SOAP Note

Complete Note
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Date of Exam: [text name="Date_of_Exam" default="xx/xx/xxxx" size="12"]

Patients Name: [text name="Patient_name" size="60"]
Patient’s DOB: [text name="Patient_date_of_birth" default="xx/xx/xxxx" size="12"]

[comment memo="Subjective" memo_size="large" memo_style="bold"]

[textarea name="Subjective" default="There were no acute events overnight. The patient states that they feel well this morning."]

[comment memo="Objective" memo_size="large" memo_style="bold"]

[̲̲̅̅V̲̲̅̅i̲̲̅̅t̲̲̅̅a̲̲̅̅l̲̲̅̅ ̲̲̅̅S̲̲̅̅i̲̲̅̅g̲̲̅̅n̲̲̅̅s̲̲̅̅]

Temperature [text name="Value_Generic" size="5"]F
Heart Rate [text name="Value_Generic" size="5"]BPM
Blood pressure [text name="Value_Generic" size="10"]
Respiratory rate [text name="Value_Generic" size="5"]BPM
POX [text name="Value_Generic" size="5"]%

[̲̲̅̅L̲̲̅̅a̲̲̅̅b̲̲̅̅ ̲̲̅̅V̲̲̅̅a̲̲̅̅l̲̲̅̅u̲̲̅̅e̲̲̅̅s̲̲̅̅]

Glu [text name="Value_Generic" size="5"] WBC [text name="Value_Generic" size="5"]
BUN [text name="Value_Generic" size="5"] Hgb [text name="Value_Generic" size="5"]
Cr [text name="Value_Generic" size="5"] Hct [text name="Value_Generic" size="5"]
Na [text name="Value_Generic" size="5"] MCV [text name="Value_Generic" size="5"]
K [text name="Value_Generic" size="5"] Plt [text name="Value_Generic" size="5"]
Cl [text name="Value_Generic" size="5"]
CO2 [text name="Value_Generic" size="5"] AST [text name="Value_Generic" size="5"]
Ca [text name="Value_Generic" size="5"] ALT [text name="Value_Generic" size="5"]
Mg [text name="Value_Generic" size="5"] T.bili. [text name="Value_Generic" size="5"]
PO4 [text name="Value_Generic" size="5"] T.prot. [text name="Value_Generic" size="5"]
Albumin [text name="Value_Generic" size="5"]
PT [text name="Value_Generic" size="5"]
INR [text name="Value_Generic" size="5"]
aPTT [text name="Value_Generic" size="5"]

[̲̲̅̅I̲̲̅̅m̲̲̅̅a̲̲̅̅g̲̲̅̅i̲̲̅̅n̲̲̅̅g̲̲̅̅]

[textarea name="Imaging"]

[comment memo="Assessment and Plan" memo_size="large" memo_style="bold"]

Problem #1:[textarea name="Imaging"]
1.) [text name="Value_Generic" size="100"]
2.) [text name="Value_Generic" size="100"]
3.) [text name="Value_Generic" size="100"]

Problem #2:[textarea name="Imaging"]
1.) [text name="Value_Generic" size="100"]
2.) [text name="Value_Generic" size="100"]
3.) [text name="Value_Generic" size="100"]

Problem #3:[textarea name="Imaging"]
1.) [text name="Value_Generic" size="100"]
2.) [text name="Value_Generic" size="100"]
3.) [text name="Value_Generic" size="100"]

Problem #4:[textarea name="Imaging"]
1.) [text name="Value_Generic" size="100"]
2.) [text name="Value_Generic" size="100"]
3.) [text name="Value_Generic" size="100"]

Problem #5:[textarea name="Imaging"]
1.) [text name="Value_Generic" size="100"]
2.) [text name="Value_Generic" size="100"]
3.) [text name="Value_Generic" size="100"]
Date of Exam:

Patients Name:
Patient’s DOB:

Subjective



Objective

[̲̲̅̅V̲̲̅̅i̲̲̅̅t̲̲̅̅a̲̲̅̅l̲̲̅̅ ̲̲̅̅S̲̲̅̅i̲̲̅̅g̲̲̅̅n̲̲̅̅s̲̲̅̅]

Temperature F
Heart Rate BPM
Blood pressure
Respiratory rate BPM
POX %

[̲̲̅̅L̲̲̅̅a̲̲̅̅b̲̲̅̅ ̲̲̅̅V̲̲̅̅a̲̲̅̅l̲̲̅̅u̲̲̅̅e̲̲̅̅s̲̲̅̅]

Glu WBC
BUN Hgb
Cr Hct
Na MCV
K Plt
Cl
CO2 AST
Ca ALT
Mg T.bili.
PO4 T.prot.
Albumin
PT
INR
aPTT

[̲̲̅̅I̲̲̅̅m̲̲̅̅a̲̲̅̅g̲̲̅̅i̲̲̅̅n̲̲̅̅g̲̲̅̅]



Assessment and Plan

Problem #1:
1.)
2.)
3.)

Problem #2:
1.)
2.)
3.)

Problem #3:
1.)
2.)
3.)

Problem #4:
1.)
2.)
3.)

Problem #5:
1.)
2.)
3.)
Result - Copy and paste this output:

3 responses to “SOAP Note”

  1. Mark Morgan MD says:

    Hi –
    The name of a field needs to can only be alphanumeric and underscores. The text below should work.
    Take care,
    Mark

    Date of Exam: [text name="Date_of_Exam" default="xx/xx/xxxx" size="12"]

    Patients Name: [text name="Patient_name" size="60"]
    Patient’s DOB: [text name="Patient_date_of_birth" default="xx/xx/xxxx" size="12"]

    [comment memo="Subjective" memo_size="large" memo_style="bold"]

    [textarea name="Subjective" default="There were no acute events overnight. The patient states that they feel well this morning."]

    [comment memo="Objective" memo_size="large" memo_style="bold"]

    [̲̲̅̅V̲̲̅̅i̲̲̅̅t̲̲̅̅a̲̲̅̅l̲̲̅̅ ̲̲̅̅S̲̲̅̅i̲̲̅̅g̲̲̅̅n̲̲̅̅s̲̲̅̅]

    Temperature [text name="Value_Generic" size="5"]F
    Heart Rate [text name="Value_Generic" size="5"]BPM
    Blood pressure [text name="Value_Generic" size="10"]
    Respiratory rate [text name="Value_Generic" size="5"]BPM
    POX [text name="Value_Generic" size="5"]%

    [̲̲̅̅L̲̲̅̅a̲̲̅̅b̲̲̅̅ ̲̲̅̅V̲̲̅̅a̲̲̅̅l̲̲̅̅u̲̲̅̅e̲̲̅̅s̲̲̅̅]

    Glu [text name="Value_Generic" size="5"] WBC [text name="Value_Generic" size="5"]
    BUN [text name="Value_Generic" size="5"] Hgb [text name="Value_Generic" size="5"]
    Cr [text name="Value_Generic" size="5"] Hct [text name="Value_Generic" size="5"]
    Na [text name="Value_Generic" size="5"] MCV [text name="Value_Generic" size="5"]
    K [text name="Value_Generic" size="5"] Plt [text name="Value_Generic" size="5"]
    Cl [text name="Value_Generic" size="5"]
    CO2 [text name="Value_Generic" size="5"] AST [text name="Value_Generic" size="5"]
    Ca [text name="Value_Generic" size="5"] ALT [text name="Value_Generic" size="5"]
    Mg [text name="Value_Generic" size="5"] T.bili. [text name="Value_Generic" size="5"]
    PO4 [text name="Value_Generic" size="5"] T.prot. [text name="Value_Generic" size="5"]
    Albumin [text name="Value_Generic" size="5"]
    PT [text name="Value_Generic" size="5"]
    INR [text name="Value_Generic" size="5"]
    aPTT [text name="Value_Generic" size="5"]

    [̲̲̅̅I̲̲̅̅m̲̲̅̅a̲̲̅̅g̲̲̅̅i̲̲̅̅n̲̲̅̅g̲̲̅̅]

    [textarea name="Imaging"]

    [comment memo="Assessment and Plan" memo_size="large" memo_style="bold"]

    Problem #1:[textarea name="Imaging"]
    1.) [text name="Value_Generic" size="100"]
    2.) [text name="Value_Generic" size="100"]
    3.) [text name="Value_Generic" size="100"]

    Problem #2:[textarea name="Imaging"]
    1.) [text name="Value_Generic" size="100"]
    2.) [text name="Value_Generic" size="100"]
    3.) [text name="Value_Generic" size="100"]

    Problem #3:[textarea name="Imaging"]
    1.) [text name="Value_Generic" size="100"]
    2.) [text name="Value_Generic" size="100"]
    3.) [text name="Value_Generic" size="100"]

    Problem #4:[textarea name="Imaging"]
    1.) [text name="Value_Generic" size="100"]
    2.) [text name="Value_Generic" size="100"]
    3.) [text name="Value_Generic" size="100"]

    Problem #5:[textarea name="Imaging"]
    1.) [text name="Value_Generic" size="100"]
    2.) [text name="Value_Generic" size="100"]
    3.) [text name="Value_Generic" size="100"]

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