Abstract: A note automation server automatically generates medical notes for appointments between patients and physicians. The note automation server generates a fingerprint for each upcoming appointment between a patient and physician using information from an EHR system and information stored on the note automation server. The fingerprint includes information about the patient, including demographic information and medical history. The note automation server identifies an appropriate note template and billing codes for the appointment using the fingerprint and an audio file recorded by a physician during and/or after an appointment. The fingerprint, audio file, and note template are used complete of the medical note. The completed medical note and billing codes are exported to the EHR system, where it is accessed by the physician. The note automation server monitors the EHR system to see if the physician modified the medical note or a billing code.