Chronic care visits charted while you talk through the plan.
SOAP notes for chronic care, acute visits and annual exams, with medication changes and ICD-10 suggestions taken from the conversation.
Family medicine
SOAP note
median time to a signed note at Ostrin, down from 15
of notes signed the same day, up from 63%
Measured over a 12-week pilot at the clinic quoted on this page.
A sample visit and the note drafted from it.
Visit transcript
[00:14] Clinician: How have your home blood pressure readings been since last time?
[00:19] Patient: Mostly around 140 over 90. I take the pill every morning, I set a reminder on my phone.
[00:31] Clinician: Any headaches, chest pain or shortness of breath?
[00:35] Patient: No, none of that.
[01:02] Clinician: Today you're at 146 over 92. You're taking it every day and still above goal, so for your hypertension let's go up to 20 milligrams of lisinopril and check your kidney function and potassium in two weeks.
[01:15] Patient: Okay. I'll keep logging my readings at home.
Draft note
Subjective: Follow-up for hypertension. Home readings around 140/90 on lisinopril 10 mg daily (per medication list). Takes it every morning with a phone reminder, no missed doses. Denies headache, chest pain and shortness of breath.
Objective: BP 146/92 in clinic.
Assessment: Essential hypertension, above goal on the current dose despite daily adherence.
Plan: Increase lisinopril to 20 mg daily. Basic metabolic panel in 2 weeks. Continue home BP log.
Suggested code: I10 Essential (primary) hypertension
Fictional patient. Transcript shortened for this page.
How the clinic uses Charted.
The nine clinicians at Ostrin Family Medicine see 20 to 24 patients a day, many with two or three chronic conditions. Before Charted, most notes were finished at home, and dose changes agreed in the room sometimes didn't make it into the plan.
Now the patient accepts the consent prompt, and the clinician starts recording and puts the phone face down. When the visit ends, the SOAP draft is ready, with medication changes, ordered labs and follow-up in the plan. Suggested ICD-10 codes sit beside the note with the sentence behind each one.
Over a 12-week pilot, median time to a signed note fell from 15 minutes to 4, and 96% of notes were signed the same day. The clinic kept its own SOAP template, section names included, and now records every scheduled visit.
