AI Admission Note and
H&P Generator
Write complete history and physicals faster. Structured fields for every section of the admission story — from chief complaint through initial plan — assembled into a clinical note you review and sign.
How it works
The complete admission story, structured from the first call
The admission H&P is the most history-dense note you'll write. ProDocNotes structures the intake so nothing gets missed and the narrative practically writes itself.
Select your H&P fields
Choose from all the standard H&P sections — HPI, ROS, PMH, PSH, family and social history, medications, allergies, vitals, exam, labs, assessment, and plan. Recommended fields for the admission note are pre-selected.
Fill in the history blocks
Enter raw notes in each section — the same shorthand you'd say to a senior resident. Bullets, abbreviations, and clinical language are all fine. The AI understands the format.
Review the complete H&P draft
AI generates a complete, section-structured admission note from your inputs. Review the draft, add your clinical synthesis, and sign. Nothing is left blank because you ran out of time at 2 AM.
Complete field coverage
Every section of a complete H&P, structured
No hunting through templates. Every field you need for a complete admission note is available and pre-labeled.
History
Past History
Physical Examination
Clinical Synthesis
The admission note burden
The H&P is the longest note you write — and it comes at the worst time
A complete H&P can take 45 to 60 minutes to write from scratch, and it arrives during the busiest part of an admission — when you're simultaneously managing vitals, placing orders, and calling consults.
Every section has required components. A missing ROS, an incomplete medication list, or a thin social history isn't just an inconvenience — it's a documentation gap that affects care continuity and billing compliance.
ProDocNotes structures the admission intake so the note grows as you gather information, rather than requiring you to reconstruct the history from memory at the end of the shift.
typical time to write a complete H&P from scratch
components in a complete admission H&P that can't be skipped
typical input time with ProDocNotes structured fields
Common questions
Frequently asked questions
What should an admission note (H&P) include?
A complete hospital admission note or History & Physical (H&P) includes: chief complaint, history of present illness (HPI), review of systems (ROS), past medical history (PMH), past surgical history (PSH), family history, social history (including smoking, alcohol, living situation, and occupation), current medications, allergies, vital signs, physical examination findings organized by organ system, laboratory results and imaging, the clinical assessment with working diagnoses, and the initial inpatient management plan. ProDocNotes provides a structured input field for each of these components.
What is the difference between an H&P and an admission note?
The terms are frequently used interchangeably in inpatient medicine. A History & Physical (H&P) refers to the comprehensive history-taking and physical examination documentation completed at hospital admission. An admission note is the broader document that also includes the clinical assessment, working diagnoses, and initial management plan. ProDocNotes covers the full admission note workflow from HPI through initial plan.
Is ProDocNotes appropriate for residents writing admission notes?
Yes. ProDocNotes is designed to produce complete, properly structured clinical notes, making it useful for residents learning documentation standards as well as attending physicians reducing their charting burden. Residents benefit from the structured field prompts as a checklist ensuring all required H&P components are captured. Attendings benefit from AI-assisted narrative drafting that reduces time spent on formatting without sacrificing completeness.
How does the AI handle complex medical histories?
ProDocNotes processes the raw inputs you provide and generates a structured clinical narrative. The AI is designed to preserve your clinical language, respect your diagnostic framing, and not introduce information not present in your inputs. You review and edit the AI-generated draft before signing — you remain the clinical author of record.
How long does an H&P admission note take with ProDocNotes?
A complete H&P admission note traditionally takes 30 to 60 minutes to write from scratch on a complex patient. With ProDocNotes, you fill in structured fields for each section of the admission note — the AI assembles the narrative. Most physicians complete the structured inputs in 5 to 15 minutes depending on clinical complexity, with the AI draft generated in seconds for review and sign-off.
Write your next H&P in half the time
Free account. No credit card required. SOAP notes, admission H&Ps, and discharge summaries — all in one HIPAA-compliant workspace.