A short prompt from Kiss My Skills that sorts anonymized notes from a patient visit into SOAP format. It fills each section only from the notes, marks anything missing as not documented, keeps assessments to what the clinician stated without adding diagnoses, and ends with a list of unclear points to settle before signing. Remove names, dates of birth, addresses and record numbers first, use only tools your organization approved for patient data, and have a clinician review and sign every note.
Turn these de-identified encounter notes into a SOAP note.
[PASTE NOTES - NO NAMES, DATES OF BIRTH, ADDRESSES OR RECORD NUMBERS]
Rules:
- Use only information in the notes. If something a SOAP note normally contains is missing, write [NOT DOCUMENTED] - do not fill it in.
- Subjective: patient-reported symptoms and history, in their words where quoted.
- Objective: vitals, exam findings, results exactly as given.
- Assessment: list the clinician's stated impressions only. Do not add diagnoses.
- Plan: as stated, numbered.
End with a list of anything ambiguous I should clarify before signing.
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