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113 responses to “Help”

  1. Michelleb72 says:

    I revised a Psych Inital assessment from another user, to include more detailed “Developmental History” information. However, now it won’t calculate the results. I have looked through it and thought I caught the mistakes, but I must be missing something. Help!

    • Mark Morgan says:

      Hi – it looks like you might have got it working and it calculates results. Feel free to let me know if there are other concerns.

  2. scoobie69d says:

    so on my note entitled ‘work in process’ I’m having trouble getting it to process. I fill in a all the spots. run the report, but it does not run as entered. some spots don’t save the data entered. some spots just copy to another area in the report. some data entered just doesn’t carry over. any input?

  4. bcwelch says:

    Thank you for this site…great tool!
    Is there a way to assign a value within a condition statement? For example…

    [conditional field="gender" condition="(gender).is('male')"]
    —- ASSIGN VALUE ‘HE’ to Variable PRONOUN here —
    [/conditional]

    OR maybe…

    [conditional field="gender" condition="(gender).is('male') ---- ASSIGN VALUE 'HE' to Variable PRONOUN here --- "]
    [/conditional]

    • bcwelch says:

      For anyone who’s interested (tho it’s a little ‘clunky’), I guess this would be one way to handle it:

      GENDER [radio name="gender" value="male|female"]
      [conditional field="gender" condition="(gender).is('male')"]
      [text name="possessive" default="his" size="3"]
      [text name="subjective" default="he" size="3"]
      [text name="objective" default="him" size="3"]
      [/conditional]
      [conditional field="gender" condition="(gender).is('female')"]
      [text name="possessive" default="her" size="3"]
      [text name="subjective" default="she" size="3"]
      [text name="objective" default="her" size="3"]
      [/conditional]

      [var name="subjective"] did a great job tying [var name="possessive"] shoes instead of having it done for [var name="objective"].

  5. melimira91 says:

    Hello! thank you SO much for this site!! I’m a student and its been super helpful for documenting my case logs for school. I ahve a question though, is there a way to have a checkbox/checklist pre-checked already? i.e. I want my checkboxes/checklists to automatically have “negative” as checked and then I change it as needed instead of having to check it myself every time. Is there a way to do that?

    • Mark Morgan says:

      I think what a lot of people do is the following:
      1) Make sure you’re logged on and on the page that you want to save.
      2) Click on ‘View’ on the upper right of the SOAP note.
      3) Select ‘Edit Markup’
      4) Click on ‘Duplicate’
      5) Then you can save it to your account and rename it and change it as you’d like.

  8. Binti Jones says:

    Hi Mark, great site, I love it. Can you please help with my private templates? When I click to see “my soapnotes” I get an error 404.

    Thanks!

  10. kachangmd says:

    Hi Mark, Is there a way we could get a ‘time’ timestamp similar to the ‘date’ timestamp. Useful when making entries into the ED course.

  11. lsanchezg says:

    tHANK YOU FOR THIS WONDERFUL SITE. CAN YOU TELL ME HOW TO LINK TOGETHER DIFFERENT PARTS – HISTORY, PHYSICAL, a/p, INTO ONE TEMPLATE?

    • marnold2777 says:

      My perspective – It depends on how complicated your coding is (specifically conditional elements) and how much verbiage total. You can copy and paste many elements (history, physical, a/p) into one template and it will run. I’ve noticed the site reaches it’s limit and becomes very sluggish to run at around 750 elements (you can figure out how many elements your template has by running it in the ‘create/edit’ tool (it shows in a popup when you click ‘run’). If you find you have too much for one template, you can add links in your template that open other templates.

      An example of putting all of it together in one is this template of mine:
      https://www.soapnote.org/complete/inpatient-progress-note-ap/

      An example of reaching that element limit, splitting up the templates, and linking to each of them:
      https://www.soapnote.org/subjective/master-medic-assistant-history-note/

  12. marnold2777 says:

    Is there a way to create a date stamp that defaults to a future date (like a ‘today’ + # days function)? The purpose for me would be creating a better Depo-Provera note that auto-sets the next depo window range (11 and 15 weeks, which would be easy to convert to #days for a default stamp if available)

  13. marnold2777 says:

    Help. I can’t get to my favorited templates or the ones I’ve created without manually searching for them. I precious could the hyperlink of the author’s name to view all their templates. It no longer works. It also doesn’t work when clicking ‘my soapnotes’

    • Mark Morgan says:

      Hi,
      I will work on this today (2/27/20). Everything should work except the ‘favorite’ feature. It was breaking another part of the site after an update. Sorry for the inconvenience, I tried to avoid taking it out.

  14. marnold2777 says:

    Can you fix the navigation issues with the site? – when I click on ‘my soapnotes’, I get a different screen than shows all users but does not show any of my templates. The same thing happens when clicking on an author’s name.

    • Mark Morgan says:

      Hi – sorry – I’ll try to fix it today (2/27/20). I removed the ‘favorite’ feature because it was breaking the site with another update. A lot of moving parts. The page with the soapnote you’ve authored will be back up soon.

    • Mark Morgan says:

      Hi – I think it’s that a variable name can’t have spaces or punctuation. Try changing the lines
      — at the beginning
      [checkbox name="Reviewed old records." value="Reviewed old records."] to [checkbox name="Reviewedoldrecords" value="Reviewed old records."]
      and also — under ‘immunizations’
      [checkbox name="Up to date" value="Up to Date."] to [checkbox name="Uptodate" value="Up to Date."]

      Then I think it should work.

    • Mark Morgan says:

      Thank you for the question. The site is open to anyone to use for free, and the code for the site is pretty low-tech. But it’s not open source.

  20. kindition says:

    All forms are broken, none produce output when Calculate Result clicked. Also, Twitter users cannot send messages to you unless you follow them first. You need to set it to Receive Messages from Anyone.

    I’d provide examples, but frankly, I can’t find a single form that isn’t broken, so it’s all of them by extension.

  21. dmergupe says:

    I love your site! But it stopped working the calculate result button does not generate anything. I have tried multiple different templates please help! Thank you!!

      • Mark Morgan says:

        Hi – if there is a specific page that’s not working, let me know. I’ll take a look at it.

  23. DrRoss says:

    Love the site, writing progress notes for Dentistry is often overlooked and notes end up being very vague. I think documentation is so important, but writing a good note takes time. This speeds up that process, especially for normal patient encounters. Can we get a dental category added to the site? Hopefully more dental professionals will begin to use it.

    Thanks,
    Ross

  24. [email protected] says:

    Hi all,

    My note is in psychiatriy under SOAP note 3. When I fill in all fields and generate, it doesn’t yield what I’ve put in. Instead it says “getting better” in many of the fields. Does anyone know why? Here is the text I had filled out.

    discussed”]; energy levels are [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"]; concentration is [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"].
    [textarea name="variable_1" default="sample text"]
    O:
    MSE
    Alert and Oriented: [select name="variable_1" value="x4|x3|x2|x1"]
    Appearance: [select name="variable_1" value="Appropriately dressed/well groomed|disheveled|inappropriately dressed|neglected"].
    Attitude toward the therapist: [select name="variable_1" value="cooperative|guarded|suspicious|paranoid|paranoid|warm"].
    Eye contact: [select name="variable_1" value="Good|Fair|Poor|Fleeting|Avoidant"].
    Psychomotor activity: [select name="variable_1" value="retardation|agitation|none"].
    Speech: [select name="variable_1" value="normal rate/normal volume|spontaneous|impoverished|pressured|aphasic|emotional|monotonous"].
    Thought process: [select name="variable_1" value="linear, goal-directed, coherent|disorganized|incoherent|flight of ideas|racing thoughts|loose associations|perseverative|tangential|spontaneous"].
    Thought Content: [text name="variable_1" default="sample text"].
    Mood: [text name="variable_1" default="sample text"].
    Affect: [select name="variable_1" value="congruent with mood, stable|blunted|flat|incongruent with mood"].
    Perception: [select name="variable_1" value="No Hallucinations|Audio Hallucinations|Visual Hallucinations|Tactile Hallucinations|Olfactory Hallucinations|preocuppied with delusions|preocuppied with thoughts"].
    Suicidal Ideation: [select name="variable_1" value="none present|passive ideation, no plans or intent|activally suicidal"].
    Homicidal Ideation:[select name="variable_1" value="no homicidal ideation|current homicidal ideation"]
    Insight: [select name="variable_1" value="good|fair|poor"].
    Judgement: [select name="variable_1" value="good|fair|poor"]

    A:
    [textarea name="variable_1" default="sample text"]

    P:
    Patient was scheduled for an appointment on [text name="variable_1" default="sample text"].
    Prognosis: At the time of writing, patient’s prognosis is [select name="variable_1" value="good|fair|poor|uncertain"] and continued treatment is [select name="variable_1" value="recommended|not recommended|Cdsds"].

    • Mark Morgan says:

      Hi – sorry for the delay in replying
      It has to do with the ‘variable_1’ name for all the variables. If you change them, it works the way you want (I think):

      S:
      Patient reports things have been [select name="variable_1" value="getting better|getting worse|just about the same"] since the last visit.

      Neurovegetative Symptoms:
      sleep is [select name="variable_2" value="Good|Fair|Poor|Terrible|Not discussed"];
      appetite is [select name="variable_3" value="Good|Fair|Poor|Terrible|Not discussed"];
      energy levels are [select name="variable_4" value="Good|Fair|Poor|Terrible|Not discussed"];
      concentration is [select name="variable_5" value="Good|Fair|Poor|Terrible|Not discussed"].

      [textarea name="variable_6" default="sample text"]
      O:
      MSE
      Alert and Oriented: [select name="variable_7" value="x4|x3|x2|x1"]
      Appearance: [select name="variable_8" value="Appropriately dressed/well groomed|disheveled|inappropriately dressed|neglected"].
      Attitude toward the therapist: [select name="variable_9" value="cooperative|guarded|suspicious|paranoid|paranoid|warm"].
      Eye contact: [select name="variable_10" value="Good|Fair|Poor|Fleeting|Avoidant"].
      Psychomotor activity: [select name="variable_11" value="retardation|agitation|none"].
      Speech: [select name="variable_12" value="normal rate/normal volume|spontaneous|impoverished|pressured|aphasic|emotional|monotonous"].
      Thought process: [select name="variable_13" value="linear, goal-directed, coherent|disorganized|incoherent|flight of ideas|racing thoughts|loose associations|perseverative|tangential|spontaneous"].
      Thought Content: [text name="variable_14" default="sample text"].
      Mood: [text name="variable_15" default="sample text"].
      Affect: [select name="variable_16" value="congruent with mood, stable|blunted|flat|incongruent with mood"].
      Perception: [select name="variable_17" value="No Hallucinations|Audio Hallucinations|Visual Hallucinations|Tactile Hallucinations|Olfactory Hallucinations|preocuppied with delusions|preocuppied with thoughts"].
      Suicidal Ideation: [select name="variable_18" value="none present|passive ideation, no plans or intent|activally suicidal"].
      Homicidal Ideation:[select name="variable_19" value="no homicidal ideation|current homicidal ideation"]
      Insight: [select name="variable_20" value="good|fair|poor"].
      Judgement: [select name="variable_21" value="good|fair|poor"]

      A:
      [textarea name="variable_22" default="sample text"]

      P:
      Patient was scheduled for an appointment on [text name="variable_23" default="sample text"].
      Prognosis: At the time of writing, patient’s prognosis is [select name="variable_24" value="good|fair|poor|uncertain"] and continued treatment is [select name="variable_25" value="recommended|not recommended|Cdsds"].
      [textarea name="variable_26" default="sample text"]

  27. gwood says:

    Anyone can help Keele STarT Back Screening Tool interpretations. If someone can help. How to make it work? https://www.physio-pedia.com/STarT_Back_Screening_Tool

    Total Score –> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)" memo="score"] out of 9 points
    Interpretation –> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score>3?'Medium to High risk':score>0?'Low risk'" memo="interpretation"]

    Sub Score –> [calc value="score1=(Q5)+(Q6)+(Q7)+(Q8)+(Q9)" memo="score1"] out of 5 points
    Interpretation –> [calc value="score1=(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score1>3?'High risk':score1>0?'Medium risk'" memo="interpretation"]

    The Keele STarT Back Screening Tool.
    [select name="Q1" value="Disagree (0 points)=0|Agree (1 points)=1"] <– My back pain has spread down my leg(s) at some time in the last 2 weeks (over the last two weeks)?
    [select name="Q2" value="Disagree (0 points)=0|Agree (1 points)=1"] <– I have had pain in the shoulder or neck at some time in the last 2 weeks (over the last two weeks)?
    [select name="Q3" value="Disagree (0 points)=0|Agree (1 points)=1"] <– I have only walked short distances because of my back pain (over the last two weeks)?
    [select name="Q4" value="Disagree (0 points)=0|Agree (1 points)=1"] <– In the last 2 weeks, I have dressed more slowly than usual because of back pain (over the last two weeks)?
    [select name="Q5" value="Disagree (0 points)=0|Agree (1 points)=1"] <– It’s not really safe for a person with a condition like mine to be physically active (over the last two weeks)?
    [select name="Q6" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Worrying thoughts have been going through my mind a lot of the time (over the last two weeks)?
    [select name="Q7" value="Disagree (0 points)=0|Agree (1 points)=1"] <– I feel that my back pain is terrible and it’s never going to get any better (over the last two weeks)?
    [select name="Q8" value="Disagree (0 points)=0|Agree (1 points)=1"] <– In general I have not enjoyed all the things I used to enjoy (over the last two weeks)?
    [select name="Q9" value="Not at all (0 points)=0|Slightly (0 points)=0|Moderately (0 points)=0|Very much (1 points)=1|Extremely (1 points)=1"] [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)" memo="score"] out of 9 points
    Interpretation –> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score>3?'Medium to High risk':score>0?'Low risk'" memo="interpretation"]

    Sub Score –> [calc value="score1=(Q5)+(Q6)+(Q7)+(Q8)+(Q9)" memo="score1"] out of 5 points
    Interpretation –> [calc value="score1=(Q5)+(Q6)+(Q7)+(Q8)+(Q9);score1>3?'High risk':score1>0?'Medium risk'" memo="interpretation"]

    • Mark Morgan says:

      First – I set a value for the two different question types and then mapped out the values:
      Questions 1-4 at 1 point each
      Questions 5-9 at 100 points each (I chose 100 points arbitrarily, anything over 10 would probably work)

      Possible combinations and risk values mapped out:
      0… subscore 0, Low Risk
      1… subscore 0, Low Risk
      2… subscore 0, Low Risk
      3… subscore 0, Low Risk
      4… subscore 0, Medium Risk
      100… subscore 1, Low Risk
      101… subscore 1, Low Risk
      102… subscore 1, Low Risk
      103… subscore 1, Medium Risk
      104… subscore 1, Medium Risk
      200… subscore 2, Low Risk
      201… subscore 2, Low Risk
      202… subscore 2, Medium Risk
      203… subscore 2, Medium Risk
      204… subscore 2, Medium Risk
      300… subscore 3, Low Risk (total score less than 4)
      301… subscore 3, Medium Risk
      302… subscore 3, Medium Risk
      303… subscore 3, Medium Risk
      304… subscore 3, Medium Risk
      400… subscore 4, High Risk
      401… subscore 4, High Risk
      402… subscore 4, High Risk
      403… subscore 4, High Risk
      404… subscore 4, High Risk
      500… subscore 5, High Risk
      501… subscore 5, High Risk
      502… subscore 5, High Risk
      503… subscore 5, High Risk
      504… subscore 5, High Risk
      504… subscore 5, High Risk

      • Mark Morgan says:

        The following worked when I tried it out:

        The Keele STarT Back Screening Tool.

        [select name="Q1" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q1. My back pain has spread down my leg(s) at some time in the last 2 weeks (over the last two weeks)?
        [select name="Q2" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q2. I have had pain in the shoulder or neck at some time in the last 2 weeks (over the last two weeks)?
        [select name="Q3" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q3. I have only walked short distances because of my back pain (over the last two weeks)?
        [select name="Q4" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q4. In the last 2 weeks, I have dressed more slowly than usual because of back pain (over the last two weeks)?
        [select name="Q5" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q5. It’s not really safe for a person with a condition like mine to be physically active (over the last two weeks)?
        [select name="Q6" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q6. Worrying thoughts have been going through my mind a lot of the time (over the last two weeks)?
        [select name="Q7" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q7. I feel that my back pain is terrible and it’s never going to get any better (over the last two weeks)?
        [select name="Q8" value="Disagree (0 points)=0|Agree (1 points)=1"] <– Q8. In general I have not enjoyed all the things I used to enjoy (over the last two weeks)?
        [select name="Q9" value="Not at all (0 points)=0|Slightly (0 points)=0|Moderately (0 points)=0|Very much (1 points)=1|Extremely (1 points)=1"] <- Q9. Overall, how bothersome has your back pain been in the last 2 weeks?

        Total -> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)" memo="calculation"] out of 9 points

        Interpretation –> [calc value=”score=(Q1)+(Q2)+(Q3)+(Q4)+((Q5)*100)+((Q6)*100)+((Q7)*100)+((Q8)*100)+((Q9)*100);score>404?’subscore 5, High Risk’:score>304?’subscore 4, High Risk’:score>300?’subscore 3, Medium Risk’:score>204?’subscore 3, Low Risk (total score less than 4)’:score>201?’subscore 2, Medium Risk’:score>104?’subscore 2, Low Risk’:score>102?’subscore 1, Medium Risk’:score>4?’subscore 1, Low Risk’:score>3?’subscore 0, Medium Risk’:’subscore 0, Low Risk'” memo=”categorized by total points and subscore of questions 5 through 9″]

    • Mark Morgan says:

      That part takes place on the user’s local computer and is basically the browser processing the page’s contents (there’s no signals going backing or forth over the internet to slow it down, it’s all happening on the user’s computer). It might be faster on different computers or browsers, but I’m not really sure.

    • Mark Morgan says:

      Hi, can you explain what you are seeing? I see there are some that begin with ‘lab report’. Was there one that had all of those ‘lab report’ notes together? That shouldn’t be too much. There isn’t a character limit that I’m aware of.

      • Bbroyles86 says:

        I can run any of the lab report chunks separately just fine. But if I place them together, it fails. A character limit is the only thing that made sense to me.

  31. jagdishrv says:

    Thanks Mark. SOAPnotes is a great tool. Since 2-3 days I am having the following error. When I Log in an click on My Account-> My Soap notes, the system takes me to the categories page instead of my soap notes.

  32. alphabiotic says:

    Hi Mark, I’m having a problem with the “My SOAPnotes” menu, as it does not show my private soapnotes anymore, rather, it just shows a list of all the categories of SOAPnote. Can this be fixed? Kind regards

      • Bbroyles86 says:

        Awesome! Thanks!
        I am running into what appears to be a character limit. It is rather lengthy. I will post it in a few. It is “lab report”, under my name.

      • Bbroyles86 says:

        OK. I can’t save it all together. I had to chunk it into pieces. I am using an excel spreadsheet that generates all the texts for me, it’s pretty slick and helps prevent me from making errors. I have not added the caution notes yet for high values, but it will be super easy in the spreadsheet, then copy paste.

  34. Bbroyles86 says:

    How do I keep the selections at the top from showing up in my result?

    [comment memo="--------------DISPATCH INFO----------------"]
    [select name="dispatched_unit" value="|Unit 21-01|Unit 22-01|Unit 23-01"]

    [comment memo="=========Sending============"]
    [select name="origin_facility_name" value="|Clinton Memorial Hospital (Wilmington)|Highland District Hospital (Hillsboro)|Adena Greenfield Medical Center (Greenfield)|Adena Regional Medical Center (Chillicothe)|Miami Valley Hospital (Dayton)|UC Hospital (Cincinnati)|Bethesda North (Cincinnati)|Other"] [select name="origin_facility_department" value="|Emergency Room|Telemetry Unit|Cardiac Unit|Other"]

    [select name="pre_scheduled" value="|Pre-Scheduled|Non-Scheduled"] [select name="var_001" value="|Non-Emergent|Emergent"]

    [comment memo="=========Receiving============"]
    [select name="destination_facility_name" value="|Clinton Memorial Hospital (Wilmington)|Highland District Hospital (Hillsboro)|Adena Greenfield Medical Center (Greenfield)|Adena Regional Medical Center (Chillicothe)|Miami Valley Hospital (Dayton)|UC Hospital (Cincinnati)|Bethesda North (Cincinnati)|Shriners (Cincinnati)|OSU Wexner Medical Center (Columbus)|Hearth & Care Center (Greenfield)|Edgewood Manor (Greenfield)|Grant Medical Center (Columbus)|Riverside Methodist (Columbus)|Children’s Medical Center (Cincinnati)|Other"] [select name="destination_facility_dept" value="|Telemetry Unit|Cardiac Unit|Acute Care Burn Unit|Emergency department|Intensive Care Unit|Labor and Delivery|Other"]

    [var name="dispatched_unit"] was dispatched to [var name="origin_facility_name"], [var name="origin_facility_department"]. For a [var name=" pre_scheduled "] [var name="var_001"] ALS inter facility transfer of a patient to [var name="destination_facility_name"], [var name="destination_facility_dept"].

    • Mark Morgan says:

      I think what you’re looking for would be a ‘hidden’ parameter for the select boxes you’ve got. I don’t have that currently. I can look into it. The only way to make your example work would be to have the select boxes in the actual text instead of calling the variables and having the select boxes up top.

  35. Bbroyles86 says:

    Next Question:
    I am trying to nest questions, which doesn’t seem possible. For Example:
    Does the patient have chest pain? y/n
    if no, skips all those questions.
    if yes: have they had it before? y/n
    If no, skip
    if yes: what happened?

    I was going to nest conditionals, but that doesn’t work. Ideas?

  36. Bbroyles86 says:

    [checkbox memo="Radiates" name="co_cp_rad" value=""][conditional field="co_cp_rad" condition="(co_cp_rad).is('')"]
    [checkbox name="co_cp_rads" value="Med Chest|Right Lateral Chest|Left Lateral Chest|Sub-Sternum area|Right shoulder|Left chest|Back - Upper|Back - Lower|Abdomen|Right Arm|Left Arm"]
    [/conditional]

    Can I turn the check box starter in to a yes/no select or radio button?

    • Mark Morgan says:

      to change the check box starter into a yes/no select, it would be [select memo="Radiates" name="co_cp_rad" value="yes|no"] for the first part.

  37. kindition says:

    What is the difference between Registry and Scratchpad? When I first tried Registry, if my memory is correct, clicking the “registered” note link from the Registry page returned the specific SOAPnote pre-populated with the input/saved data. Currently it only returns the blank SOAPnote. Did something change, or is Registry just Scratchpad with a dated link to the original blank SOAPnote?

    Great idea and implementation overall, thank you!

  38. Bbroyles86 says:

    This is a great tool. The only problem I am having is that I am unable to figure out how to make my form generate the result. I have established my fields and data, but how do I add all the other text I want in the output with all the selections of the user?

      • Bbroyles86 says:

        I figured that one out. Thanks. I put spaces in the variable names, It didn’t like it. LOL:
        Next question: In the top of my sheet, I am gathering all the data, then in the bottom, I generate the info to be copied. Is there a way to mark the lines for info gathering so that they are not included in the result?

    • Mark Morgan says:

      Sorry for the delay – I need to check the comments more frequently.

      I don’t have bullet proof way of proofreading these notes, but here is my approach:

      If there’s a problem, I take the notes in small chunks and test it at this page: https://www.soapnote.org/generator/

      I went through your note, piece by piece and found these parts had small problems:

      Amnesia After S (Anterograde) Are there any events just AFTER the injury that you/ person has no memory of (even brief)?[checkbox name="variable_1|" value="Yes|No |Unsure|No Duration"]
      Loss of Consciousness: Did the athlete lose consciousness? [checkbox name="variable_1" value="Yes|No |Unsure |No Duration"]

      In this section, there is a variable with the name “variable_1|”. The “|” caused the error there.

      EARLY SIGNS: [checkbox name="variable_1" |Appears dazed or stunned |Is confused about events |Answers questions slowly | Repeats Questions |Forgetful|Value="dizziness|LOC|Balance problems"][checkbox name="Conussion" value="Slow reaction time|amnesia|sleep disturbance"][checkbox name="field_name" value="headaches|irritability|nausea"][checkbox name="field_name" value="vomiting|light sensativity|balance problems"]

      In this section, the first checkbox is missing the ‘value’ part before ‘|Appears dazed….’.

      I changed those two parts and came up with:
      S:
      Date of injury/illness: [date name="variable_1" default="01/05/2019"]
      C/o [textarea name="variable_1" default="sample text"]
      HX of concussion:[checkbox name="variable_1" value="yes |no |unknown"]
      Headache History? [checkbox name="variable_1" value="yes |no |unknown"]

      Developmental History [text name="variable_1" default="sample text"]
      Developmental History [text name="variable_1" default="sample text"]
      O:
      Is there evidence of a forcible blow to the head? [checkbox name="variable_1" value="direct |indirect|Unknown"]

      Is there evidence of intracranial injury or skull fracture? [checkbox name="variable_1" value="Yes|No |Unsure"]

      Location of Impact: [text name="variable_1" default="sample text"]

      Cause: [radio name="variable_1" value=" MVC|Athletics|Assault| Fall"]

      Amnesia Before (Retrograde) Are there any events just BEFORE the injury that you/ person has no memory of (even brief)? [checkbox name="variable_1" value="Yes|No |Unsure"]

      Amnesia After S (Anterograde) Are there any events just AFTER the injury that you/ person has no memory of (even brief)?[checkbox name="variable_1" value="Yes|No |Unsure|No Duration"]
      Loss of Consciousness: Did the athlete lose consciousness? [checkbox name="variable_1" value="Yes|No |Unsure |No Duration"]

      EARLY SIGNS: [checkbox name="variable_1" value="Appears dazed or stunned |Is confused about events |Answers questions slowly | Repeats Questions |Forgetful|dizziness|LOC|Balance problems"][checkbox name="Conussion" value="Slow reaction time|amnesia|sleep disturbance"][checkbox name="field_name" value="headaches|irritability|nausea"][checkbox name="field_name" value="vomiting|light sensativity|balance problems"]

      Seizures: Were seizures observed? [checkbox name="variable_1" value="yes |no |unknown"] Detail [textarea name="variable_1" default="sample text"]

      A:
      [checkbox name="variable_1" value="850.0 (Concussion, with no loss of consciousness) – Positive injury description with evidence of forcible direct/ indirect blow to the head (A1a); plus
      evidence of active symptoms (B) of any type and number related to the trauma (Total Symptom Score >0); no evidence of LOC (A5), skull fracture or
      intracranial injury (A1b).|850.1 (Concussion, with brief loss of consciousness < 1 hour) – Positive injury description with evidence of forcible direct/ indirect blow to the head (A1a); plus evidence of active symptoms (B) of any type and number related to the trauma (Total Symptom Score >0); positive evidence of LOC (A5),
      skull fracture or intracranial injury (A1b|850.9 (Concussion, unspecified) – Positive injury description with evidence of forcible direct/ indirect blow to the head (A1a); plus evidence of active
      symptoms (B) of any type and number related to the trauma (Total Symptom Score >0); unclear/unknown injury details; unclear evidence of LOC (A5), no
      skull fracture or intracranial injury|Other Diagnoses – If the patient presents with a positive injury description and associated symptoms, but additional evidence of intracranial injury (A 1b)
      such as from neuroimaging, a moderate TBI and the diagnostic category of 854 (Intracranial injury) should be considered"]

      p:[textarea name="variable_1" default="sample text"]

      It can be difficult with the long forms because a simple error near the top of the form can wreck the whole thing. But, that’s how I test them. I’d like to make a proofreader in the future – hopefully someday soon!

  40. Matt says:

    I just found this website and find a great value in using this for generating very thorough EMS patient care report narratives, but was wondering if there is any way to taylor a note for the EMS community? The Acute Care SOAP V2 is the closest note I found yet it still either lacks or includes information that a paramedic may either include or not assess.

  42. Doc_T says:

    I am able to export document in HTML to run external of site. The note itself will open and run though unable to print using the submit button. I am using Windows 10 OS. Any recommendations? Thank you, Jim

  43. Jason says:

    Is it possible to input data then have the output be put into paragraph form to be used for an EHR assessment? For example, instead of this…

    CURB-65/CRB-65 Score for PneumoniaClinical Features:
    absent <– Confusion
    greater 19 mg per dL (6.8 mmol per L) <– Blood Urea Nitrogen
    less than 30 breaths per minute <– Respiratory rate
    systolic greater than/equal to 90 and diastolic greater than 60 <– Blood pressure
    greater than/equal to 65 CURB-65 = 2: Short inpatient hospitalization or closely-supervised outpatient treatment

    Have the output read…
    In this patient confusion is absent, Blood Urea Nitrogen is greater than 19 mg per dL, the Respiratory rate is less than 30 breaths per minute, the systolic blood pressure is greater than/equal to 90 and diastolic greater than 60, and age is greater than/equal to 65 giving a CURB-65 score of 2. The patient may require short inpatient hospitalization or closely-supervised outpatient treatment.

    • Mark Morgan says:

      Hi – it wouldn’t be difficult to make a more plain language output generating version as you’ve suggested. I’ll try to work on that version.

  44. Jason says:

    This is a great idea and I look forward to using it more but it is difficult to use. It’s difficutlt to find templates that make sense. For example, this anemia evaluation. After selecting micro vs. macrocytosis and the other selections the calculated result should read as an assessment to be able to copy and paste in an EHR. I think this is the idea of the site.
    It should read as follows…based on selections above the calculated result.

    ANEMIA OF CHRONIC DISEASE
    This patient likely has a *microcytic* anemia due to *low* ferritin ….etc etc. without the asterisk of course.
    Peripheral blood smear clues may include rouleaux formation, myelophthisis. CBC clues may include normal RDW.
    Usual causes of ANEMIA OF CHRONIC DISEASE may include Temporal arteritis, Rheumatoid arthritis, Chronic inflammation, or Chronic infection. Unusual causes of ANEMIA OF CHRONIC DISEASE may include Hodgkin lymphoma, Renal cell carcinoma, Castleman disease, or Myelofibrosis.
    *This differential is quite short actually*

    • Mark Morgan says:

      Hi – the calculator was an approach to anemia that I thought was interesting. Definitely not the only way to do it. When I’m using these, I usually paste them into the assessment as a type of ‘medical decision making’ section. But I see your point and can try to make another version that addresses your suggestions.

    • marnold2777 says:

      Thank you Dr. Morgan. This site is a gem I found through AAFP’s FMP Toolkit. I am using it to actively design a residency QI project aimed at standardized team documentation between nurse and provider and reducing EMR/Admin burden. I’ll keep you posted on my progress.

      • Mark Morgan says:

        Thank you! Good luck and let me know if you run into any snags on the site!

    • gwood says:

      Thank you so much Dr Morgan.
      Your site is a marvel, easy to use, and helps to run different tools effectively skipping a cumbersome or impossible merging with EMRs and much more.
      Kind regards,
      George

    • A says:

      Quick question; What type of coding would you call what the generator produces? I have been encouraging my peers to use your website but haven’t found the words to describe what type of encoding is used.

      • Mark Morgan says:

        Hi – I call it ‘markup’ but I think some people refer to them as ‘tags’.

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