I normally use a combination of ambient transciption with Heidi and dictation at a cursor (with Dragon Medical One). I think the smart dictate feature in Heidi is excellent. I'm increasingly using it for quick summaries or to generate emails. It's a bit clunky to use for doing this if I need to create a new visit each time.
Would you conisder adding a 'Quick dictate' function to enable users to dictate a short block of text without adding patient details etc. It can then be simply copied into another output as required and cleared when finished. Wouldn't necessarily need a memory fuction in this feature. (essentially similar workflow to the dictation box in Dragon Medical One). It could sit just below the Sribe and Tasks in the toolbar on the left?