Example of a Document Template and Dictation Template

Doctor's name: [transcribe as dictated]
Doctor's ID: [transcribe as dictated]
Patient ID: [transcribe as dictated]
Subject: [transcribe as dictated]
Reason for Consultation: [transcribe as dictated]
History of Present Illness: [transcribe as dictated]
Past Medical History: [transcribe as dictated]

Allergies: [transcribe as dictated]
Physical examination: [doctor will indicate template]

xxxxx xxxxxxx xxxxxxxx xxxxxx xxxxxx x xxxx xxxxx x xxxxxx xxxxxx xxxxx xxxx xxxx xxxx xxxx xxxxxxx xxxxx

Problem List: [transcribe as dictated]
Recommendations: [transcribe as dictated]

Followup: [transcribe as dictated]

Legend: Code:   Document template:  Red
                      Dictation template: Blue.