SOAP 2.0 | Converting Notes
  • 25 Mar 2024
  • 2 Minutes to read
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SOAP 2.0 | Converting Notes

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Article Summary

Overview

The ability to convert notes is exclusive to SOAP 2.0 documentation

You may occasionally, need to convert a note as the patient’s situation evolves. Two of the more common cases are converting a Progress Note to a Discharge Note or converting a Discharge Note into a Progress Note. Notes can be converted during the documentation process or by adding an addendum after finalization.
 

Notes that can be converted include:

Note Type
Billable
  • Progress Notes
  • Daily Notes
  • Discharge Summaries
Non-Billable
  • Case Notes
  • Administrative Discharges

Primary Use Case

Converting between a Progress and Discharge note.

  • Progress to Discharge: When you’ve determined at some point during the Progress Note visit that the patient has progressed enough to be discharged.
  • Discharge to Progress: When you’ve determined the patient should not be discharged and should continue treatment.
Discharging Patients

This is not designed to facilitate the conversion of a Progress Note into a Discharge Note if the patient self-discharges. In this instance, you would complete an Administrative Discharge.



Converting In-Progress Notes

Converting In-Progress Notes

Progress Notes, Daily Notes, and Discharge Summary notes can be converted while in the process of documenting. Use the drop-down arrow next to the Note Title to open the Convert To list. Select the more appropriate note type.

Note Conversions

A Progress Note can be converted into a Daily Note or Discharge Summary, but a Daily Note or a Discharge Summary can only be converted into a Progress Note. You may lose data when you convert to a new note type if the same fields don’t exist in both.

EMR_2.0_Documentation_PN_Convert Note



Converting Finalized Notes

Converting Finalized Notes

 

  1. Open the note you want to convert by selecting the Date of Service.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Note

  2. Click the (...) menu button and select Addend.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Note_Addend_Button

  3. Select the Signed Progress Note drop-down arrow to open the conversion menu. Using the Convert To list, select Discharge Summary.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Note_Convert Note_Button

  4. Select the Yes radio button and click Apply to move forward with the conversion.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Note_Convert Note_Confirmation

  5. Just like standard addenda, you can click into any field and make updates. When ready, Sign the note to finalize.
    EMR_2.0_Documentation_Sign Button

  6. Enter in your Addendum/Conversion Reason and click Apply.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Note_Addend_Button

  7. The note now appears as a Discharge Summary on the patient’s Records page.
    EMR_2.0_Documentation_PN_Convert Note_Finalized Converted Note



Converting Case Notes and Administrative Discharge Notes

Converting Case Notes and Administrative Discharge Notes

In SOAP 2.0, an Administrative Discharge is the same as a Quick Discharge in SOAP 1.0, with all the same limitations. Administrative Discharges are typically used when a patient self-discharges (doesn't return to therapy for their final visit). Administrative Discharges and Case Notes are non-billable note types.
 

A Case Note can be converted to an Administrative Discharge note while in progress, and vice versa. This is also true when addending either of these note types.
 

  1. From the patient’s Records page in SOAP 2.0, use the (...) menu button and select Case Note.
    EMR_2.0_Patient Profile_Create Case Note_Button

  2. Click the Case Note drop-down arrow.
    EMR_2.0_Documentation_Case Note_Dropdown Menu

  3. Choose Administrative Discharge from the Convert To list.
    EMR_2.0_Documentation_Case Note_Dropdown Menu_Administrative Discharge

  4. Select the Yes radio button and click Apply.
    EMR_2.0_Documentation_Administrative Discharge_Reopen Case_Convert to Case Note_Confirmation

You can easily convert the note back using the same process, or from the addendum view.




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