SOAP notes are a standard method of clinical documentation used across nursing, medicine, physiotherapy, and allied health disciplines. In university assignments, SOAP notes are used to assess how well students can organise clinical information, apply professional reasoning, and document patient care accurately.
This article provides a detailed SOAP note example and explains how each section should be written for academic submissions. It is designed for students who need both structural guidance and clarity on clinical expectations.
What Is a SOAP Note
A SOAP note is a structured format for documenting patient encounters. The acronym SOAP stands for Subjective, Objective, Assessment, and Plan, each representing a distinct type of clinical information.
In academic settings, SOAP notes are used to evaluate a student’s ability to separate patient-reported information from observed data, apply clinical judgment, and propose appropriate care plans.
A SOAP note is not just a record of symptoms; it demonstrates clinical reasoning and decision-making.
Why SOAP Notes Are Used in University Assignments
SOAP notes are widely used in healthcare education because they mirror real-world clinical documentation. They help students practise concise, logical, and professional writing.
From a grading perspective, lecturers look for accuracy, logical flow between sections, and appropriate use of clinical terminology. A well-written SOAP note shows both technical knowledge and reflective thinking.
Overall Structure of a SOAP Note
Each SOAP note follows a fixed structure, and deviating from it often results in lost marks. Understanding what belongs in each section is essential for academic success.
| Section | Focus |
|---|---|
| Subjective | Patient-reported symptoms and concerns |
| Objective | Observable and measurable clinical data |
| Assessment | Clinical interpretation and diagnosis |
| Plan | Treatment, interventions, and follow-up |
Subjective Section in a SOAP Note
The Subjective section contains information reported directly by the patient. This may include symptoms, pain levels, medical history, or lifestyle factors.
In university assignments, students should present this information clearly and objectively, without adding personal interpretation.
What to Include in the Subjective Section
Common elements include the chief complaint, history of present illness, and relevant patient statements. Quotations may be used sparingly to reflect patient voice.
Irrelevant information should be excluded to maintain clarity and focus.
Objective Section in a SOAP Note
The Objective section documents measurable and observable findings. This includes vital signs, physical examination results, and diagnostic test data.
This section should remain factual and free from assumptions or conclusions.
Do not include opinions or interpretations in the Objective section.
Assessment Section: Clinical Reasoning
The Assessment section is where clinical reasoning becomes visible. Here, students analyse the subjective and objective data to identify patient problems or diagnoses.
In academic SOAP notes, this section often includes differential diagnoses or priority nursing problems, depending on the discipline.
Writing a Strong Assessment
A strong assessment explains why certain conclusions are reached, rather than simply listing diagnoses. Logical justification is critical for higher marks.
This section should clearly connect back to the information presented earlier in the note.
Plan Section: Interventions and Follow-Up
The Plan section outlines the proposed actions to address the identified problems. These may include treatments, referrals, patient education, or monitoring strategies.
In university assignments, plans should align with professional scope of practice and evidence-based guidelines.
| Plan Component | Description |
|---|---|
| Treatment | Medications or therapies prescribed |
| Monitoring | Observation and reassessment plans |
| Education | Information provided to the patient |
Complete SOAP Note Example
A complete SOAP note example integrates all four sections into a coherent clinical narrative. Each section should flow logically into the next.
In assignments, SOAP notes are often based on case studies or simulated patients, and future tense may be acceptable where appropriate.
Academic Writing Style for SOAP Notes
SOAP notes require a professional and concise writing style. Abbreviations should follow discipline standards and be explained if required.
Grammar, clarity, and correct terminology are essential, as SOAP notes reflect professional documentation skills.
Common Mistakes in SOAP Note Assignments
Students frequently lose marks due to structural or conceptual errors rather than lack of clinical knowledge.
- Mixing subjective and objective information
- Skipping clinical justification in the assessment
- Writing vague or unrealistic plans
- Using informal language
Avoiding these mistakes improves both clarity and academic performance.
Using a SOAP Note Example Effectively
SOAP note examples are valuable learning tools, but they should be used for guidance rather than direct replication. Academic integrity requires original work tailored to the specific case.
Understanding the reasoning behind each section is more important than memorising wording.
Final Guidance for University Students
SOAP notes are a foundational skill in healthcare education, combining clinical knowledge with structured documentation. Strong SOAP notes demonstrate clarity, accuracy, and sound reasoning.
By following the SOAP framework carefully and linking each section logically, students can produce high-quality assignments that meet academic and professional standards.
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