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This tutorial introduces soap notes, which are essential for documentation and communication in health care settings. Soap notes record patient interactions, forming part of a patient's permanent medical record and facilitating communication among healthcare team members. They are utilized across various health disciplines, with the length and details varying depending on the context, but the fundamental structure remains constant. The acronym "SOAP" represents the four main components of a soap note, with each part containing key sub-parts. The presentation will outline the basic structure and what a medical soap note entails, starting with the 'S' for subjective information.
