The essential SOAP note in an EHR age

Patricia F. Pearce, Laurie Anne Ferguson, Gwen S. George, Cynthia A. Langford

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

This article reviews the traditional Subjective, Objective, Assessment, and Plan (SOAP) note documentation format. The information in the SOAP note is useful to both providers and students for history taking and physical exam, and highlights the importance of including criticaldocumentation details with or without an electronic health record.

Original languageEnglish (US)
Pages (from-to)29-36
Number of pages8
JournalNurse Practitioner
Volume41
Issue number2
DOIs
StatePublished - Feb 18 2016
Externally publishedYes

ASJC Scopus subject areas

  • General Nursing

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