Sample PIE Progress Note Structure

The PIE (Problem, Intervention, Evaluation) format is a common documentation style used to streamline clinical progress notes by focusing on specific patient issues and the subsequent actions taken. A high-quality PIE note clearly identifies the clinical problem, details the specific intervention performed, and records the patient's response or evaluation. Maintaining this structure ensures that the clinical narrative remains concise while providing a clear audit trail of the care provided during the encounter.

When using AI to assist with PIE documentation, it is essential to maintain clinician oversight. The goal of an AI scribe is to provide a high-fidelity draft that adheres to your preferred structure, but the final responsibility for clinical accuracy remains with the provider. By reviewing transcript-backed citations within the draft, clinicians can ensure that the Problem, Intervention, and Evaluation sections accurately reflect the patient interaction before the note is integrated into the EHR.