How to Create an H&P Notes Using MedXcribe

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

Leave a Reply

Your email address will not be published. Required fields are marked *