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Dragon Medical 360 | Network Edition &
Dragon Medical Practice Edition

eTIPS Logo

March 2012, Volume 4, Number 3

Greetings!

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

    eTIP 1: How to successfully add words to the Dragon vocabulary by following supported guidelines. (eTIPS video included)

    eTIP 2: How to train the Corrections Menu's "choose 1-9" to potentially correct recognition accuracy issues with these choices.

    eTIP 3: How previous installation media can be validated by the install shield when no CD / DVD drive is detected during an upgrade.

    eTIP 4: How the SQL Authentication Mode can be changed after the Dragon Medical 360 | Network Edition is installed.

IMPORTANT NOTICE: Nuance has rebranded many of its products to more clearly identify the product's main purpose in the name. The product name Dragon Medical has changed to more intuitive names "Dragon Medical 360 | Network Edition" and "Dragon Medical Practice Edition." A description of each product follows:

  • Dragon Medical 360 | Network Edition (DM360|NE): Real-time speech recognition and IT tools for hospitals and practices of 25 or more physicians that includes advanced IT management tools and Citrix® support.
  • Dragon Medical Practice Edition (DMPE): Real-time speech recognition designed for practices of 1 to 24 physicians.

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Click here to watch a brief video explaining "What to expect at Conversations Healthcare 2012."

Don't delay! Please take a moment and click the Register Now button to go directly to Nuance's Conversations Healthcare 2012 webpage where you can learn more and register immediately.

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CLU

Did you know Nuance Healthcare solutions allow you to capture the patient story in YOUR clinical workflow, systems, and processes in the manner you prefer – dictation, point and click, or speech recognition - on the device you choose – anytime, anywhere.

Click here to learn more about this revolutionary transformation.

 

eTIPSeTIPS

Did you know there are written/spoken form format guidelines for adding new words to the Dragon vocabulary?

Dragon Medical 360 | Network Edition and Dragon Medical Practice Edition permit the addition of words into the Dragon vocabularies. The following mechanisms are the most common ways to accomplish this:

  • Custom commands using lists
  • Adding word lists to vocabularies
  • Data Distribution Tool
  • Word Properties Dialog box in the Vocabulary Editor

The wordname is the format used to add words and consists of both a written form as well as a spoken form.  A wordname is of the form <written>\<spoken>.  The list below contains supported guidelines for formatting the wordname.

  • Backslash, Tab key, New line, and Carriage-return are forbidden in either field
  • Neither field can start or end with a space
  • 2+ contiguous spaces are not supported anywhere
  • Punctuation symbols and digits are forbidden from the spoken form with the exception of the single quote and the hyphen
  • All unprintable characters are forbidden in either field
  • Less than 5 contiguous punctuation symbols are supported
  • Total wordname characters must be less than 128 characters
  • Both written form and spoken form are limited to 30 characters each

Click the the play button on the following eTIPS video icon for a brief demonstration on how to Add Words to the Dragon Vocabulary.

eTIPS Video

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Did you know you can train the Correction Menu’s “choose 1-9” to potentially correct recognition accuracy issues with these choices?

When the Correction Menu is presented for misrecognitions, up to nine (9) potential recognition choices can be made available to the dictator in the form of "Choose 1" up to "Choose 9." Occasionally, the recognition accuracy of "Choose 1" up to "Choose 9" may need to be improved. These nine (9) "Choose" phrases can be trained in the following manner.

  1. Open the Dragon Medical user profile.
  2. On the DragonBar, click Tools>Command Browser.
  3. Click the Browse Mode, either under the Task Pane (left column) or the Mode menu option.
  4. Select Dragon Medical - Spell from the Context drop-down list.
  5. Click the Filter button to the right of the Context field and enter the filter string "Choose."
  6. "Choose one" through "Choose nine" will appear below.
  7. Highlight "Choose one" and click Train from either the Task Pane or the Browse menu option.
  8. Train this phrase three (3) times by saying or clicking Go each time. It may help to slightly change the inflection in your voice each time.

You can also click Train Later that will add these phrases to the Train List. When ready, click Train List.

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Did you know that during an upgrade, previous installation media can be validated by the install shield when no CD / DVD drive is detected?

The upgrade Install_Shield requires evidence of a previous installation, either by an existing installation installed on the workstation or by the original software CD / DVD media. If using the original software media, the CD or DVD media can be inserted when prompted for validation by the upgrade Install_Shield.

However, if the target workstation does not provide a CD / DVD media drive, a USB device (for example, a thumb or flash drive) can be used. In this case, the previous installation files would need to be manually copied to the USB device using the exact parent folder name. For example, Version 9 software would be copied under the parent folder named: "DNS_CD1" onto the USB device.  Whereas, Version 10 DVD media would be under "DNS10_DVD1."

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Do you know that the SQL Authentication Mode can be changed after the Dragon Medical 360 | Network Edition is installed?

If your SQL Administrator agrees that the SQL Authentication Mode requires changing after installation, refer to the procedure below.

NOTE: If Windows Authentication mode is selected during installation, the sa login is disabled and a password is assigned by setup. If the authentication mode is later changed to Mixed Mode, the sa login remains disabled.

Perform the following to change security authentication mode:

  1. In SQL Server Management Studio Object Explorer, right-click the server, and then click Properties.
  2. On the Security page, under Server authentication, select the new server authentication mode, and then click OK.
  3. In the SQL Server Management Studio dialog box, click OK to acknowledge the requirement to restart SQL Server.
  4. Schedule an appropriate time to restart the SQL Server. From SQL Server Management Studio, in Object Explorer, right-click your server, and then click Restart. If SQL Server Agent is running, it must also be restarted.

Please refer to the Microsoft® article below for additional detail:
http://msdn.microsoft.com/en-us/library/ms188670.aspx

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iSupportWhat's New

For a complete listing of all updates for all released versions, login to iSupport and search for solutions:

  • 14274: What's New in Dragon Medical 360 | Network Edition Software and can I Download the Current Version?
  • 14111: Dragon medical 360 | Network Edition User's Guides.
  • 14640: Dragon Medical Practice Edition - Download "Replacement" Software.
  • 14526: Dragon Medical Practice Edition User's Guides.

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:

  • 14111 Dragon Medical 360 | Network Edition User's Guides (reissued 3/19/12)
  • 14642 DMPE recognition delays resolved by changing process affinity/priority (reissued 3/7/12)
  • 14418 eTIPS Video Library for Dragon Medical (reissued 1/25/12)
  • 14120 eTIPS Newsletter Archive - Dragon Medical (reissued 1/25/12)
  • 14703 Did you know there is a solution for the Dragon Medical User Profile error: "The user/local cache files... be accessed"?
  • 14702 Did you know general recognition delays in Dragon Medical Practice Edition can be resolved by changing CPU Affinity and Processor Priority?
  • 14701 Did you know there is a solution for Text and Graphic Commands that are not functioning properly in published Citrix applications when using Dragon Medical Network Edition?
  • 14700 Did you know Dragon Medical has Voice Commands to Navigate within a document?

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 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 are already an iSupport subscriber, you may want to consider accessing the Getting Started with iSupport link, above, and view the instructions. There is valuable information that 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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Contacting Support

Dragon Medical 360 | Network Edition &
Dragon Medical Practice Edition
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 360 | Network Edition Support" or "Dragon Medical Practice Edition 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 Dragon Medical 360 | Network Edition and Dragon Medical Practice Edition customer support.

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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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