patient_documentation

SOAP (Subjective, Objective, Assessment, Plan) is the standard format for progress notes in clinical practice.

Skills
Scientific
4

What it does and how to use it

A skill that teaches Claude Code to do scientific tasks well. It is packaged knowledge the model uses whenever it is relevant.

Install the skill (command above).
In Claude Code, describe what you need - the skill turns on by itself when the context fits.
No commands to memorize: you talk in plain language and the skill does the rest.

Install (Claude Code)

mkdir -p .claude/skills/patient-documentation && curl -fsSL https://doutorai.pt/data/lib/skills__patient-documentation.md -o .claude/skills/patient-documentation/SKILL.md

Paste this command into the terminal, in your project folder, and the component installs automatically.

Content

# Patient Documentation Standards

## SOAP Notes

SOAP (Subjective, Objective, Assessment, Plan) is the standard format for progress notes in clinical practice.

### Purpose and Use

**When to use SOAP notes:**
- Daily progress notes in hospital
- Outpatient visit documentation
- Subspecialty consultations
- Follow-up visits
- Documenting response to treatment

**Benefits:**
- Standardized structure
- Organized clinical reasoning
- Facilitates communication
- Supports billing and coding
- Legal documentation

### SOAP Components

#### S - Subjective

**Definition:** Information reported by the

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