Record a dictation
Instead of typing a note, you can speak it. You record at your workstation, the recording is transcribed on your own hardware, the patient and document type are read for you to confirm, and you file it to the chart as a document. Nothing files on its own.
Record a note
Section titled “Record a note”- Open Dictation in the sidebar.
- Optionally give the note a title (for example, “Cardiology consult”).
- Press Record and allow microphone access the first time. A timer runs while you speak.
- Press Stop. A player appears so you can hear what you captured.
- Press Save dictation (or Discard to start over).
The note appears under Your dictations as it is transcribed. You only see your own dictations; an administrator can see all of them.
What happens next
Section titled “What happens next”Transcription runs on your own hardware, so the audio never leaves the building. Once there is a transcript, the same reading that classifies a fax reads the note: it proposes a document type and a specialty, and pulls out a candidate patient (MRN, name, date of birth) for you to check. A matching routing rule can also suggest who else should see the note, the same way a fax is routed.
Review and file to the chart
Section titled “Review and file to the chart”- On a dictation, press Review & file.
- Listen to the recording or read the transcript beside the patient fields.
- Optionally press the read-back control to hear the transcript spoken back, so you can confirm what was captured before you sign.
- Enter the patient’s MRN, checking it against the transcript. The fields start empty; the candidate the system read is shown only as an unverified suggestion with a Use button, never filled in for you.
- Tick I verified the patient identity against the transcript.
- Press File to MEDITECH.
The transcript is rendered to a one-page document and filed as an HL7 medical document (MDM). What you confirm here is what is transmitted; the candidate the system read is never sent unless you choose it.
The line that does not move
Section titled “The line that does not move”A rule can route a dictation’s cosign target without you, once it has earned that on its track record. It can never file a note to a chart without a person confirming the patient, because filing needs an identity check that a routing decision does not provide. You always confirm the patient before a note reaches a record.