Nuance Healthcare Solutions
eTips  

PowerScribe® 360 Reporting

 
Nuance December 2018, Volume 8, Number 12  
 

Nuance is pleased to present you with this edition of eTips.

In this edition of eTips, you will find information about:

eTip 1: Contacting LIVE CHAT on the Nuance Healthcare Community.

eTip 2: Incorporating Merge Field Data in Fill-In Fields.

eTip 3: Programming the PowerMic III back-trigger button in PowerScribe 360 Reporting Version 4.

eTip 4: Replacing commonly misinterpreted dictated words with AutoCorrect.

Also:

What's new | Healthcare events | What's fixed | Webinar |
Nuance healthcare community | Contacting support
More | Additional Diagnostics information | Connect with us

 

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This month's eTips

eTip 1

Did you know that you can communicate on LIVE CHAT with a Technical Support agent who can help you resolve issues or answer questions?

Statistics for LIVE CHAT show that more than 60% of customers prefer using LIVE CHAT for support issue resolution. Studies have also found that customers using LIVE CHAT have the highest level of satisfaction when resolving issues and getting their questions answered quickly. Why not try LIVE CHAT the next time you need help from Nuance's Technical Support team?.

Once you have logged in to the Nuance Healthcare Community, you can use the LIVE CHAT feature to communicate with a Technical Support agent.

To chat with a Technical Support agent:

An email will be mailed to you confirming your chat case.

  1. From the Nuance Healthcare Community navigation menu, click LIVE CHAT.

    Nuance Healthcare Community

    The Product Family selection page displays.

    Product Family

  2. From the Product Family list, select your product, and then click Chat With Agent.

    Product Family

    In this example, Diagnostics Solutions is selected.

    Note: If a live agent is unavailable, you can try to connect to an agent at a later time, create a support case, or call our Nuance Technical Support line on 1-800-833-7776. For details on all of the available support resources, please see knowledge article 6653, Contacting Product Support for Diagnostic Solutions.
     

    The Connecting to Agent dialog displays.

    Connecting to Agent

    The live agent responds in the chat window.

    Live Agent Chat

  3. Write a message, and then click Send to communicate back and forth with the live agent.

    Send Message

  4. If you want a Transcript of the live chat session, click Save Chat.

    A text file of the Transcript is saved.

    Transcript

  5. Click the transcript file to open and read the transcript, and you can then save it to your local workstation.

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eTip 2

Did you know that you can incorporate Merge Field Data in Fill-In Fields?

When creating AutoText, providers can insert merge field data into fill-in fields as part of the Default definition for Text field types, or as part of a Choice Definition in a Pick List field type.

To incorporate merge field data in fill-in fields:

  1. From the PowerScribe 360 Reporting client, Tools menu, open the AutoText Editor.
  2. Select the AutoText you wish to modify, and click Insert, and then click Fill-In Field.
  3. Click the merge field icon to open the merge field list, and then select one or more fields to insert.

    The Merge field icon is available both in the Default value area and in the Choice Definition area after you click Add to insert your pick list choices.

    Merge Field Icon

  4. Enter the Choices definition and Default values, and then click OK.
  5. Click the save icon to save your AutoText.

    Save AutoText


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eTip 3

Did you know that in PowerScribe 360 Reporting version 4.0 and higher you can program the PowerMic III back-trigger button?

The PowerMic III now allows you to program the back-trigger button, as well as its left and right
mouse buttons from within the PowerScribe 360 Reporting client.

To program all the PowerMic III buttons:

  1. From the PowerScribe 360 Reporting client, click Tools, and then select Preferences.
  2. Select Dictaphone PowerMic.

The PowerMic III buttons can be programed by administrators that can set starting-point defaults at either the System or Account levels as well. The PowerMic III button settings are located using the following methods:

Preferences

To set the starting-point defaults for the PowerMic III buttons at the System level:

  1. Click Setup > System > Preferences link > Devices tab.
  2. Select Dictaphone PowerMic.
  3. Configure the microphone buttons for the initial account settings.

System Level

To set the starting-point defaults for the PowerMic III buttons at the Account level:

  1. Click Setup > Accounts, then search for and select the account you want to manage.
  2. Click the Preferences link > Devices tab.
  3. Select Dictaphone PowerMic.
  4. Configure the microphone buttons for the initial account settings.

The default value for all three of these new buttons is Nothing.


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eTip 4

Did you know you can use AutoCorrect to replace specific words that are commonly misinterpreted when dictated with the correct intended word?

AutoCorrect allows words to be replaced automatically if they are commonly misrecognized when dictated.

  1. From the PowerScribe 360 Reporting client, select AutoCorrect by one of these methods:
    • Click Tools > Preferences and select AutoCorrect.
    • Select the word or phrase you want to correct (in a report or an AutoText), right-click, and select AutoCorrect.
    • Or, with the text selected, click Speech > AutoCorrect.

      If you use either of the last two methods, the text you selected appears in the Replace field.

    • AutoCorrect

    • Capitalize beginning of dictated sentences: If selected, the system automatically capitalizes the first letter of the first word of each new sentence.

      NOTE: This feature is automatically provided by the speech engine; however, some users may find that it does not work reliably. This preference should be set only if capitalization of dictated text is unreliable.

    • Replace text as you dictate: If selected, the system automatically replaces words or phrases with different words or phrases during dictation. This feature is useful if the speech engine consistently makes the same mistakes over and over despite efforts to re-train.

      NOTE: Replacement text is case sensitive.

    • IC: Select this check box to ignore the case (uppercase or lowercase) of your text.

      To add a new AutoCorrect rule:

      • Type the text to Replace, and the text to replace it with, then click Add.

      To remove an AutoCorrect rule:

      • Select the rule in the grid and click Delete.

      To change a rule:

      • Select the rule in the grid; the Add button changes to Replace.
      • Make the appropriate change to the text box above the table, and click then Replace.
  2. Click OK when you completed your AutoCorrect entry.

 

 

 

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What's new

To view an expanded What's New listing, by product version, please log in to the Nuance Healthcare Community, and search for and select any of the following Knowledge articles, and then click on the What's New link.

PowerScribe® 360 Reporting

  • Search 6389 for the What's New in v4.0
  • Search 5640 for the What's New in v3.5
  • Search 5663 for the What's New in v3.0
  • Search 5636 for the What's New in v2.5
  • Search 5632 for the What's New in v2.0

mPower

  • Search 5671 for What's New in mPower v3.2

ModLink

  • Search 6394 for ModLink User Documentation
 
 
Subscriber If you are not an Nuance Healthcare Community subscriber:
go to the Nuance Healthcare Community Customer page for information about how you get started.
 

 

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What's fixed

The following PowerScribe® 360 software has been released:

PowerScribe 360 Reporting V4.0.1 Client Update US/UK (7.0.111.25)

The key defects fixed for this release are highlighted below:

  • NOTE: This update must be applied on top of the PowerScribe® 360 Reporting V4.0.1 Patch 2a US/UK (7.0.111.20/7.0.111.19).
  • When performing a "Report Copy" from a prior report created in PS360 v3.x or older, the values of the report's fill-in fields are reset to the default values of the AutoText.
  • The PowerMic disconnect dialog box can appear during report creation workflow when a PowerMic microphone disconnect event occurs causing disruption for the doctors. 
  • When the Editor uses the key combination "Ctrl+Alt+C" to remove the report text and concordance data, they notice the cursor does not stay in the location last typed or placement of the cursor when the audio stops playing.

PowerScribe® 360 Reporting V4.0.1 Patch 2a US/UK (7.0.111.20/7.0.111.19)

The key defects fixed for this release are highlighted below:

  • Voice invoked AutoText places cursor at bottom of report instead of the first fill-in field.  If AutoText is invoked via mouse, keyboard or via Default AutoText/Procedure categorization, then behavior is as expected via the setting.
  • NOTE: The PS360 Client was updated with the latest PowerMic SDK v110.0.94.3.
  • In an AutoText with multiple fill-in fields, where one field contains the name of an AutoText dictated as a value, text dictated into a subsequent field may be inserted into the prior field incorrectly.
  • When attempting to perform an "Over the shoulder" signing using the "Shift-F12" key combination, the PS360 Client will receive an exception and close down.
  • Editors report 'choppy' or 'patchy' audio during playback of the Impression fill-in field of dictated report that is set to All-Caps.
  • The registry key EnableEnvironment is used to disable or enable the PS360 client Environment Logging on a workstation was not working due to a misspelling of the key EnableEnvironment.
  • When the user is prompted to change their password during the client login process, the previous password is still used when signing their reports during the current logged in session.
  • If an AutoText is voice called into a report as part of a longer utterance, and the AutoText contains a fill-in field marked as all-caps as the first item within the AutoText, the initial part of the utterance may be placed into the report as all-caps.
  • The error "The specified file cannot be recognized as valid RadWhere or PowerScribe® shortcut" will occur when importing an AutoText XML file that contains AutoTexts assigned to folders. The XML file will contain the tag Name of Folder, which defines the folder the AutoText was assigned to.
  • The message "An unexpected error has occurred. Please notify support if the problem persists." is displayed when attempting to create a patient or order that already exists in the system. A more descriptive warning is now returned.
  • In RadPortal, any field that displays information that contains an "&" character will show up as "&".
  •  When selecting to delete a user's roaming profile from the Accounts view in RadPortal, the process does not occur due to no confirmation window appearing.
  • When the Dragon User password contains a carat character in it, the password will reset if additional changes are made and saved within the PS360 RadPortal->System->Configuration settings.
  • When importing an AutoText with fill-in fields containing many choices, random letters appear between the fill in fields, and regular text is missing letters or displaced.
  • When importing a multi-site AutoText containing sections with the same name across the sites, the import fails with a violation of Unique Key constraint exception will occur.
  • In the Physicians view in RadPortal, when importing users from a file that contains updated NPI values, does not get updated if the users already exist in the system.
  • When Epic receives an RTF result message from PS360 that contains a number list, sometimes the report in Epic shows a numbered list started and then immediately restarts again.
  • Apple notifications are not getting processed from PS360 v4.0.1 servers.
  • Added the "PendingSignature" parameter to the McKesson PACS integration for an output value property of "ReportStatus".

PowerScribe 360 Reporting V3.5.3 Client Update US/UK (6.5.73.26)

The key defects fixed for this release are highlighted below:

  • NOTE: This update must be applied on top of the PowerScribe® 360 Reporting V3.5.3 Patch 3 US/UK (6.5.73.25).
  • The PowerMic disconnect dialog box can appear during report creation workflow when a PowerMic microphone disconnect event occurs causing disruption for the doctors. 
  • When the Editor uses the key combination "Ctrl+Alt+C" to remove the report text and concordance data, they notice the cursor does not stay in the location last typed or placement of the cursor when the audio stops playing.

PowerScribe 360 Reporting V3.5.3 Patch 3 US/UK (6.5.73.25)

The key defects fixed for this release are highlighted below:

  • NOTE: The PS360 Client was updated with the latest PowerMic SDK v110.0.94.3.
  • Fixed unwanted spaces being added before/after newlines transcribed in Fill-in fields.
  • When Dragon tries to download a user’s profile with a Windows 7/Server 2016 configuration via HTTPS, the SSL handshake protocol fails when SSL 2.0 is used.  This was caused by Dragon default SSL communication protocol settings.  Windows Server 2016 removed support for SSL Protocol type SSL2.  Refer to DRGRAD-632 under Updated Dragon (Fixed Defects).  Added configuration setting within the PowerScribe Client to hard code SSL protocol, if required.  Only works with Dragon Service Pack 1 (v12.54.150.123).
  • Extra Spaces Added When Dictating Hyphens in Fill-In Fields.
  • When dictating in a blank fill-in field and the user speaks “Scratch That”, not all the text is deleted.  The last 3 characters of the dictation remains in the fill-in field.
  • While dictating into a fill-in field, using the “Scratch That” command randomly completes as an “Undo That” command.
  • If the previous line is bold, the next line below dictated can Intermittently become bold in Report.
  • Inserting a Clinical Guidance causes the last character of the Impression section to be moved to the bottom of the inserted Guidance.
  • When using the “Start Number list” feature to dictate a numbered list and you say paragraph instead of newline, the paragraph break can become part of the number list.
  • After inserting either Clinical Guidance, "Liver Lesion 2017" or "Renal Lesion 2017", the close action of the report causes an "Index was outside the bounds of the array" error to occur.
  • The "Delete last utterance" function was not working correctly regardless of the PowerMic button to which it was mapped.
  • When a dictated report contains an "Impression" section, the Communicate Critical Results dialogue does not have the option "Include Audio Impression" available to select.
  • In an AutoText with multiple fill-in fields, where one field contains the name of an AutoText dictated as a value, text dictated into a subsequent field may be inserted into the prior field incorrectly.
  • While a report is being actively dictated by a user, the entire text within the current field being dictated into can be highlighted and dictated over when order data changes during reporting.  This can occur when the System and/or User preference “Monitor order data changes during reporting” is set to “Notify and apply changes” (Default value) or “Apply changes without notification”.  This issue will not occur if the value is set to “Disabled”.
  • Editors report ‘choppy’ or ‘patchy’ audio during playback of the Impression fill-in field of dictated report that is set to All-Caps.
  • If an AutoText is voice called into a report as part of a longer utterance, and the AutoText contains a fill-in field marked as all-caps as the first item within the AutoText, the initial part of the utterance may be placed into the report as all-caps.
  • Voice Invoked AutoText places cursor at bottom of report instead of the first fill-in field.  If AutoText is invoked via mouse, keyboard or via Default AutoText/Procedure categorization, then behavior is as expected via the setting.
  • When processing a report to upload, an AccessViolationException may occur. Currently, the report is put into a transmit failure state and requires the admin to monitor and force the report upload. The service has been updated to retry processing the report one more time before setting the report transmit status to failure. Still working on solving the underlining issue.
  • When Epic receives an RTF result message from PS360 that contains a number list, sometimes the report in Epic shows a numbered list started and then immediately restarts again.
  • When the RadBridge setting “OBX result format” is set to the value “EPIC RTF”, the report RTF is not complete when sent to EPIC preventing it from being transferred successfully.
  • NOTE: In order to support the Quality Check/Assure cloud solution to support TLS 1.2 in the future, RAS was updated with a newer CLU SDK to ensure the communication is not disrupted.  In addition, the .NET 4.5.2 (or greater) must be installed on the RAS Server to work properly.
  • When selecting to download the CDA version of a report from RadPortal, the download fails with a popup message "Unable to cast object type error".

To view an expanded What's Fixed listing, by product version, please log in to the Nuance Healthcare Community, and search for and select any of the following Knowledge articles, and then click on the Release Notes link.

PowerScribe® 360 Reporting

  • Search for the v4.0 Release Notes
  • Search for the v3.5 Release Notes

mPower

  • Search 5671 for the mPower Release Notes

ModLink

  • Search 6394 for ModLink Release Notes

Dragon Naturally Speaking (DNS)

  • Search 6389 for the DNS Release Notes

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Webinar series

To review a complete list of past PowerUser Webinars, visit the Diagnostics Professional Services Team: MEC - Customer Free Webinars site.

Webinar library
Webinar Date Streaming Download
The Basics of AutoText 2/28/18
Presentation provides a demonstration of the basics of creating an AutoText from scratch, the different types of fields that can be utilized, and how a user can take advantage of this functionality. Also covered is the radiologist's workflow and report structure impacts, as well as some of the new features available in PowerScribe® 360 Reporting version 4.0.
Custom Fields and the Technologist Workflow
(Update of v4.0)
1/29/18
Presentation of custom fields and the Technologist workflow that includes the creation of custom fields, associating these fields with procedures, embedding the custom fields in AutoText and allowing a technologist to insert a value into these fields prior to the radiologist opening the report.
AutoText for Administrators 12/19/17
Presentation demonstrating how to manage AutoText in the PowerScribe® 360 Reporting application, such as importing, exporting, and basic troubleshooting topics you may encounter as an Administrator.
What's New in PowerScribe® 360 v4.0, for Administrators 9/25/17
Presentation demonstrating what's new in PowerScribe® 360 Reporting V4.0 for Administrators.
What's New in PowerScribe® 360 v4.0, for Providers 6/20/17
Presentation demonstrating what's new in PowerScribe® 360 Reporting V4.0 for Providers.
Unlocking the Mystery of AutoText Relevancy 4/24/17
Presentation of AutoText use of categorization or "relevancy". Presents the process of associating procedure codes to AutoText and what the impact is of their functionality.
Online Speech Recognition Tools 3/27/17
Presentation of the tools within PowerScribe® that can be used to improve a user's recognition of specific words, changing the way certain words are interpreted and see an almost immediate improvement while "online" using the PowerScribe® 360 application.
Audio/Visual Features to Improve Recognition 2/27/17
Presentation of audio and visual features that can be used to ensure a user is making the most out of PowerScribe® 360's voice recognition.
Management Reports 1/23/17
Several Management Reports are run in PowerScribe® 360 Admin Portal, including insights into the available information within the reports, why you may want to view and use them, and how you can benefit from them.
 

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Nuance Healthcare Community

Nuance Healthcare Community

The Nuance Healthcare Community is an Internet-based support site with the following key benefits:

  • Network with your industry colleagues
  • Share experiences and best practices for using Nuance solutions
  • Provide feedback to Nuance about our solutions
  • Receive up-to-the-minute information from Nuance
  • Participate in roundtables and small-group events that provide access to Nuance leadership
  • Search knowledge articles
  • Log cases via the community
  • Interact with an agent through Live Chat

To become a member, click to begin your registration from the Nuance Healthcare Support page.

Available Resources on the Nuance Healthcare Community include:

Nuance Healthcare knowledge article updates:

A number of important articles have been added or reissued with updated information as follows:

  • 6359: eTips Newsletter Archives - PowerScribe® 360 Reporting
  • 6389: PowerScribe® 360 Reporting V4.0 Documentation
  • 5640: PowerScribe® 360 Reporting V3.5 Documentation
  • 7072: Quality Check Assure V4.0 and higher
  • 6769: Nuance Healthcare Community Registration
  • 7063: mPower™ Clinical Analytics Cloud Hosted
  • 7166: PowerScribe® 360 Reporting Release Notes for Version 3.x
  • 7030: PowerScribe® 360 Reporting Release Notes for Version 4.x

To see the details of any article, simply log in to the Nuance Healthcare Community, and search for the knowledge article number or title.

 
 
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