Information systems include the hardware and software that process data and information for problem-solving. Health information systems (HIS) provide information within the healthcare setting, which includes collecting, storing, and managing EHRs. Health information systems include both clinical and administrative information systems.
SOAP Note
Demographic Data • Age, and gender (must be HIPAA compliant) Subjective • Chief Complaint (CC): A short statement about why they are there • History of Present Illness (HPI): Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…).