Literature DB >> 26795838

The essential SOAP note in an EHR age.

Patricia F Pearce1, Laurie Anne Ferguson, Gwen S George, Cynthia A Langford.   

Abstract

This article reviews the traditional Subjective, Objective, Assessment, and Plan (SOAP) note documentation format. The information in the SOAP note is useful to both providers and students for history taking and physical exam, and highlights the importance of including critical documentation details with or without an electronic health record.

Mesh：

Year:  2016        PMID： 26795838     DOI： 10.1097/01.NPR.0000476377.35114.d7

Source DB:  PubMed          Journal:  Nurse Pract        ISSN： 0361-1817


  9 in total

1.  Integrated displays to improve chronic disease management in ambulatory care: A SMART on FHIR application informed by mixed-methods user testing.

Authors:  Rebecca L Curran; Polina V Kukhareva; Teresa Taft; Charlene R Weir; Thomas J Reese; Claude Nanjo; Salvador Rodriguez-Loya; Douglas K Martin; Phillip B Warner; David E Shields; Michael C Flynn; Jonathan P Boltax; Kensaku Kawamoto
Journal:  J Am Med Inform Assoc       Date:  2020-08-01       Impact factor: 4.497

2.  Coder perspectives on physician-related barriers to producing high-quality administrative data: a qualitative study.

Authors:  Karen L Tang; Kelsey Lucyk; Hude Quan
Journal:  CMAJ Open       Date:  2017-08-15

3.  Effect of Home Monitoring via Mobile App on the Number of In-Person Visits Following Ambulatory Surgery: A Randomized Clinical Trial.

Authors:  Kathleen A Armstrong; Peter C Coyte; Mitchell Brown; Brett Beber; John L Semple
Journal:  JAMA Surg       Date:  2017-07-01       Impact factor: 14.766

4.  Medical Encounters During the United States Army Special Forces Assessment and Selection Course.

Authors:  Joseph J Knapik; Emily K Farina; Christian B Ramirez; Stefan M Pasiakos; James P McClung; Harris R Lieberman
Journal:  Mil Med       Date:  2019-07-01       Impact factor: 1.437

5.  A Digital Health Service for Elderly People with Balance Disorders and Risk of Falling: A Design Science Approach.

Authors:  Andréa Gomes Martins Gaspar; Luís Velez Lapão
Journal:  Int J Environ Res Public Health       Date:  2022-02-07       Impact factor: 3.390

6.  Predicting COVID-19 Symptoms From Free Text in Medical Records Using Artificial Intelligence: Feasibility Study.

Authors:  Josefien Van Olmen; Jens Van Nooten; Hilde Philips; Annet Sollie; Walter Daelemans
Journal:  JMIR Med Inform       Date:  2022-04-27

7.  Community pharmacy-based SOAP notes documentation.

Authors:  Binaya Sapkota; Rajiv Shrestha; Shimonraj Giri
Journal:  Medicine (Baltimore)       Date:  2022-07-29       Impact factor: 1.817

8.  Fostering clinical reasoning in physiotherapy: comparing the effects of concept map study and concept map completion after example study in novice and advanced learners.

Authors:  Katherine Montpetit-Tourangeau; Joseph-Omer Dyer; Anne Hudon; Monica Windsor; Bernard Charlin; Sílvia Mamede; Tamara van Gog
Journal:  BMC Med Educ       Date:  2017-12-01       Impact factor: 2.463

9.  Medical students' adoption and evaluation of a completely digital general practice clerkship - cross-sectional survey and cohort comparison with face-to-face teaching.

Authors:  Marina Fehl; Vera Gehres; Anne-Kathrin Geier; Thomas Mundt; Kay Klinge; Thomas Frese; Markus Bleckwenn; Tobias Deutsch
Journal:  Med Educ Online       Date:  2022-12
  9 in total

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