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Rheumatology · Templates

Rheumatology follow-up template

Built for rheumatology follow-ups where interval flares, treatment tolerability, disease-activity measures, and monitoring labs matter more than repeating the entire consult history.

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Template content

Copy or download, then paste into Wavo under My Templates.

Rheumatology Follow-Up Note

Interval History
- Joint symptoms, morning stiffness, flares, functional status, and extra-articular symptoms since last visit.
- Infections, surgeries, hospitalizations, pregnancy status/plans, and vaccine updates as relevant.
- Adherence and tolerability of current rheumatologic therapy; steroid exposure.

Disease Activity Measures
- Patient/physician global, pain scores, HAQ/RAPID3/DAS28/CDAI/BASDAI or other measures if performed—do not invent scores.

Exam
- Focused musculoskeletal and relevant systemic exam; swollen/tender joint counts if performed.

Data Reviewed
- Inflammatory markers, DMARD/biologic safety labs, imaging, and outside records discussed today.

Assessment
- Disease activity (remission / low / moderate / high) and trajectory.
- Treatment toxicity or infection concerns.
- Comorbidity issues affecting therapy (e.g., CKD, liver disease, ILD).

Plan
- Continue, adjust, or switch therapy with rationale; steroid taper plan if applicable.
- Labs, imaging, referrals, joint injections, and infection/vaccine counseling.
- Follow-up interval and flare precautions.

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

  • Centers interval disease activity and treatment response.
  • Keeps DMARD/biologic safety labs and infection concerns visible.
  • Works across RA, SpA, lupus, vasculitis, and crystal disease clinics.
  • Pairs with inflammatory arthritis and biologic monitoring templates when visits are more focused.
  • 1Outpatient rheumatology medication follow-ups
  • 2Post-flare and post-steroid taper checks
  • 3Chronic autoimmune disease monitoring visits

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.

Interval History
RA follow-up at 3 months on methotrexate 20 mg weekly + folic acid. Morning stiffness 20 minutes (was 60). Mild MCP aching after typing; no fever or infection. No steroid use this interval. Considering COVID booster.

Exam / Measures
Synovitis mild at right 2nd MCP only. Patient global 2/10. CDAI low activity today. Lungs clear.

Data
CBC/CMP/LFTs acceptable for MTX. CRP 0.4 (was 2.1). Hand X-rays deferred given improvement.

Assessment
Seropositive RA, low disease activity on MTX; well tolerated.

Plan
Continue MTX 20 mg weekly. Labs in 3 months. Discussed infection precautions and vaccine timing. Return in 3 months or sooner for flare with >3 swollen joints, fever, or unexplained dyspnea.

How Wavo automates this

What the product actually does with your template.

1. Add the template

Paste this content into My Templates, or start from a specialty-generated template and edit the sections.

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.

Put this template to work on your next visit

Start free, paste the template, and see how Wavo documents in your structure.

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