1. Add the template
Paste this content into My Templates, or start from a specialty-generated template and edit the sections.
Template content
Copy or download, then paste into Wavo under My Templates.
General Progress Note Visit / Day Context - Setting (clinic, telehealth, inpatient hospital day #) and reason for today’s note. - Patient agenda or overnight events if inpatient. Interval History - Changes since last note: symptoms, function, vitals trends, procedures, consultant input, and response to interventions. - Adherence, adverse effects, and new concerns. Medications (Pertinent Updates) - Active regimen changes, holds, and new orders relevant to today’s problems. Data Reviewed - Labs, imaging, cultures, and monitoring results reviewed today with interpretation. Exam - Vital signs and focused exam pertinent to active problems. - Pertinent negatives. Assessment & Plan For each active problem (or as a concise overall assessment): - Current status and brief reasoning. - Diagnostics, therapeutics, monitoring, consultations, and disposition steps. - Patient education and contingency plans. Disposition / Follow-Up - Return interval, discharge readiness items (if inpatient), and PRN instructions.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Works for clinic follow-ups and inpatient daily notes with the same backbone.
- Centers interval events and data so the note stays forward-looking.
- Supports either narrative or problem-based assessment styles.
- Lightweight enough for quick visits; expandable for complex multi-problem care.
- 1Outpatient follow-up visits
- 2Inpatient daily progress notes
- 3Cross-specialty generalist documentation
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Context Hospital day 3 for community-acquired pneumonia; also following hyponatremia. Interval Fever resolved ×24h. Cough improving; ambulating in hall. Appetite fair. No chest pain or dyspnea at rest on RA overnight. Data / Exam WBC 9.2↓. CXR improving consolidation. Na 132 (was 128). SpO2 96% RA. Lungs with residual RLL crackles; nontoxic. Assessment & Plan 1) CAP — clinically improving on day 3 ceftriaxone + azithromycin; plan oral step-down tomorrow if stable; anticipate discharge day 4–5. 2) Hyponatremia — improving with free-water restriction; repeat BMP AM; nephrology not needed if trend continues. 3) VTE prophylaxis — continue enoxaparin; SCDs in place. Follow-Up PCP within 1 week of discharge; return precautions for fever, dyspnea, chest pain.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Related templates
Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.