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SOAP Note
Traditional medical charting format: Subjective, Objective, Assessment, Plan.
Also: Subjective Objective Assessment Plan
SOAP organizes a clinical note into the patient's report (Subjective), measurable data (Objective), the clinician's interpretation (Assessment), and the action plan (Plan). RDNs may use SOAP in settings where ADIME is not standard, though ADIME maps more directly to the Nutrition Care Process steps.
How one textbook covers it
Krause and Mahan's Food and the Nutrition Care Process, 16th ed. — Chapter 9
SOAP organizes a clinical note into the patient's report (Subjective), measurable data (Objective), the clinician's interpretation (Assessment), and the action plan (Plan). RDNs may use SOAP in settings where ADIME is not standard, though ADIME maps more directly to the Nutrition Care Process steps.
Related terms
ADIME, Problem-Oriented Medical Record