Jump to content

Documentation


Recommended Posts

I too was taught the SOAP method in school. But my personal opinion is that it misses some key details. So I kinda devised my own format. It just so happens that it is basically the CHART formula. Never heard of it but I will definantly be using it from now on to help me remember. After a call I can get a little foggy in the brain and forget things.

Link to comment
Share on other sites

The A in the SOAP note stands for assessment. By the time I arrive to A, I've pretty well covered my assessment.

To be fair, though, the "assessment" in a traditional SOAP note is a Dx or DDX with what is generally thought of as an assessment going into the objective part of a SOAP note.

Link to comment
Share on other sites

×
×
  • Create New...