective, Assessment, Plan)

SOAP notes are a structured way healthcare providers document patient interactions. "Subjective" includes what the patient describes about their symptoms and concerns. "Objective" covers measurable facts like vital signs, physical exam findings, and test results. "Assessment" involves the provider’s professional interpretation of the information to identify the health issue. "Plan" outlines the next steps, such as treatments, medications, or follow-up tests. This format ensures clear, organized communication among healthcare team members and helps track patient progress over time.