Lake Health Alliance, Inc.
Charting a SOAP Note. The heart of the EHR system is the Encounter. In this course we'll address all the elements that go into creating an Encounter, and then walk through each element of the Encounter, explaining each in detail, then wrap up by addressing the areas that Clinical Staff (providers & non-providers) are most likely to be responsible for completing.
The following course contains instruction and details on how to chart a SOAP Note;
Creating an Encounter from the Dashboard Appointment
Accessing existing encounters
Areas clinical staff are responsible for completing
And then move into the Standard Encounter Visit tabs;
Summary
CC
HPI
Hx
Meds/Allergies
ROS
PE
VItals
POC
Results
Assessment
Plan
Superbill
This course only applies to those with the following roles:
Registered Nurse, Nurse Practictioner, Physician Assistant, Physician
