What should a GP SOAP note include?
A GP SOAP note records the presenting complaint and history, examination and vital signs, diagnosis, and the plan including medication, tests, sick notes and referrals. HeroMed's AI Scribe drafts the note during the consultation, generates referral letters and sick notes from it, and turns the signed note into the invoice and scheme claim in one click.
Written by the HeroMed team · Last reviewed 3 October 2026
A GP SOAP note records the presenting complaint and history, examination and vital signs, diagnosis, and the plan including medication, tests, sick notes and referrals. HeroMed's AI Scribe drafts the note during the consultation, generates referral letters and sick notes from it, and turns the signed note into the invoice and scheme claim in one click.
The full guide has a template, a worked example and the HPCSA Booklet 9 record-keeping rules: GP and Family Medicine SOAP Notes South Africa.