Currently pasting old notes into context almost always results in past historical physical exam findings being confused and incorporated into the current note. This also happens when the current visit/recording has updates to the history provided in the pasted old note (current note uses conclusions from the old note, rather than the updates discussed today). I have tried adapting my templates, but this has not helped. Past physical exam results almost always gets reported as current physical exam - despite the template being worded to avoid, and also preceeding the pasted content with "the following is pasted from a prior encounter/visit, do not include in today's physical exam, and incoroprate only as history as relevant".

It appears Heidi cannot manage getting context from pasted old notes, and I have stopped trying.

My use is split between working in a health authority episodic care environment, with an EMR (cerner firstnet) with which there is no current integration, and a community health centre using Profile, also with no current integration. I therefore have to rely entirely on pasted or typed context for non-audio information.