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 ...

Peeking at physician notes in a medical chart is a bit like snooping through someone else’s diary because you never quite know what you’ll find. Will it be a perfectly mundane summary of vitals and ...

With an influx of data available at providers’ fingertips, they can readily share information with patients. Many in the medical community advocate for note sharing as healthcare becomes increasingly ...

Physicians’ style of note-taking could affect the quality of care they provide, according to a study published in the Journal of the American Medical Informatics Association. The study examined ...