What is the difference between a SOAP and Simple note?

Note: Access to the EHR features described in this article may differ for practices who have already purchased a Practice Fusion EHR subscription plan. Please contact Practice Fusion Customer Service for additional information.

Chart notes in Practice Fusion can be classified into one of two categories:
1. SOAP notes
2. Simple notes (non-SOAP)

All notes in Practice Fusion will include the presence of the vital sign section as well as the Chief Complaint field. The primary distinction between a SOAP and non-SOAP note is that the SOAP note has individual sections for the Subjective, Objective, Assessment, and Plan sections, while a Simple note will have one free-text field that will serve as the body of the note.

Account administrators can create a custom Simple notes from the EHR Settings by selecting the Chart note types link. You can edit existing custom Simple notes, or click Add toward the upper right to create a new note type.



Once the note has been created, you will be able to to select it from the list of available note types when charting.

Any user has the ability to create a new SOAP or Simple note in a patient's chart. However, each user in the practice can edit different information within a SOAP or Simple note, depending on their edit level:
  • Staff Edit Level- Users can create a SOAP or Simple note, but cannot edit any information.
  • Nurse Edit Level- Users can enter vitals and chief complaints in both SOAP and Simple notes.  They can also can edit the body of a Simple note.
  • NP/PA Edit Level- Users can complete the vitals, CC, and body of a SOAP or Simple note.
  • Phys/MD Edit Level- Users can complete all fields within a SOAP or Simple note and can sign encounters.
You can learn more about the edit levels in Practice Fusion in the following post: Edit Levels

Please note that both SOAP and Simple notes count towards Meaningful Use if they have an encounter type of Office, Home, Nursing Home, or Telemedicine Visit.

Charting

  1. How do I search for patients in the EHR?
  2. How do I customize my patient chart view?
  3. How do I complete a chart note?
  4. How do I use rich text editing when charting my encounters?
  5. How do I add diagnoses to a patient chart?
  6. How do I add a medication?
  7. How do I use flowsheets?
  8. How can I preview previous encounters and results while completing an encounter?
  9. How do I print a patient's chart or certain sections of the patient's chart?
  10. How do I print a chart note?
  11. How do I add past medical history (PMH), allergies, medications and diagnoses to an encounter?
  12. How to record and print patient demographics and profile
  13. What information is available in a patient's Timeline?
  14. How do I use the growth charts?
  15. How do I merge duplicate charts?
  16. How do I print the care plan?
  17. How do I open an existing patient chart?
  18. Can vitals be added in Metric Units or US Customary Units?
  19. How do I add advanced directives?
  20. How do I add allergies?
  21. How can I edit my signed chart note?
  22. How do I add Family Health History?
  23. What is the difference between a SOAP and Simple note?
  24. What are the Character Limits when Charting?
  25. What are the limits of simultaneous editing?
  26. What are Screenings/Interventions/Assessments?
  27. Where can I learn more about the different components of an encounter?
  28. How do I delete or deactivate a patient?
  29. How do I edit information on the Patient Summary?
  30. How can I view Diagnosis comments?
  31. How do I search for inactive patients?
  32. What are Clinical Decision Support (CDS) advisories?
  33. How do I change the date in an encounter?
  34. How do I populate the list of Frequently prescribed medications?
  35. How do I view more information for medications?
  36. Why am I receiving the error "Unable to sign" when trying to sign a chart note?
  37. How do I delete an unsigned encounter?
  38. Who can sign a chart note?
  39. How do you change the 'Seen by' provider in the new encounter?
  40. How do I add a patient?
  41. What information is required to save a patient's chart?
  42. How do I create a patient record number?
  43. How do I edit an existing SOAP or Simple Note?
  44. How do I record "Unknown Family History?"
  45. How do I pull history from one patient visit to the next?
  46. How do I refresh a patient's chart?
  47. How do I start a new note/encounter in Practice Fusion?
  48. How do I create and export a Continuity of Care (CCD) clinical document?
  49. What is the file size of a patient image?
  50. Can I move a Patient Record Number from one chart to another?
  51. How do I view or update a patient's appointment within their chart?
  52. How do I add a custom medication?
  53. How many charts can be open and how do I close them simultaneously?
  54. How do I assign a Care Team?
  55. How do I add vitals to flowsheets?
  56. How do I customize my template line settings?
  57. How do I set my patient list and Timeline default?
  58. How do I attach a document to an encounter?
  59. How do I create and update "My Dx List"?
  60. How do I add custom allergies?
  61. How do I participate in the Prolia® Safety Program?
  62. How do I document patient risk score?
  63. How do I document an implantable device?
  64. How do I document social history?
  65. How do I add Goals and Health Concerns to the patient Summary?
  66. Why am I seeing CCDA display errors?
  67. How do I manage display settings for inbound CCDAs?
  68. How do I add new Encounter Types?

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