Patient presents with dyspnea on exertion (DOE), a chief complaint of shortness of breath with activity.  Onset of exertional dyspnea was reported as [gradual/sudden] [duration].  Patient describes the shortness of breath as [character of breathlessness: e.g., tightness, air hunger, heaviness].  The dyspnea is exacerbated by [specific activities, e.g., climbing stairs, walking uphill, brisk walking] and relieved by [rest, specific medications].  Associated symptoms include [e.g., chest pain, wheezing, cough, palpitations, fatigue, edema, diaphoresis].  Patient denies [relevant negatives, e.g., fever, chills, night sweats, hemoptysis].  Past medical history includes [relevant comorbidities, e.g., asthma, COPD, CHF, coronary artery disease, anemia, obesity].  Current medications include [list medications].  Family history is significant for [relevant family history, e.g., heart disease, lung disease].  Social history includes [smoking status, occupational exposures, exercise habits].  Physical exam reveals [relevant findings, e.g., respiratory rate, heart rate, oxygen saturation, lung sounds, presence of edema, cardiac auscultation findings].  Differential diagnosis includes cardiac causes such as congestive heart failure and coronary artery disease, pulmonary causes such as COPD, asthma, and pulmonary embolism, and other causes such as anemia and deconditioning.  Initial diagnostic workup may include [e.g., electrocardiogram (ECG), chest x-ray, pulmonary function tests (PFTs), oximetry, complete blood count (CBC), cardiac enzymes].  Treatment plan includes [e.g., oxygen therapy as needed, medication management for underlying conditions, pulmonary rehabilitation, lifestyle modifications such as smoking cessation and weight loss].  Follow-up appointment scheduled in [timeframe] to assess response to treatment and further evaluate if necessary.  Patient education provided on symptom management, activity modification, and importance of adherence to the treatment plan.