How Do You Write A Progress Note

A strong progress note must clearly document the patient's status since the last visit, focusing on the evolution of the chief complaint and the response to current interventions. Key sections typically include the Subjective update on symptoms, Objective findings from the physical exam or vitals, an Assessment of the current state of the diagnosis, and a Plan for next steps. High-fidelity documentation avoids vague descriptors, instead using specific clinical markers and patient-reported outcomes to justify the medical necessity of the visit.

Rather than recalling these details from memory at the end of the day, Aduvera captures the encounter in real-time to build the first draft. This eliminates the gap between the patient interaction and the documentation, ensuring that nuanced details—which are often lost in manual drafting—are preserved. Clinicians can then review the AI-generated draft against the transcript, ensuring the final note is an accurate reflection of the visit before it is moved into the EHR.