ARCHETYPE SOAP headings (openEHR-EHR-SECTION.soap.v0)

ARCHETYPE IDopenEHR-EHR-SECTION.soap.v0
ConceptSOAP headings
DescriptionAcronym for a group of headings used to aid recording of consistent, problem-oriented notes in a patient's health record.
UseUse to provide a framework and design guidance for consistent modelling of SOAP(E) content within a template representing problem-oriented clinical notes.
PurposeTo provide a framework and design guidance for consistent modelling of SOAP content within a template representing problem-oriented clinical notes.
ReferencesWeed LL. Medical records that guide and teach. N Engl J Med. 1968 Mar 14;278(11):593-600. doi: 10.1056/NEJM196803142781105. PMID: 5637758.

Weed LL. Medical records, medical education and patient care. Press of the Case Western Reserve University, 1970.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-28
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-28
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Weed LL. Medical records that guide and teach. N Engl J Med. 1968 Mar 14;278(11):593-600. doi: 10.1056/NEJM196803142781105. PMID: 5637758. Weed LL. Medical records, medical education and patient care. Press of the Case Western Reserve University, 1970., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=784DACCF65D07D9E332C1C016A8BAA80, build_uid=8cdebbf5-1edc-408c-93d9-57aca0bfafc1, revision=0.0.1-alpha}
Keywordssubjective, objective, assessment, plan, education, problem, oriented
Lifecyclein_development
UIDc4ef831a-deaa-3968-97d9-fb3744e9394e
Language useden
Citeable Identifier1013.1.339
Revision Number0.0.1-alpha
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Sam Heard, Ocean Informatics, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={ism_transition=[], context=[], details=[], other_participations=[], description=[], data=[], contacts=[], provider=[], credentials=[], state=[], capabilities=[], activities=[], content=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=SECTION, level=1, text=Subjective (S), description=The subjective component, usually focused on the presenting complaint, history of present illness, relevant medical history and review of system., comment=For example: EVALUATION.reason_for_encounter and OBSERVATION.story., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], 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