In the busy world of healthcare, every minute matters—especially when it comes to documentation. Writing out History and Physical (H&P) notes can be time-consuming, but with MedXcribe, that process becomes faster, easier, and more structured.
Whether you’re a physician, medical student, or transcriptionist, MedXcribe’s History_Physical template helps you convert spoken notes into a clean, professional document—automatically.
What is an H&P Note?
A History and Physical (H&P) note is a fundamental part of clinical documentation. It provides a detailed overview of a patient’s current condition and medical background.
An H&P typically includes:
Chief Complaint
History of Present Illness
Past Medical History
Medications & Allergies
Family and Social History
Review of Systems
Physical Exam
Assessment & Plan
With MedXcribe, you can simply speak your H&P aloud, and the system transcribes and formats it into a clean, structured document—automatically.
Now, let’s walk through how to create an H&P note using MedXcribe, step by step.
1. Record Your Audio
Use your phone or computer to record your H&P note. Speak clearly and follow the common format. For example:
“This is Sarah Thompson, a 45-year-old female presenting with chest discomfort…”
2: Upload & Select Your Template
Go to MedXcribe.com , log in, and click the Templates button.
From there:
Choose the History_Physical template from the dropdown
Upload your audio (via file, URL, or live recording)
Click Submit to begin processing
3: MedXcribe Delivers a Structured Document
Once submitted, MedXcribe automatically:
Transcribes your audio
Formats it into a structured H&P note
Organizes it section by section for easy reading and review
MedXcribe transforms your spoken input into a professionally formatted History & Physical (H&P) note, with clearly defined clinical sections, including:
Patient Information
Chief Complaint
History of Present Illness (HPI)
Past Medical History
Medications & Allergies
Family and Social History
Review of Systems (ROS)
Physical Examination
Assessment & Plan
You speak naturally—MedXcribe takes care of the rest, ensuring your documentation is complete, well-organized, and ready for EMR integration within minutes.
4: Review & Export
After processing, you’ll receive a neatly formatted H&P note that you can:
Download as a PDF
Copy and paste directly into your EMR
Share with your care team
Why Use MedXcribe for H&P Notes?
Creating clinical notes like History & Physical (H&P) reports can be repetitive, time-consuming, and prone to formatting inconsistencies—especially when managing multiple patients under pressure.
MedXcribe simplifies this with a seamless, speech-to-structured-document workflow designed for medical professionals.
Here’s why healthcare providers trust MedXcribe:
✅ Speak Naturally, Document Instantly : No typing needed. Just record your thoughts—MedXcribe takes care of the transcription and formatting.
✅ Built-in Medical Templates : Use professionally structured templates like History_Physical, Discharge_Summary, and SOAP_Notes to ensure consistency and clarity.
✅ Fast, Accurate, and EMR-Ready : Get clean, structured notes within minutes—ready to use in your EMR or share with your care team.
✅ Security -Conscious : Patient data is protected with privacy and compliance at the core.
✅ Free to Try : Experience it yourself—your first transcription is free with no credit card required.
Simple, Secure, and Structured
MedXcribe combines the speed of AI with clinical-grade accuracy, allowing you to focus on what matters most—your patients—instead of formatting and documentation.
Your first transcription is free—no strings attached. Start now at MedXcribe.com
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