In the SOAP note, which part covers what you found during examination?

In the SOAP note, which part covers what you found during examination?

• A. Subjective
• B. Objective
• C. Assessment
• D. Plan

Answer: (B)

What you found during the examination goes into the Objective portion of a SOAP note. This section is all about observable, measurable data you can verify: physical findings from the exam (such as lung sounds, heart rate, abdominal palpation results), vital signs (temperature, blood pressure, pulse), and any test results or imaging if available. These are facts and measurements gathered during the visit, not what the patient reports feeling. In contrast, subjective data is the patient’s reported symptoms and history, assessment is your clinical interpretation and diagnosis based on S and O, and plan outlines the next steps—treatments, tests, and follow-up. So the part that documents what you found during examination is the Objective data.

What you found during the examination goes into the Objective portion of a SOAP note. This section is all about observable, measurable data you can verify: physical findings from the exam (such as lung sounds, heart rate, abdominal palpation results), vital signs (temperature, blood pressure, pulse), and any test results or imaging if available. These are facts and measurements gathered during the visit, not what the patient reports feeling.

In contrast, subjective data is the patient’s reported symptoms and history, assessment is your clinical interpretation and diagnosis based on S and O, and plan outlines the next steps—treatments, tests, and follow-up. So the part that documents what you found during examination is the Objective data.