Telehealth SOAP Note Example

A strong telehealth SOAP note must explicitly document the modality of the visit, including the platform used and the patient's physical location. The Subjective section should capture the patient's reported symptoms and history as relayed via video or audio. The Objective section in a virtual setting focuses on visual observations—such as respiratory effort or skin pallor—and any patient-reported vitals. The Assessment and Plan must clearly link the remote findings to the diagnostic reasoning and the specific follow-up steps, such as e-prescribing or scheduling a physical exam.

Using Aduvera eliminates the need to manually map a conversation to these sections. Instead of recalling details after the call, the AI medical scribe captures the encounter and proposes a first draft that follows the SOAP structure. This allows the clinician to spend their time reviewing the fidelity of the note against the transcript rather than typing repetitive phrases or struggling to remember the exact wording of a patient's chief complaint.