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This tutorial introduces SOAP notes, a key documentation method in healthcare settings. SOAP notes capture patient interactions, forming part of their permanent medical records and facilitating communication among healthcare team members. While the length and detail may vary across disciplines, the fundamental structure remains consistent. The SOAP acronym stands for four main components: Subjective, Objective, Assessment, and Plan. Each component includes specific sub-parts essential for thorough documentation. The tutorial focuses on the basic structure of a medical SOAP note, emphasizing its importance in patient care and record-keeping.
