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Stands forSubjective, Objective, Assessment, Plan

acronym (said as a word)SOHP, like the word soap

What Does SOAP Stand For?

Memory aidsMedical notesNursingUpdated Oct 30

What does SOAP stand for? In health care, SOAP stands for Subjective, Objective, Assessment, Plan, the four headings a clinician uses to organize a visit note. Doctors, nurses, physical therapists, counselors and even veterinarians write notes in this order, so anyone who opens the chart later can find the facts fast.

The word is easy to remember because it is an everyday object, and the order follows the way a visit really unfolds. First you hear the patient's story, then you check what you can see and measure, then you decide what is going on, and finally you say what happens next.

Quick facts

  • Stands for

    Subjective, Objective, Assessment, Plan
  • Type

    Acronym, said as the word soap
  • Used in

    Medical charts, nursing, therapy, counseling, vet clinics, training programs
  • Purpose

    Keeps a patient note in a fixed, readable order
  • Variants

    SOAPIE adds Intervention and Evaluation
  • Other meanings

    A Bible study method, a web services protocol

What does SOAP stand for in medical terms?

The four parts of a SOAP note
LetterWordWhat goes there
SSubjectiveWhat the patient or family says: symptoms, how long, what makes it better or worse
OObjectiveWhat the clinician measures or observes: vital signs, exam findings, test results
AAssessmentThe clinician's judgment: a diagnosis or a short list of likely causes
PPlanNext steps: medicine, tests, referrals, home care, when to follow up

The split between S and O is the heart of the method. Subjective facts come from the person's own report and cannot be checked with a tool. Objective facts can be counted, weighed or seen by someone else. Keeping them apart helps the next reader judge how firm each piece of information is.

This page explains a note format for general information only. Questions about your own diagnosis or care plan belong with your doctor or care team.

A short SOAP note example

S: Patient reports sore throat for three days, worse when swallowing. No cough.
O: Temp 101.2 F. Tonsils red and swollen. Rapid strep test positive.
A: Strep throat.
P: Start antibiotic as prescribed, fluids and rest, return if not better in 48 hours.

Notice how short each line is. A good SOAP note is clear rather than long. Students in nursing and therapy programs often practice by turning a long story into these four tight sections, and instructors check that nothing from the exam ends up in S or that no guess sneaks into O.

Who writes notes in SOAP order

  • Physicians and physician assistants for office visits and hospital progress notes.
  • Nurses, who may use the longer SOAPIE form to record what they did and how the patient responded.
  • Physical and occupational therapists, who track strength, range of motion and goals visit by visit.
  • Counselors and social workers, who note the client's words, observed mood and the next session plan.
  • Emergency medical technicians and athletic trainers, who use the same idea for field reports.

Many electronic chart systems build their note templates around these headings, so the format shows up even when nobody types the letters. Health care is full of other short forms too. CPR and HIPAA are two you will meet in the same training.

SOAP acronym meanings outside the clinic

The same four letters have been borrowed for other memory aids, each with its own words.

Where else the SOAP acronym appears
SettingStands forExample
Bible study journalsScripture, Observation, Application, PrayerA reader copies a verse, notes what it says, applies it and writes a prayer.
SoftwareSimple Object Access ProtocolAn older way for programs to swap data in XML messages
TelevisionSoap opera, a daytime dramaNot an acronym; the name came from the soap makers who once sponsored the shows
AP EnglishPart of SOAPSTone: Speaker, Occasion, Audience, Purpose, Subject, ToneA checklist for reading a speech or essay

If you see SOAP on a nursing syllabus, think chart note. On a church handout, think journaling. In a web developer's job post, it is the data protocol.

SOAP vs SOAPIE, DAP and other note styles

SOAPIE adds two steps at the end: Intervention, what care was given, and Evaluation, how the patient responded. Some programs add a final R for Revision, giving SOAPIER. DAP notes, common in counseling, use Data, Assessment and Plan, which folds S and O into a single data block.

All of these are memory acronyms in the same spirit as RICE for sprains or BE FAST for stroke signs. You can browse the rest in the memory acronyms section.

Tips for writing a clean SOAP note

  1. Quote the patient briefly in S when the exact words matter.
  2. Put numbers in O: pulse, blood pressure, weight, pain score.
  3. Keep A short and tie it to the facts above it.
  4. Make every item in P something a person can do or check.
  5. Write it soon after the visit, while details are fresh.

Questions people ask

What does the S in SOAP stand for?

The S stands for Subjective. It holds what the patient says about how they feel, such as pain, worry or how long a problem has lasted.

Is SOAP only used by doctors?

No. Nurses, therapists, counselors, athletic trainers and veterinarians all write SOAP notes. The format works anywhere one person needs to record a visit for another to read.

What is the difference between subjective and objective in a SOAP note?

Subjective information is what the patient reports, which no one else can measure. Objective information is what the clinician observes or tests, like temperature or a lab result.

What does SOAP stand for in Bible study?

In Bible study journals, SOAP stands for Scripture, Observation, Application and Prayer. It is a simple routine for reading and reflecting on a passage.

How do you pronounce the SOAP acronym?

It is said as one word, exactly like the soap you wash with. People do not spell out the letters.