Overview
Generate structured SOAP (Subjective, Objective, Assessment, Plan) notes from FHIR encounter data. Pull chief complaint, history of present illness context, vital signs, laboratory results, active medications, active conditions, and procedures performed during the encounter. Support specialty-specific formatting for primary care, emergency department, and inpatient encounters. Optionally create a DocumentReference resource to persist the generated note.
FHIR Resources Used
| Resource | Purpose | Key Fields |
|---|
| Encounter | Visit context, chief complaint, type | status, class, type, reasonCode, period, participant |
| Condition | Active problems, encounter diagnoses | code, clinicalStatus, verificationStatus, encounter |
| Observation | Vitals, labs, clinical findings | code, value[x], effectiveDateTime, category |
| MedicationRequest | Current medications, new prescriptions | medicationCodeableConcept, status, authoredOn, dosageInstruction |