### \*\*Why can formatting cause issues?

\*\*

-   Each EMR (and other software) can handle text formatting differently. This can cause a variety of formatting issues.
-   To combat these formatting issues; in i-scribe, when you click "Copy", the i-scribe output (e.g. the Medical Note or Letter) is converted into a plain text file.
    -   This means that formatting, such as**bolding** or*italics* is removed.
-   This solution creates the least number of issue for our users. We are working on other fixes but these can take time because each software can be different.



### **A common solution to fix some formatting issues:**

-   If you are seeing formatting issues, it could be the preset formatting in your EMR (or letterhead template).
    -   As a test: open a blank, brand-new, word document (not one with letterhead or other preset formatting)
        -   Click the "Copy" button is i-scribe
        -   #1: Paste into that word document
        -   #2: Paste into your EMR (or letterhead)
            -   If you see no formatting issues in #1, but, you do see formatting issues #2. Then it's likely the preset template settings in the EMR (or letterhead). 
- **These type of issues include:**
    - *My text always comes out a certain size?*
    - *My text is all bolded?*
    - *My text is all underlined?*
- **Adjust the preset settings:** Each software is different. However, in the example below, you can see an EMR interface and how you can adjust the default formatting settings in that software.
    -   In this EMR you can adjust the preset settings by: 
        -   Clicking "Settings"
        -   Clicking "Letter Templates"
        -   Select the three dots to the right of the Letter Template in question, click "Edit"
            -   Then you can change the default settings like font size, bolding, etc.

```image media="110"
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-   Your EMR may have different settings. However, that is the general idea about adjusting the preset template settings in an EMR (or in your letterhead) can improve formatting issues.