SOAP (Subjective, Objective, Assessment, Plan)

SOAP is a structured method healthcare professionals use to document patient information. "Subjective" refers to what the patient reports about their symptoms and feelings. "Objective" includes measurable data like vital signs, test results, or physical exam findings. "Assessment" is the healthcare provider’s interpretation of the information, such as diagnosing or identifying issues. "Plan" outlines the next steps for treatment, tests, or management. This organized approach helps ensure clear communication, proper tracking of patient progress, and effective decision-making in medical care.