Greetings!

Nuance is pleased to present you with this edition of eTIPS where you will find tips about:

eTIP 1: How Nuance pushes new medication updates to your Nuance Management Console (NMC) within Dragon Medical Network Edition (DMNE).

eTIP 2: How to access the Nuance Management console Help menu from the NMC console page.

eTIP 3: How to diagnose and repair Dragon using Natspeak Command Line Switches (includes eTIPS Video).

eTIP 4: The Architecture behind how Dragon Medical learns.

eTIPS

Did you know that Nuance pushes new medication updates to your Nuance Management Console (NMC) within Dragon Medical Network Edition (DMNE)?

INTENDED AUDIENCE:  Dragon Medical Administrators
Level: INTERMEDIATE

On an ongoing basis new medications are added to the marketplace.  These new medication present some challenges for providers using Dragon Medical.  Previously, the medication name needed to be manually added to the system which was a time consuming process. With the use of DMNE, periodic updates are pushed to your NMC via the “Nuance Pipeline.”  System Administrators are notified of the updates and can approve them to be added to the users within the Master User Profiles.

The process works as follows:

1. Login to the NMC application and click the Utilities tab.
   
   
   
   
2. From the Utilities Ribbon select the Messages icon
   
   .
   
   
3. When an update has been delivered, you will see a message “A new software update has been delivered to your Nuance Management Server.”  Before the package can be deployed you must approve.
   
   
   
   
4. On the Utilities ribbon, click the Approval icon.
   
   
   
   
5.   If you decide to deploy the package, click the Approve button.
   
   
   
   
6. Click the OK button to confirm that the package has been approved.
   
   
   
   
7. You can track the progress of the deployment by clicking the Profile Optimizer Tasks icon.
   
   
   

NOTE: For more information, login to iSupport and search for article 14281 "Dragon Medical pipeline Message Updates." Administrators are encouraged to add this article to their isupport quick links. iSupport articles, found in the quick links section on the home page, will allow you to receive automatic notification (via email) each time an article has been updated. If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started.

_______________back to top_______________

Did you know that you can access the Nuance Management console Help menu from the NMC console page?

This help file contains information on how to use and configure the Nuance Management Console to meet your medical organization needs. Here are the steps on how to access the Help file:

1. Open a browser window.
2. Navigate to the site: http://<IP address>/nmc/Client.xbap. Or, if you know the server name, use it's name instead of its IP address: http://<servername>/nmc/Client.xbap
3. When the Nuance Management Console log on box appears, enter admin as the user name and password as the password, then click Log in. (You should change the password before you exit the NMC Console.)
4. The Home page appears. This page displays links to the various features of the server:
5. Click on the “?” icon, located on the upper right corner, which will bring up the Nuance Management Console Help menu.
   
   

_______________back to top_______________

Did you know that you can diagnose and repair Dragon using Natspeak Command Line Switches? 

INTENDED AUDIENCE: ALL USERS
LEVEL: ADVANCED

Dragon program files can at times become damaged resulting in either running a Repair from the CD or a complete uninstall/reinstall. Before resulting to either of these time consuming tasks, you can attempt to diagnose and fix damaged Dragon program files using command line switches for natspeak.exe.

Click the play button on the following eTIPS video to see a brief demonstration about using the command line fixes.

To Diagnose:

1. Open a Command prompt and navigate to the "C:\Program Files\Nuance\NaturallySpeaking10\Program" subdirectory.
   
   
2. Type in: natspeak.exe /diagnose
   
   
3. The results will be written to the dragon.log file which is located in "C:\Documents and Settings\<windows user>\Application Data\Nuance\NaturallySpeaking10 subdirectory.
   
   
4. Double click the dragon.log file and scroll to the bottom of the file.  The log will display a complete list of each Dragon program file dll and ocx files and whether it passed or failed.

Example: "File C:\PROGRA~1\Nuance\NATURA~1\Program\dd10hook.dll passes check."

To Fix:

1. Open a Command prompt and Navigate to the "C:\Program Files\Nuance\NaturallySpeaking10\Program" directory.
   
   
2. Type in: natspeak.exe /fixguids
   
   
3. This will re-register all Dragon program file files.

NOTE: If the above command line attempts for diagnosing or fixing a damaged Dragon install fails, continue to either Repair or Uninstall/Reinstall the software using Windows Control Panel and the Dragon Software Media.

_______________back to top_______________

Did you know the Architecture behind how Dragon Medical learns?

Dragon Medical actualizes multiple architectural components to achieve the best possible speech recognition accuracy for each user.  Dragon Medical is constantly improving the user's experience through continual learning.  Here are some of the ways that Dragon Medical aggressively promotes an environment that learns, in order to optimize speech recognition accuracy.

Dragon Medical Installation

• Dragon Medical Install Shield analyzes available computer resources and adjusts the Dragon configuration (NLP settings) to consume resources appropriately

Initial Enrollment

• ASW (Audio Setup Wizard) calibrates microphone sensitivity for each user, input device, computer hardware/software relating to sound systems, and ambient acoustic environment.
  
  
• User Enrollment (No/Short/Special) presents user training scripts read aloud during user profile creation in order to build the user's initial speech model.
  
  
• Available Accent Models are offered to increase accuracy.
  
  
• Recognition Computation (Accuracy vs. Speed option setting) is initially set when each user profile is created, based on system resources.  

Online Adaptation

• Channel Normalization automatically adjusts for the user's acoustic environment at the beginning of each dictation session.
  
  
• Real-Time Adaption (OUFA) continually adjusts the user's acoustic model.
  
  
• Correction menu.
  
  
• Spell and Train Word dialogs.
  
  
• Add word/phrase using the Vocabulary Editor.

Offline Adaptation

• Scheduled Acoustic and Language Model Optimization (ACO/LMO).
  
  
• Regional Accent Tuning feature can assign certain Accent Models during (ACO) to increase accuracy if an Accent Model was not previously selected during profile creation.

Optional Adaptation

• User adjustments:
  
  
  • Change vocabulary word properties through the Dragon Vocabulary Editor.
    
    
  • Add/edit custom commands through the Dragon Command Browser.
    
    
• Read additional Training Scripts.
  
  
• Vocabulary Optimization can add words from a list or from documents and e-mail.
  
  
• Run ACO/LMO manually.

back to top

For a complete listing of all updates for all released versions, login to iSupport and search for Solution #13033 What is the current version of Dragon Medical and what is new/changed in the version? or for Solution #14110 What is the current version of Dragon Medical Enterprise Network Edition and what is new/changed in the version?. If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

back to top

iSupport is a Proven Timesaver

iSupport is an Internet based support site where you can search our dynamic knowledge base for answers to your questions, access our library of operational manuals and quick reference guides, view the latest product enhancements, and submit online requests for service.

iSupport Knowledge Base Content Update:
A number of important knowledge base articles have been added or reissued with updated information to iSupport, as follows:

• 12890 Dragon Medical User's Guides (reissued 4/1/11)
• 13033 What is the current version of Dragon Medical and what is new/changed in the version? (reissued 4/1/11)
• 14111 Dragon Medical Enterprise Network Edition User's Guides (reissued 4/1/11)
• 14274 Can I download the current version of Dragon Medical software? (reissued 4/1/11)
• 14110 What is the current version of Dragon Medical Enterprise Network Edition and what is new/changed in the version? (reissued 4/1/11)
• 14281 Dragon Medical Pipeline Message Updates
• 14304 Did you know that you can push out global options, administrative settings, and formatting for Dragon Medical Network Edition without the need to set each user profile or group settings within the Dragon Medical Nuance Management Console?
• 14302 Did you know that you can add multiple dictation sources to your Dragon Medical Network Edition user profile?
• 14301 Did you know, after installing Adobe Reader X, you may get errors "Sendkeys_Cancelled" or "HOOKERR_NONOTIFY" when using select and say commands within Dragon or while correcting words?
• 14300 Did you know that applications published within Citrix use the "clipboard" in order to "transfer text" from the Dictation Box?
• 14299 Diagnosing and Repairing Dragon using Natspeak Command Line Switches
• 14120 eTIPS Newsletter Archive - Dragon Medical (reissued 3/24/11)
• 14293 Roaming Profile Error: "An error occurred while saving or copying user files"
• 14291 DMENE vSync MiniTracker Install Message "Dragon Medical Enterprise EHR Synchronizer cannot be installed"
• 14107 DMNE Disconnected Mode vs. Offline Mode (reissued 3/16/11)
• 14286 PowerMic II Disrupts Computer Boot Process

Conversations Healthcare 2012

Hold the date for Conversations Healthcare 2012!

Please join Nuance Healthcare for our user conference, Conversations Healthcare 2012, which will be held at the ARIA Resort & Casino in Las Vegas, Nevada, April 22 - 25, 2012.

The event is exclusively for the users of Nuance Healthcare products such as Dictaphone Enterprise Speech System (DESS), Dragon Medical, eScription, iChart, Nuance Transcription Services, PowerScribe, RadCube, RadPort, and Veriphy. We will continue to update you as information becomes available at www.conversations2012.com

back to top

Contacting Support

Dragon Medical customers who have an active maintenance contract with Nuance are serviced by a dedicated Healthcare Support team available 24x7x365.

Nuance Healthcare Technical Support
This organization can offer assistance via remote on-line connectivity to your systems. It's available toll-free at 800 833-7776 via our "Say Anything" menu. So Say, "Dragon Medical Support" at the prompt.

Or save the call and access Nuance Healthcare's Support Center through our iSupport, internet-based website at https://isupport.nuance.com. If you are not an iSupport subscriber click here to learn more about iSupport and how you may get started.

Click here to navigate to the Nuance Technical Support website for additional details on contacting Veriphy customer support.

back to top

Nuance Welcomes Your Feedback

We are very much interested in your feedback regarding this eTIPS newsletter.
Click here to reply to this email with your comments or suggestions.

If you have any questions regarding the eTIPS content above, please reach out to your account manager for assistance.

We would love to hear your ideas for future eTIPS newsletters. If you have an idea, suggestion or an article you would like included in our eTIPS newsletter, click here to email your idea to our eTIPS editor.

back to top