The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...
Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...
One of the most exciting elements of our future healthcare system is the reduction of administrative load, and particularly, documentation burden. It is not difficult to see why: 21% of physicians ...