eTIPS
Did you know "hidden" mode allows you to continue dictating while looking up additional information about your patient?
If you find the need to switch applications or surf the web for additional information during the course of dictating a report, you can! Simply switch the speech recognition mode from normal to hidden, switch to the new application and continue dictating. Switch the mode back to normal mode to view the dictated content.
Click the play button on the following eTIPS video image for a demonstration about one of the key features of hidden mode dictation.

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Did you know Nuance recommends turning off Windows® Automatic updates on all servers and client workstations?
After you set up each physical server or workstation you plan to use in the network, be sure to turn off Windows Automatic Updates. You should be qualifying each update Windows sends by installing it first on a single test machine of the network and updating the other machines on the network only after you determine that it clearly will not disrupt the network.
Even if you have determined an update is not going to negatively affect the network, you still should install the update during off-hours and, if required, reboot each machine during those hours to ensure that requests to reboot do not disrupt the servers or client workstations during peak hours of dictation.
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Did you know Nuance's Anti-Virus recommendations for Dragon Medical 360 | Network Edition?
Nuance recommends anti-virus software on all Dragon Medical 360 | Network Edition servers and client workstations to protect the system from potential downtime due to viruses. However, be aware of the recommended restrictions.
You should exclude from the anti-virus scan any files found in the folders indicated below or with the extensions listed below:
On the NMS servers, Profile Optimization Server, and SQL Database Server:
- Nuance folder and all sub-folders
- Files with these extensions: DAT, DRA, ENH, INI, LCK, LOG, NWV, SIG, TXT, USR, VER, VOC, WAV
Dragon Medical Client Workstations (Windows 7, XP, and Vista):
- C:\Program Files\Nuance\ folder and all sub-folders
- C:\Program Data\Nuance\ folder and all sub-folders
- C:\<Windows user_ID>\AppData\ folder and all sub-folders
- C:\Documents and Settings\All Users\Application Data\Nuance folder and all sub-folders
- C:\Documents and Settings\Windows user_ID\Local Settings\Temp folder
- Files with these extensions: BD, BIN, DAT, DVC, ENH, GSB, GRM, GRX, INI, LCK, NWV, SIG, SVC, USR, VER, VOC, WAV, XML, LOG
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Did you know how much disk space to allocate for log files?
The Profile Optimizer Speech Node generates two log files for each ACO and LMO task it carries out:
- Dragon Log File - Dragon Medical SDK Client writes this file
- Speech Node service log file - Profile Optimizer services write these files
(You can view both the Dragon log files and the Speech Node service log files through the Nuance Management Console.)
The NMS Server generates one log file for each user:
- Windows communication foundation service log files.
The NMS Server stores up to the last 10 MB of logs generated, a maximum of 50 log files for the entire server, before purging the oldest files and replacing them with newer ones as it generates them.
The Dragon log and Speech Node service log files are generally between 3 and 5 KB each. The Profile Optimizer Server stores them for 30 days. Although the log files could be larger, they are stored in a zipped format and compressed very well. If you run an optimization process for every provider every day, have 500 providers, and every log were as large as 5 KB, all of those logs would still use only 2.5 MB of storage space, and in 30 days that would become 75 MB of storage space. After 30 days, the Profile Optimizer purges old log files, so the storage requirements do not grow substantially.
Storage space for all of these logs is relatively inconsequential; however, if you expand the number of providers in your organization, it is always best to take into account storage requirements for all generated files.
If you call Technical Support, you might be asked to provide any of these logs to help Nuance engineers work on any issues with your network.
To access your Dragon log files, refer to the Nuance Management Server Administration Guide.
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