Chuck:
Try this. Go to the drop-down menu above the Assessment field, and select all the diagnoses that you are going to address at your encounter today. That menu draws from the Problem List under the patient's Summary tab.
It will look something like this:
# DIABETES TYPE II - CONTROLLED (250.0)
# HYPERTENSION - ESSENTIAL (401)
# HYPERLIPIDEMIA - MIXED (272.2)
# HYPOTHYROIDISM - UNSPECIFIED (244.9)
# DEPRESSION (311)
Now, select all, copy all, and paste all in the HPI field. Delete the unwanted verbiage, and you are left with:
# DIABETES:
# HYPERTENSION:
# HYPERLIPIDEMIA:
# HYPOTHYROIDISM:
# DEPRESSION:
Which makes very nice subject headings. I use this in conjunction with a wildcard filler template which fills in personal information, so I start my encounter with this in the HPI:
Mr. Fake Patient is a 39 year-old gentleman with the following problems:
# DIABETES:
# HYPERTENSION:
# HYPERLIPIDEMIA:
# HYPOTHYROIDISM:
# DEPRESSION:
Then I place my cursor after each heading, in turn, and start dictating with Dragon NaturallySpeaking. This has worked well.