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Using standard note templates
Using standard note templates

Learn more about Ambient Scribe's ready-made template options.

Mark Backman avatar
Written by Mark Backman
Updated over 4 months ago

When you're documenting patient visits, Ambient Scribe uses note templates to organize the information into clear, structured clinical notes. We offer a variety of standard note templates that are thoroughly tested and ready for you to use right away. These templates help streamline your documentation process and ensure consistency across patient records. If you need something more tailored, you can create your own custom note templates using our template editor, giving you the flexibility to document exactly how you want.

In this article, we'll walk you through our different standard templates and share tips on how to make the most of them, helping you optimize your clinical documentation workflow.

SOAP

This template generates a standard SOAP note, where each section—Subjective, Objective, Assessment, Plan—is populated with information discussed during the encounter. Here's an example note generated using this template with the "Paragraph" format:

Subjective

John presents with a sore throat, difficulty swallowing, and a scratchy throat. He reports a low-grade fever on and off and swollen, tender neck glands. He has noticed white spots on his tonsils. He is concerned about the seriousness of his symptoms and seeks medical advice.

Objective

On physical examination, John appears mildly ill but in no acute distress. Examination of the throat reveals erythema and swelling of the tonsils with the presence of white exudates. The neck examination shows tender, palpable cervical lymphadenopathy. Overall, the exam is normal except for the findings of erythematous and swollen tonsils with white exudates and tender cervical lymphadenopathy.

Assessment

John's symptoms and physical examination findings are consistent with streptococcal pharyngitis (strep throat), confirmed by a positive throat swab test.

Plan

The plan for John includes prescribing a 10-day course of antibiotics to clear up the infection. He is advised to rest, stay hydrated, and avoid spreading the infection by covering his mouth when coughing or sneezing. He should take the full course of antibiotics as prescribed to prevent the infection from coming back. Follow-up is recommended if symptoms worsen or do not improve.

SOAP (ROS & PE enhanced)

This template is an enhanced version of a SOAP note, adding a Review of Systems and Physical Exam to the standard structure. This provides a more comprehensive patient record while maintaining the familiar SOAP format.

The enhanced note comes with special voice commands to streamline your documentation:

  • For a normal exam: Say "normal physical exam", "exam was unremarkable", "no abnormalities noted on exam", or similar statements. This automatically generates a comprehensive exam report with normal findings.

  • For a mostly normal exam with specific findings: Say "normal exam except for...[findings]", "physical exam normal other than...[findings]", or "exam unremarkable aside from...[findings]". This generates a comprehensive exam report with normal findings, except for the specific conditions you mention.

  • For a brief, focused note: Simply omit these keywords. The Physical Exam section will then only include the findings that were explicitly discussed, stated, or dictated during the encounter.

Here's an example of a note generated using this template with the "Paragraph" format:

Subjective


John presents with a sore throat, difficulty swallowing, and a scratchy throat. He reports a low-grade fever on and off and swollen, tender neck glands. He has noticed white spots on his tonsils. John is concerned about the seriousness of his symptoms and seeks treatment.


Review of Systems


General: Present - Low-grade fever. Not Present - Chills, Fatigue, Sweats.Skin: Not Present - Itching, Rash.HEENT: Present - Sore throat, Difficulty swallowing, Scratchy throat, White spots on tonsils, Swollen neck glands. Not Present - Ear pain, Headache, Nasal congestion, Sinus pain.Respiratory: Not Present - Cough, Congestion, Dyspnea, Stuffy nose, Wheezing.Cardiovascular: Not Present - Chest pain.Gastrointestinal: Not Present - Abdominal pain, Constipation, Diarrhea, Nausea, Vomiting.Musculoskeletal: Not Present - Myalgia.Neurological: Not Present - Dizziness, Fainting, Focal neurological symptoms.

Objective


John's vital signs are not explicitly mentioned. On physical examination, he appears mildly ill but in no acute distress. Examination of the throat reveals erythema and swelling of the tonsils with the presence of white exudates. The neck examination shows tender, palpable cervical lymphadenopathy. A rapid strep test is positive.


Physical Exam

General

- General Appearance: Mildly ill but in no acute distress

- Orientation: Alert and oriented x3

- Build & Nutrition: Well-nourished

- Posture: Normal

- Hydration: Well-hydrated

- Voice: Normal


Integumentary

- Global Assessment: Skin warm and dry, no rashes or lesions


Head and Neck

- Head Shape: Normocephalic

- Trachea: Midline


Eye

- Eyeball: Normal bilaterally

- Sclera/Conjunctiva: Clear bilaterally

- Pupil: PERRLA


ENMT

- Ears: TMs intact bilaterally, no erythema or effusion

- Nose and Sinuses: No congestion or tenderness

- Throat: Erythema and swelling of the tonsils with white exudates


Chest and Lung Exam

- Respiratory Effort: Normal, no distress

- Auscultation: Clear to auscultation bilaterally

Cardiovascular

- Heart: Regular rate and rhythm, normal S1 and S2, no murmurs, rubs, or gallops

- Vascular: No jugular venous distension, no carotid bruits, pulses normal and equal bilaterally


Peripheral Vascular

- Upper Extremity: Normal pulses bilaterally

- Lower Extremity: Normal pulses bilaterally


Lymphatic

- Head & Neck: Tender, palpable cervical lymphadenopathy

Abdomen

- Inspection: Normal, no distension

- Auscultation: Normal bowel sounds

- Palpation: Soft, non-tender, no masses

Musculoskeletal

- Range of Motion: Full range of motion in all joints

- Strength: Normal strength throughout

- Gait: Normal gait


Neurological

- Cranial Nerves: Grossly intact

- Motor: Normal tone and strength

- Sensory: Grossly intact

- Reflexes: Normal and symmetric


Assessment


John's symptoms and physical examination findings are consistent with streptococcal pharyngitis (strep throat), confirmed by a positive rapid strep test. The presence of fever, tonsillar erythema and swelling with white exudates, and tender cervical lymphadenopathy support this diagnosis.

Plan


The plan for John includes prescribing a 10-day course of oral antibiotics, likely penicillin or amoxicillin. He is advised to rest, stay hydrated, and use over-the-counter pain relievers such as acetaminophen or ibuprofen for symptom relief. He should avoid spreading the infection by covering his mouth when coughing or sneezing. A follow-up appointment will be scheduled in one week to assess his response to treatment. If symptoms persist or worsen, further evaluation will be considered.

History & Physical

This template generates a History & Physical note, including the following sections:

- Chief Complaint

- History of Present Illness

- Past Medical History

- Medications

- Allergies

- Family History

- Social History

- Review of Systems

- Physical Examination

- Assessment

- Plan

- Lab Results

Each section is populated with information discussed during the encounter.

Like the Enhanced SOAP Note, this template comes with special voice commands to streamline your documentation:

- For a normal exam: Say "normal physical exam", "exam was unremarkable", "no abnormalities noted on exam", or similar statements. This automatically generates a comprehensive exam report with normal findings.

- For a mostly normal exam with specific findings: Say "normal exam except for...[findings]", "physical exam normal other than...[findings]", or "exam unremarkable aside from...[findings]". This generates a comprehensive exam report with normal findings, except for the specific conditions you mention.

- For a brief, focused note: Simply omit these keywords. The Physical Exam section will then only include the findings that were explicitly discussed, stated, or dictated during the encounter.

Note: Sections that have no information are automatically removed from the final report.

Here's an example of a note generated using this template with the "Paragraph" format:

Chief Complaint

Sore throat, difficulty swallowing, and scratchy throat.

History of Present Illness

John presents with a sore throat, difficulty swallowing, and a scratchy throat. He reports having a low-grade fever on and off and swollen, tender neck glands. He also noticed white spots on his tonsils. These symptoms suggest a possible strep throat infection.

Review of Systems

General: Present - Low-grade fever. Not Present - Chills, fatigue, sweats.

Skin: Not Present - Itching, rash.

HEENT: Present - Sore throat, difficulty swallowing, white spots on tonsils, swollen neck glands. Not Present - Ear pain, eye problems, nasal congestion, sinus pain.

Respiratory: Not Present - Cough, congestion, dyspnea, stuffy nose, wheezing.

Cardiovascular: Not Present - Chest pain.

Gastrointestinal: Not Present - Abdominal pain, constipation, diarrhea, nausea, vomiting.

Musculoskeletal: Not Present - Myalgia.

Neurological: Not Present - Dizziness, fainting, focal neurological symptoms.

Physical Exam

General

- General Appearance: Mildly ill but in no acute distress

- Orientation: Alert and oriented x3

- Build & Nutrition: Well-nourished

- Posture: Normal

- Hydration: Well-hydrated

- Voice: Normal

Integumentary

- Global Assessment: Skin warm and dry, no rashes or lesions

Head and Neck

- Head Shape: Normocephalic

- Trachea: Midline

Eye

- Eyeball: Normal bilaterally

- Sclera/Conjunctiva: Clear bilaterally

- Pupil: PERRLA

ENMT

- Ears: TMs intact bilaterally, no erythema or effusion

- Nose and Sinuses: No congestion or tenderness

- Throat: Erythema and swelling of the tonsils with white exudates

Chest and Lung Exam

- Respiratory Effort: Normal, no distress

- Auscultation: Clear to auscultation bilaterally

Cardiovascular

- Heart: Regular rate and rhythm, normal S1 and S2, no murmurs, rubs, or gallops

- Vascular: No jugular venous distension, no carotid bruits, pulses normal and equal bilaterally

Peripheral Vascular

- Upper Extremity: Normal pulses bilaterally

- Lower Extremity: Normal pulses bilaterally

Lymphatic

- Head & Neck: Tender, palpable cervical lymphadenopathy

Abdomen

- Inspection: Normal, no distension

- Auscultation: Normal bowel sounds

- Palpation: Soft, non-tender, no masses

Musculoskeletal

- Range of Motion: Full range of motion in all joints

- Strength: Normal strength throughout

- Gait: Normal gait

Neurological

- Cranial Nerves: Grossly intact

- Motor: Normal tone and strength

- Sensory: Grossly intact

- Reflexes: Normal and symmetric

Assessment

Streptococcal pharyngitis (strep throat) confirmed by positive rapid strep test. The patient presents with classic symptoms including sore throat, difficulty swallowing, low-grade fever, and white exudates on the tonsils.

Plan

Prescribe a 10-day course of oral antibiotics, such as penicillin or amoxicillin. Advise the patient to rest, stay hydrated, and use over-the-counter pain relievers like acetaminophen or ibuprofen. Instruct the patient to cover their mouth when coughing or sneezing to prevent spreading the infection. Schedule a follow-up appointment in one week to assess the response to treatment.

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