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This Month's eTips
Create Step-by-step commands within Dragon Medical One.
Step-by-step commands execute a series of actions via a single voice command, saving you time and effort. You can create, modify, copy and delete Step-by-step commands. Creating and modifying Step-by-step commands is recommended for experienced users.
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Note: After saying a Step-by-step command name, pause to ensure that the command is recognized and performed before you continue. |
Creation
To create a Step-by-step command, do the following:
- Click
 and select Manage Step-by-step Commands; the corresponding dialog box is displayed.
- Click + and fill in the Name, Description (optional) and Spoken form fields (red fields are required).
- Click New Step and select the type of step you want; repeat as necessary.
The following Step Types are explained:
Open Application - open the specified application (if it is already open, the focus switches to this application). Specify the following properties:
Target - enter the full path and name to the application EXE file.
Arguments - enter the command line argument you want the application to open with; for example, a template.
Start in - browse for the folder in which the application or file should open (the working directory).
Run as - select the application window size (normal, minimized or maximized).
Wait - set a waiting time in milliseconds to pause between steps; for example, 500 ms for the application to open with the specified template. Range: 50-2500 ms.
Wait for Window - pause until a window with the specified title has the focus or the set waiting time expires. Specify the following:
Window title - enter the name of the window you want the step-by-step command to wait for.
Waiting time (ms) - set a waiting time. Range: 50-10000 ms. If the set waiting time expires, the execution of the step-by-step command will be stopped.
Run Step-by-step Command - browse for the existing personal or shared Step-by-step command that you want to embed; the embedded command will be executed as a step.
Enter Text - enter a short text block that you want written at the cursor position in your application (for larger text blocks that you insert regularly, use auto-texts).
Press Keys - enter the sequence of keys that you want pressed. See below for the input format you must use. You can also enter text and combine keys with modifiers.
Press Hotkey - enter one keyboard combination: select modifiers (optional) and press a key to enter it into the field.
Microphone On - turn the microphone on.
Microphone Off - turn the microphone off.
- Click Apply All.
Step-by-step Command Tips
- A red line around a field means that it is mandatory or you have not filled it in correctly.
- Alternatively, to open the Manage Step-by-step Commands dialog box, say "manage commands".
- A Step-by-step command can have as many steps as you want.
- Use the icons to move existing steps up and down
 , insert steps into the middle of a sequence of steps  , and delete steps X.
- You can add multiple Step-by-step commands and then click Apply All.
- Select a Step-by-step command from the left pane to modify it.
- Click to copy an existing step-by-step command and use it as a template for a new one. The template will have the same description and steps as the one you copied; the Name and Spoken form fields will be empty.
- To undo changes, copy or delete a step-by-step command, right-click it and select Revert Changes, Copy or Delete.
- If a Step-by-step command is consistently not executed properly, add Wait or Wait for Window steps to it.
- You can press hotkeys or microphone buttons to execute the Step-by-step commands that you have created (personal) or the ones that have been created by your administrator (shared).
- Using the Run Step-by-step Command step type you can embed one (or more) Step-by-step commands into another Step-by-step command. When the overall Step-by-step command is executed, all embedded Step-by-step commands are also executed.
Step-by-step Command Examples
Name Create a new to do list
Description This command will open Notepad to create a list of tasks. The cursor is placed in the first numbered item and the microphone is turned on.
Spoken form new to do list
Steps
Microphone Off
Open Application
Target C:\ Windows\System32\notepad.exe
Run as Maximized
Wait
Waiting time (ms) 2000
Enter Text
Text TO DO LIST
Press Keys
Keys {ENTER}
Enter Text
Text 1.
Microphone On
Name Check the weather
Description This command will open Internet Explorer with a website where you can find the current weather conditions.
Spoken form weather check
Steps
Microphone Off
Open Application
Target C:\Program Files (x86)\Internet Explorer\iexplore.exe
Arguments http://weather.yahoo.com/
Run as Maximized
To learn more and to keep current with any changes to this topic, review this topic within the Dragon Medical One Desktop Application's Help resource.
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Learn More About Dragon Medical Advisor.
When you use Dragon Medical One, Dragon Medical Advisor automatically analyzes your text and suggests additional detail. These recommendations help improve the completeness and ICD-10 coding compliance of your documentation.
Dragon Medical Advisor works for all ambulatory and inpatient EHRs.
To improve documentation using Dragon Medical Advisor, do the following:
- Create text in your target application or in the Dictation Box.
- Say "run Advisor" or click the Dragon Medical Advisor icon to open.
Dragon Medical Advisor automatically analyzes the text. The number on the Dragon Medical Advisor icon shows you that advice is available.
- Review the suggestions and edit the text as suggested by Dragon Medical Advisor.
If auto-processing is active, Dragon Medical Advisor regularly updates the advice displayed. If your administrator has disabled this feature, or if you want to see the latest advice before it is displayed automatically, say "run Advisor" again or click 
in Dragon Medical Advisor to update the advice.
Example:
Here is an example of Dragon Medical Advisor providing advice for greater specificity and compliance to the dictated note below:
SUBJECTIVE: The patient presents with a cough. Past Medical History significant for Diabetes mellitus.
OBJECTIVE: Exam reveals normal vitals with the exception of low oxygen saturation. There are bilateral rales and lower extremity edema. Results reveal normal CBC and CXR reveals fluid overload.
ASSESSMENT: Impression is congestive heart failure and respiratory failure.
PLAN: Begin treatment with oxygen and diuretics.
The counter for Dragon Medical Advisor shows three pieces of advice:
The Dragon Medical Advisor window presents advice detail:
Tips for using Dragon Medical Advisor:
- Say "next advice/previous advice" to navigate through Dragon Medical Advisor.
- Say "hide Advisor" to hide Dragon Medical Advisor; say "show Advisor" to show it again, containing the existing advice.
- Say "close Advisor" to close Dragon Medical Advisor completely; say "run Advisor" to open it again and display new advice.
- Alternatively, to open or close Dragon Medical Advisor you can use a hotkey combination or microphone button.
- If you navigate away from your text editor while Dragon Medical Advisor is running, it will become inactive. When you move the speech focus back to your text editor, Dragon Medical Advisor will become active again. You can anchor the speech focus to your text editor to avoid moving it accidentally.
- If you place the cursor in an application that Dragon Medical One cannot directly write the text in, Dragon Medical Advisor will analyze the text in the Dictation Box.
Icon Controls for Dragon Medical Advisor:
- Hide/show controls.
- Manually update advice.
- Undock window from left or right pane.
- Dock window to left or right pane.
- Dock window to primary monitor.
To learn more and to keep current with any changes to this topic, review this topic within the Dragon Medical One client's Help resource or click here to go to the Nuance webpage for Dragon Medical Advisor.
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Register your Nuance Healthcare ID within Dragon Medical One and unlock value-added benefits.
Register for your Nuance Healthcare ID account and take advantage of exceptional benefits only for Dragon Medical One subscribers.
There is no cost.
Registration unlocks these value-added benefits:
- First access to the latest innovations from Nuance and its partners
- No cost access to your personal voice profile in select mobile productivity apps, including medical reference, secure messaging and other apps for clinical professionals
- Access to online management and personalization tools
To register from the Dragon Medical One toolbar, click Options > My Nuance Healthcare ID.
Enter your information and click Register.
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Nuance uses an agile methodology, where urgent field issues and important, customer-triggered change requests are prioritized during the development cycle. The content for these pending releases and their projected release dates called out in this newsletter are tentative. Roadmaps may still be being finalized and therefore are subject to change. Please do not use this information for specific purchasing decisions.
Nuance Management Server (NMS) Version 5.10
PowerMic Mobile Version 4.0.2
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