This document discusses challenges facing clinicians including burnout, workload, and bureaucracy hindering quality care delivery. It outlines problems with current electronic health records (EHRs) requiring structured data entry that is time-consuming and lacks flexibility, while transcription can be expensive. The document proposes using speech recognition technology to generate structured clinical documents from dictation, encoding clinical data without changing physician workflow to reduce costs and improve data capture for decision support, quality measures, and interoperability.