Hi Bert,

A thought: you mentioned SOAPware. The lay out of SOAP's main chart is to place on the chart's LEFT side all the fields that ( a) stay constant (Family History, Social History,etc ) or (b) contain lists that are constantly updated and referred to (Medication List, Problems list, Intervention list).

The RIGHT side of the chart contins the components of a new encounter that change with each visit- Subj, Object, Asmnt, PLan & Meds . The layout looks something like this:

CHART LEFT SIDE: CHART RIGHT SIDE:

Problem List Subjective
PMHx
ROS Objective
Interventions
SHx Diagnosis
FHx Assessment
Allergies Plan
Current Meds Prescribed Medications

I know you are working hard to improve AC. - I didn't get a chance to suggest this layout before yesterday - but I'm wondering what you think?

Bruce