Default Document Types
SOAP Note
Standard medical format:
- Subjective: Patient's reported symptoms
- Objective: Clinical observations
- Assessment: Diagnosis and evaluation
- Plan: Treatment plan and follow-up
Consultation Summary
Brief overview:
- Key points from consultation
- Main findings
- Important notes
- Quick reference format
Referral Letter
Professional referral:
- Patient information
- Reason for referral
- Clinical summary
- Ready to send format
Patient Discharge Summary
Discharge documentation:
- Admission summary
- Treatment provided
- Discharge instructions
- Follow-up care
Patient Summary
Patient overview:
- Current status
- Active conditions
- Treatment summary
- Medical history highlights
Progress Note
Progress tracking:
- Changes since last visit
- Treatment updates
- Response to treatment
- Next steps
Prescription Template
Medication documentation:
- Medication name
- Dosage and frequency
- Instructions
- Prescriber information