Which format do SOAP notes follow?

The correct format for SOAP notes is Subjective, Objective, Assessment, Plan.

This structure is widely used in various healthcare disciplines, including occupational therapy, to ensure a systematic approach to documenting patient information and clinical reasoning. In the SOAP format, the 'Subjective' section includes the patient’s personal account of their experiences, symptoms, and concerns as shared in their own words. The 'Objective' section provides measurable and observable data, such as vital signs, test results, and observed behaviors. The 'Assessment' element involves the clinician’s analysis and interpretation of the subjective and objective information, essentially synthesizing the data to identify issues that require intervention. Finally, the 'Plan' outlines the proposed intervention strategies and goals tailored for the patient's needs.

This structured approach enhances communication among healthcare providers and aids in tracking the progress of a patient’s treatment over time. Other formats mentioned do not accurately capture the elements essential for SOAP notes, leading to confusion in clinical documentation.