Example Of SOAPie Note
Understand the SOAPie structure and use our AI medical scribe to generate a structured draft from your next patient encounter.
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Compliant
See how Aduvera turns a recorded visit into a transcript-backed clinical note that clinicians can review before charting.
Documentation Built for Clinical Fidelity
Move beyond basic templates with a documentation assistant that prioritizes accuracy and clinician oversight.
Structured SOAPie Drafting
Automatically organize your encounter data into Subjective, Objective, Assessment, Plan, Intervention, and Evaluation sections.
Transcript-Backed Citations
Verify every claim in your note by clicking through per-segment citations that link back to the original encounter recording.
EHR-Ready Output
Generate clean, professional notes that are ready for your final review and quick copy-paste into your existing EHR system.
From Encounter to Finalized Note
Turn your patient interaction into a structured SOAPie note in three simple steps.
Record the Encounter
Use the app to record your patient visit, capturing the full clinical conversation without manual dictation.
Generate the Draft
Our AI processes the recording to draft a structured SOAPie note, ensuring all clinical details are categorized correctly.
Review and Finalize
Review the draft against the source context, make necessary edits, and copy the final note directly into your EHR.
Mastering the SOAPie Documentation Format
The SOAPie note is an extension of the traditional SOAP format, adding 'Intervention' and 'Evaluation' to provide a more granular view of patient care. This structure is particularly valuable in nursing and therapy settings where documenting the specific actions taken and the patient's immediate response is critical for tracking progress. A well-constructed SOAPie note ensures that the plan is not just stated, but connected to the actual interventions performed during the visit.
When drafting a SOAPie note, clinicians must ensure that the 'Evaluation' section clearly reflects the patient's status following the intervention. By using an AI documentation assistant, you can ensure that these specific sections are populated with relevant details from the encounter, reducing the cognitive load of manual charting. Use this structure to build your next note, ensuring that your documentation remains both comprehensive and compliant with clinical standards.
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Frequently Asked Questions
Transcript-backed documentation, clinician review, and EHR-ready note output are built into every workflow.
How does the AI handle the 'Intervention' section of a SOAPie note?
The AI identifies specific procedures, treatments, or counseling provided during the encounter and maps them directly to the 'Intervention' section of your draft.
Can I customize the SOAPie template?
Yes, the AI generates notes based on your preferred documentation style, allowing you to review and adjust the output before finalizing it for your EHR.
How do I verify the accuracy of the 'Evaluation' section?
You can use the app's citation feature to review the transcript segments used to generate the 'Evaluation' section, ensuring the note accurately reflects the patient's response.
Is this tool HIPAA compliant?
Yes, the platform is designed to be HIPAA compliant, ensuring that your clinical documentation workflow remains secure throughout the drafting and review process.
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