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soap-note

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Structure a clinical encounter into a clean SOAP note. Use when asked to write a SOAP note, document a patient encounter, turn visit notes into clinical documentation, or structure subjective/objective/assessment/plan. Produces a well-organised SOAP note — Subjective, Objective, Assessment (with differential), and Plan — from the provided encounter details, in standard clinical-documentation style.

skills/soap-note/SKILL.md

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Nov 10, 2026
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# SOAP Note Skill

Good clinical documentation is structured so the next clinician can reconstruct the reasoning in seconds: what
the patient reported, what was found, what you think, and what you'll do. This skill turns encounter notes into
a clean SOAP note that follows that structure and keeps assessment separate from plan.

> **Clinical-safety note:** this is a documentation-formatting aid, **not medical advice or a diagnosis**. It
> organises information a qualified clinician provides; all content must be reviewed and verified by the treating
> clinician before entering the medical record. Do not invent clinical findings, vitals, or results.

## Working from a brief

Given rough encounter notes, **produce the full structured note anyway** — organise what's given into the four
sections and place each detail correctly. Where a standard field wasn't provided, leave it clearly marked (e.g.
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