I have exact quotes in my templates so Heidi knows what commands/words to use. Recently Heidi started including the quotes in my note.

Example:

"CURRENT MEDICATIONS/SUPPLEMENTS"

Donepezil 10 mg daily

Entresto 24/26 mg BID

Esomeprazole Magnesium 40 mg prn

Fluoxetine 20 mg daily

"ROS Note:"

Rest as per HPI, otherwise rest of 13-point ROS was negative.

"Exam:"

"General Exam under Exam:"

"CONSTITUTIONAL:" WDWN, NAD

"HEENT:" Sclerae clear, no ptosis, neck supple, thin, normal ROM

"RESPIRATORY:" Normal effort

"CARDIOVASCULAR:" RRR, 2+ radial and DP pulses, no edema/cyanosis/clubbing

"SKIN:" Skin c/d/i, no rash or lesions seen

"PSYCH:" Normal affect and appearance, intact insight

"Neurological Examination under Exam:"

"CORTICAL FUNCTIONS:" Alert, cooperative, participates in interview, speech fluent

"CRANIAL NERVES:" Gaze conjugate, face symmetric

"MOTOR STRENGTH:" Moves all extremities, no tremor appreciated

"GAIT AND STATION:" Gait normal

"Assessment Notes:"

Above is just a snippet from today's note.