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Keep your attention on the care encounter.
Record the conversation and clearly state your own findings and agreed actions.
Hysio Physician Assistant
AI Voice-Driven Reporting for physician assistants
Keep your attention on the medical encounter while Hysio organises the reason for the encounter, examination, results, conclusion and plan within your PA report format.
Spoken care information from your care encounter
Physician Assistant
A structured report in your professional terminology
From care encounter to report
You work. Hysio documents.
Hysio turns spoken information into a report. Choose the report format for the conversation you are documenting.
AI assistants
Suited to your work.
- Hysio Physician Assistant Consultation
- Hysio Physician Assistant Intake
- Hysio Physician Assistant Procedure
- Hysio Physician Assistant Ward Round
- Hysio Physician Assistant SOAP Note
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How Hysio fits into your workday
More attention for the conversation, less typing afterwards.
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You document the conversation
State relevant information, your own findings and agreed actions aloud so you can find them in your report.
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Hysio creates your report
The information appears under the headings of your chosen report format, so you can review each section.
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You review and copy the report
Check names, facts and agreed actions. Edit the text where needed before using the report in your records.
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Quick answer Reports for the physician assistant 50 questions with cited sources
Quick answer
PA reports from intake to brief follow-up contact
Hysio organises the PA consultation, the intake, the procedure, the ward round and the SOAP follow-up in the documentation format that fits the encounter.
In each of those formats, source, examination, results, conclusion and plan stay clearly separate from one another. Authorisation, competence and medical decision-making remain with you and with the local agreements of your organisation.
- What does Hysio do for a physician assistant?
- An AI scribe for a PA consultation, ward round or procedure: that is voice-driven reporting with Hysio. You speak, Hysio writes the PA report and you check it against your scope of practice. The same way of working is also called AI documentation. There are five documentation formats, each with its own contact purpose: consultation, intake, procedure, ward round and SOAP follow-up. [7] [8]
- What does Hysio include from a PA contact?
- Hysio includes observations, results, what the client tells you and your agreements, but only when you mention or supply them. [1] [7]
- Who is responsible for the content?
- You, within your area of expertise and your organisation's agreements. You review the report before you save it. [1] [10]
- Documentation formats 5 profession-specific formats for physician assistants
- Source role What you saw, what the client said and what you agreed stay separate in the PA report.
- Boundaries No indication, judgement of authorisation or medication decision by Hysio itself.
- Responsibility The physician assistant reviews and chooses what goes into the record.
Voice-driven reporting with Hysio's PA documentation formats
Which documentation formats does Hysio have for physician assistants? #
Hysio has 5 available documentation formats for physician assistants: Hysio Physician Assistant Consultation, Hysio Physician Assistant Intake, Hysio Physician Assistant Procedure, Hysio Physician Assistant Ward Round, Hysio Physician Assistant SOAP Note. Each format belongs to its own moment of contact: an outpatient consultation, a first or extensive contact, a procedure carried out, a clinical ward round or a brief follow-up contact. You choose which format fits the contact. [2] [3] [4] [5] [6] [8] [9]
What is in a PA consultation report? #
Hysio Physician Assistant Consultation turns an outpatient PA consultation or subsequent dictation into a PA consultation report. The reason for the encounter, history, examination, external results, the physician assistant's conclusion and the agreed follow-up are each recorded separately by source role. This way the documentation format fits the medical encounter, while the physician assistant continues to assess the professional meaning, authorisation and plan. [2] [9] [10]
What does a PA intake report look like? #
Hysio Physician Assistant Intake organises a first or extensive client contact into a clear PA intake report that fits the local medical field of expertise. For physician assistants, this remains linked to your consultation and the corresponding report structure. The documentation format thus follows the medical encounter, while professional meaning, authorisation and plan remain with the physician assistant. [3] [10] [7]
What do you note after a procedure as a physician assistant? #
Hysio Physician Assistant Procedure turns a dictation made directly after a procedure carried out by the physician assistant into a PA procedure report. Indication, how it was carried out, findings, notable points or complications, additional investigations, the stated conclusion and the plan stay clearly separate. Here too the medical encounter determines the chosen format, and the physician assistant assesses the professional meaning, authorisation and plan. [4] [7] [8]
Which sections does the report of a PA ward round get? #
Hysio Physician Assistant Ward Round turns the direct dictation of a clinical ward round into a PA ward round report. The reason for assessment, current situation and progress since the previous ward round, examination, the stated conclusion and the plan stay clearly separate. The format always follows the medical encounter, while professional meaning, authorisation and plan remain the physician assistant's assessment. [5] [8] [9]
When do you choose the SOAP entry for a short PA follow-up contact? #
Hysio Physician Assistant SOAP Note turns a brief follow-up contact or a moment of contact during admission into a progress note entry following Subjective, Objective, Assessment, Plan. Progress since the previous contact, the physician assistant's findings and conclusion and the agreed follow-up stay recognisable by source role. [6] [9] [10]
When do you use the Hysio Physician Assistant Consultation? #
As a physician assistant, you use the Hysio Physician Assistant Consultation for an outpatient consultation that you want to record immediately or shortly afterwards. Choose this format when the reason for the encounter, history, examination, external results, your conclusion and the agreed follow-up each need their own place in the report. For a first or much broader assessment, the intake fits better; for a brief follow-up contact, the SOAP entry is enough. [2] [10] [7]
Which information does Hysio Physician Assistant Intake organise? #
For physician assistants, Hysio Physician Assistant Intake organises a first or extensive client contact into a PA intake report that fits the local medical field of expertise. Alongside the reason for the encounter, history and examination, active diagnoses, the social history, the client's expectations and a broader picture of the current situation each get their own place. Only what you mentioned in the contact appears in the report. [3] [7] [8]
Which documentation formats does Hysio have for voice-driven reporting as a physician assistant? #
Hysio has a PA consultation, PA intake, PA procedure report, PA ward round report and PA SOAP note. The formats fit different moments of medical contact, from a first assessment to a procedure, ward round or brief follow-up contact. With voice-driven reporting, the report structure follows the chosen documentation format and Hysio does not make any decision on scope of practice or treatment on its own. The precise meaning stays with the physician assistant who carried out the contact. [2] [3] [4] [5] [6] [8] [9]
What is the difference between a PA consultation and a PA intake? #
The PA consultation organises the reason for the encounter, history, examination, results, conclusion, considerations and plan of an outpatient consultation. The intake is more extensive and also contains active diagnoses, social history, expectations and a broader picture of the current situation. Hysio does not choose that content itself; you select the appropriate documentation format. [2] [3] [9] [10]
PA encounters, examination and procedures
How are the authorisation and registration of the physician assistant arranged? #
For the physician assistant, authorisation and registration come together in the BIG register (the Dutch register of healthcare professionals). The 2017 act that amended the Wet BIG on this point (Stb. 2017, 374) added Articles 33a and 33b for the PA's training and registration requirements and amended Article 36 for the reserved procedures that the PA may since independently indicate and perform. Note in the record who set the indication and who performed the procedure. [1] [8] [9]
How does the PA's area of expertise affect your report? #
Staatsblad 2018, 130 (BWBR0040886), in force since 1 September 2018, sets out the field of expertise and training requirements of the physician assistant in more detail. NAPA also describes the scope of work, the possible tasks and the required competencies. In the record, keep source, examination, result, conclusion, consideration and locally agreed follow-up clearly separate from one another. [1] [9] [10]
Which reserved procedures may a physician assistant perform independently? #
Within the area of medicine in which you were trained, a physician assistant can independently indicate and perform reserved procedures if they fall within the statutory field of expertise. Competence, national guidelines and local agreements remain decisive. Record source, indication, performance and follow-up separately. Hysio does not take over any decision on authorisation or supervision. [1] [10] [7]
When do you note your authorisation for a reserved procedure? #
According to the applicable decree, a reserved procedure within the field of expertise has limited complexity and a routine character, with risks that are manageable, and is performed according to national guidelines, standards and protocols. You remain responsible for your own competence. Hysio organises the recorded information, but does not assess authorisation or competence. [1] [7] [8]
How large is the professional group of physician assistants? #
For the physician assistant, size and market concern a legally registered professional group that is growing through task reallocation and that works in hospitals, general practice and elderly care. Counts vary because BIG registration, association membership and the quality register do not measure the same thing. So state the reference date and what was counted when you use a number. For the record this changes nothing: source, examination, result, conclusion, consideration and locally agreed follow-up remain distinguishable from one another. [1] [8] [9]
What sets the physician assistant apart from the medical practice assistant (doktersassistent) and the primary care practice support worker (POH)? #
The medical practice assistant (doktersassistent) and the primary care practice support worker (POH) work under the final responsibility of the GP within protocol-based frameworks and have no independent BIG authorisation of their own for reserved procedures. Within their own field of expertise, the physician assistant does carry their own legal responsibility for diagnosis, treatment and prescribing prescription-only (UR) medicines, insofar as individual competence and local collaboration agreements cover that procedure. So record who set the indication and who performed the procedure. [1] [9] [10]
How does the difference from neighbouring professions carry through into documentation for physician assistants? #
The PA works under the supervision of or in collaboration with a medical specialist or GP, but is independently authorised for the reserved procedures within their own field of expertise, not someone carrying out another person's instruction. This way each part, from source to locally agreed follow-up, stays recognisable in its own right. [1] [10] [7]
After which procedures do you use the PA procedure report? #
For physician assistants, Hysio Physician Assistant Procedure is intended for the dictation directly after a procedure you carried out yourself. Think of a puncture, an injection or a minor surgical procedure within your field of expertise. Indication, how it was carried out, findings, notable points or complications, additional investigations, your conclusion and the plan stay clearly separate. For an outpatient consultation or a clinical ward round, you choose a different format. [4] [7] [8]
What does the PA procedure report record? #
The procedure report organises the reason for the procedure, how it was carried out, findings, notable points, any complications, additional investigations, conclusion and plan. Only the actions and findings that you describe as the source appear in it. Admin with AI does not mean a stand-alone procedure report here: Hysio does not add any complication, result or follow-up action. [4] [10] [7]
When is a PA ward round report appropriate? #
The PA ward round report fits a direct ward round in which the reason for presentation, the current situation, progress, physical examination, additional investigations, conclusion, considerations and plan are discussed. The text must make clear what was established during this ward round. Hysio draws no new conclusion from earlier record information without you bringing it in. [5] [7] [8]
Law, field of expertise and record
What is the legal basis of the physician assistant profession? #
Since 1 September 2018, the physician assistant (PA) has been an Article 3 profession in the Wet op de beroepen in de individuele gezondheidszorg (Wet BIG, the Dutch Individual Healthcare Professions Act), alongside the doctor, the dentist and the nurse, among others. Legal frameworks help you understand the professional boundary, but Hysio does not take over any decision on authorisation or supervision. [1] [8] [9]
How long do you keep a PA record under the WGBO? #
Article 7:454, paragraph 3, BW (Dutch Civil Code): the care provider keeps the record for twenty years, counting from the time the last change was made to the record, or for as much longer as reasonably follows from the care of a good care provider. That period also applies to what a physician assistant records themselves, so note every change with date and source role. [1] [9] [10]
Which professional standards does a physician assistant follow in documentation? #
NAPA's Beroepsprofiel Physician Assistant (professional profile) of December 2023 describes that the PA acts in line with professional guidelines, laws and regulations, norms and standards, including the PA code of conduct. Use those frameworks for your own record-keeping agreements and read the final text yourself. The healthcare professionals and organisation involved remain responsible for decisions on authorisation and supervision. [1] [10] [7]
How do you make clear in the record who supplied what? #
The PA works closely with medical specialists, junior doctors, nurse practitioners, nurses and allied health professionals. Make clear in the record who provided information, who made an assessment and who takes up the follow-up. The legal frameworks and local agreements determine the professional boundary. Agreements on authorisation and supervision are made by the healthcare professionals and organisation involved. [1] [7] [8]
Is a physician assistant subject to medical disciplinary law? #
A physician assistant who is listed in the BIG register falls under the public disciplinary law of the Wet BIG. The disciplinary tribunal assesses professional conduct in a specific situation. So describe factually who acted, which source and agreement applied and which follow-up was recorded. Hysio draws no legal conclusion and does not take over any decision on authorisation. [1] [8] [9]
How do you arrange consent for minors as a PA? #
Consent depends on age. Up to the age of twelve, the parents decide. From twelve to sixteen, consent from both the child and the parents is in principle required, with the right to decide gradually shifting as the child gets older. From sixteen, the young person decides for themselves. Record who was informed and who gave consent; the recorded medical source remains decisive for the record entry. [1] [9] [10]
May parents view their child's record? #
For minors, access by parents or guardians depends on age. Up to the age of twelve, parents or guardians may view the medical record. From twelve to sixteen, the young person's consent is required, except when information is needed for joint consent to treatment. From sixteen, the young person's consent is required. [1] [11]
How do you avoid exceeding your authorisation in a reserved procedure? #
For a reserved procedure, it must be clear that the procedure falls within the field of expertise and that the person performing it is competent. Record the indication, relevant risks, responsibilities and local agreements factually. If a boundary or incident is in question, the authorised healthcare professional or competent body then carries out the assessment. Hysio does not take over that decision. [1] [10] [9]
What role do authorisation and competence play in PA documentation? #
The legal authorisation of a physician assistant does not stand apart from their own field of expertise and individual competence. Local collaboration agreements can also shape the work. Hysio can record what you say about examination, procedure, consultation or plan, but does not determine whether a procedure is authorised, competently performed or locally agreed. [2] [3] [4] [8] [9]
How do I keep PA findings and a judgement on authorisation apart? #
Describe the findings, the source of results and the agreed plan separately from any agreements on authorisation or supervision. A report must not suggest that Hysio has assessed the scope of your field of expertise. The system organises the recorded content; the physician assistant and the organisation bear the professional and local responsibility. [2] [4] [9] [10]
Medical sources, boundaries and consultation
What is a reserved procedure? #
Reserved procedure: one of the fourteen procedures designated by law that may only be independently indicated and performed by those authorised to do so. For the record entry, the recorded medical source remains decisive for the physician assistant. [1] [8] [9]
What does the PA's independent authorisation involve? #
Independent authorisation: the authority of the PA (under Art. 36 Wet BIG) to indicate and perform certain reserved procedures within their own field of expertise themselves, provided they are competent. [1] [9] [10]
What are the RTG and the CTG for a physician assistant? #
Disciplinary tribunal (RTG/CTG): the Regionaal Tuchtcollege voor de Gezondheidszorg and the Centraal Tuchtcollege, before which the PA, as an Article 3 profession, can be brought. For the physician assistant, the recorded medical source helps determine the record entry. [1] [10] [7]
What is a health and care information model, or zib? #
Health and care information model (zib): a nationally standardised data structure for a reusable clinical data item, for example the Glasgow Coma Scale. This keeps the wording linked to the examination, procedure or ward round that was actually recorded as the source. When drafting the record entry, the physician assistant lets the recorded medical source take precedence. [1] [7] [8]
What is the difference between lead practitioner, co-practitioner and indicating practitioner? #
Lead practitioner (regiebehandelaar), co-practitioner (medebehandelaar) and indicating practitioner (indicerend behandelaar) are three roles in the same treatment: who directs the care process, who takes on part of the care and who makes the indication. The older term hoofdbehandelaar (principal practitioner) was replaced after a ruling by the Centraal Tuchtcollege and no longer belongs in current documentation. A physician assistant can fulfil each of these three roles, so name the role for each contact. [1] [8] [9]
Which report does Hysio Physician Assistant Ward Round create? #
After the appropriate care encounter, Hysio Physician Assistant Ward Round creates a PA ward round report in the language you use at the bedside. The reason for assessment, the current situation, progress since the previous ward round, physical examination and additional investigations, your conclusion and the plan appear as separate sections. What was not in your dictation is not in the report either. [5] [9] [10]
How does Hysio Physician Assistant SOAP Note organise the care encounter? #
For physician assistants, Hysio Physician Assistant SOAP Note organises a brief follow-up contact or a moment of contact during admission under four fixed headings: Subjective for what the client reports, Objective for your findings and results, Assessment for your conclusion and Plan for the agreed follow-up. Progress since the previous contact stays recognisable by source role, so the progress note entry stays short without losing meaning. [6] [10] [7]
Which report sections belong to the Hysio Physician Assistant Consultation? #
The report sections of Hysio Physician Assistant Consultation follow the structure of an outpatient PA contact: reason for the encounter, history, physical examination, external results, your conclusion, the considerations you stated and the agreed plan. Each section keeps its own source role, so you can later see what the client said, what you established yourself and what came from elsewhere. [2] [7] [8]
Can Hysio independently set a medical indication or make a diagnosis? #
No. Hysio can include a diagnosis, indication, conclusion or treatment plan stated by you, tied to the source. The system makes no diagnosis of its own, does not choose an indication and does not assess whether an intervention is medically indicated. Missing considerations remain missing until you record them yourself in the care encounter or dictation. [2] [3] [5] [10] [7]
How are medication and additional results noted in a PA report? #
Medication, laboratory values, imaging and other results are only included when they were mentioned or provided as source information within the contact. Note source, date and uncertainty when these are relevant. Hysio does not invent a dosage, does not change medication and does not turn an isolated result into independent treatment advice. [2] [3] [5] [7] [8]
Practical professional questions for physician assistants
What counts as the administrative burden of a physician assistant? #
For a physician assistant, the administrative burden consists of, among other things, documentation and organisational registration, for both client-related work and work that is not client-related. The exact distribution differs by study, work setting and measurement period. So use current source figures if you mention percentages. Check timeline, source role, medication facts and plan before you transfer text into the record. [1] [8] [9]
How do you weigh administrative burden when you consider AI reporting? #
Administrative burden affects the time that remains available for the care encounter and for reviewing the record. So distinguish between substantive documentation and organisational registration. Only compare figures when research method, sector and measurement period match. Hysio can organise information, but the physician assistant reviews the text and remains responsible for the record entry. [1] [9] [10]
How does billing work for care by a physician assistant? #
Record who provided the care, who registered information and what role each person involved had. Billing and the use of an AGB code follow the applicable contract, registration and organisational agreements; Hysio does not determine these. Before transferring to the record, check whether timeline, source role, medication facts and plan are correct and let the recorded medical source take precedence. [1] [10] [7]
What belongs in the re-registration portfolio of the PA Quality Register? #
Re-registration portfolio for the voluntary Kwaliteitsregister (quality register): work experience hours and proof of training must be kept for the full registration period of five years and submitted with the application, together with a signed employer's statement. Review the result for timeline, source role, medication facts and plan before you transfer the text into your record. [1] [7] [8]
What does the Capaciteitsorgaan do for PA training? #
Contributing to Capaciteitsorgaan reporting: training capacity for the PA is monitored nationally and advised on periodically in a Capaciteitsplan (capacity plan); this is not an individual accountability obligation of the PA, but it does determine the inflow into the profession. Check timeline, source role, medication facts and plan in the result before you transfer the text into your record. [1] [8] [9]
How does Hysio Physician Assistant Intake fit into your working day? #
Hysio Physician Assistant Intake fits the moment when you first assess a new client or a much broader contact. You conduct the conversation and then say your findings. With voice-driven reporting, the PA intake report is ready in your department's structure. For the follow-up contacts after that, you choose the consultation or the SOAP entry. [3] [9] [10]
What is the specific purpose of Hysio Physician Assistant Procedure? #
The specific purpose of Hysio Physician Assistant Procedure is recording the procedure itself: what you did, why, what you saw and how things continue. Indication, how it was carried out, findings, notable points or complications, additional investigations, conclusion and plan each stay separately recognisable. This distinguishes this format from the consultation, which organises a conversation, and from the ward round, which records an assessment during admission. [4] [10] [7]
How does Hysio Physician Assistant Ward Round turn the care encounter into a report? #
With Hysio Physician Assistant Ward Round, the recorded dictation of your round becomes a PA ward round report. After the assessment you dictate what the reason for presentation was, how the situation stands now, what has happened since the previous ward round, what the examination showed and which plan you agreed. Those sections appear in the same order, without additions. [5] [7] [8]
Where does a PA SOAP note fit? #
The PA SOAP note is intended for a brief follow-up contact or moment of contact during admission. It organises Subjective, Objective, Assessment and Plan based on the source. The format does not replace an extensive intake or ward round when that content is needed. Hysio does not fill in the medical reasoning and the plan when you have not stated them. [6] [8] [9]
How do you check a PA report from voice-driven reporting before saving? #
Assess the reason for the encounter, source role, timeline, examination, results, conclusion, plan and consultation with doctors or other healthcare professionals. Check that the text does not add any authorisation, diagnosis or medication decision that was not in the source. Hysio creates an organised result; you assess the medical accuracy and decide what ends up in the record. [2] [3] [6] [9] [10]
Sources
- 1 Hysio: Beroepsprofiel physician assistant (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 2 Hysio: Hysio Physician Assistant Consult (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 3 Hysio: Hysio Physician Assistant Intake (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 4 Hysio: Hysio Physician Assistant Verrichting (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 5 Hysio: Hysio Physician Assistant Visite (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 6 Hysio: Hysio Physician Assistant SOEP-Verslag (interne Hysio-documentatie) Document date: 2026-08-24 Accessed on 2026-08-31
- 7 NAPA: Beroepsprofiel Physician Assistant Document date: 2026-08-31 Accessed on 2026-08-31
- 8 NAPA: Taakherschikking en maatwerkafspraken Document date: 2026-08-31 Accessed on 2026-08-31
- 9 Overheid.nl: Wet BIG, artikel 36 Document date: 2026-08-31 Accessed on 2026-08-31
- 10 Overheid.nl: Besluit opleidingseisen en deskundigheidsgebied physician assistant Document date: 2026-08-31 Accessed on 2026-08-31
- 11 Rijksoverheid: Kunnen mijn ouders mijn medisch dossier inzien? Document date: 2026-09-03 Accessed on 2026-09-03
Hysio creates the report. You remain responsible for what you save in the record.