ContextliContextli

Doctors ยท Medical Visit Note

Dictate patient observations into a structured note.

Who this is for

Physicians and clinicians who want to capture visit notes by voice between patients, without an expensive dictation subscription.

The moment this saves you

I see thirty patients a day and by the time I'm charting in the evening, the specifics of the morning's cases have blurred, so my notes get thinner and later than they should be.

See it work

Messy spoken thought in. A clean, structured artifact out.

What you said

Note on the patient I just saw, 54 year old male, here for follow up on his hypertension. He says he's been taking the lisinopril regularly, no side effects, but admits he hasn't been great with the low-sodium diet. Blood pressure today was 142 over 90, still a bit high. Heart and lungs clear on exam. Plan is to increase the lisinopril to 20 milligrams, reinforce the diet, and recheck in four weeks. I also want to order a basic metabolic panel to check his kidney function given the dose change.

medical-visit-note.md

Visit note, June 5, 2026

  • Patient: 54M, follow-up for hypertension
  • Subjective: Taking lisinopril regularly, no side effects; admits poor adherence to low-sodium diet
  • Objective: BP 142/90 (still elevated); heart and lungs clear on exam
  • Assessment: Hypertension, suboptimally controlled
  • Plan:

- Increase lisinopril to 20 mg - Reinforce low-sodium diet - Order basic metabolic panel (kidney function, given dose change) - Recheck in 4 weeks

The workflow

1

Record a voice note

Hit the hotkey and talk, no formatting, no typing.

2

Tag it with this context

Contextli shapes your words into the structured output above.

3

Find it later

Everything's searchable and organised by context.

4

Pull it into Claude or ChatGPT

Bring your contexts straight into your AI tools with the Contextli MCP.

Your raw recording and transcription stay on your device, so you can always go back to the original.

The prompt behind this context

system prompt

I'm going to dictate observations from a patient visit. Turn it into a structured clinical note (SOAP-style): a bold "Visit note, [today's date]" heading, then Patient (brief demographic + reason for visit), Subjective (what the patient reports), Objective (exam findings and vitals exactly as I state them), Assessment (the clinical impression, only as I state it), and Plan (a bullet list of the actions, medications, orders, and follow-up I specify). Keep all clinical figures and medication doses exactly. Do NOT add diagnoses, findings, or orders I didn't state. Output only the note.

Make it your own. This is a starting point. Once it's in Contextli, tweak the instructions so the output comes out exactly how you like it.

Use this context

One click copies it and shows you exactly how to drop it into Contextli.

Next, open Contextli, go to the Contexts page, click Import, choose From JSON, paste, then Import Context. It is ready to use.

Make it your own. This is a starting point. Once it's in Contextli, tweak the instructions so the output comes out exactly how you like it.

Your raw recording and transcription stay on your device, so you can always go back to the original.

Related contexts

Questions people ask

Questions doctors ask about Medical Visit Note

What is the best way for a doctor to write a visit note quickly after seeing a patient?

The fastest method is to speak a short voice note immediately after the encounter, while details are fresh, then let a structured template format it. The Medical Visit Note context does exactly this: you speak for 30 to 90 seconds and receive a visit note in a consistent structure, ready to copy into your EHR or notes system. The raw recording and transcription stay on your device and are never sent to a third-party cloud.

Can I dictate a visit note between patient appointments?

Yes. Add the Medical Visit Note context to Contextli, then dictate a visit note while walking between rooms or right after an encounter. You speak the relevant observations and the context structures them into the fields your note requires. No third-party dictation subscription is needed.

How do I turn a voice recording into a structured note?

Speak your observations in plain language covering the main clinical areas, and the Medical Visit Note context maps your words onto the right structure automatically. You do not need to say "Subjective:" or remember the format while speaking. The output is a complete, structured note you can copy directly.

Is voice-recorded clinical information private?

Contextli processes everything on your device. Your voice recording and the transcription are stored locally and never leave your device unless you copy them out yourself. Contextli does not transmit clinical content to any server. For formal compliance assessments, consult your organization's compliance officer, as requirements vary by workflow and institution.

How do I add this context to Contextli?

Copy the context on this page, then open Contextli and go to the Contexts page. Click Import, choose From JSON, paste it into the Import from Clipboard window, and click Import Context. It is ready to use in under 30 seconds. If you do not have Contextli yet, you can download it for free first.

Is my voice recording private? Does Contextli send it anywhere?

Your voice recording and the transcription are stored on your device only. Contextli processes your audio locally and does not send your recordings or transcription text to any server. The structured output it produces is text you control, and you decide where it goes.

Can I change what the output looks like?

Yes. Every context in Contextli is a starting point you can edit. Open the context in the app, change the instructions to adjust the structure, tone, or fields, and save. The next time you use it, the output reflects your changes. You are not locked into the default format.

Do I need to install an app to use this context?

Yes. Contextli is a free app. Download it, then copy this context and paste it into the Import from Clipboard window on the Contexts page. The whole process takes about 30 seconds.

Browse more

Medical Visit Note