We have improved the probability of the changes listed below returning accurately.
If you find that specific terms are not still working correctly after a topic release, we recommend adding vocabulary and/or substitutions to improve recognition. Additionally, transcripts in which words are not recognized accurately should be corrected so we can harvest them and add them to the appropriate topic's corpus.

Changes listed on this page may be available on the Test system (test.nvoq.com), but there could be some that are not there yet.
Each item lists the topic version number in which it was tested (e.g. 20250218). To see the topic version currently deployed on Test, visit Topic Updates on Test System.
All Topics
Improved Capitalization for “Hoffa’s Fat Pad” - (20260518, D-13607) Recognition for the anatomical term “Hoffa’s fat pad” has been updated so that “Hoffa’s” now returns with the correct capitalization in dictated documentation.
Fixed Recognition Issue for “os ulnar styloideum” - (20260526, D-13799) Resolved an issue in which the medical term “os ulnar styloideum” was not being recognized correctly during dictation after the April topics release. In some cases, the term was returned as incorrect phrases or misspellings. Recognition accuracy for this term has now been corrected.
Improved Recognition and Formatting for Suture Sizes and Materials - (20260528, D-13605) Resolved an issue where suture sizes such as “#3-0 Vicryl,” “#3-0 PDS suture,” and “#3-0 silk suture” were not returning with the correct formatting during dictation. Additional support and special handling for a wide range of suture sizes, types, and materials has been implemented across all topics to improve recognition accuracy and formatting consistency.
General Medicine
Improved Recognition for “Vitamin D3” With Dosages - (20260519, D-14092) Recognition and formatting for “vitamin D3” have been improved, particularly when spoken with dosages or medication instructions. This update reduces formatting errors and improves accuracy for phrases such as “vitamin D3 10 mcg tablet” and “increase the dose of vitamin D3 to 5000 IU,” helping ensure medication documentation returns as intended.
Updated Vocabulary - (20260610, D-14221) Removed the terms “Beebee” and “Beebes” from the General Medicine topic to improve recognition accuracy and reduce the likelihood of unintended dictation results.
Orthopedics
Improved Recognition for “New Balance” - (20260527, D-13794) Resolved an issue of “New Balance” not being recognized with the expected capitalization in Orthopedic topic dictation. The term now correctly returns as “New Balance.”
Improved Recognition for “eponychium” - (20260528, D-13782) Resolved an issue in the Orthopedic topic where “eponychium” could return as incorrect or nonsensical terms during dictation. Recognition accuracy for the term has been improved through updated word and phonetic support.
Pathology
Improved Recognition for Ordinal Numbers - (20190521, D-14006) Ordinal numbers such as “50th” and “90th” are now recognized more accurately in the Pathology topic. This update improves recognition consistency for spoken ordinal values so they return correctly in dictated documentation.
Word Support Added - (20260527, D-14050) Added support for additional terms and phrases, including “NF2,” “tubulovillous,” and “SAVI SCOUT,” to improve recognition accuracy during dictation.
Improved Recognition for Dictation Commands - (20260529, D-14073) Enhanced support to improve recognition of the dictation commands “insert intro” and “enter patient name.” Additional recognition enhancements were implemented to ensure phrases such as “inter patient” are correctly interpreted as “enter patient,” improving command recognition accuracy and consistency during dictation.
Improved Recognition for Specialized Medical Terminology - (20260608, D-14141) Enhanced recognition support for several specialized medical and scientific terms that were not consistently returning as expected. Updates to language modeling and vocabulary handling have improved recognition accuracy for these terms.
Improved Pathology Topic Recognition - (20260608, D-14053) Updated the Pathology topic to prevent the incorrect return of “Johnson City” when “Johnson” is dictated. This enhancement improves recognition accuracy and aligns with the Pathology topic's intended behavior, which does not support dictation of names.
Radiology
Word Support Added - (20260527, D-14050) Added support for additional terms and phrases, including “iliacus,” “os acetabulum,” and “CT neck,” to improve recognition accuracy during dictation.
Expanded Vocabulary - (20260602, S-19188) Added support for additional radiology terminology following a review of specialty-specific vocabulary, improving recognition accuracy and topic coverage.
Improved Date Recognition - (20260610, D-14095) Enhanced recognition and formatting support for spoken dates. This update improves the way dictated dates are returned in standard date formats, such as MM/DD/YYYY or MM/DD/YY, especially when additional surrounding context is available.