In a SOAP note, which section contains vital signs and examination findings?

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

Answer: (D)

Vital signs and examination findings are objective data—information you can observe or measure rather than rely on the patient’s description. In a SOAP note, the Objective section collects this kind of data, including measurements like blood pressure, heart rate, respiratory rate, and temperature, as well as findings from the physical exam (lung sounds, heart sounds, abdominal exam, wound appearance) and any test results obtained during the visit. The Subjective section contains what the patient reports in their own words. The Assessment is the clinician’s diagnostic impression and reasoning. The Plan outlines the next steps and treatments. So, vital signs and exam findings belong in the Objective portion because they are observable, measurable facts gathered during the encounter.