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You can review and modify the patient’s reasons for visit, review of systems, and vital signs documented by the intake staff on the SOAP template.
You can also review the patient's visit type, alerts, and risk indicators. In addition, you can document the physical examination details, assessment plans, and provider communications.
You can select the Record contains substance use disorder information check box on the SOAP template header to include the long or short form of disclosure for Substance Abuse and Mental Health Services Administration (SAMHSA) 42 CFR Part 2 provisions in the generated documents and reports.
You can use Quick Notes to save the documented SOAP findings as a default set that can be used in future encounters. For more information on these settings, go to NextGen Healthcare Success Community, and download the latest Quick Notes User Guide forNextGen®Adaptive Content Engine.