SoftGuide > Functions / Modules Designation > SOAP notes

SOAP notes

What is meant by SOAP notes?

The term "SOAP notes" refers to a standardized format for documenting patient information and medical reports. SOAP stands for Subjective, Objective, Assessment, and Plan. This method is commonly used by healthcare providers to create structured and consistent notes on patient visits.

Typical software functions in the area of "SOAP notes":

  1. Text Modules: Predefined text modules for quick and consistent note creation.
  2. Templates: Customizable templates for different medical specialties and requirements.
  3. Speech Recognition: Integration of speech recognition software for quick note entry.
  4. Integration into Patient Records: Seamless integration of SOAP notes into electronic health records (EHR).
  5. Search and Filter: Search and filter functions for quickly finding specific information.
  6. Timestamping and Authorization: Automatic timestamping and authorization of notes for legal and regulatory purposes.
  7. Medical Terminology: Support and suggestions for medical terms and diagnoses.
  8. Report Generation: Automated creation of reports and summaries based on SOAP notes.
  9. Images and Attachments: Ability to integrate images and other attachments into the notes.
  10. Data Security and Privacy: Ensuring data security and compliance with privacy regulations such as GDPR.

 

The function / module SOAP notes belongs to:

Healthcare and medicine

anamnesis
Attendance management
Auxiliary means management
Bed management
Care management
Care planning
Case Allocation
Case Creation
Case History
Case management
Case Tracking
Clinic Information System
Data transmission according to § 301
Electronic patient record
Food / nutrition management
Health insurance management
HIPAA Compliant
Imaging and radiography
Journal function
Laboratory instruments
Laboratory management
Limit value management
Medical billing
Medical transport management
Medication management
Medication management
Method management
Occupancy plan
Outpatient management
Patient management
Patient records
Physician management
Point-of-care testing
Practice management
Prescription management
Recall management
Resident survey
Sample management
Sick leave tracking
SOAP notes
Sterile goods management
Test panels
Therapy planning
Transfer function
Treatment history
Treatment planning
Vaccination management
Waiting room
Ward management
Wound documentation

Software solutions with function or module SOAP notes:

Analogon
Physical Therapy, Alternative Medicine