I would suggest you look at Short Keys (
www.shortkeys.com). I have found it to work great for setting up macros within my templates. Or, it can actually put a whole exam in the field if you want. For example, I have a template called "GENERAL" which basically has the system headings:
GENERAL:
HEENT:
NECK:
CHEST:
HEART:
ABDOMEN:
EXTREMITIES:
ETC.
My simply typing 'abd' after the "ABDOMEN" heading results in the following script: "The abdomen is flat and bowel sounds are normal in all quadrants. There is no tenderness to palpation and no masses or organomegaly were noted."
Typing 'ext' produces: "The extremities are free of deformities. There is good range of motion in all spheres. Peripheral pulses are full and equal. No cyanosis or edema were noted."
Should I need to I can then highlight and delete "the extremities were free of deformities" and instead type 'djdc' and produce "there are degenerative joint disease changes noted." 'Rac' produces "Rheumatoid arthritis changes were evident in the hands"
In summary, short keys lets you template a template.
Leslie