SOAP Charting
SOAPware derives its name from the SOAP format used for encounter documentation (i.e. Subjective, Objective, Assessment and Plan).
In SOAPware, the legacy format for encounters is for the Plan to be further divided into two (2) fields:
- Medications
- Follow-up
Subjective
The Subjective section will include the history or information offered by the patient.
Objective
The Objective section will include findings discovered by clinical examination.
Assessment
The Assessment section will include the diagnoses addressed during the encounter.
Plan
The Plan section will include the plan for the patients care going forward.
Medications
The Medications section will include medications prescribed during the current visit.
Follow Up
The Follow Up section will include all patient follow-up instructions.
Scroll to see the entire SOAP Note
Depending upon the size of the monitor used for the display and/or the amount of information contained within the SOAP Note fields, all the information within the six SOAP fields may not visible in a single view. In order to view additional SOAP field information, click the Up or Down Arrows in the vertical scroll bar located on the right side of the SOAP Note workspace.