A guide to conducting the assessment portion of SOAP notes

A SOAP note is a template tool healthcare clinicians use to capture information consistently while also providing an index to ensure historical details are accessible. As you are probably aware, SOAP is an acronym that represents four different sections of a clinical note.

• S - Subjective
• O - Objective
• A - Assessment
• P - Plan

Each section of the SOAP clinical note is integral in ensuring no aspects of the documentation are missed. But of the four quarters, the assessment can be the most difficult as it requires clinical acumen to deduce the data gathered. Sounds tricky? Not to worry, this article will run you through everything, and if you're still stuck, check out these SOAP note templates too.

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