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 eTIPS
Did you know how to create user profiles in DMNE 2.x?
Review the steps in the video link below for creating a user profile on the Dragon Medical 360 | Network Edition (DMNE), version 2.x client.
This procedure uses the New User Profile wizard, accessed by clicking Profile > New User Profile on the DragonBar and then clicking New.
Click the image below to play this video that covers the creation of user profiles for the Dragon Medical 360 | Network Edition (DMNE), version 2.x client.
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Click Here
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VIDEO: User Profile creation procedure for DMNE 2.x
(4:49 minutes, provided by James West) |
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16803: VIDEO: User Profile creation procedure for DMNE 2.x
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Did you know how to stay informed of the emerging Windows 10 support position for Dragon Medical?
On July 29, 2015, Microsoft officially began releasing its latest operating system, Windows 10. According to Microsoft, Windows 10 will be available as a free upgrade for qualified and genuine Windows 7 and Windows 8/8.1 devices.
iSupport solution, 16430, will provide the emerging support position for each of our Dragon Medical products with the Microsoft Windows 10 operating system.
 IMPORTANT: This iSupport solution is not yet finalized. For email notification of emerging updates as they become available, please refer to iSupport solution 16430 for instructions on how to enable the iSupport Quick Link feature.
Formal evaluation of Windows 10 support for the Dragon Medical line of products is ongoing for:
- Dragon Medical 360 | Network Edition
- Dragon Medical 360 | Direct
- Dragon Medical Practice Edition 2.x
(North American and International English, German, French, and Dutch)
- Dragon Medical Practice Edition (Spanish)
Early findings and customer feed-back on Dragon Medical 360 | Network Edition, and Dragon Medical Practice Edition indicate that dictation in previously supported applications also works under Windows 10.
There have been reports that voice commands do not function as designed in some applications. For example, voice command issues have been identified in Microsoft Office 2013 and 2016, but not in Office 2010. Nuance is investigating the cause, and will provide more details as soon as possible. For customers currently relying on voice commands when using any of the Dragon Medical products, Nuance recommends to postpone upgrading to Windows 10 until we are able to provide a solution to this possible issue.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16782: Dragon Medical Support for Microsoft Windows 10
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Did you know how to disable the Audio Setup Wizard (ASW) prompt?
The Dragon Medical Audio Setup Wizard (ASW) is also known as the Check Your Audio Settings option in the Dragon Medical Accuracy Center.
The Dragon Medical ASW tests and adjusts the record level for the user profile's audio input device (microphone) to achieve the optimal acoustic setting. This can directly influence speech recognition accuracy. The ASW consists of two (2) parts: the Volume Check and the Quality Check.
Users may be presented with the message below prompting them to re-run the Audio Setup Wizard (ASW) for Dragon Medical clients. This can occur even if the ASW has previously been completed for this user, on this computer, and with this audio input device.
The Audio Setup Wizard has not yet been successfully run for this user and dictation source. We will give you the opportunity now.
This topic applies to Dragon Medical 360 | Network Edition (DMNE) and Dragon Medical Practice Edition (DMPE) products.
Reasons this Message is Presented:
- Dragon Medical remembers the last USB port ID used for each audio input device. If the USB port is changed for an input device - for example, a PowerMic II is plugged into a different USB port - the ASW will need to be completed again.
- If changes are made to the computer's sound system (sound card hardware or configuration settings), the ASW will react appropriately to optimize for those changes in the audio environment.
- A Dragon Medical audio.ini file within every user profile stores the computer name and input device for each workstation dictated at. When the profile is opened, Dragon checks for the existence of that pairing (computer name / input device) and if it does not exist, the user is prompted to run ASW.
- In the older version 10 Dragon Medical clients, profiles could retain audio settings for only ten (10) computer and input device combinations. Once a specific user roams and attempts to open the eleventh (11th) combination, a previous combination will be overwritten. When that overwritten combination is next accessed by the user, Dragon considers this to be a new combination and will therefore prompt to complete ASW again. There is a workaround to increase the default number of audio setting combinations supported by Dragon. This can be increased through manually editing the nssystem.ini file in the following steps:
- Locate and make a backup copy of the nssystem.ini file:
(Win 7) C:\ProgramData\Nuance\NaturallySpeaking10\
(Win XP) C:\Documents and Settings\All Users\Application Data\Nuance\NaturallySpeaking10\
- Open nssystem.ini with any text editor (i.e. Notepad).
- Navigate to the last entry of the [Settings] section.
- Add the following line:
Number of Audio Settings= <number of desired entries>
For example: Number of Audio Settings=99
- Save the file and then re-launch Dragon Medical.
 CAUTION: Disabling ASW Can Negatively Influence Recognition Accuracy
By design, the Dragon Medical product places speech recognition accuracy at a premium by requiring that every user profile complete the ASW for every workstation dictated from. This means that Dragon Medical users configured to roam to multiple workstations would need to run the ASW on each computer they would dictate from.
Nuance's approach to providing optimal speech recognition accuracy has been proven over many Dragon Medical versions. There are multiple factors contributing to recognition accuracy, with subtle differences at each workstation environment affecting a user's recognition experience. These differences include:
- Computer hardware (including multimedia/sound cards for Mic-in)
- Computer software and configuration (operating system, USB settings, Dragon Medical settings, workstation resources, sound systems, etc.)
- Input device(s) used and their consistent positioning
- Each workstation's ambient audio environment (background noise)
- Changes in the individual provider's acoustic signature (any factor changing consistent characteristics of the voice - allergies, sickness, fatigue, etc.)
Nuance strongly recommends that users complete the ASW. This would be our Best Practice, as each user's recognition accuracy benefits from regular execution of the ASW. This is especially relevant at the inception of a new user/workstation where ASW can guide the user in finding and maintaining the optimal input device positioning.
Disable Audio Setup Wizard
However, there is a Dragon setting for both the DMNE and DMPE Editions called Set audio levels on each machine which is located at:
DMNE NMC (Nuance Management Console):
Site > Master User Profile tab
DMPE DragonBar:
Administrative Options > Roaming tab
This setting is enabled (checkbox checked) by default, but can be disabled (checkbox unchecked) before the provider's first session in a master or roaming profile configuration.
DMPE:
DMNE:
Once this setting is disabled, ASW will then run only once for that user profile. Once ASW is initially run for that user profile, the user would no longer be prompted to run ASW at additional workstations when this setting is disabled.
CAUTION: Disabling this setting makes a rather large assumption that all workstation hardware/software/configuration and ambient audio environments are the same. Disabling this setting can adversely affect speech recognition accuracy.
In situations where Dragon detects differences as a result of changes to any of the aforementioned factors, Dragon Medical will initiate ASW to run, even if this setting is disabled.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16809: Disable Audio Setup Wizard (ASW) Prompt
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Did you know how to resolve Dragon Medical hotkey conflicts?
Customers using Dragon Medical products may experience Hotkey conflicts with other applications that have registered (mapped) the same hotkey prior to the customer launching Dragon Medical. In that case, Dragon Medical will present a message such as one of the following:
"The Microphone hot key was not installed. It conflicts with another hot key installed by another application."
"The Push-to-talk hot key was not installed. It conflicts with a hot key installed by another application."
"The Process Document hot key was not installed. It conflicts with a hot key installed by another application."
For example, commonly reported hotkey conflicts include:
- Microphone On/Off (number pad +) hotkey between Dragon Medical 360 | Direct and Dragon Medical 360 | Network Edition
- Process Documents hotkey between TechSmith SnagIt and Dragon Medical 360 | Network Edition
Hotkeys are keyboard shortcuts used to execute common actions. Only one (1) application can map to a hotkey at any one time. Hotkey mappings do not allow multiple mappings.
Hotkeys can behave intermittently if the assigned application is not running when Dragon Medical is attempting to use that same hotkey.
Dragon Medical Hotkey Conflicts
Dragon Medical 360 | Network Edition and Dragon Medical Practice Edition
Dragon Medical customers can view or change their current assignments for hotkeys, located on the DragonBar under Options menu > Hot keys tab.
 Note: Laptop computers without a numeric keypad may not support the default hotkeys for Dragon Medical. Depending on the laptop, keypad equivalents may be able to be associated with the function keys. Check the laptop manufacturer's documentation for more information. Alternatively, Dragon Medical hotkeys can be reassigned as mentioned above.
Third-Party Utility Solution
Otherwise, customers can try third-party utilities to manage their hotkey assignments and resolve conflicts. One free utility (at the time of this writing) is Windows Hotkey Explorer.
Note: The recommendation of a third-party utility is solely made as a convenience for our customers. Nuance does not endorse or provide support for third-party utilities.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16762: Redirect vSync MiniTracker.log File Location
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Did you know what Dragon Medical tutorial and training resources are available?
Customers using Dragon Medical 360 | Network Edition (DMNE) and Dragon Medical Practice Edition (DMPE) products have the following tutorial materials and training resources available to assist with achieving successful adoption of Dragon Medical healthcare solutions within their environment.
DragonBar Tutorials
The Dragon Medical client's DragonBar provides direct links to two (2) tutorials that cover client operations.
Click Help on the DragonBar toolbar.
DragonBar Interactive Tutorial
The Dragon Medical client comes with an Interactive Tutorial featuring content that is beneficial for even proficient users. Browse through the tutorial sections to learn about newer features, like the "Go Back" command.
Key features of the Interactive Tutorial include:
- Simulating common tasks so users can review task execution and the expected result.
- Presenting tasks in a progressive sequence, so users build knowledge logically.
- Educating users as to the best practices for speaking to Dragon Medical
- Teaching users in a safe, controlled environment so that users can practice and learn from mistakes, without consequence.
- Each lesson is short, so users can prepare to get to work quickly.
- Each lesson includes a script for users to practice dictating with.
The Dragon Medical client prompts the users to complete the Interactive Tutorial immediately after the software is installed. Otherwise, this tutorial can be launched at any time from the DragonBar's toolbar: Help > Interactive Tutorial.
Note: The user must open their profile to activate the Interactive Tutorial menu option.
DragonBar Online Tutorial
For even more help using Dragon Medical, use the Online Tutorial. The Online Tutorial guides users through key information about how to use Dragon Medical, and includes many examples and videos. Users can navigate to specific areas of interest and return to previously viewed information within this tutorial.
To launch the Online Tutorial, go to the DragonBar and select Help > Tutorial.
Note: Please note that internet access is required to view the Online Tutorial.
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Video Resources |
As well, the Dragon Medical Support team provides individual videos on specific topics within iSupport solutions (articles). Search iSupport for video content by these methods:
- Search for the string "video". Recent iSupport solutions with video content have the string "VIDEO" at the beginning of their title.
- Solution #14418 - eTIPS Video Library for Dragon Medical 360 | Network Edition & Dragon Medical Practice Edition
User Documentation From iSupport
User documentation for Dragon Medical can assist users, administrators, and trainers by providing the following resources:
- User Guides
- Provider Packet
- Courseware and Reference Guides
These resources are available from iSupport solutions, by product:
- Refer to iSupport solution #14111 - Dragon Medical 360 | Network Edition User Documentation
- Refer to iSupport solution #14526 - Dragon Medical Practice Edition User Documentation
Training by Nuance Professional Services
Nuance can provide customized training directly or remotely to Dragon Medical customers. For information on pricing and purchasing training for Dragon Medical products by our Professional Services team, please contact your Account Executive, or call Nuance Sales at: 866-748-9537.
Listed below are generic training agendas for review:
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16775: Dragon Medical Tutorial and Training Resources
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