EMRSystems

SOAP Notes

Streamline clinical SOAP notes and speed up patient encounters

Say goodbye to repetitive typing. EMRSystems auto-populates vitals, copies forward previous encounters securely, and integrates ICD-10 coding directly inside your SOAP charting flow.

Why teams choose us

Built for the way clinicians actually work

Every workflow is designed with input from practicing physicians, nurses, and practice managers — so you spend less time clicking and more time with patients.

  • SALT (Same As Last Time) copy-forward functionality pulls prior notes instantly
  • Auto-populate vitals, active medications, allergies, and lab results
  • Specialty-specific templates with clickable anatomical diagrams
  • HIPAA-compliant secure storage and detailed clinical audit trails

Capabilities

What you get

Subjective Section

Capture patient histories, narratives, and Chief Complaints via structured lists, dictation, or custom macros.

Objective Tracking

Auto-populate patient vitals, clinical exam data, lab results, and diagnostic images directly into the chart.

Assessment Assistant

Search ICD-10 codes instantly with billing-necessity alerts that match clinical narratives.

Plan Automation

Generate prescriptions, schedule follow-ups, and send lab orders with one-click care plan protocols.

Copy-Forward (SALT)

Pull forward previous visits' histories and plans for returning patients, allowing you to edit updates rather than starting from scratch.

Audit & Compliance

Protect patient records with SOC 2-grade encryption, detailed user access logs, and electronic signature verification.

FAQ

Frequently asked questions

What is SALT copy-forward and is it safe?
Yes. SALT allows you to copy clinical notes from previous visits so you only have to document changes, saving hours on repeat visits. However, the system prompts you to review and verify the pulled data to ensure charting accuracy.
Can I create templates for different complaint types?
Yes. You can create different templates for visits like 'Hypertension Follow-Up', 'Pediatric Well Visit', or 'Post-Op Review'.
Does the SOAP notes tool integrate with billing?
Yes. Once signed, the assessment codes and procedure codes are instantly pushed to the billing dashboard to create claims automatically.
Is there a limit to how many custom templates I can make?
No. You can build, save, and share as many templates as your practice needs.

Ready to see EMRSystems in action?

Book a 30-minute personalized demo. No commitment, no credit card.