eTIPS
Did you know about the new Dragon Medical ERROR Matrix?
A new iSupport resource called the Dragon Medical ERROR Matrix is available through iSupport solution 16543 and is designed to assist our Dragon Medical customers with more quickly identifying errors and their solutions. This is accomplished by providing a single source of searchable information through the ERROR Matrix and its expandable tables. Currently, there are two (2) expandable tables:
- General ERRORS table - containing errors not related to profile corruption or recognition accuracy issues
- Profile Corruption ERRORS table
- (With a third planned table in the future for recognition accuracy issues)
Click the play button on the following eTIPS video image for a brief demonstration on how to use the new Dragon Medical ERROR Matrix.

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16543: The Dragon Medical ERROR Matrix.
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Did you know how to add an additional Dictation Source in Dragon Medical?
A user can add a variety of Dictation Sources or input devices (microphones, headsets, smartphones, and portable recording devices) to a single user profile. This is beneficial for example when different Dictation Sources are needed for compound workflows, multiple computers in a roaming environment, or personal preferences.
User Profile Components
Before using Dragon Medical, a set of user files must be created to construct the user profile. The three (3) main components of a user profile are:
- Vocabulary(s)
A collection of the majority of words recognized by Dragon Medical including custom words and phrases.
- Acoustic Model(s)
A statistical representation of sound patterns comprising individual words. Dragon Medical modifies the acoustic model to reflect each user's particular voice during initial product training (General Training), when corrections are made, when training individual words, and when performing supplemental training.
A separate Acoustic Model is created for each Dictation Source added to the user profile.
- Language Model
Contains usage and statistical information about vocabulary words for predicting which words are most likely to occur in the context of the user's speech.
Dictation Sources
In general, the Dictation Source is referred to as the type of device into which you will be speaking (input device or microphone). The most common choice is a headset microphone plugged into the Mic-in jack of the computer's sound card. The audio quality from between different dictation sources can vary greatly. So, it is very important that the proper Dictation Source type is selected during the Dragon Medical New User Wizard and Audio Setup Wizard.
Here is a list of the Dictation Source types listed by Dragon Medical when creating a user profile or adding a Dictation Source. Note, not all Dictation Source types listed below are available on older versions of Dragon Medical software.
- Microphone plugged into Mic-In jack (most common)
- Microphone plugged into Line-In jack
- Desktop array microphone plugged into Mic-In jack
- Desktop array microphone plugged into Line-In jack
- Andrea Superbeam array microphone
- USB Microphone
- Desktop array USB microphone
- BlueTooth Microphone
- PowerMic Microphone
- Recording device plugged unto Line-In jack
- Digital recorder using sound files (.wav, .mp3, .wma) on disk
- Dragon Remote Microphone Application - mobile device used as a wireless microphone.
- Handheld or smartphone with recording application - handheld device or smartphone dictating to a separate recording application and then connecting to a computer through a USB port.
If you have multiple input devices (microphones, headsets, recorders), it may be necessary to setup an additional user profile rather than adding an additional Dictation Source. Here are some guidelines:
- A Dictation Source type can only be assigned once to a user profile. Once it is assigned to a specific user profile, that Dictation Source is removed from the list of available Dictation Sources and cannot be added as an additional Dictation Source to that same user profile. Therefore, if attempting to add the same Dictation Source type, it is necessary to create a second Dragon user profile. For example, if the first device is a Olympus Digital Recorder and the second device is a Philips Digital Recorder, it would be necessary to create a separate Dragon user profile for each Dictation Source since the Dictation Source type is the same (Digital Audio Recorder) for both recorders.
- If the Dictation Source type is different, an additional Dictation Source can be created for that same user profile. For example, if the first device is a USB SpeechMike microphone and the second device is a Philips Digital Recorder, then the USB Microphone and Digital recorder types would be used to create two (2) separate Dictation Sources for the same existing user profile.
- Depending on the Dictation Source type being added, additional training may be necessary to ensure accurate voice recognition.
Benefit of Additional Dictation Sources
By adding an additional Dictation Source to an existing user profile, the Dictation Sources will use the same vocabulary. Therefore, any vocabulary changes and accuracy improvements performed will be accessible by both Dictation Sources. If a new user profile is created, the vocabularies remain separate.
Procedure to Add an Additional Dictation Source:
- From the DragonBar, open the Open User Profile window.
- Select an existing user profile for which an additional Dictation Source should be created.
- Click the Source button and then click New. This displays the New Dictation Source dialog box.

- Select a new input device from the list of Dictation Source types on the New Dictation Source dialog box.

- Click OK, returning to the Open User Profile dialog box.
- Select the user with the new Dictation Source and click Open.
- Follow the instructions in the Audio Setup Wizard to configure the new Dictation Source.
- Once completed, open the user profile with the new Dictation Source and begin dictating.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16541: Adding an Additional Dictation Source in Dragon Medical.
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Did you know how to determine if PowerMic Microphones require repair?
When a provider experiences trouble using their PowerMic microphone or is presented with a message stating that their PowerMic microphone is disconnected, the problem may not be with the microphone itself.
For Dragon Medical customers with a PowerMic that is inoperable and suspect it needs repair, please follow the basic steps below to assist in isolating their PowerMic as the actual source of the problem:
- In the Dragon Medical Open User window, ensure the correct Dictation Source of “PowerMic” is assigned to the user profile.
- Verify there is a PowerMic tab under the Dragon Medical client's User Options window.
- Try re-seating the PowerMic into another USB port to see if another USB port resolves the issue.
- Try using the PowerMic on another workstation to see if this is a workstation issue.
- Check that the Windows operating system recognizes the PowerMic through its Audio and Sound Properties.
- Temporarily disable the anti-virus application and confirm that Nuance's recommended anti-virus exclusions are present.
If after following the above steps, the problem is isolated to the PowerMic, please call the Nuance Customer Account Management Center (CAMC) to submit a repair request for this device, at:
800.339.7683 ...and say "Customer Account Management”
PowerMic repairs are coordinated through CAMC, available Monday through Friday, 8AM - 5PM EST, excluding holidays.
Defective microphones will be replaced at no charge if protected by an active maintenance contract. However, if a unit requires repair and is not protected under a maintenance contract, the PowerMic may be repaired at a flat charge of $202.00 (charge subject to change).
Supplemental iSupport Solutions for troubleshooting PowerMic issues:
#12751:
Troubleshooting Input Device Installation: USB Device Cleanup
#14263:
Resolving USB Device detection issues with Dragon Medical
#15981:
Anti-Virus recommendations for Dragon Medical 360 | Network Edition
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16542: Dragon.log File Essentials for Dragon Medical clients.
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