AI Voice-Driven Reporting for GPs, from consultation to SOAP note

What is AI reporting for GPs, and what does Hysio do? #

Hysio turns the information spoken during a GP encounter into a structured report. This is how voice-driven reporting works in general practice: you conduct the conversation, Hysio organises it into a report and you check the text before you use it in your GP information system (HIS). You choose a SOAP consultation, an extended consultation with sub-encounters, a telephone contact or home visit, or handover and referral. Hysio does not make medical decisions and does not add a diagnosis, urgency, episode, ICPC code, medication action or referral. ^{[1] [2] [3] [4] [5]}

Do I need to dictate during the consultation, or can Hysio record the care encounter? #

Hysio can record the conversation during the consultation; you do not need to retell the whole encounter afterwards. Consultation, Extended Consultation and Telephone Consultation & Home Visit work from that recorded information. State examination findings and plans that would otherwise not be audible. Hysio is not able to infer an action that was only visible in the consulting room from the transcript, and does not fill in a missing medical fact itself. ^{[6] [1] [2] [3]}

You follow the standards of your own profession and tell your patient that you use Hysio; audio is stored securely in the EU. ^[20]

What is the difference between a transcript and a GP report? #

A transcript follows what was said; a GP report organises the relevant source information into a usable structure. For a regular consultation, Hysio uses a summary with Subjective, Objective, Assessment and Plan. That structuring is not medical interpretation: an assessment only appears when the GP states it, and missing examination findings are not filled in. ^{[8] [1]}

Is Hysio an AI scribe or clinical decision support? #

On this page, Hysio is intended solely for administrative documentation. A scribe records what you asked, examined, assessed and agreed; decision support would offer you a suggestion. Hysio does not do the latter: it does not make a diagnosis, does not weigh urgency, does not triage and does not propose tests, medication or referral. If there is an assessment under Assessment, it comes from your own spoken words and not from a suggestion by the platform. ^{[20] [5]}

Why is a GP report different from general meeting notes? #

A GP report has profession-specific separations that ordinary meeting notes do not enforce. SOAP keeps the patient's report, objective findings, the GP's judgement and the plan apart. An extended consultation keeps those sections per sub-encounter. Telephone and home visit each have their own boundary for objective findings, while handover and referral use different document structures. That structure does not reduce the GP's responsibility for the final content of the record. ^{[8] [10] [2] [3] [4]}

Which GP reports are available in Hysio? #

There are four GP reports: Hysio GP Consultation (SOAP), Hysio GP Extended Consultation, Hysio GP Telephone Consultation & Home Visit, and Hysio GP Handover & Referral Report. Together they cover a short consultation in the consulting room, a longer consultation with sub-encounters, the two forms of contact outside the consulting room, and the handover or referral, of which Hysio creates one at a time. They do not include a separate triage report for the out-of-hours GP service. ^{[1] [2] [3] [4] [5]}

Which encounters in general practice is voice-driven reporting suited to? #

This page focuses on practice consultations, longer consultations with multiple stated topics, telephone GP contacts, home visits, record transfer and referral. An e-consultation is a different form of contact: it is asynchronous written communication and does not automatically fall under the documentation format for a telephone consultation. For triage at the out-of-hours GP service, there is a separate page for triage professionals; the GP reports on this page do not apply there. ^{[10] [5]}

What information needs to be audible in the recorded GP encounter? #

State the form of contact, the patient's report, your own findings, your spoken assessment and the agreed plan as concretely as possible. With multiple topics, you mark the transition yourself if you want separate sub-encounters. Hysio only organises what is in the transcript and does not fill in a missing diagnosis, examination, urgency, episode, ICPC code or medication decision. That keeps the report traceable to the recorded encounter. ^{[6] [1] [2] [3]}

How do I have a GP consultation automatically written up as a SOAP note? #

Choose Hysio GP Consultation and record the care encounter within the session. Hysio then organises the audible source information into Summary, Subjective, Objective, Assessment and Plan. The patient's reports belong under Subjective, stated findings under Objective, your spoken assessment under Assessment and the plan discussed under Plan. Hysio does not add a diagnosis, urgency, episode, ICPC code or medication decision that does not come from the source. ^{[6] [1] [8] [5]}

Does Hysio work with my GP information system? #

Hysio has no direct integration with a GP information system. Hysio creates the report text for the chosen GP encounter; you then use that text within your practice's existing record-keeping process. A specific import, export or automatic saving must be demonstrable separately. Hysio does not independently choose the episode, ICPC code, recipient or medical action recorded in the HIS. For record keeping itself, the NHG guideline ADEPD on adequate record keeping remains your framework. ^{[5] [7] [14]}

What do S, O, A and P stand for in a GP report? #

SOAP stands for Subjective, Objective, Assessment and Plan. Subjective contains the patient's complaint, request for help and history. Objective contains findings from physical or additional examination. Assessment contains the GP's clinical judgement. Plan describes the diagnostic or treatment management and what was discussed or agreed with the patient. The Hysio consultation report follows this NHG structure and places a short source-bound summary above it. ^{[8] [1]}

How does it stay clear what the patient said and what the GP said? #

The report structure separates the roles in terms of content. The patient's reports, request for help and history belong under Subjective. Objective contains only the GP's stated findings and measurements, or a finding from another healthcare professional with a note of who established it. Assessment contains only the GP's spoken judgement, and Plan only the stated plan and agreements. In an unresolvable conflict, Hysio shows both source values with attribution, instead of presenting one value as the GP's medical fact. ^{[8] [1] [2] [3]}

How does Hysio handle measurements in the GP report? #

Measurements are only included when they are mentioned in the source. The value stays linked to the stated unit, the time of measurement and, where needed, its origin, for example a home measurement by the patient or a measurement during the home visit. Hysio does not calculate a missing value and does not draw a clinical conclusion from a number. The medical interpretation only belongs under Assessment when the GP states it themselves. ^{[5] [1] [3]}

What happens if several complaints come up during one consultation? #

In that case, use the Extended Consultation and indicate yourself when the next topic begins. Hysio creates a separate sub-encounter for each explicitly marked topic, with its own Subjective, Objective, Assessment and Plan. Without such a marker it remains one sub-encounter; Hysio does not split on its own initiative. This structure thus prevents findings or agreements from different health issues from ending up together unnoticed. ^{[10] [2]}

Does Hysio automatically choose the episode in the HIS? #

No. The episode organises record information around a health issue, and the episode title can change when medical insight changes. That is why Hysio does not choose an episode, and the platform does not create a new episode either. If the GP explicitly names an episode, that source information can remain recognisable in the report text. Actually linking and saving it in the HIS remains part of your own record-keeping process. ^{[9] [5]}

Does Hysio assign an ICPC code on its own? #

No. ICPC coding requires a medical choice by the GP or an authorised staff member. That is not a choice you leave to admin with AI: Hysio does not choose a code based on complaints, a summary or a suspected diagnosis. If you name a code yourself or provide one, Hysio copies it exactly as it appears in the source. Otherwise the code stays out of the report and you choose it in the HIS. ^{[8] [9] [5]}

How does Hysio handle medication in a GP report? #

Hysio only includes medication and actions that are explicitly stated in the encounter or in the record facts provided. The platform does not prescribe, stop or change any medication, and does not make a suggestion based on a complaint or measurement. In a handover, current medication and hypersensitivities remain separate record sections when the source contains them. Medication monitoring and the final management decisions remain with the GP and the HIS. ^{[11] [5] [4]}

What happens when information is missing or contradictory? #

Hysio should not fill in a missing medical fact itself. If examination, assessment, plan, form of contact or recipient is not evident from the source, that stays visible as missing information or the section is not presented as fact. Contradictory statements are shown with their source and flagged for verification, not silently merged into one conclusion. That keeps it visible where the source is not clear enough. ^{[1] [2] [3] [4]}

How reliably does Hysio handle medical terms and abbreviations? #

There is no responsible general accuracy percentage for every term, speaker or acoustic situation. In a GP consultation, the most sensitive points are drug names that resemble each other, abbreviations that mean something different depending on context, and a dosage with its unit. Check those words against what was actually said. When in doubt, Hysio should leave the term as it appears in the source and not invent any medical meaning, diagnosis or action around it. ^{[20] [1] [2] [3] [4]}

How does Hysio handle negations and uncertainty in a SOAP note? #

A negation or uncertainty must remain in the report with the same meaning. What the patient reports belongs under Subjective; what you examine and assess belongs under Objective and Assessment. If the source is unclear or data contradict each other, Hysio should keep that visible or flag it for verification. The platform must not turn uncertainty into a definite diagnosis, result or management decision. ^{[1] [2] [3]}

What does Hysio GP Consultation (SOAP) create? #

Hysio GP Consultation turns one short GP encounter with one sub-encounter into a report with Summary, Subjective, Objective, Assessment and Plan. The S contains the patient's report and history, the O only stated findings, the A the GP's spoken judgement and the P the plan discussed. This documentation format does not add its own diagnosis, urgency, episode, ICPC code or medication decision. ^{[1] [8]}

What does Hysio GP Extended Consultation create? #

Hysio GP Extended Consultation creates a summary and a separate SOAP entry for each explicitly marked sub-encounter. The GP states the transition to the next topic themselves. Without that transition, the report remains one sub-encounter and Hysio does not split it independently. Topic, the patient's report, findings, assessment and plan stay together per sub-encounter, without an automatic choice of episode or ICPC code. ^{[2] [10]}

What does Hysio GP Telephone Consultation & Home Visit create? #

This documentation format creates a summary, states the form of contact and organises the information into Subjective, Objective, Assessment and Plan. For telephone contacts, no physical examination or observations by the GP are invented. For a home visit, only explicitly stated observations and measurements can appear under Objective. If the form of contact is missing, this documentation format follows the strictest boundary and does not present an uncertain observation as fact. ^{[3] [10]}

What does Hysio GP Handover & Referral Report create? #

This documentation format organises a briefing and the record facts provided into one of two documents: a GP record transfer or a HASP referral message. The handover route contains its own handover fields; the referral route uses Envelope, Core and Record Summary. If the source does not name the document type, the text gets a neutral title and follows the layout that fits the facts provided. Hysio does not choose a recipient, referral question, urgency or consent, sends nothing and does not carry out a technical transfer between systems. ^{[4] [12] [13]}

When do I choose Consultation and when Extended Consultation? #

Choose Consultation for a short GP encounter with one sub-encounter. Choose Extended Consultation when several health issues come up and you want them to appear as separate sub-encounters. With that second route, you mark each change of topic yourself. A longer conversation alone is not enough to split automatically; the spoken marker determines how many sub-encounters the report gets. ^{[1] [2]}

Why does Hysio distinguish between a telephone consultation and a home visit? #

The form of contact determines which objective information can be available. No physical examination is possible during a telephone consultation; during a home visit, the GP can observe, measure and examine directly. That is why the documentation format states the form of contact and uses different rules for Objective. A value reported from home remains a patient report, while a measurement taken by the GP during the home visit can be recorded as their own finding. ^{[10] [3]}

What is the difference between a record transfer and a HASP referral message? #

A record transfer supports the move of the GP record to a new GP and involves steps around selection, receipt and archiving. A HASP referral message supports information exchange between GP and specialist around a referral question. Because purpose, recipient and content differ, Hysio creates only one document type at a time. The GP provides the choice, recipient, referral question and relevant source facts. ^{[12] [13] [4]}

Does Hysio send a referral or technically transfer a record? #

No. Hysio creates the report text, but does not select a recipient, does not request consent, does not send a referral message and does not start or complete a record transfer. Nor does this page claim a direct integration with a HIS or care network system. Choosing the recipient, reviewing the content and the actual sending or transfer remain steps in the general practice's existing process. ^{[4] [5]}

How do I have a telephone GP consultation written up as a SOAP note? #

Choose Hysio GP Telephone Consultation & Home Visit and state that the contact is by telephone. Hysio creates a summary and organises the audible information into Subjective, Objective, Assessment and Plan. Because no physical examination takes place by telephone, the report should not invent any examination or observation by the GP. Values reported by the patient remain recognisable as the patient's report, and medical decisions remain with the GP. ^{[3] [10] [5]}

Can Hysio create a referral letter after a consultation? #

For that, use the separate GP Handover & Referral Report format with the document type HASP referral message. That route organises a briefing and the record facts provided into Envelope, Core and Record Summary. It does not silently convert an earlier consultation and does not choose a recipient, referral question, urgency or consent. Hysio creates the text, but does not send the referral and does not carry out a technical transfer to another system. ^{[4] [13] [5]}

How do I use the Hysio report in my HIS? #

Use the report text within the work process of your own practice and HIS. In practice, that means: you read the report, correct anything that differs from the encounter and then place the text yourself with the correct patient and contact record. This page does not promise a direct integration, field mapping, import or automatic saving. The GP decides which episode the text belongs to and which parts are ultimately saved in the record. ^{[5] [10] [9]}

Does Hysio automatically save the report in the patient record? #

No, that is not claimed on this page. Hysio creates the report; the choice to save text with a patient, contact or episode remains in the practice's record-keeping process. This avoids any impression that a report has already been approved, that the correct episode has been chosen or that a care network message has been sent. If an integration is offered somewhere after all, ask for separate evidence of it before you base a practice arrangement on it. ^{[5] [4]}

How do I inform a patient about voice-driven reporting with AI? #

Explain in plain language that Hysio helps record and structure the care encounter, which information is processed and how the practice uses the report. Tailor the explanation to the chosen way of working and the practice's own privacy documentation. For current product information, refer to Hysio's privacy policy, data processing agreement and disclaimer. Do not present Hysio as a system that makes medical decisions for the GP. ^{[15] [21] [22] [20]}

What consent is needed to record a GP encounter? #

The correct legal basis, duty to inform and any consent depend on the chosen processing and how the practice is set up. Do not confuse consent for a recording or Hysio processing with consent for data exchange via another care network. Record the choice in your own privacy and information policy and consult the current privacy policy and data processing agreement. This page does not give general legal approval for every situation. ^{[15] [18] [21] [22]}

How long is audio from a GP encounter kept? #

For retention periods, use only the current legal product documentation. This profession page does not mention a separate figure, because a retention period is only correct together with the purpose, the processing route and the document version in which it appears. Hysio's disclaimer, privacy policy and data processing agreement describe what happens to audio and for how long. Adopt that version in your own privacy and patient information, so that what you tell patients matches what has been agreed contractually. ^{[20] [21] [22]}

Is GP data used to train AI models? #

No. According to the current Data Processing Agreement, Hysio does not use Customer Data for training, fine-tuning or general improvement of AI models, neither itself nor via sub-processors. The privacy policy and data processing agreement also describe the roles, purposes and arrangements for processing. In the practice assessment, also include your own patient information, data processing agreement and data protection impact assessment, so that the documentation matches the way your practice works. ^{[22] [21] [20]}

Who remains responsible for what goes into the record? #

The GP remains responsible for the medical assessment and for the information saved in the patient record. Hysio creates the report, but does not make any diagnosis, triage, urgency, medication, episode, ICPC or referral decision. The practice also decides where the text is placed and whether the content fits the encounter. ^{[20] [5]}

Where can I find current information on security and certification? #

Review Hysio's current disclaimer, privacy policy, data processing agreement and other legal documents; they set out the processing roles, the service providers engaged and the arrangements that apply at that time. This profession page makes no certification claim and does not summarise technical measures separately from their document version. That prevents a quality mark, hosting location or security measure from being presented more broadly than can be demonstrated. For your own supplier and privacy process, request the documents your practice needs, and always assess security based on the version you are given. ^{[20] [21] [22]}

Is Hysio intended as a medical device or clinical decision support? #

The documentation formats on this page are intended for reporting, not for diagnosis, treatment choice, triage, risk stratification, red flags or clinical decision support. They structure source information into report text. Hysio does not state that the entire platform falls outside the rules for medical devices: classification is assessed per function, as the disclaimer and the MDR position document explain. So do not use this page as the basis for a clinical decision or for use in emergency care. ^[20]

Which documents should a general practice review in advance? #

At a minimum, review the privacy policy, data processing agreement, disclaimer, general terms and conditions and the overview of subprocessors and data access. For your own practice assessment, a supplier check and a data protection impact assessment may also be needed. Always read the current versions as one coherent package. This profession page does not replace a contractual, legal or security assessment and deliberately contains no separate supplier or certification promise. ^{[21] [22] [20] [23]}

What should I look for when choosing a voice-driven reporting tool for general practice? #

First assess whether the documentation formats fit your actual encounters: SOAP, multiple sub-encounters, telephone, home visit, handover and referral. Then test on representative consultations: faithfulness to the source, speaker attribution, medical terminology, missing information and the boundary around diagnosis and plan. Separately assess the HIS work process, privacy documents, data processing, support and current pricing. Hysio is built to be the most reliable choice for voice-driven reporting: the SOAP note follows the consultation and you check it before it goes into the HIS. ^{[1] [2] [3] [4] [20]}

How do I test Hysio carefully with GP encounters? #

Start with fictional test cases, or test cases suitable under your practice policy, that together cover the four documentation formats. Also include difficult situations: multiple topics, a telephone contact without examination, a home visit with measurements, missing information and a handover without a recipient. Compare the source with each report section and record errors. Only after that, assess the work process with patient information and your own privacy and supplier terms. ^{[1] [2] [3] [4] [20]}

What errors can occur in AI reporting of a consultation? #

Possible errors include a misheard word, incorrect speaker attribution, missing context, an incomplete summary or incorrectly rendered medical terminology. For GPs, it is also important to test for an unjustified objective finding in a telephone contact, mixing of sub-encounters and an assessment worded too broadly. Hysio should not add a missing clinical decision, but the GP remains responsible for how the record is used. ^{[20] [2] [3]}

How do I introduce Hysio within a general practice? #

Agree in advance which forms of contact each documentation format is used for, how patients are informed, who has access and how report text gets into the HIS. Also set out a fallback route, error reporting and who is responsible for the supplier assessment. Train with the same representative cases and assess the quality per documentation format. Start small and only expand when faithfulness to the source and working arrangements are demonstrably sufficient. ^{[1] [2] [3] [4] [5]}

What does Hysio cost for a general practice? #

The current individual plans start at €20 per month excluding VAT and go up to €80 for the most extensive plan; with yearly billing you get two months free. The pricing page sets out the current content and terms per plan. Check that page again at the moment you choose, because prices and plan content can change. This profession page does not add its own GP rate, integration costs or reimbursement by a health insurer. ^[19]

Can I try Hysio for free as a GP? #

Yes, the current pricing page states a free trial of 14 days. Use that period to test not only a simple consultation, but also multiple sub-encounters, telephone contact, home visits and the boundary between handover and referral. Also assess the HIS work process and the practice's legal documents. A successful trial is about faithfulness to the source and workability, not just speed. ^{[19] [1] [2] [3] [4]}

How do I compare Hysio with other tools for general practice? #

Compare solutions using the same GP encounters and the same checkpoints. Test a short consultation, multiple topics, telephone and home visit. For each report, note errors in the patient's report, findings, assessment and plan. Also count the time for corrections and for transferring to the HIS. In addition, assess the evidence for integrations, security and data processing, so that your comparison rests on verifiable information. ^{[1] [2] [3] [4] [5]}

Where can I find current product and legal information about Hysio? #

Use this profession page for the four GP reports and their report boundaries. See the pricing page for current plans and the trial period. Consult the privacy policy, data processing agreement, disclaimer and legal hub for data processing, responsibilities and applicable terms. Technical integrations must be demonstrable separately. This way you avoid confusing profession-specific explanation with a contractual, security or integration promise. ^{[1] [2] [3] [4] [19] [21] [22] [20] [23]}

How much do I still need to correct in a SOAP note from Hysio? #

There is no fixed correction percentage that applies to every GP encounter. How much you edit depends on the recording quality, the number of topics and how explicitly you stated your findings and plan. Start with Assessment and Plan, because that is where a wrong word weighs most, and then compare Subjective and Objective with the source. Only add the report to the record when it matches the encounter as you conducted it. ^{[20] [1] [2] [3]}

How can Hysio make writing up GP encounters easier? #

Hysio converts the recorded encounter into the chosen report structure, so you can check a written-up report. That means you do not have to start from a blank document. In a practice test, also count the time for reading, correcting and transferring to the HIS. That way you assess whether the whole process becomes easier for your practice, without assuming a fixed time saving. ^{[1] [2] [3] [4] [5] [20] [19]}