Question

Explain what a SOAP-based charting documentation model is and give one example of how this model could be used in Veterans Affairs information systems.

Compare it to one other charting documentation model and explain how it is different or similar.

Answer 1

SOAP BASED CHARTING DOCUMENTATION MODEL :

S - Subjective data

O - Objective data

A - Assessment

P - Planning

Soap is defined as a method of documenting made by health care providers to document notes in patients case sheath or chart along with other formats like admission notes, discharge notes and more. Soap charting documentation is used as a problem oriented technique where the nurse lists patients health related conditions, especially used in healthcare settings.

EXAMPLE OF SOAP CHARTING DOCUMENTATION MODEL USED IN VETERANS AFFAIRS INFORMATION SYSTEM :

VETERANS AFFAIR INFORMATION SYSTEM provides electronic health records of both inpatient,outpatient and administrative records to deliver better quality of medical care services.

S- Select an patient who is admitted as inpatient in hospital, O-Observe for the entry levels of he information provided in the data base system, A- Assess for any pending reports that have to be entered in the electronic records, P-Plan for care to the patient based on the observation reports of the patient in a qualitative manner.

OTHER FORM OF CHARTING DOCUMENTATION MODEL :

C - Complaints of patient

H - History of medical information (present, past)

A - Assessment of symptoms

R - Rest to patient

T - Treatment to diseases

Hence, by comparing SOAP model with other CHARTING DOCUMENTATION model it is similar at some aspects where some of the linkages are similar to the other. Overall the goal of these models is to provide qualitative care to the patients.