In a SOAP note, what category would a provider's objective findings fall under?

In a SOAP note, the provider's objective findings are categorized as "Objective." This section includes measurable data gathered through examinations, tests, and observations rather than the patient's personal experiences or symptoms. Objective findings may include vital signs, lab results, physical examination findings, and any other quantifiable data that can be observed by the clinician.

In a SOAP note, each section serves a distinct purpose. The "Subjective" section captures the patient’s reported symptoms and medical history, while the "Assessment" provides the clinician's diagnosis or impression based on the subjective and objective data. The "Plan" outlines the treatment strategies and follow-up care determined from the assessment. Therefore, defining objective findings accurately is crucial for thorough documentation and effective patient care.