All community templates
Note
All Specialties

1,850 uses

SOAP (evisit)

Template structure

This is the structure Notat follows when it writes the note from the visit — you never fill it in by hand.

e-visit [Start Time - End Time]
Consented to use of Vero Scribe

Subjective:
(hyphenated list)
- [Chief complaint or reason for visit]
- [Relevant relevant history and associated information in chronological order]

Objective:
(hyphenated list)
- Physical exam deferred as phone visit
- [Vital signs with units in one line] (e.g., HR: #, BP: #, T: #, RR: #, O2 sats: #%)
- [Investigation results with units] (Only include completed investigations, otherwise leave blank. All planned or ordered investigations should be included under Plan)

Assessment:
(hyphenated list)
- [Diagnosis and reasoning] (Use medical terminology if appropriate. Do not re-state all past medical history unless relevant)
- [Differential diagnosis if mentioned]

Plan:
(hyphenated list)
- [Investigations planned or ordered]
- [Treatment plan]
- [Counselling discussion]
- [Referrals sent]
- [Follow up plan]
- [Return precautions]

Shared by

DV

Dr. Daniel Visser

Geriatrician, Netherlands

How it works in Notat

Add this template to your library, record the visit as usual, and Notat drafts the note in this exact structure from the extracted clinical facts. You review, edit, and sign.

Try Notat — it’s free

Related templates