Recent Updates

  • Updated on: Jul 06, 2017

    Introduction to Vital Signs

    The Vital Signs section of a patient chart allows the provider to enter vital sign readings by date and time, and to graph those readings to provide a fast, easily viewed means of tracking changes.

    * REQUIRED FOR MEANINGFUL USE

    - Record Vital Signs

    Manual Clinical 2011 User Manual
    vital signs vitals record vital signs bmi

  • Updated on: Jul 06, 2017

    ROS & Physical

    This lesson will describe how to document in the Summary ROS field.

    Manual Clinical 2011 User Manual
    physical ros summary

  • Updated on: Jul 06, 2017

    Social History

    This lesson will demonstrate how to insert the Social History Starter Pick List if the Summary Template does not already contain the starter pick list.  This lesson will also describe how to use the Social History Starter Pick List.

    Manual Clinical 2011 User Manual
    documentation History social social history summary

  • Updated on: Jul 06, 2017

    Interventions

    This lesson will demonstrate how to enter information into the Interventions field using free text data entry.

    Manual Clinical 2011 User Manual
    documentation interventions summary

  • Updated on: Jul 06, 2017

    Alcohol

    This lesson will demonstrate how to insert the Alcohol Starter Pick List if the Summary Template does not already contain the Starter Pick List.  This lesson will also describe how to use the Alcohol Starter Pick List.

    Manual Clinical 2011 User Manual
    Alcohol summary

  • Updated on: Jul 06, 2017

    Using No Known SMARText Item Types in the Summary

    SOAPware now includes new No Known SMARText Item Types that may be used in the Summary to document a negative history for the Active Problems field, Surgeries field, Medications field, and Allergies field.

    *THIS LESSON CONTAINS MEANINGFUL USE REQUIREMENTS

    Manual Clinical 2011 User Manual
    active problems allergies Medications No Known SMARText Item Types smartext items summary surgeries

  • Updated on: Jul 06, 2017

    Search for Templates

    The Template Library contains thousands of Templates, containing tens of thousands of keywords to assist with searching-finding. SOAPnote Templates reviewed by SOAPware, Inc. have often had some qualifiers added to their descriptions. SOAPware Templates vary in sophistication from those containing only unstructured, free-text to those that contain mostly structured items. To reflect this, a convention is being followed to assist with ranking, sorting, and retrieving.

    Manual Clinical 2011 User Manual
    docuplates searching system template

  • Updated on: Jul 05, 2017

    Tobacco

    This lesson will demonstrate how to document in the Summary Tobacco field.

    *REQUIRED FOR MEANINGFUL USE:

    • Stage 1 & 2: Smoking Status
    Manual Clinical 2011 User Manual
    summary tobacco smoking status smoking tobmu smoker status

  • Updated on: Jul 05, 2017

    Family History

    This lesson will demonstrate how to document in the Summary Family History field.

    *REQUIRED FOR MEANINGFUL USE:

    Manual Clinical 2011 User Manual
    family summary family history family health history fhmu

  • Updated on: Jul 05, 2017

    Medications

    This lesson will demonstrate how to document in the Summary Medications field.

    *REQUIRED FOR MEANINGFUL USE:

    Manual Clinical 2011 User Manual
    Medications summary active medications medications list