During development we did a lot of testing in LibreEHR. The only real issue that we encountered was with using the Function keys to start and stop dictation. It seems as though there is something in LibreEHR that uses the function keys we had set for use with vScription. We are currently looking into finding a good keypress combination that can be used. In the meantime, you can start and stop dictation by clicking the Start Dictation button on the sidebar.