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 three (3) fields:
1. Plan
2. Medications
3. Follow-up.
Subjective
The history or information offered by the patient.
Objective
The findings discovered by clinical examination.
Assessment
The diagnoses addressed during the encounter.
Plan
The plans for the patient's care going forward.
Medications
The medications prescribed.
Follow-up
The follow-up instructions.
Scroll to see the entire SOAPnote
Depending upon the size of the monitor used for the display and/or the amount of information contained within the SOAPnote 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 SOAPnote workspace.