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 (General Accuracy)
Improved Handling of Prefixes in Dictation – (D-13881; 20251020) In previous topic releases, some words that began with prefixes such as “post” or “mid” were not combined correctly with the root word. For example, “postsurgical” might have appeared incorrectly as “pos tsurgical.” This issue has been fixed, and words like “postsurgical” and “midlateral” now appear correctly as single, combined terms.
Improved Recognition of the Word “Hyphen” – (D-13928, 20251020) After the topic release on August 15, 2025, an issue was discovered where saying “hyphen” sometimes still returned the word itself instead of the punctuation mark (-). For example, “C one hyphen bisected shave” was transcribed as “C1 hyphen bisected shave” instead of “C1-bisected shave.” This issue, which occurred when the words before and after “hyphen” were not numbers, was initially addressed in item D-13855 but was later found to persist. We have corrected this behavior again, and “hyphen” now consistently returns the punctuation mark as expected.
Improved Handling to Centimeters (cm) – (D-13600, 20251113) We received reports that the word “centimeters” was sometimes transcribed as “CM” or fully spelled out instead of returning as “cm” in the Pathology topic. Additional handling has been added to ITN to ensure “cm” returns correctly in measurement contexts, and this update now applies across all topics. Lowercase “cm” will return when spoken as part of a measurement, while uppercase “CM” will return only when used in the proper context, such as when dictating “C M” as an abbreviation for case manager.
New Drugs Support – (S-18472, 20251113) Corpus and dictionary support for new drug names approved by the FDA in July 2025 was added to all topics.
July OOVs Added – (S-18578, 20251118) New and previously unrecognized words (a.k.a. “Out of Vocabulary” or OOV) identified in July 2025 AOS corrections have been added to the dictionary and corpus across all topics. Note: Only organizations that allow use of text and audio are included in extracted corrections.
Radiology
24-Hour Military Time Support - (D-13889, 20251030) Support has been added to ensure 24-hour military times are transcribed correctly. For example, dictating “zero one forty-nine hours central time” now returns “0149 hours central time” instead of “01409 hour central time.”
Support Added for “CT head” - (D-13931, 20251112) Support has been added for “CT head” to transcribe correctly. Previously, “CT head” could be returned as “CT had.”