Your specialty decides the fields in your note, the procedures offered for billing and the anatomy library you see.
You choose your specialty when you register. It stays locked afterwards, so pick the one you practise.
Day-to-day OPD consultations with vitals, systemic examination and general advice.
Fictional example dictation“Fever and sore throat for three days, temperature 100.4, throat congested, no chest findings. Advise rest, fluids, review after three days.”
Dental template with FDI tooth notation, a live dental chart, treatment plan and billing rows per procedure.
Fictional example dictation“Upper right six and seven, proximal caries on the X-ray, root canal for both, extraction of the third molar. Three to four visits on alternate days.”
Ear, nose and throat examinations recorded in their own sections, with hearing assessment.
Fictional example dictation“Left ear blocked for a week, otoscopy shows wax, tympanic membrane not visualised. Plan ear syringing after drops for five days.”
Musculoskeletal findings organised by joint, range of motion, gait and neurovascular status.
Fictional example dictation“Right knee pain on climbing stairs, flexion limited to 110 degrees, no instability, distal pulses normal. X-ray both knees standing, start physiotherapy.”
Cardiac history with chest pain characteristics, ECG and echo findings and risk factors.
Fictional example dictation“Exertional chest tightness for two weeks, relieved by rest, known hypertensive, smoker. ECG normal sinus rhythm. Plan TMT and 2D echo.”
Eye examination with visual acuity, IOP, slit lamp and fundus findings.
Fictional example dictation“Blurred distance vision both eyes, vision 6/18 right and 6/12 left, IOP normal, early lens opacity on slit lamp. Refraction and review in a month.”
Child consultations with age in months, weight percentile, milestones and vaccination status.
Fictional example dictation“Eighteen-month-old with loose stools for two days, active and feeding, weight on the 50th percentile, vaccinations up to date. ORS and zinc.”
Skin and hair findings with lesion morphology, distribution and skin type.
Fictional example dictation“Itchy annular scaly plaques over the groin for a month, active border. KOH mount advised, topical antifungal for four weeks.”
Women's health consultations with LMP, menstrual and obstetric history and examination.
Fictional example dictation“Irregular cycles for six months, LMP six weeks ago, para one, urine pregnancy test negative. USG pelvis and hormonal profile.”
Neurological examination with GCS, motor power, sensory findings, reflexes and cranial nerves.
Fictional example dictation“Recurrent headaches with tingling in the right hand, GCS 15, power 5 by 5 all limbs, reflexes normal. MRI brain and NCV of the right upper limb.”
Emergency and critical care documentation with triage category, GCS, vital trends and airway status.
Fictional example dictation“Road traffic injury, triage yellow, GCS 15, airway patent, 4 cm scalp laceration. Wound suturing, tetanus cover, CT brain if vomiting.”
Daily ICU assessment with ventilator settings, sedation score, fluid balance and vasopressor support.
Fictional example dictation“Day three on ventilator, FiO2 reduced to 40 percent, RASS minus one, positive balance of 800 ml, noradrenaline tapering. Plan spontaneous breathing trial.”
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