There are many functions related to the production of SOAP notes in the ChiroPadEMR section of ChiroSuiteEHR. The user has a large variety of options to tailor his/her notes in the manner that is best suited to each practitioner.
The simple option is to use the defaults that are built into the program. However, the basic default settings may not produce the notes that are required by the State Board in which the practice is located, Medicare, or insurance programs. Or it may produce notes that are much more detailed than what is necessary for compliance with legal, legislative and/or insurance mandates.
Generating the note is the simplest and easiest process. After entering the desired data in the Subjective, Objective, Assessment and Plan windows, simply click on the Generate button located on the left Button Bar (figure 1).
Figure 1
Clicking the Generate Button closes and saves any other open ChiroPadEMR window(s), and produces the SOAP note on the Documents window (figure 2). The note is produced in dictation quality English.
Figure 2
After clicking the Generate Button, the name on the button changes to Save & Close. If the SOAP note that was produced is what was desired, simply click the Save & Close button to move on to the next patient.
If the SOAP note that was created by clicking the Generate Button has either more or less detail than what is wanted, or needs additional editing, then now is the time to do it.