The traditional "office note" presentation of an office visit, reminiscent of a paper chart "SOAP" format (subjective, objective, assessment and plan).

• Any given visit can be seen in this traditional format while simultaneously reviewing all other visits in the chronology.
• Key clinical and laboratory findings are presented at the top of the visit note, derived from the longitudinal spreadsheet.
  

Diagnoses & Treatments (more information)

• An "outline" of diagnoses and therapies (medications/ procedures) for the visit.
  
  

Physical Exam

• Physical examination (with complete wording customized by the physician).
• The physical is entered by editing a pre-written standard "physical note". There may be many standard notes reflecting the sex, age, or intercurrent illness of the patient.
  
  

Review of Systems/History of Present Illness (more information)

• ROS (including "negatives") clearly documented for reimbursement and patient care.
  
  

Comments Section

• Free-text note, which may be "created" by either typing directly into the "window", or "pasting" from a file created by such other programs as an OCR of a scanned document, or voice-recognition program. There may be many standard notes reflecting the sex, age, or intercurrent illness of the patient.