SOAP Notes
SOAP Notes
Structured Patient Documentation for Better Inpatient Care
Keep every patient record organized, consistent, and easy to follow with Wise Option's SOAP Notes. Designed for equine hospitals, this feature helps your team document each patient's condition, clinical findings, assessment, and treatment plan in a standardized format—all within the patient's medical record.
Key Features
- Standardized SOAP Documentation – Record Subjective, Objective, Assessment, and Plan notes in a familiar clinical format.
- Time-Stamped Entries – Every SOAP note is automatically time-stamped, providing a clear timeline of patient care.
- Integrated Patient History – Saved SOAP notes are automatically added to the patient's medical history for future reference.
- Create Notes Anytime – Add new SOAP entries throughout hospitalization as the patient's condition changes.
- Supports Inpatient Care – Perfect for tracking hospitalized patients from admission through discharge.
- Streamlined Team Communication – Keep veterinarians and technicians aligned with organized, easy-to-read patient updates.
- Works Alongside Vitals – Record SOAP notes while documenting vital signs to maintain a complete clinical picture.
Frequently Asked Questions
What is a SOAP Note?
SOAP stands for Subjective, Objective, Assessment, and Plan. It is a standardized documentation method used by medical and veterinary professionals to record patient evaluations, clinical findings, diagnoses, and treatment plans.
Who typically completes SOAP notes?
SOAP notes are generally completed by veterinarians, though authorized team members can contribute documentation depending on your hospital's workflow and permissions.
Are SOAP notes automatically saved in the patient's record?
Yes. Once saved, every SOAP note is automatically added to the patient's history, creating a complete chronological medical record.
Can multiple SOAP notes be created for the same patient?
Absolutely. You can create and save multiple SOAP entries throughout a patient's hospitalization, allowing your team to document progress and treatment updates over time.
Are SOAP notes time-stamped?
Yes. Every entry is automatically time-stamped, making it easy to review the sequence of care and patient progress.
Can SOAP notes be used together with vital sign tracking?
Yes. SOAP Notes work seamlessly alongside the Vitals feature, allowing your team to document clinical observations, assessments, and vital measurements during each patient evaluation.
Why use SOAP Notes in Wise Option?
By keeping all documentation within the patient's record, your team can improve communication, maintain consistent medical records, reduce documentation gaps, and quickly review the patient's treatment history from a single location.