Choosing a note template

Edited

You can select the template of your choice (SOAP, psychiatry, etc.) from the note template dropdown menu.

  1. Go to “Settings”

  2. Select the “Note” tab

  3. Click and scroll down the “Note template” menu

To easily switch between templates before an encounter, enable the template selector on the "New Encounter" screen.

  1. Go to “Settings”

  2. Select the "General" tab

  3. Enable "Show the note template selector before each encounter"

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

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

Oncology (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

Oncology (SOAP)

Subjective - Objective - Assessment - Plan


Multiple sections (”Assessment” & “Plan” merged) template

SOAP (”Assessment” & “Plan” merged) template