SOAP
Version 1.0.0 · Updated 2026-07-30
CORE DEFINITION
S (Subjective): subjective information—patient's statements; O (Objective): objective information—examination findings; A (Assessment): assessment—diagnostic judgment; P (Plan): plan—treatment approach.
SCAFFOLDING EFFECT
Reduce cognitive load
Structuring clinical thinking. It standardizes the diagnostic and treatment process, facilitating communication and review.
Anchor fast decisions
Using the four sections S/O/A/P, clinical information is layered as "subjective—objective—judgment—plan": it separates patient statements from objective signs (avoiding treating subjective as objective), and ensures a closed loop from assessment to treatment, facilitating cross-shift handovers, team collaboration, and legal traceability.
MINIMUM ACTION
In progress 0/4Practice this model in one real situation:
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Source support: Explicit
- en.wikipedia.orghttps://en.wikipedia.org/wiki/SOAPverified
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