A patient is anxious about what his therapist truly thinks about him. Does the patient have a right to review the therapist’s private notes that contain clinical impressions?

Several weeks ago, a patient of mine was admitted to the hospital. Reading through the admission notes, from the triage by the emergency department (ED) through the admitting team, I unfortunately was ...

HOUSTON--(BUSINESS WIRE)--Lightning Step, a leading provider of integrated CRM, EMR, and RCM solutions for behavioral health, today announced the launch of its innovative AI-powered progress note ...

The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...

What are SOAP notes: A structured documentation method capturing subjective and objective data, assessment, and plan to ensure clarity and continuity in patient care. Why they matter: Clear SOAP notes ...