In a SOAP note, which section captures patient-reported symptoms, perceptions, and experiences?

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

Answer: (B)

Identifying which part of the SOAP note captures patient-reported symptoms, perceptions, and experiences. The patient’s own words about what they are experiencing—such as the nature of the symptoms, onset, duration, severity, triggering and relieving factors, and how it affects daily life—belongs in the subjective section. This portion serves as the patient-centered account and sets the basis for the clinician’s assessment. When you document subjectively, you might include direct quotes, descriptions of pain quality, and concerns or expectations the patient has. The objective section records measurable and observed data like vital signs, exam findings, and test results. The assessment combines the subjective and objective data into a clinical impression or diagnosis, and the plan outlines the chosen management, treatments, and follow-up. Keeping patient-reported information in the subjective section ensures the note reflects the patient’s experience rather than the clinician’s measurements or conclusions.