If you wanted to use SOAP format, maybe you could setup a template in the "Assessment" field. I would still use the Chief complaint field for the encounter name and then just fill out the "assessment" field following your subjective, objective, assessment and plan format. We do something similar for hospital encounters that are documented in the hospital's EMR system rather than our AC db. In these instances, our AC record is only used for billing purposes.
Renaming fields in the entry form probably would not be feasible as the AC database expects certain data to be entered in those fields. But adding a custom report the wish list that shows only the assessment field (your SOAP note) may be viable.
