Allergy and immunology dictation software for clinic, testing and biologic notes

An allergy and immunology clinic writes several kinds of note in one day. New patient evaluations for rhinitis, asthma, hives or a food reaction carry a trigger history and a page of skin test results. Immunotherapy visits record the dose, the vial and any reaction. Biologic visits for asthma, chronic urticaria or eczema list eosinophil counts, IgE and the drug being started or continued. Drug allergy and immunodeficiency workups add challenge protocols and immunoglobulin levels. A dictation tool that has never heard of benralizumab or hypogammaglobulinemia costs a correction on every one of those notes.

Allergy and Immunology words general dictation gets wrong

General dictation software is trained on everyday speech, so allergy and immunology terms come out as near misses. Each row below is a misheard form listed in the VoicePrivate Healthcare dictionary and the term it is corrected to:

Drug names get extra care. A misheard word that sounds like a drug in the dictionary is matched to it, but a real drug name is never swapped for another drug, so cetirizine is not turned into a similar sounding antihistamine.

What choosing Allergy and Immunology changes

In the Mac app, Settings has a Medical specialty picker with 32 specialties plus General. Choosing Allergy & Immunology does two things on your computer:

• It gives recognition the 28 Allergy and Immunology core terms to expect: anaphylaxis, urticaria, angioedema, eosinophilia, immunotherapy, tryptase, IgE, omalizumab, mepolizumab, dupilumab, benralizumab, cetirizine, fexofenadine, montelukast, azelastine, epinephrine, EpiPen, spirometry, rhinitis, Alternaria, ragweed, dust mite, mastocytosis, hypogammaglobulinemia, immunodeficiency, eczema, amoxicillin, desensitization.
• A long misheard word that is a near miss of one of those core terms is matched to it instead of a general word.

The Healthcare dictionary tags 1,387 terms to Allergy and Immunology, counted October 2026, and all 74,000+ medical terms stay available whichever specialty you choose. On Windows there is no specialty picker: the full medical dictionary and its corrections apply to every note.

Allergy and Immunology notes by type

Example: dictating an asthma biologic follow up

Here is the visit dictated one section at a time. Every bold term is in the VoicePrivate medical dictionary.

1. In the HPI box, press Command+Shift+Space and say: "Forty two year old with eosinophilic asthma and allergic rhinitis, two oral steroid bursts in the past year before starting benralizumab." Press the hotkey again.
2. In the data section, press Command+Shift+Space and say: "Spirometry today, FEV1 2.6 liters, 78 percent predicted. Blood eosinophilia resolved. Total IgE 410." Press the hotkey again.
3. In the allergy section, press Command+Shift+Space and say: "Skin prick testing positive to dust mite and ragweed, negative to Alternaria." Press the hotkey again.
4. In the plan, press Command+Shift+Space and say: "Continue benralizumab every 8 weeks and montelukast 10 milligrams nightly. Discussed starting immunotherapy for dust mite. EpiPen renewed." Press the hotkey again.

Each time you press the hotkey to stop, VoicePrivate transcribes on your computer and pastes the finished text at your cursor. Text does not appear while you are still speaking. It arrives in one block when you stop, so read the values and doses once and sign.

Getting the text into your EHR

VoicePrivate works with any EHR that accepts a paste, because it pastes through the clipboard rather than through a plug in. That includes Epic, Oracle Health (Cerner), athenahealth, eClinicalWorks and NextGen. Allergy practices often keep immunotherapy dosing in a separate program; if that program has a text field you can click into, VoicePrivate pastes there too. The workflow is the same everywhere:

1. Click into the note field, such as the HPI, assessment or plan box.
2. Press Command+Shift+Space on Mac or Ctrl+Shift+Space on Windows and dictate.
3. Press the hotkey again. The text is pasted where your cursor is, and with Auto-copy to clipboard off, the default, your previous clipboard contents are put back.

If your EHR runs inside Citrix or another remote desktop, the remote session must allow clipboard redirection from your computer. Most IT teams can turn this on per user. VoicePrivate runs on the local Mac or PC, not inside the remote session. The EHR dictation guide covers each system.

Privacy, stated as facts

VoicePrivate processes speech on the computer it is installed on. Audio never leaves the computer and nothing is sent to a cloud service for transcription. Your notes live in your EHR, the same as if you had typed them. Your practice still decides how the EHR itself is secured and what agreements it has with vendors. With Auto-save transcriptions on, which is the default, each dictation is also kept in the app's Library on that computer. Turn it off in Settings if you do not want a Library copy. Auto-copy to clipboard is off by default; if you turn it on, the text also stays on the clipboard after it is pasted, so leave it off if the EHR should hold the only copy.

Price

Healthcare Edition is $297 a year or $34.99 a month for one clinician, on Mac or Windows. Every specialty vocabulary is included. There is no free trial. Individual monthly and annual plans have a 30-day money-back guarantee on the first payment. Practices with 2 to 20 clinicians can buy team seats.

Allergy and Immunology dictation questions

Allergy and immunology overlaps with pulmonology dictation for asthma, dermatology dictation for eczema and urticaria, ENT dictation for sinus disease and pediatric dictation for food allergy. If you are moving off Dragon, read Dragon Medical for small practices.