Which content goes in the plan of care portion of a SOAP note?

• A. The plan of care as determined by the clinician
• B. The clinician's diagnosis
• C. Tests and evaluative measures
• D. Subjective information

Answer: (A)

In SOAP notes, the Plan section contains what will be done next for the patient. It includes the plan of care—the specific interventions or modalities chosen, how often and how long therapy will occur, any home exercise program or patient education, and criteria for progression or discharge. This content is determined by the clinician based on the patient’s assessment and goals. The other elements belong in other sections: diagnosis appears in the Assessment, tests and evaluative measures in the Objective, and subjective information from the patient in the Subjective section.