"You will not be able to dictate into most EMR software with Standard, Preferred, Pro, or Even Legal 10 because Nuance has disabled microphone input. In other words if you mouse click into most EMR applications like eClinicalWorks, NextGen, S.O.A.P. Notes, Amazing Charts, eMDs etc. NaturallySpeaking will disabled microphone input so you not only won't have Select-&-Say, you won't even be able to dictate or utilize the Dictation Box feature. Please note that we will be adding a feature to KnowBrainer 2008 to work around this issue with Notepad but this limitation is still disturbing. If you want to know if your EMR product is going to be disabled, simply send us an e-mail at EMR Test and put the name of your EMR application in the subject line. Because we are using DNS Pro 10, when we click the Reply button the message window will take on the name of the subject line and if eClinicalWorks is in the subject line, we will not be able to verbally reply to your message because the microphone will be disabled. If you so much as save a document with the name Amazing Charts, your NaturallySpeaking microphone will be disabled within 2 seconds of saving the document unless you are using Dragon Medical 10 (new name). Even DNS Pro 10 will no longer work in most medical EMR software. We don't know how this will shake out but you might want to discuss this with your EMR application providers. Working around the issue may be as simple as changing the eClinicalWorks name on the window to Medical but it's beginning to look like consumer radar detectors versus police radar guns all over again (radar wars) and who really wants to be in the middle of that mess. Please know that we are doing everything we can to get this undesirable feature removed but no guarantees 
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Grahm,
This message was posted by Lunis on 8/13/08. Send us an E-Mail on the EMR test link and I'll get back to you. Sorry about this crazy font.
KnowBrainer, Inc. Support Staff – Tom Hamilton