TY - JOUR T1 - The evolution of office notes and the electronic medical record: The CAPS note JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 542 LP - 544 DO - 10.3949/ccjm.83a.14191 VL - 83 IS - 7 AU - Joseph F. Styron AU - Peter J. Evans Y1 - 2016/07/01 UR - http://www.ccjm.org/content/83/7/542.abstract N2 - The advent of the electronic medical record (EMR) combined with an expansion of information required by medicolegal and billing departments has transformed the progress note from a succinct note into an often unwieldy data-dump unable to concisely convey the physician’s medical reasoning. We describe a new note format— CAPS, which stands for concern, assessment, plan, and supporting data—to streamline the communication of the patient’s problem, the practitioner’s assessment and plan, and the medical reasoning to support the plan. ER -