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Dragon® Medical

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December 2011, Volume 3, Number 12

Greetings!

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

    eTIP 1: How to navigate the Dragon Medical Correction Menu by using the right and left arrow keys.

    eTIP 2: How to access Nuance Healthcare's social media sites.

    eTIP 3: How to publish Windows Sound Recorder on Windows 2008 Server to make Sound Recorder available as a diagnostic tool for troubleshooting Dragon Medical audio problems.

    eTIP 4: How Dragon Medical can generate commands for HTML elements on a web page for users who are dictating into a web-based EHR.

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HEALTHCARE
QualityAnalytics

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On Tuesday, December 13th from 12:00 p.m. - 1:00 p.m. ET, you are invited to attend a webinar where you will discover how Nuance Healthcare QualityAnalytics enables hospitals and IDNs to leverage the power of Clinical Language Understanding (CLU) technology to gain actionable intelligence from your clinical narratives, helping your care teams focus on quality improvement. During this informative webinar you will learn the ways QualityAnalytics can help you…

  • Eliminate the need for manual chart review
  • Enhance patient care
  • Address operational efficiencies, and
  • Improve financial outcomes

Click here for additional information about the Nuance Healthcare QualityAnalytics webinar.

eTIPSeTIPS

Did you know that you can navigate the Correction menu by using the Right and Left Arrow keys?

While the Correction menu is open, you can press the Right or Left Arrow keys to select the next, previous word, or phrase to correct.

Click the play button on the following eTIPS Video icon to learn how to navigate the correction menu with the right and left arrow keys.

eTIPS Video

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Did you know Nuance Healthcare participates in many social media sites where you can get up-to-date information about our Products and our Company?

Click any of the following images to navigate to the related social media site you would like to view.

Nuance Healthcare - FacebookClick this image to navigate to the Nuance Healthcare - Facebook web page.

Nuance Healthcare - TwitterClick this image to navigate to the Nuance Healthcare -
Twitter web page.

Nuance Healthcare BlogClick this image to navigate to the Nuance Healthcare -
Blog, "For the Health of IT"

Nuance Healthcare - You TubeClick this image to navigate to the Nuance Healthcare -
You Tube site, "Save the Dr Note - Channel"

Nuance Healthcare - Linked INClick this image to navigate to the Nuance Healthcare -
Linked in web page.

eTIPS-eTIPS Newsletter RegistrationClick this image to navigate to the Nuance Healthcare
eTIPS Newsletter subscription page where you can learn about eTIPS, change your eTIPS subscriptions, or subscribe with a new email address.

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Did you know how to publish Windows Sound Recorder on Windows 2008 Server to make Sound Recorder available as a diagnostic tool for troubleshooting Dragon Medical audio problems?

Windows Sound Recorder is a useful tool in diagnosing audio problems involving Dragon Medical. For instance, if the Dragon Medical ASW (Audio Setup Wizard) cannot be initiated, or the input device (microphone) is simply not recording audio; Sound Recorder, on the workstation or server, can be used for troubleshooting.

There are existing iSupport articles that include Sound Recorder as a procedural step during troubleshooting input device detection and recording audio issues:

  • Solution 13029: Unable to complete the Audio Setup Wizard?
  • Solution 14263: Did you know the facts about resolving USB Device detection issues with Dragon Medical?

The specific purpose of this article is to make Sound Recorder available on Windows 2008 Server (including R2). This becomes especially useful within Citrix environments where the Dragon Medical client cannot complete the ASW or cannot record audio. Installing Sound Recorder on Windows 2008 Server and then publishing it within Citrix begins with these steps:

  1. On the Windows Task Bar, click Start>Control Panel>Programs and Features.
  2. Click the Turn Windows features on or off link on the left.
  3. In the Server Manager window, click Features>Add Features.
  4. Server Manager

  5. In the Add Features Wizard, enable the Desktop Experience check box and click Next.
  6. Add Feature Wizard

  7. A message will present stating that a server restart is required after the installation, click Install.
  8. The installation will complete and prompt for the server to be restarted, either restart the server now or restart later.
  9. Once the server is restarted and the installation succeeded, access Sound Recorder by clicking Start>All Programs>Accessories>Sound Recorder.

Please Note: A sound system (sound card) or USB microphone will be necessary on the Windows 2008 Server if Sound Recorder will be used locally. Otherwise, the Sound Recorder application can be published via Citrix from: C:\Windows\System32\SoundRecorder.exe

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Did you know Dragon Medical can generate commands for HTML elements on a web page for users who are dictating into a web-based EHR.

When using Dragon Medical to dictate into a web-based EHR available when the Enable HTML Support checkbox is enabled on the Options dialog of the Commands tab, Dragon will generate commands for the HTML elements on a web page. This option allows you to use spoken commands with the elements on the web page.

Nuance has recognized that when a web page contains a large number of HTML elements, users may experience a longer wait for a web page to display, lose the ability to dictate into areas of the web page, or experience the web page in a state where it will not respond. These symptoms are generally found when using an older version of Dragon Medical Enterprise Edition and Dragon Medical is generating commands for each and every element.

To alleviate these symptoms, enhancements have been made in the latest version of Dragon Medical Enterprise Edition (10.10.300.065) allowing Dragon to ignore a group or individual set of these HTML elements. Dragon Medical Enterprise Build 10.10.300.065 is available for download from iSupport by searching for:

  • Solution 14274: What's New in Dragon Medical Software and Can I download the current version?

In Dragon Medical Enterprise Edition version 10.10.300.065 you can set options to ignore certain HTML elements on a web page by modifying settings in the nssystem.ini file. Dragon can ignore the following elements as a group or individually:

  • Buttons
  • CheckBoxes
  • Select elements
  • ImageMaps
  • OnClick elements
  • Labels

To turn off HTML command generation for a group of HTML elements, perform the following:

  1. Exit the Dragon Medical application.
  2. Open the nssystem.ini file in a text editor (i.e. notepad). NOTE: The nssystem.ini file is located in one of the following folders:
    • In Windows XP: C:\Documents and Settings\All Users\Application Data\Nuance\NaturallySpeaking10
    • In Windows Vista and Windows 7: C:\ProgramData\Nuance\NaturallySpeaking10

    nssystem.ini

  3. Under [Settings], set the Ignore Multiple HTML Elements option to 1. See image above.
  4. Save the changes to the nssystem.ini file and close the text editor.
  5. Re-launch the Dragon Medical application.

To turn off HTML command generation for individual HTML elements, perform the following:

  1. Exit the Dragon Medical application.
  2. Open the nssystem.ini file in a text editor (i.e. notepad). NOTE: The nssystem.ini file is located in one of the following folders:
    • In Windows XP: C:\Documents and Settings\All Users\Application Data\Nuance\NaturallySpeaking10
    • In Windows Vista and Windows 7: C:\ProgramData\Nuance\NaturallySpeaking10

    nssystem.ini

  3. Under [Settings], set the Ignore Multiple HTML Elements option to 0. See image above.
  4. nssystem.ini

  5. Under [Settings], add one or more of the following variable settings:
    • For Button: Ignore HTML Button Elements=1
    • For CheckBox: Ignore HTML Elements=1
    • For Select: Ignore HTML Select Elements=1
    • For ImageMap: Ignore HTML ImageMap Elements=1
    • For OnClick: Ignore HTML OnClick Elements=1
    • For Label: Ignore HTML Label Elements=1
    • Note: If you do not set an option for an individual HTML element, the default setting is 0. This means that Dragon will automatically generate commands for the HTML element type.

  6. Save the changes to the nssystem.ini file and close the text editor.
  7. Re-launch the Dragon Medical application.

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What's New

iSupportFor 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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iSupportiSupport 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:

  • 14120 eTIPS Newsletter Archive - Dragon Medical (reissued 11/18/11)
  • 14577 How to completely uninstall Dragon Medical Practice Edition 11
  • 14575 WinTrust Error 1330
  • 14274 What's New in Dragon Medical Software and Can I download the current version? (reissued 11/16/11)
  • 14526 Dragon Medical Practice Edition User's Guides (reissued 11/9/11)

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

Conversations 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.
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to reply to this email with your comments or suggestions.

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click here
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Thank you for taking time out of your busy workday to allow us this opportunity to keep you informed about Nuance Healthcare Solutions Global Support Services.

Sincerely,
Nuance Healthcare Solutions Global Support Services
Nuance Communications, Inc.

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