You can select the template of your choice (SOAP, psychiatry, etc.) from the note template dropdown menu.
Go to “Settings”
Select the “Note” tab
Click and scroll down the “Note template” menu
Multiple sections (”Assessment” & “Plan” merged) template
SOAP (”Assessment” & “Plan” merged) template
The templates available today :
Template | Sections |
SOAP | Subjective - Objective - Assessment - Plan |
SOAP ("Assessment" & "Plan" merged) | Subjective - Objective - Assessment & Plan |
Multiple Sections | Chief complaint - History of present illness - Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Plan - Prescription - Appointments |
APSO | Assessment & Plan - Subjective - Objective - |
Psychiatry | History of present illness - Chief complaint - Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Mental status exam - Plan - Prescription - Appointments |
Cardiology | Chief complaint - History of present illness - Cardiovascular risk factors - Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Plan - Prescription - Appointments |
Diet | Lifestyle - Medical, surgical, and family history - Reason for visit and goals - Vitals - Food habits, meals and drinks - Objectives for the next appointment and diet advices - Appointment |
Psychology | History of the present complaint - Chief complaint - Mental health history - Social history - Mental status exam - Assessment - Plan - Appointments |
Lactation | Chief complaint - History of present illness - Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Plan - Prescription - Appointments |
Emergency Medicine (Multiple Sections) | Chief complaint - History of present illness - Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Plan - Prescription - Appointments |
Emergency Medicine (SOAP) | Subjective - Objective - Assessment - Plan |
Well Child Care (Multiple sections) | Chief complaint - History of present illness - Well Child Care -Past medical history - Past surgical history - Past obstetric history - Family history - Social history - Allergies - Current medications - Vitals - Immunizations - Physical exam - Lab results - Imaging results - Assessment - Plan - Prescription - Appointments |
Well Child Care (SOAP) | Subjective - Objective - Assessment - Plan |