eTIPS

Did you know there is a new automatic backup and restoration process for User Profiles in the Dragon Medical Network Edition Service Pack 1 release?

INTENDED AUDIENCE: Network Edition Administrators
LEVEL: INTERMEDIATE

The Profile Optimizer now automatically creates backups of your Master User Profiles and stores them on the Master User Profile Server. The Profile Optimizer uses this backup to automatically restore a profile that it determines has become defective.

Each time one of its Speech Nodes starts a Language Model Optimization (LMO) of a user profile, the Profile Optimizer checks to see if the profile is still valid, if it finds any defect, it replaces the profile using the last known good backup copy of the profile. As you can imagine, because of this checking before an LMO, the more often you schedule an LMO process on a provider's profile, the more likely that the profile the provider is using at any given time is valid and defect-free.

Not only can the Profile Optimizer replace a defective profile, but you can also choose to restore the last known good user profile for a provider. You might need to take this action if one of these two situations occurs:

• You receive a message in the Message utility of the NMC Console indicating the profile is defective.
• A provider reports having difficulty opening the profile.

Click the play button on the following eTiPS Video icon to see a brief demonstration on how to restore a user profile.

To quickly restore the profile, perform the following:

1. Login to the NMC Console and open the User Account ribbon.
2. Click the Search User Accounts icon and search for the Dragon Medical Author user accounts.
3. When the list of user accounts appears, right click on the one profile you want to restore and click User Account Details for the provider.
4. Next, click the User Profile tab and look for a button labeled Restore Last Known Good User Profile near the bottom of the page.

   

5. When the Restore confirmation dialog box appears, click Yes.

   

6. In the Messages utility, you receive messages indicating that you initiated a profile restoration, that the restoration started, and finally that the restoration is complete.

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Did you know the Dragon Medical Enterprise Edition can be configured to automatically backup the Roaming Profile?

INTENDED AUDIENCE: Enterprise Edition Administrators
LEVEL: INTERMEDIATE

Roaming Profiles in Dragon Medical Enterprise (non-Network) Edition where Dragon Medical can be configured to automate the backup of Roaming Profiles. Historically, Dragon Medical does offer an automated Backup capability for Local Profiles through the Dragon Manage Users window, but not for Roaming Profiles.

This added capability was confirmed in Dragon Medical Enterprise, version 10.10.300.021, by simply using the Dragon Backup capability for Local Profiles that already exist.

The following step-by-step instructions will guide you through the steps to setup an automated backup process for Roaming Profiles.

1. Open Dragon Medical on the workstation and click Dragon>Tools>Administrative Settings>Scheduled Tasks tab.
2. Enter a Directory path (other than the default) for the "Backup Location For User Files" setting. This can be either a local or network location.
3. Click Apply and OK.
4. Verify that the User Options for each user profile are set to:
   • Automatically Save User Files (at user close), which is found under Tools>Options>Miscellaneous tab.
   • Automatically Back up User Files Every ____ Saves (default = 5), which is found under Tools>Options>Data tab. You can set the Backup frequency to "1" and verify Backup is occurring.

Please note:

• This setting is computer-dependent and will backup the locally-cached profile only.
• When restoring this backup, DRA files normally stored in the Roaming Profile for optimization may not be available.
• Even with this added Backup capability, Roaming Profile restoration is still a manual operation.
• Network bandwidth consumption should be considered when configuring any Backup scenario.
• Nuance continues to recommend the Backup of the Roaming Profiles directory by IT or a System Administrator.

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Did you know the Dragon Medical Enterprise Network Edition (DMENE) client software can be pushed out remotely via MSI using the batch file below?

INTENDED AUDIENCE: Enterprise Edition Administrators
LEVEL: ADVANCED

This article presents a simple batch file that can be used to remotely install the Dragon Medical Enterprise Network Edition (DMENE) client software via an MSI push installation.

This is provided as a sample batch file and as a guide. See the notes below for guidelines as to how each customer will need to modify their own respective installation batch file.

The DMNE client software consists the of VCRuntime and Dragon Medical applications. Both applications are installed via the DMNE_install.bat batch file presented below. The first lines of the batch file, following ECHO ON, installs the VCRuntime component. There is a PAUSE statement between the VCRuntime and Dragon Medical install lines for debugging purposes. This should be removed once the batch file is running successfully.

DMNE_install.bat file contents: (Content is highlighted in black to let you see where a space is needed when the line breaks.)

Please Note:

• Before running the install batch file, use command line options (below) to modify the Dragon Medical User Options and Formatting Options from an existing DMNE Client. These setting values are stored in the Dragon nsdefault.ini file which is then accessed in the above install batch file.
  • natspeak /SetDefaultOptions
  • natspeak /SetDefaultFormattings
• This batch file assumes the software media is located on the local computer desktop, and therefore the path will need to be modified for each customer's  shared network location.
• The above VCRuntime install assumes 32-bit environment (vcruntime.exe), otherwise use the vcruntime_x64.exe file for 64-bit.
• Modify SERIALNUMBER=A709A- xxx-xxxx-xxxx-xx with the customer's serial number.
• Modify NAS_ADDRESS=  for the correct default IP address of the Nuance Management Server (NMS).
• References to the roaminguserini file are removed for the DMNE (Network Edition) product as the master profile information is now pulled down from the NMS server.
• Make sure to close any Microsoft products before launching the Dragon installation.
• Verbose installation logging is enabled. Verify the log file folder path exists before running the installation. Review the log file for troubleshooting.

For more information and to access a copy of the batch file, login to iSupport and search for solutions:

• 14409: Sample DMENE Client Batch File for MSI Installation.
• 12890: Dragon Medical User's Guides. in the Version 10.1 section, click the L-3156-003 link to open the "Installation and Administration Guide." Refer to Chapter 3 - "Installing Dragon Medical Using the Windows MSI Installer.

If you are not an iSupport subscriber, click iSupport Timesaver to for more information on how to get started.

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What's New

Dragon Medical Enterprise Network Edition Hot Fix 7 has been released. If you are running Dragon Medical Enterprise Network Edition with Hot Fix 4, 6, or Service Pack 1, you can install Hot Fix 7 to update the Dragon Client and vSync on a Citrix Server. Hot Fix 7 includes all fixes from Hot Fix 1 to Hot Fix 6 inclusive. Highlighted features of Hot Fix 7 are listed below.

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.

Highlighted Features of Hot Fix 7:

• Dragon uses a new graphic to notify users if the connection speed between itself and the Citrix server slows down and may impact dictation performance. The new graphic appears in the system tray area of the screen.
• Basic Dictation Control  into an unsupported edit control is now the same in both local and Citrix hosted applications. Users can expect the same functionality and user experience when they dictate into an unsupported control through a local or vSync connection.
• Dragon users in a vSync group can now enable or disable the vSync feature on a local workstation.
• Text insertion into a published application on a Citrix server now occurs at the same speed as text insertion into an application on the Dragon client computer.
• Dragon does not insert text into the protected control or area. Dragon preserves the current position of the cursor and the current text insertion points. Note the following behavior:
  • If the user starts dictating into a protected control, and the user moves the cursor, Dragon moves the cursor back to where it was when the user started dictating.
  • If a user is dictating into a protected area in an application that is published from a Citrix server, the cursor does not jump and Dragon does not insert text into the protected area. Dragon moves the cursor back to where it was when the user started dictating.
• Administrators can now receive notification when a Dragon client cannot establish a vSync connection to a Citrix server. Administrators can use a vSync timeout notification tool, a stand-alone command line tool, to receive notifications when network issues cause vSync to timeout. The notifications contain information about the number of users in a site that experienced vSync timeouts and the names of those users.
• Dragon processes the correct information when multiple instances of the Dragon custom virtual channel are open. When it receives a value from a Dragon custom virtual channel, the Citrix Window Manager determines which virtual channel connection the value is for.
• Dragon users can dictate as expected into a pdf file that is open in Adobe Acrobat Reader version X.

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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:

• 12992 How to completely uninstall Dragon NaturallySpeaking 10 (reissued 7/29/11)
• 14418 eTIPS Video Library for Dragon Medical (reissued 7/22/11)
• 14120 eTIPS Newsletter Archive - Dragon Medical (reissued 7/21/11)
• 14428 Automated Backup for Dragon Roaming Profiles Now Available External
• 14427 PowerShell Scripts to audit Network Edition Installation

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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Click here to reply to this email with your comments or suggestions.

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click here to email your idea to our eTIPS editor.

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