eTIPS

Did you know you can troubleshoot vSync functionality within a Dragon Medical Enterprise Network Edition installation?

INTENDED AUDIENCE: Enterprise Edition Administrators
LEVEL: INTERMEDIATE

vSync is the name of the system within Dragon Medical Enterprise Network Edition that provides “Full Text Control” to non-standard window. Full Text Control provides the ability to: Select text by voice and display the Correction menu, select from a list of alternative spellings and words, bring up the Spell dialog box, play the selection back, capitalize it, unselect it, or open the Corrections Options.  Alternatively, you can ignore the Correction menu and dictate something new to overwrite the selection with new text. 

When working with Full Text Control the Select and Say indicator light is GREEN.

When Full Text Control is not available the Select and Say indicator light is GRAY.

When the vSync environment stops working, issues will be noticed by the user community related to the ability to respond to correction commands and inconsistencies in capitalization and formatting may be noticed as well.

To determine if vSync is working:

1. Login to iSupport and search for solution: 14341 "Identify if vSync is working from Dragon log."
2. Use solution 14341 as a guide to review the dragon log.
3. If entries include instances of “Make Changes” that would indicate a vSync session.
4. Instances of “Global dictation” and “Transparent Windows Client” indicate we do not have a vSync session.

Understand why vSync isn’t working for this session

• Is vSync enabled in the NMC within the Dragon settings of the site details?
  
  


• Has the minitracker.exe been installed on the Citrix servers that host the dictation application? Minitracker is the dragon component that listens to for Dragon Clients connecting to the Citrix Server and opens an enhanced virtual audio session within the Citrix session.


• Has the REG key been added to improve performance on the citrix servers?
  
  To prevent Minidragon.exe and minidragonwatcher.exe from starting and stopping over and over when it cannot detect the vddgncompatibility.exe is installed on a client workstation. “EHRForceLogoff (REG_DWORD) and set to 1 under Regedit HKEY_LOCAL_MACHINE_Software\Nuance.
  
  
• Have the followed the required order of install been completed on the workstations in accordance with the DMENE 10 1 Dragon in a Citrix Environment Administrator Guide.pdf (available in iSupport by searching for solution: 14111 "Dragon Medical Enterprise Network Edition User's Guides")
• Citrix ICA Client or Citrix receiver.
• Then Dragon NE Client
• If the order was not followed correctly or the Citrix client has been updated the vddgncompatibility.dll will have been overwritten at the Citrix directory either "C:\Program Files (x86)\Citrix\ICA Client\" or "C:\Program Files\Citrix\ICA Client\ depending upon the OS installed.
  
  
  
  
• Resolving this means either going back through the install process or using the new vSync patch available in iSupport by searching for solution 14274: "What's new in Dragon Medical Software and can I Download the Current Version?" The version of the patch to be used depends upon the Hotfix level they currently have deployed in their environment.
  
  
• Following these procedures will help you identify and resolve critical issues regarding your Network Edition deployment.

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Did you know that you can change the way PRN is displayed within Dragon Network Edition?

INTENDED AUDIENCE: Network Edition Administrators
LEVEL: BEGINNER

PRN is a common abbreviation for when needed.  When using the Network Edition, the phrase PRN is automatically expanded to “when needed”. 

Click the play button on the following eTIPS Video icon to view a demonstration about how to change the way PRN is displayed in Dragon Medical Network Edition.

If you would like to modify this default behavior and not expand PRN, follow the steps outlined below:

1. Login to NMC and click User Accounts from the ribbon.
   
   
   
   
2. Click the Search User Accounts button.
   
   
   
   
3. Enter the desired account information and click the Search button.
   
   
   
   
4. Right click on the account and select User Account details.
   
   
   
   
   
5. Navigate to the user’s Dragon Settings tab and click the Customize rules button.
   
   
   


6. Navigate to the user’s Dragon Settings tab. 
7. Expand Auto-Formatting and then Miscellaneous.  Uncheck the selection Expand dosage abbreviations. 
8. Click the Save button.
   
   
   

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Did you know which network ports must be open on Clients, Servers, and Hardware Firewalls when deploying Dragon Medical Network Edition?

INTENDED AUDIENCE: Enterprise Edition Administrators
LEVEL: INTERMEDIATE

In most DMENE installations, the server or servers would be behind a firewall or load balancer. The following are ports that need to be opened on the firewall or forwarded through the load balancer.

NMS Server:
8731
8051
8010 - to connect to workstations with EditChoice
433 - to connect with the Nuance Update and License Server
80 - to connect with the Nuance Update and License Server
1433 - to connect to the NMS SQL database
808 - to connect to the Profile Optimizer Server

Profile Optimizer Server:
8001
905

Speech Node: 
8000

Master User Profiles Server:
80 - for user profiles on an HTTP web server
443 - for user profiles on an SSL web server

Dragon Medical client workstation:
80 - for user profiles on an HTTP web server
443 - for user profiles on an SSL web server
8051 - if the EditChoice feature is enabled on the workstation
8010- if the EditChoice feature is enabled on the workstation

NMS Server SQL Database:
1433 - if the NMS server and the NMS SQL databases are on different physical servers

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Did you know about the Dragon Medical eTIPS Video library?

INTENDED AUDIENCE:  All users
LEVEL: Basic

Since we began including eTIPS Videos in our Dragon Medical monthly eTIPS newsletter, we have collected quite a few. These eTIPS videos are easily accessed for viewing in iSupport. Simply login to iSupport and search for Solution 14418: eTIPS Video Library for Dragon Medical. This solution shows a list of all Dragon Medical eTIPS Videos currently available along with links to play them.

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What's New

For a complete listing of all updates for all released versions, login to iSupport and search for solution: 14274 "What's New in Dragon Medical Software and Can I download the current version?" If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

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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:

• 14409 Sample DMENE Client Batch File for MSI Installation
• 14120 eTIPS Newsletter Archive - Dragon Medical (reissued 6/27/11)
• 14402 Acoustic and Language Model Optimizer Scheduler not displaying some User Profiles (reissued 6/24/11)
• 14274 What's New in Dragon Medical Software and Can I download the current version? (reissued 6/22/11)
• 14281 Dragon Medical Nuance Link Medical Updates (reissued 6/20/11)
• 14401 Ports that need to be opened relative to load balancing
• 14400 Procedure to redirect DMENE to new SQL server and database locations
• 14396 DMENE Client "Server is unavailable" - [NAS] System.ServiceModel.Security.MessageSecurityException
• 14281 Dragon Medical Pipeline Message Updates (reissued 6/7/11)
• 14111 Dragon Medical Enterprise Network Edition User's Guides (reissued 6/9/11)
• 14392 COM returned an unexpected error code: Details are STG_E_SHAREVIOLATION
• 14356 Did you know that using Dragon to dictate into a Microsoft Remote Desktop Protocol (RDP) session creates special challenges? (reissued 6/3/11)

To see the details of any item on the above listing, simply log in to iSupport and search for the article number that precedes each item.

Getting Started with iSupport:
In order to use the full features of iSupport and/or to submit an online service request you need to be a registered iSupport member. Click Getting Started with iSupport - Dragon-Medical to see step-by-step instructions on how to register to become an iSupport member. You will also learn how to access and log into iSupport, configure your iSupport profile, search our knowledge base for solution, manuals and quick reference materials, and how to use iSupport to submit a request for service.

Optimize Your iSupport Profile
If you're already an iSupport subscriber, you may want to consider accessing the Getting Started with iSupport - Dragon Medical link above and view the instructions. There is valuable information which will help you optimize your iSupport User Profile, thereby enabling you to submit a service request in minimal time. You will also learn how to enable additional time-saving features, requested by our customers, on the iSupport home page.

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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

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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 Dictaphone Enterprise Speech Systems customer support.

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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.

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.

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