Instruction For Dictating Patient Details

  • Users must dictate ‘Patient Name’ and ‘Date of Birth’ clearly. This is because the system uses this information for patient identification.
  • While dictating ‘Diagnosis’ & ‘Procedure’, users must use the complete ‘Diagnosis’ & ‘Procedure’ codes and not the description. Components need to be stated clearly for example: ‘Review of System’, ‘Follow Up’, and ‘Vitals’.
  • Users must spell out difficult words to avoid any mistake.