| Package | healthdata.be.r4.cbb |
| Type | StructureDefinition |
| Id | HdBe-SOAPReport |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=healthdata.be.r4.cbb@0.16.0-beta&canonical=https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-SOAPReport |
| URL | https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-SOAPReport |
| Status | draft |
| Date | 2022-07-07T15:04:03.2592055+00:00 |
| Name | HdBeSOAPReport |
| Title | HdBe-SOAPReport |
| Description | A SOUP report is a textual report of (part of the consult) according to the SOUP structure. SOUP (acronym for subjective, objective, evaluation, plan) is a method used by health professionals to structurally record information that comes up during contact between the patient and a health professionals in the patient's record.The following standardized format is used for reporting:
* Subjective: the patient's complaint and request for help and the amnesic data
* Objective: the findings from the physical and supplementary examination.
* Assessment: the working hypothesis and the thinking process, for example a differential diagnosis of the healthcare professional.
* Plan: the diagnostic plan or treatment plan and what has been discussed or agreed with the patient.
The SOAP report is mainly used in general practice care.
#### Purpose
A contact note using the SOAP format offers a healthcare professional the possibility to record in a structured manner information of a contact with a patient in free text. Due to the standardized method of recording, an SOAP report also makes it possible to monitor the patient's condition and its treatment over time. |
| Copyright | Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
| Type | https://fhir.healthdata.be/StructureDefinition/LogicalModel/SOAPReport |
| Kind | logical |
FHIR