Digital Patient Intake: SOAP 2.0 Integrated Fields

When a patient completes their Digital Patient Intake, certain fields from the Medical section will automatically populate into the patient's SOAP 2.0 Initial Evaluation. This article shows the question in the patient's intake form and how it appears in the SOAP note.

Date of Injury

The “Approximate Date of Injury” field within the “Tell us about your injury and/or symptoms” question will populate in the Subjective tab in SOAP 2.0. The patient’s response will show up in the Patient Presentation subsection, under Date of Injury/Onset.

Medical Conditions

Patients will have the opportunity to select the medical conditions they are being treated for (or have been treated for in the past) on three sequential pages in the intake form. The pages list several different options below “Please select the conditions that you have been or are presently being treated for. This information helps your therapist develop a treatment plan that will be best for you.” Selected conditions will populate the Subjective tab within SOAP 2.0 in the Past Medical History Subsection under Previous/Current Conditions.

Pain Location, Type, and Scales

There are three questions related to pain scales that show in the Pain subsection.

  1. The response to “What region(s) are affected by your current symptoms?” displays under Location in the Pain subsection.
  2. The response to “What kind of pain are you experiencing?” will populate in the Pain subsection under the Description field.
  3. The response to “Please indicate the intensity of the current, best, and worst pain levels over the past 24 hours on a scale of 0 (no pain) to 10 (worst pain imaginable)” will populate under the  Pain subsection in the At Worst, Current, and At Best fields.

Current Medications

If the patient answers the “Are you currently taking any medications?” question with “Yes”, then the patient is prompted “Please list any current medications. Use the plus sign to add each medication.” These responses will be added to the Current Medications subsection.

Therapy Goal

The patient response to “What are your goals for therapy at this time? (free response)” displays under Patient/Caregiver Goals in the Patient Presentation subsection.

Integrated Field Mapping at a Glance

Theme Integrated Intake Form Fields and Prompts - Medical Section SOAP 2.0 Location - Subjective Tab
Date of Injury Approximate Date of Injury Patient Presentation Subsection > Date of Injury/Onset
Medical Conditions Please select the conditions that you have been or are presently being treated for. This information helps your therapist develop a treatment plan that will be best for you. Past Medical History Subsection > Previous/Current Conditions
Pain Location What region(s) are affected by your current symptoms? Pain Subsection > Location 
Pain Type What kind of pain are you experiencing? Pain Subsection > Description
Pain Scales Please indicate the intensity of the current, best, and worst pain levels over the past 24 hours on a scale of 0 (no pain) to 10 (worst pain imaginable). Pain Subsection > At Worst, Current, At Best
Current Medications Please list any current medications. Current Medications Subsection
Therapy Goal What are your goals for therapy at this time? Patient Presentation Subsection > Patient/Caregiver Goals