Handheld Microphone Integration

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Supported Devices

Commure Dictation supports the following handheld dictation microphones: If you already use a supported handheld microphone, you can plug it in and start using it with Commure Dictation immediately — no drivers, no configuration, no re-learning. The microphone and every button just work. After plugging in your device, verify that it is selected as the active microphone. Open Settings > Audio and confirm the microphone dropdown shows your device. Commure Dictation will select it automatically in most cases, but it is good practice to double-check — especially the first time you connect.

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Button Mapping

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Nuance PowerMic III

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Nuance PowerMic 4

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Philips SpeechMike (Premium & III)

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Dictating with Your Handheld Microphone

You can dictate in whichever style feels most natural — hold-to-dictate or click-to-toggle: Hold to dictate:

1. Click into the text field in your EHR where you want to document.
2. Press and hold the Record button.
3. Speak naturally. Text appears in real-time at your cursor position.
4. Release the button to stop dictation.

Click to toggle:

1. Click into the text field in your EHR where you want to document.
2. Press the Record button once to start dictation.
3. Speak naturally. Text appears in real-time at your cursor position.
4. Press the button again to stop dictation.

All standard voice commands — punctuation, line breaks, formatting — work while dictating. See the Voice Commands reference for the full list.

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Navigating Between Fields

The Forward and Back buttons (or Tab Forward / Tab Back on PowerMic) let you move between fields without touching your keyboard.

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Example workflow

You are documenting a visit in a note template with multiple sections:

1. Click into the Chief Complaint field and dictate.
2. Press Forward to jump to the HPI field.
3. Dictate the history of present illness.
4. Press Forward again to reach the Assessment & Plan field.
5. Dictate your assessment.

You never need to reach for the keyboard or mouse to move between fields.

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Contextual Editing

The Contextual Edit button activates Contextual Editing — an AI-powered way to revise text you have already dictated, using plain spoken instructions. Button locations:

• PowerMic III: Custom Right button (to the right of the checkmark)
• PowerMic 4: Button C (bottom-right custom button)
• SpeechMike: F3 button (bottom-right, front of device)

With traditional dictation, fixing a mistake or reformatting a section means selecting text, deleting it, and re-dictating. Contextual Editing eliminates that entirely. Just tell the AI what you want changed — in your own words — and it rewrites the text for you in place. No mouse clicks, no deleting, no re-dictating.

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How it works

1. Place your cursor in the field (or select the text) you want to edit.
2. Press the Contextual Edit button.
3. Speak your editing instruction (e.g., “make this a bulleted list”).
4. Release the button. The AI applies the edit directly to the text.

Contextual Editing understands your intent and applies the change to the appropriate scope:

• If you have text selected, the edit applies to the selection.
• If nothing is selected, it applies to the current line.
• If the line is empty, it applies to the entire field.

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What you can say

Because Contextual Editing is AI-powered, you can say virtually anything. Here are some common examples: You are not limited to these examples — speak any natural editing instruction and the AI will interpret and apply it.

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Example: reformatting a note

You dictated the following into the Assessment & Plan field:

Patient has hypertension which is well controlled on lisinopril ten milligrams daily and type two diabetes with last a one c of six point eight and hyperlipidemia on atorvastatin twenty milligrams

Press the Contextual Edit button and say: “make this a bulleted list with each condition separate” The text is replaced with:

• Hypertension — well controlled on lisinopril 10 mg daily
• Type 2 diabetes — last A1c 6.8
• Hyperlipidemia — on atorvastatin 20 mg

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Example: correcting a medication

You dictated a note and said “lisinopril 10 milligrams” but the patient’s dose was recently increased. Press the Contextual Edit button and say: “change lisinopril to 20 mg” The AI finds the medication reference and updates it to “lisinopril 20 mg” — without touching anything else in the note.

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Example: cleaning up a rushed dictation

You dictated quickly between patients and the result is a long, unstructured paragraph in the HPI field. Press the Contextual Edit button and say: “clean this up and organize by system” The AI restructures your free-form paragraph into clearly organized sections by organ system, fixing grammar along the way.

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Undo

The Undo button reverts the last contextual edit, restoring the original text. Button locations:

• PowerMic III: Custom Left button (left of the checkmark)
• PowerMic 4: Button A (bottom-left custom button)
• SpeechMike: F1 button (bottom-left, front of device)

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How it works

1. After a contextual edit is applied, press the Undo button.
2. The edited text is replaced with the original text that was there before the edit.

This is a single-level undo — it reverts the most recent contextual edit only. If you have made additional manual changes to the field after the contextual edit, the undo is automatically cleared (since the text has changed).

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Example

1. You dictate a paragraph into the HPI field.
2. You press the Contextual Edit button and say “make this more concise.”
3. The text is shortened — but you preferred the original version.
4. Press the Undo button. Your original paragraph is restored.

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Quick Reference

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PowerMic III

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PowerMic 4

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SpeechMike (Premium & III)

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Keyboard Hotkeys

In addition to handheld microphone buttons, Commure Dictation supports configurable keyboard hotkeys for contextual editing and undo. These are disabled by default and can be enabled in Settings > Hotkeys. These hotkeys work identically to the corresponding device buttons — you don’t need a handheld microphone to use contextual editing.

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Coming from Dragon?

If you have been using a handheld microphone with Dragon Medical One, here is what to expect:

• Same hardware, same hand position. No physical adjustment needed.
• Record button works the same way. Press and hold to dictate, or press once to start and again to stop.
• Field navigation works the same way. Forward/Back buttons work identically to how they did in Dragon.
• Contextual Edit is new. This replaces the need to manually select and re-dictate text. Speak an instruction and the text updates in place.
• Undo is supported. One-press rollback for contextual edits on PowerMic III, PowerMic 4, and SpeechMike — or use Ctrl+Shift+Z.
• Voice commands carry over. Punctuation, line breaks, and formatting commands work just like you’re used to.
• Custom button mappings do not carry over. If you programmed custom button behaviors in Dragon, those configurations are not transferred. Commure Dictation uses its own fixed button mappings as described above.
• No configuration needed. Plug in and go — Commure Dictation detects your device automatically.