Agent skill

Soap Note Creation

by HKUDS in HKUDS/OpenSpace

Create structured medical SOAP notes with all four components in a single comprehensive file write

MITAuto-check passed

Install Soap Note Creation

skills CLI
$ npx skills add HKUDS/OpenSpace --skill soap-note-creation -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install HKUDS/OpenSpace soap-note-creation --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/HKUDS/OpenSpace.git skills-src && mkdir -p .claude/skills && cp -r skills-src/benchmarks/gdpval/skills/soap-note-creation .claude/skills/soap-note-creation && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
soap-note-creation
GitHub stars
7.7k
Token cost
~985 tokens
SKILL.md length
292 words
Files
2
Skills in repo
199
Repo updated
First seen
Licence
MIT

At a glance

Create structured medical SOAP notes with all four components in a single comprehensive file write

  • Works in 4 steps: Subjective (S) → Objective (O) → Assessment (A) → …
  • SKILL.md covers When to Use, Core Technique, Required Sections and Execution Pattern, plus 3 more sections
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Soap Note Creation is an agent skill from HKUDS/OpenSpace. Create structured medical SOAP notes with all four components in a single comprehensive file write

Its SKILL.md is about 990 tokens, which your agent loads only when the skill is triggered. The skill folder holds 1 other file.

The repository describes itself as: "OpenSpace: The Skill Management Layer for AI Agents" -- https://open-space.cloud/. The licence is MIT.

Example prompts

  • “/soap-note-creation”

Workflow steps

4 steps, taken from the step headings in SKILL.md.

  1. Subjective (S)
  2. Objective (O)
  3. Assessment (A)
  4. Plan (P)

What it can do on your machine

Read from SKILL.md and the folder at commit 3827781. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    No scripts in the folder and no shell commands in SKILL.md (its code samples are markdown).

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    No URLs in SKILL.md.

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

Soap Note Creation loads about 985 tokens when it runs. Until then it costs about 29 tokens; SKILL.md has 292 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~29
When it runs · the whole SKILL.md, loaded when a task matches
~985

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

The full file from HKUDS/OpenSpace at commit 3827781, republished under its MIT licence (© HKUDS). 292 words, ~985 tokens.

Download SKILL.mdSave it as .claude/skills/soap-note-creation/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.
name
soap-note-creation
description
Create structured medical SOAP notes with all four components in a single comprehensive file write

SOAP Note Creation

This skill captures the pattern of creating complete, structured medical documentation (SOAP notes) by writing all required sections to a file in one iteration.

When to Use

Use this skill when you need to create medical meeting notes, patient visit documentation, or clinical encounter records that follow the standard SOAP format.

Core Technique

Write the entire SOAP note in one comprehensive file write rather than building it incrementally. This ensures completeness and consistency across all sections.

Required Sections

Every SOAP note must include these four components:

1. Subjective (S)
  • Chief Complaint (CC): Patient's primary reason for visit
  • History of Present Illness (HPI): Detailed narrative of current symptoms
  • Past Medical History (PMH): Relevant medical history, medications, allergies
  • Family/Social History: Pertinent family and social context
2. Objective (O)
  • Vital Signs: BP, HR, RR, Temp, SpO2, weight, height
  • Physical Examination: System-by-system findings (HEENT, Cardiovascular, Respiratory, Abdomen, Neurological, etc.)
  • Diagnostic Data: Lab results, imaging findings if available
3. Assessment (A)
  • Primary Diagnosis: Main clinical diagnosis
  • Differential Diagnoses: Alternative considerations
  • Clinical Reasoning: Brief justification for assessment
4. Plan (P)
  • Management: Treatments, medications, interventions
  • Follow-up: Timing and conditions for return
  • Patient Education: Instructions, lifestyle modifications, warning signs

Execution Pattern

1. Gather all patient information and clinical data
2. Structure content into the four SOAP sections
3. Write the complete note to file in ONE operation
4. Verify all four sections are present and complete

Example Structure

markdown
# SOAP Note - [Patient Name/ID]
## Date: [Visit Date]

## SUBJECTIVE
### Chief Complaint
[Patient's reason for visit in their own words]

### History of Present Illness
[Detailed symptom narrative using OLDCARTS or similar framework]

### Past Medical History
[Relevant conditions, surgeries, medications, allergies]

### Family/Social History
[Relevant family history and social context]

## OBJECTIVE
### Vital Signs
- BP: [value]
- HR: [value]
- Temp: [value]
- [etc.]

### Physical Examination
- **HEENT**: [findings]
- **Cardiovascular**: [findings]
- **Respiratory**: [findings]
- **Abdomen**: [findings]
- **Neurological**: [findings]
- [etc.]

### Diagnostic Data
[Labs, imaging, other test results]

## ASSESSMENT
### Primary Diagnosis
[Diagnosis with ICD code if applicable]

### Differential Diagnoses
1. [Alternative 1]
2. [Alternative 2]

### Clinical Reasoning
[Brief explanation linking findings to diagnosis]

## PLAN
### Management
- [Medications with dose/frequency]
- [Procedures/interventions]
- [Referrals if needed]

### Follow-up
[Timeline and conditions for return visit]

### Patient Education
[Instructions, lifestyle mods, warning signs to watch]

Best Practices

  1. Completeness First: Include all four sections before writing—do not build incrementally
  2. Specificity: Use concrete values (vitals, dates, doses) rather than placeholders
  3. Clinical Accuracy: Ensure assessment logically follows from subjective and objective data
  4. Actionable Plan: Plan items should be specific and implementable
  5. File Size: Comprehensive notes typically range 3000-8000 bytes depending on complexity

Common Mistakes to Avoid

  • Writing sections separately across multiple iterations
  • Leaving sections incomplete or with placeholder text
  • Omitting differential diagnoses in Assessment
  • Creating vague, non-actionable Plan items
  • Missing vital signs or key physical exam findings

© HKUDS, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file

Files

SKILL.md and 1 other file in benchmarks/gdpval/skills/soap-note-creation of HKUDS/OpenSpace.

  • SKILL.md
  • .skill_id

Open the folder on GitHubat commit 3827781

Compare with similar skills

Soap Note Creation next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Soap Note Creation compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Soap Note Creation this skillHKUDS/OpenSpace7.7k—~985Automated safety check: PassMIT
Soap Notemohitagw15856/pm-claude-skills1.4k—~1kAutomated safety check: PassMIT
Automated Soap Note Generatoraipoch/medical-research-skills2k—~4.3kAutomated safety check: PassMIT
Meeting Notesoutline/outline41k—~551Automated safety check: PassCustom licence
Automated Soap Note GeneratorLeoYeAI/openclaw-master-skills2.2k—~6.2kAutomated safety check: NotesMIT
Remotion Video Creationaffaan-m/ECC275k2 repos~910Automated safety check: PassMIT

Similar skills

  • Soap Note

    mohitagw15856/pm-claude-skills

    Structure a clinical encounter into a clean SOAP note. An agent skill from mohitagw15856/pm-claude-skills.

    1.4k GitHub stars~1k tokensUpdated yesterday
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  • Automated Soap Note Generator

    aipoch/medical-research-skills

    Generate structured SOAP notes from clinical narratives, transcripts, or existing notes; use when the user needs de-identified clinical documentation organized into Subjective, Objective…

    2k GitHub stars~4.3k tokensUpdated 21 days ago
    Research & ScienceAuto-check passed
  • Meeting Notes

    outline/outline

    Create meeting notes in Outline from a template; use when the user wants an agenda, notes, or a follow-up document for a meeting.

    41k GitHub stars~551 tokensUpdated today
    Productivity & AutomationAuto-check passed
  • Automated Soap Note Generator

    LeoYeAI/openclaw-master-skills

    Transform unstructured clinical input (dictation, transcripts, or rough notes) into standardized SOAP (Subjective, Objective, Assessment, Plan) medical documentation.

    2.2k GitHub stars~6.2k tokensUpdated 2 mo ago
    Media & CreativeAuto-check: notes
  • Best practices for Remotion - Video creation in React. An agent skill from affaan-m/ECC.

    275k GitHub starsUsed in 2 repos~910 tokens
    Media & CreativeAuto-check passed
  • Meeting Notes And Actions

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    17k GitHub stars~357 tokensUpdated 2 mo ago
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Questions about Soap Note Creation

What does Soap Note Creation do?

Create structured medical SOAP notes with all four components in a single comprehensive file write. Soap Note Creation is an agent skill from HKUDS/OpenSpace.

How do I install Soap Note Creation in Claude Code?

Run `npx skills add HKUDS/OpenSpace --skill soap-note-creation -a claude-code`. Or copy the skill folder (benchmarks/gdpval/skills/soap-note-creation in HKUDS/OpenSpace) into .claude/skills/soap-note-creation in your project. Claude Code loads it when a task matches its description.

How do I install Soap Note Creation in Codex?

Run `npx skills add HKUDS/OpenSpace --skill soap-note-creation -a codex`. Or copy the skill folder (benchmarks/gdpval/skills/soap-note-creation in HKUDS/OpenSpace) into .agents/skills/soap-note-creation in your project. Codex loads it when a task matches its description.

Can I use Soap Note Creation in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add HKUDS/OpenSpace --skill soap-note-creation -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/soap-note-creation, .gemini/skills/soap-note-creation, .github/skills/soap-note-creation and .opencode/skills/soap-note-creation in your project.

What does Soap Note Creation need to run?

SKILL.md names no scripts, command-line tools or credentials: Soap Note Creation is instructions for the agent only.

Does Soap Note Creation access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is Soap Note Creation safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does Soap Note Creation use?

Soap Note Creation is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.

How many tokens does Soap Note Creation use?

About 985 tokens (SKILL.md is roughly 3.9k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.

What are the alternatives to Soap Note Creation?

Skills that share tags, products or a category with Soap Note Creation: Soap Note (mohitagw15856/pm-claude-skills, 1.4k stars), Automated Soap Note Generator (aipoch/medical-research-skills, 2k stars), Meeting Notes (outline/outline, 41k stars) and Automated Soap Note Generator (LeoYeAI/openclaw-master-skills, 2.2k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Soap Note Creation?

HKUDS (a GitHub organization) maintains it in HKUDS/OpenSpace, which has 7,749 GitHub stars. The repository holds 199 skills in this directory. The repository was last updated on August 12, 2026.

Source: HKUDS/OpenSpace on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.