eTIPS

Did you know you can control the closing, resizing, and switching of windows by using Dragon voice commands?

Use the following voice commands to control the size of the active window:

• Maximize Window to enlarge the active window to the full size of your monitor.
• Minimize Window to minimize the active window to a taskbar icon.
• Restore Window to return a maximized window to its original size.

Use the following voice commands to switch between windows:

• Switch to Previous Window to switch back to the most recently active window.
• Switch to Next Window to move forward to the next window in the sequence of open windows.
• Switch to, followed by the program or document name, to switch to a specific window housing the application or document. For example, "Switch to Microsoft Word."

Use the following voice command to close the active window:

• Close Window to close the active window.

Click the play button on the following eTIPS video image to view a demonstration about how to control windows with Dragon voice commands.

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Did you know Dragon Medical Practice Edition 2.0 provides a new tool to package support data when troubleshooting?

DMPE 2.0 (Dragon Medical Practice Edition 2.0) includes a new utility called the Dragon Support Packager, which can automatically package important Dragon files on the workstation, when required for review by the Dragon Medical Technical Support team when troubleshooting an issue. This utility allows a user to easily provide this information without needing to manually gather multiple files from different locations on their computer.

This tool is available directly from the Windows Start menu and does not require that Dragon be running in order to gather this information.

To use the Dragon Support Packager:

1. Click Start>Programs>Dragon Medical Practice Edition>Dragon Medical Practice Edition Tools>Gather Files for Support to launch the Dragon Support Packager utility.
2. Select the User Profile to investigate.



3. Click the Proceed button.
   Note: If only a single profile or no profiles currently exist, this utility will automatically execute the Proceed function and move to the next step.
4. Specify a location to save the Dragon Support Package.
   Note: Saving to the Windows Desktop is recommended.
5. Click the Save button. The utility will automatically gather the required information and compress the collected files into a single file.
   Note: The compressed file format includes a created date/time stamp:
   DragonSupportPackage_YYYYMMDD_HHMM.dgnarc
6. When the process is complete, click the Finished button.



7. Locate the file in the location specified in Step 4.
8. Open a Nuance service request and attach the "*.dgnarc" file for review by Technical Support.

This Dragon Support Package (.dgnarc file) is encrypted and the contents cannot be viewed without using a proprietary Nuance utility.  The gathered support data includes log files, .ini files, and dump files. While certain user profile information is included, no Protected Health Information (patient audio or recognized text) is gathered.

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Did you know that Dragon Medical Practice Edition 2.0 improves recognition accuracy by maximizing resources on computers with multiple processor cores?

In general, when a Dragon Medical User Profile is created, a speech model is associated to: a Dragon Medical vocabulary, an accent model if applicable, the dictation source (microphone) acoustic model, and the available computer resources. The speech model includes an acoustic model that will be adapted to a provider's particular voice. An acoustic model is a statistical representation of the sound patterns that make up individual words. Dragon Medical modifies the acoustic model to reflect the provider's particular voice: during initial product training (General Training), when corrections are made, when individual words are trained, and after supplemental training.

Speech Models

On computers with two (2) or more processors and at least 4 GB of RAM, DMPE 2.0 automatically selects the BestMatch V speech model when creating a User Profile. The BestMatch V speech model provides the highest recognition accuracy by performing two (2) recognition passes in parallel. BestMatch V models are recommended for 64-bit computers only. There may be conditions where BestMatch V is selected by Dragon on 32-bit computers with under 4 GB RAM.

DMPE 2.0 also provides speech models for:

• Bluetooth 8KHz BestMatch V
• Enhanced 16 kHz Bluetooth BestMatch V

  Note: If the dongle/adapter of a certified wideband (16 kHz) Bluetooth microphone (such as the Plantronics “Calisto II” BT-300) is plugged into a USB port on the computer before DMPE 2.0 is opened, the list of audio sources on the DMPE 2.0 Profile Creation wizard (and the New Dictation Source dialog box) will contain the option “Enhanced Bluetooth.”

  For a list of fully supported Bluetooth microphones, please see http://support.nuance.com/compatibility/.

Acoustic Models

On computers that meet certain system requirements, DMPE 2.0 uses two (2) acoustic models with a User Profile. Using two (2) acoustic models instead of one (1) improves recognition and dictation accuracy. Acoustic models that can be added in pairs to a User Profile are called BestMatch V acoustic models.

Any time a new dictation source (microphone) is added to a User Profile that uses two (2) BestMatch V models, the dictation source will also be associated with the two acoustic models. A User Profile with two (2) BestMatch V models uses more computer resources, including RAM memory, than a User Profile with one (1) acoustic model.

DMPE 2.0 uses two (2) BestMatch IV models on a multi-core computer with at least 2 GB RAM. During installation, DMPE 2.0 recognizes when it is installed on a computer that meets these system requirements and selects the BestMatch IV acoustic model as the default.

Acoustic and Language Model Optimizer (ACO)

If a User Profile includes BestMatch V models, Dragon must run the Acoustic and Language Model Optimizer (ACO) on a computer with multi-core processors.

If the ACO processes a User Profile that was created on a computer with multi-core processors, the optimizer always selects the BestMatch V models to optimize.

Mixing Single and Multi-core Computers

If a User Profile created on a multi-core computer is opened on a single-core computer, DMPE 2.0 uses the first acoustic model for recognition and does not load the second acoustic model.

If a User Profile created on a single-core computer is opened on a multi-core computer, DMPE 2.0 uses the single acoustic model for recognition.

If a User Profile is assigned BestMatch V models and trains the profile on a multi-core computer, when the User Profile is opened on a single-core computer, Dragon presents the following warning message:

Your computer has a single core processor. You have opened a User Profile created on a computer with a multi-core processor. Dragon NaturallySpeaking will work normally on this computer but you may see some change in performance and accuracy.

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Did you know about profile sizing increases for Dragon Medical Practice Edition 2.0?

The profile sizing requirements for DMPE 2.0 (Dragon Medical Practice Edition 2.0) have increased. If Dragon assigns BestMatch IV and BestMatch V acoustic models during new user creation on a multi-core computer, a pair of (2) acoustic models for each dictation source (microphone) are now used to improve recognition accuracy. The BestMatch IV and BestMatch V acoustic models are double the size (70 MB) of the older single BestMatch III acoustic model.

As well, when a User Profile is upgraded to DMNE 2.0, the Acoustic Optimizer processes the acoustic data (.dra files). The processed .dra files are larger than the original .dra files.

Therefore, for each Master Roaming User Profile stored on the central networked computer, the space requirement would be:

• 55 MB for each Roaming User Profile
• 18 MB for each additional vocabulary you add for this User Profile
• 70 MB for each additional dictation source you add for this User Profile
• 1000 MB for Acoustic Optimizer data associated with each dictation source of each User Profile

In addition, for the Local Roaming User Profile on each computer where the provider dictates, the space requirement would be:

• 55 MB for each Roaming User Profile
• 18 MB for each additional vocabulary added for this User Profile
• 70 MB for each additional dictation source added for this User Profile
• 240 MB for acoustic optimizer data associated with each dictation source of each User Profile

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What's New

Dragon Medical Practice Edition 2.0 (DMPE 2.0) has been shipping throughout July 2013, at no charge, to entitled customers with valid maintenance contracts. Please review the information below for answers to questions on upgrading Dragon Medical as well as content on new features in DMPE 2.0.

• The DMPE 2.0 product is offered for Dragon Medical customers with less than 25 providers.
• DMPE 2.0 has been released as version 12 (build 12.50.350.022).

Upgrading to DMPE 2.0

• DMPE version 11 serial numbers will not upgrade to DMPE 2.0. A new DMPE 2.0 serial number is required.
• Entitled customers with a valid maintenance contract who currently possess the DMPE version 11 product will receive, at no charge, a DMPE 2.0 upgrade. The upgrade package includes DMPE 2.0 software DVD media and a new DMPE 2.0 serial number.
• This DMPE2 upgrade will automatically ship throughout the month of July, 2013. Any customers who have not received their upgrade by August should contact their Dragon Medical reseller (VAR).
• Non-entitled customers who do not have a valid maintenance contract can purchase the DMPE 2.0 upgrade through their Dragon Medical reseller (VAR).
• Customers needing to locate a VAR should contact David DaPonte at Nuance: david.daponte@nuance.com, 865-588-5098.
• Customers interested in purchasing a Dragon Medical maintenance contract should contact their reseller (VAR), or call the Nuance Maintenance Contract Team at 800.228.1210 and say "contracts" when prompted.
• For general non-technical questions, contact the Nuance Customer Account Management Center (CAMC) at 800.339.7683 and say "customer account management" when prompted.

Please see the DMPE 2.0 Release Note, available by logging in to iSupport and searching for solution 16018 Dragon Medical Practice Edition 2.0 Product Release, for additional content on the following topics:

• New Features in DMPE 2.0, including support for Windows 8, Internet Explorer 10, and Microsoft® Office 2013
• Preparation for installation of, or upgrading to

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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:

• 15913 Dragon Medical 360 | Direct Release Notes (reissued 7/18/13)
• 15920 Dragon Tool Suite (reissued 7/15/13)
• 14120 eTIPS Newsletter Archive - Dragon Medical 360 | Network Edition & Dragon Medical Practice Edition (reissued 7/11/13)
• 14111 Dragon Medical 360 | Network Edition User's Guides (reissued 7/11/13)
• 14274 What's New in Dragon Medical 360 | Network Edition or Enterprise Edition Software and Can I Download the Current Version? (reissued 7/11/13)
• 15982 Allocating disk space for log files
• 15981 Anti-Virus recommendations for Dragon Medical 360 | Network Edition
• 15980 Nuance recommends to turn off Windows Automatic updates on all servers and client workstations
• 15979 Using the "hidden" mode to continue dictating while looking up additional information about a patient
• 14955 Dragon Medical support for EPIC 2012 (reissued 7/3/13)
• 15963 Information on the Dragon Support Packager Feature available In Dragon Medical Practice Edition 2.0
• 15962 Different recognition modes and how to switch between them using voice commands
• 15961 Inserting special characters into your report by using your voice
• 15960 Voice editing commands that enable you to edit your report content
• 15215 DM360NE SSO logoff script solution to terminate Dragon processes (reissued 6/25/13)
• 15938 Using voice commands to quickly select and correct a word, phrase, paragraph, or entire document
• 15937 Using the "Spell" and "Spell That" voice commands to quickly make corrections to your document
• 14640 Dragon Medical Practice Edition – Download "Replacement" Software (reissued 6/20/13)
• 14274 What's New in Dragon Medical 360 | Network Edition or Enterprise Edition Software and Can I Download the Current Version? (reissued 6/20/13)

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
Registered iSupport members are able to use the full features of iSupport and submit online service requests. Click Getting Started with iSupport to see 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 solutions, 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 timesaving features, requested by our customers, on the iSupport home page.

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Contacting Support

A dedicated Healthcare Support team available 24x7x365 services DM360 | Network Edition & DMPE customers who have an active maintenance contract with Nuance.

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" at the prompt.

On the other hand, 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 iSupport Timesaver for information about how you may get started.

Additional information about how to contact Nuance's Dragon Medical 360 | Network Edition customer support team is available at Nuance's Technical Support website at:

http://www.nuance.com/support/dragon-medical/

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