Sample Note Templates
Professional medical documentation templates designed for SigXA's AI medical scribe
Essential Templates
| Template Name | Specialty | Description | Action |
|---|---|---|---|
| SOAP Note Template | All Specialties | Standard SOAP (Subjective, Objective, Assessment, Plan) documentation template - the foundational format for clinical documentation across all medical specialties. Subjective Assessment Objective Findings Clinical Assessment Treatment Plan Follow-up Instructions | Preview |
Primary Care Templates
| Template Name | Specialty | Description | Action |
|---|---|---|---|
| Acute Care Visit Template | Family Medicine, Urgent Care, Internal Medicine | Focused problem-oriented documentation template for common illnesses and urgent care visits with rapid assessment and treatment planning. Problem-Focused Assessment Rapid Treatment Planning Disposition Coordination Safety Documentation | Preview |
| Annual Wellness Visit Template | Family Medicine, Internal Medicine | Comprehensive preventive care documentation template including health maintenance screenings, risk assessments, and care plan development for routine wellness visits. Preventive Care Checklist Health Risk Assessment Screening Recommendations Care Plan Development | Preview |
| Chronic Disease Management Template | Family Medicine, Internal Medicine, Endocrinology | Systematic documentation template for managing chronic conditions including diabetes, hypertension, and COPD with medication tracking and quality indicators. Chronic Condition Monitoring Medication Management Quality Indicators Care Coordination | Preview |
Specialty Care Templates
| Template Name | Specialty | Description | Action |
|---|---|---|---|
| Cardiology Consultation Template | Cardiology, Internal Medicine | Comprehensive cardiac assessment template including cardiovascular history, examination, diagnostic interpretation, and treatment planning for cardiology consultations. Cardiovascular Assessment Diagnostic Integration Risk Stratification Treatment Planning | Preview |
| Mental Health Assessment Template | Psychiatry, Psychology, Primary Care | Comprehensive psychiatric evaluation template including mental status examination, risk assessment, and treatment planning for mental health consultations. Mental Status Exam Risk Assessment Treatment Planning Safety Protocols | Preview |
| Orthopedic Evaluation Template | Orthopedic Surgery, Sports Medicine | Detailed musculoskeletal examination template with imaging review, surgical planning, and rehabilitation coordination for orthopedic consultations. Musculoskeletal Examination Imaging Review Surgical Planning Rehabilitation Coordination | Preview |
Hospital & Urgent Care Templates
| Template Name | Specialty | Description | Action |
|---|---|---|---|
| Discharge Summary Template | Hospital Medicine, All Specialties | Comprehensive discharge documentation template including hospitalization summary, medication reconciliation, and follow-up care coordination. Hospitalization Summary Medication Reconciliation Follow-up Coordination Patient Education | Preview |
| Emergency Department Visit Template | Emergency Medicine, Urgent Care | Rapid triage and assessment template for emergency department visits with focused evaluation, diagnostic workup, and disposition planning. Rapid Triage Focused Assessment Diagnostic Workup Disposition Planning | Preview |
| Inpatient Progress Note Template | Hospital Medicine, Internal Medicine | Daily hospital rounds documentation template for inpatient care with assessment updates, care team coordination, and discharge planning. Daily Assessment Care Team Coordination Quality Metrics Discharge Planning | Preview |