What's New in Dragon® Medical 10?
More efficient, higher quality, profitable care. eLectroNic heALth recorD Support (ALL MeDicAL eDitioNS) More AccurAte thAN ever Medical professionals can navigate and dictate inside (ALL MeDicAL eDitioNS) third-party EHR application software. Up to 20% more accurate “out of the box.”
Dragon Medical 10 accelerates physician adoption of
Dragon Medical 10 delivers on what matters most in
electronic medical record (ehr) software by allowing
speech recognition: accuracy. Version 10 offers accuracy
clinicians to navigate an ehr by voice. Dragon also al ows
levels that are unrivaled in speech recognition, up to 20%
doctors to dictate medical decision-making – history of
more accurate speech recognition “out-of-the-box” than
the present illness, review of systems, assessment, and
Version 9. Dragon Medical users gain the added benefit
plan – directly into ehr systems such as epic®, allscripts®,
of avoiding spelling errors and typing mistakes. In fact, the
Cerner®, Ge®, NextGen®, eclipsys®, McKesson® and
product actually learns from your corrections over time,
eClinicalworks®, eliminating transcription and ensuring
making dictation a more natural and satisfying experience.
Dragon Medical 10 is over 38% more accurate than Dragon Professional 10 in clinical settings.
upDAteD epic AND cerNer Support —in version 10.1 (ALL MeDicAL eDitioNS) FASter thAN ever (ALL MeDicAL eDitioNS)
Dragon Medical offers epic and Cerner users an even
Significant improvement of response time. More than
better experience than 10.0 as it’s fully compatible with
50% reduction of latency time (delay) for fast speakers.
text boxes of existing Cerner PowerNote™ releases.
Compared to Version 9, Dragon Medical 10 delivers a significant improvement in response time. Fast speakers
DrAgoN voice ShortcutS For eMAiL
will observe more than a 50% reduction in the time it takes
AND cALeNDAr (ALL MeDicAL eDitioNS)
for words to appear on the screen. Since some speakers
Dragon Voice Shortcuts collapses common multi-step
pause in their dictation to watch the results, having words
tasks into direct voice commands. Now you can send
appear on the screen sooner facilitates a more seamless
emails and schedule meetings — faster than ever.
dictation experience. Most people speak about 120 words per minute, but type fewer than 40 words a minute. Dragon
at any time, no matter what application is active on your
Medical 10 lets users create documents about three times
screen, you can automatically create and address an email.
For example, if you’re reviewing a website and you need to send an email to colleagues, just say, “Send email to
64-Bit Support For WiNDoWS viStA
Dr. John Smith and Dr. raphael Sanchez,” and Dragon will
—in version 10.1 (ALL MeDicAL eDitioNS)
activate your email program, create a new email and put the contact names you’ve said into the “to:” box.
Dragon Medical provides 64-bit operating system support, running on windows Vista 64-bit operating systems. (Dragon 10.1 does not support windows XP 64-bit operating systems.)
What's New in Dragon® Medical 10?
Need to schedule a meeting? Just say, “Schedule
search words, such as “Search the web for wellbutrin®
meeting with Dr. John Smith and Dr. raphael Sanchez,”
contraindications” or “Search maps for CVS Pharmacy®
and Dragon jumpstarts the process by opening a new
in Burlington 01803,” and Dragon Medical 10 will use the
calendar entry in Outlook and adding to it the selected
default search engine and web browser to enter your
contact(s). You can also say, “Schedule appointment
dictated term(s) in the search field and return the results.
with Clinical review team” using existing contact lists.
thanks to Google’s™ “I’m Feeling Lucky” search, you can also get the top-ranked site directly, by saying, “Find a site
DrAgoN voice ShortcutS For WeB
about health maintenance for diabetes.”
SeArch (ALL MeDicAL eDitioNS )
You may also search specific sites directly for videos, im-
Dragon Voice Shortcuts collapses common multi-step
ages, news, articles and products using commands such
tasks into direct voice commands. Now you can search
as “Search wikipedia® for outpatient cancer clinics,” or
the Web for information, products, news and more —
“Search eBay® for Bluetooth® headsets.” Sites supported
by Dragon Voice Shortcuts include Google, Yahoo®,
Dragon Voice Shortcuts make searching the web faster
eBay®, wikipedia, Youtube®, about.com®, and more.
and easier. Just say commands containing your desired
Command Type Example Command What Happens
Your default Web browser opens and displays the results of the
default search engine on the given keywords.
Your default Web browser opens and displays the results of search-
ing eBay for the given keyword(s). Dragon Medical 10 supports this feature for the following Web sites: • eBay • Amazon.com® • About.com • Answers.com® • Creative Commons™ • Wikipedia • YouTube
Your default Web browser opens and displays Google's top-ranked
Search the Web with a specific " Search Yahoo for local
Your default Web browser opens and displays Yahoo's search results
for the given keywords. Dragon Medical 10 supports this feature for the following search engines: • AltaVista™ • AOL Search® • Ask.com® • Google • Yahoo!• Microsoft® Live Search
Your default Web browser opens and displays the results of a search
on the given keywords in your default search engine's video category. Valid search categories are: • Search (images | pictures | photos) for <XYZ> • Search (video | movies) for <XYZ> • Search (news | events) for <XYZ> • Search (products | shops) for <XYZ> • Search (maps | places) for <XYZ>
What's New in Dragon® Medical 10? NeW MeDicAL SeArch coMMANDS Quick voice ForMAttiNg (“Delete | copy | Bold | underline | italicize <XyZ>” commands) (MeDicAL & MeDicAL eNterpriSe oNLy) (ALL MeDicAL eDitioNS)
Dragon Medical 10.1 offers multiple voice shortcuts for
Delete, bold, underline, italicize, and copy text —faster
searching medical information the web. Physicians can
now search medical data via a single command on
In addition to the many existing editing commands such as
webMD®, uptoDate®, PubMed™ and ICD9. these
“Delete line”, Dragon Medical 10 introduces direct com-
commands can be said at any time without even having an
mands for formatting, deleting, and copying named words
internet browser open. these commands combine multiple
and passages. rather than selecting the relevant word(s) or
clicks into one fast command for the busy physician. Simply
passages and commanding what to do with that text (e.g.,
say “Search uptoDate for wel butrin contraindications” and
“Select very, [pause] Bold that”), you can now directly name
Dragon Medical and uptoDate take you there.
the desired text with the desired action in a single voice command, such as “Bold very.” Just like in the familiar “Select <XYZ>” commands, you can even designate a
DrAgoN voice ShortcutS For DeSktop
whole passage by quoting its first and last word(s):
SeArch (ALL MeDicAL eDitioNS) Dragon Voice Shortcuts collapses common multi-step tasks into direct voice commands. Now you can search your computer — faster than ever.
Delete the specified text · Delete <text> or a range of text.
· Delete from <text> to <text>
Dragon Medical 10 introduces commands to search your
· Delete <text> through <text>
computer as directly as the web, by dictating the word(s)
Cut the specified text or a · Cut <text>
to find in documents, emails and web-browsing history.
· Cut from <text> to <text> · Cut <text> through <text>
For example, you can say, “Search computer for ehr project plan” and Dragon will complete the search using
Copy the specified text or · Copy <text> a range of text.
· Copy from <text> to <text>
Google Desktop or windows Vista® desktop search.
· Copy <text> through <text>
In addition, commands such as “Find an email about the
Bold the specified text or · Bold <text>
Johnson MrI” directly open the top email containing the
· Bold from <text> to <text>
dictated keywords. Searching your computer has never
· Bold <text> through <text>
· Italicize from <text> to <text>
NeW ui Look AND FeeL
· Italicize <text> through <text>
(ALL MeDicAL eDitioNS)
unDerlIne the specified · Underline <text>
Updated icons are intuitive and easy to see.
· Underline from <text> to <text>
Dragon Medical 10 introduces new graphical icons to
· Underline <text> through <text>
enhance the DragonBar user interface, including a larger microphone icon, making the product easier to use.
What's New in Dragon® Medical 10? iMproveD heLp SySteM AND tutoriALS
browser used by tens of mil ions of people worldwide. You
(ALL MeDicAL eDitioNS)
can now benefit from intuitive spoken commands, and the
Includes enhanced Sample Commands window &
ability to activate a hyperlink by just saying part of its name. interactive HTML tutorial with a completely new look & feel.iMproveD Auto-trANScriptioN
Dragon Medical 10 offers an enhanced Sample Com-
(ALL MeDicAL eDitioNS)
mands window and interactive tutorial with a completely
The Auto-Transcribe Folder Agent now creates a
new look and feel. the new web and Flash-based system
synchronized audio file along with the automatic
offers improved navigation and content—comprehensive
transcript for deferred correction.
resources are just a command away! In addition, Dragon Medical 10 also introduces a new mechanism to enable
Version 9 introduced the auto-transcribe Folder agent, which
the creation of customizable help screens for end-users to
automatical y detects files to transcribe in a given folder into
be reminded of their favorite commands.
another given folder (once a recorder is connected). Dragon Medical 10 now gives this auto-transcribe agent the
More poWerFuL cApitALiZAtioN ruLeS
option of creating a synchronized audio file along with the
transcript file, making it possible to later get the benefit of
(ALL MeDicAL eDitioNS)
Playback and Correction—just like users dictating in word
users can instantly set capitalization rules for words as
processors can save the audio file along with their dictated
they are added for the following word categories: Person,
document, which enables a third party to correct errors,
Department, and Drugs. Clinicians can have capitalization
set to initial-caps, all-caps or no-caps for the categories.
along with the new ability for “correctionists” (medical transciption editors) to create a “Correction Only” profile,
iMproveD NAturAL coMMANDS For
this enhancement makes it easier than ever to delegate
MicroSoFt® oFFice 2007 (ALL MeDicAL eDitioNS)
correction, whether you are dictating at your PC or on the go. Use your voice to control advanced features of Microsoft Office 2007.correctioN oNLy proFiLe
Dragon Medical 10 makes it easier than ever to use speech
(MeDicAL & MeDicAL eNterpriSe)
recognition with Microsoft® Office. use your voice to dictate,
Correctionists can create a “No dictation possible
edit and control applications like Microsoft word, Microsoft
profile” without any audio setup, so third-party
Outlook®, and Microsoft Internet explorer®.
Dragon Medical 10 lets correctionists open the dictation
iMproveD NAturAL coMMANDS
files to make corrections by keyboard, which contributes to
For MoZiLLA FireFoX® (ALL MeDicAL eDitioNS)
the optimization of the speaker’s profile over time. Improved Web browser experience is now available for Firefox.
Dragon Medical 10 makes it easier than ever to use speech recognition with Mozil a Firefox, the award-winning web
What's New in Dragon® Medical 10? iMproveD eNterpriSe Security
By making it easier to train the product to one’s voice,
FeAtureS: encrypt macros for distribution
Dragon Medical 10 improves the experience for younger
(MeDicAL & MeDicAL eNterpriSe)
users and users with certain speech challenges.
More configuration options provide administrators with better control of Dragon in the enterprise. Encrypt regioNAL AcceNt Support custom commands before distributing them.(ALL MeDicAL eDitioNS)
Dragon Medical 10 offers a command-line utility to let
Significant increase in accuracy for accented speakers
Value added resel ers and It departments encrypt custom
by using more advanced adaptation techniques and
Following a significant data collection effort and research,
iMproveD eNterpriSe Security
Dragon Medical 10 incorporates new acoustic models
FeAtureS: Disable creating, changing, or
for better coverage of non-native and regional accents.
running of scripting commands to prevent
together with more powerful adaptation techniques, this
vBA-viruses (ALL MeDicAL eDitioNS)
feature will help everyone get better recognition accuracy. More configuration options provide administrators with better control of Dragon in the enterprise. Control the optioN to DiSABLe MicroSoFt teXt access to VBA-style custom commandsServiceS (ctFMoN) (ALL MeDicAL eDitioNS)
advanced scripting commands can be used to create
Easily turn off Alternative User Input Text Input
viruses, so Version 9 introduced the ability for the adminis-
Processor (CTFMon) to eliminate potential conflicts
trator to disable custom command creation by restricted
users. Since it’s rather extreme to prevent all users from
Dragon Medical 10 reduces to a simple checkbox what
creating any type of command when the aim is to prevent
was previously a multi-step process of disabling alterna-
misuse, Version 10 introduces the ability to disable each
tive services that may cause conflicts, such as advanced
technical services on windows® XP or handwriting features on tablet PCs. More FLeXiBLe eNroLLMeNt For youNger SpeAkerS AND uSerS With DrAgoN MeDicAL teMpLAte LiBrAry certAiN Speech chALLeNgeS (ALL MeDicAL eDitioNS) (MeDicAL & MeDicAL eNterpriSe oNLy) Self-paced reading is available for speakers who have
Dragon Medical comes with a library of over two dozen
difficulty with the existing interactive text passages.
macros for standard notes such as SOaP notes, new patient
reading an acoustic training text efficiently helps Dragon
visit, and outpatient consults. In addition, a complete list
learn your voice, and Dragon Medical 10 offers an easier
of “medical normals” by body system is also available,
way to do it: print or view the entire text and record it at
so that clinicians immediately can begin using Dragon
your own pace—without needing to satisfy the valida-
Medical “out of the box” with less time spent creating their
tion done by the software in the original prompt screens.
What's New in Dragon® Medical 10? DrAgoNteMpLAteS With voice FieLDS
large sets of flexible command wordings separately for
(MeDicAL & MeDicAL eNterpriSe ) Quickly automate form filling applications.
• Microsoft PowerPoint® • Corel® wordPerfect®
when creating text-and-Graphics commands, you can now include variable fields within templates that can be filled out by voice. Better coNtroL oF coMMANDS vS. DictAtioN oN the WeB (ALL MeDicAL eDitioNS)
Dragon Medical lets users create default values for
Require “Click” for hyperlinks and disable Web
Dragontemplate fields. this feature lets physicians quickly
commands separately from dictation support.
fill in multiple template fields with a single command. For the template, “Patient reported [moderate] severity
Dragon Medical 10 helps ensure a comfortable experi-
with [no associated] loss of sensation in the [right upper
ence on the web, addressing the concern that words you
quadrant].” clinicians simply say Accept Defaults and
mean to dictate may be interpreted as a command, even
the completed phrase would read, “Patient reported
if said in isolation. while on a web-based ehr, users
moderate severity with no associated loss of sensation
occasionally dictate isolated words that happen to be
in the upper right quadrant.” Save time and still dictate
included in a hyperlink on that page, but Dragon can also
click hyperlinks just by hearing part of their name and up to now Dragon’s web capabilities could not be disabled
Auto coNFigurAtioN For optiMAL
individually. Dragon Medical 10 now provides finer options
perForMANce BASeD oN SySteM
for optimal comfort on the web whether you intend dicta-
tion or action: one can disable htML commands and also
(ALL MeDicAL eDitioNS)
require saying “Click” for hyperlinks separately, without
Latency configuration on “slow” machines and per-application disabling of intuitive spoken commands. Installation automatically detects PC’s resources and
In addition, Dragon Medical 10 replaces some existing
adjusts options for optimal speed.
single-word htML commands with multiple-word equiva-lents, to avoid confusion with those single words meant
During instal ation, Dragon Medical 10 automatical y analyzes
your PC’s resources and changes default settings as needed to increase speed; this may include moving the
v9 command v10 command
Speed vs. accuracy slider towards speed and disabling
the intuitive spoken commands in some applications. the
users can later change these options if they wish.
the result? Improved performance for older PCs that
In addition, Dragon Medical 10 gives finer control over the support for intuitive spoken commands, which means users can gain speed if they only use intuitive spoken commands in some applications. One can disable these
What's New in Dragon® Medical 10? ForMAttiNg AND WorD propertieS hiDDeN MoDe (MeDicAL & MeDicAL eNterpriSe oNLy) iNterFAce eNhANceMeNtS Users can dictate while reviewing lab or radiology test (ALL MeDicAL eDitioNS) results and save when finished anywhere in the EHR.New Formatting dialogue and Word Properties let you
Physicians can document care anywhere within an ehr
control the written forms more finely than ever, including
system, reducing the need to navigate back and forth to
alternate forms, spacing and capitalization before and
an ehr’s text field to add documentation. Dictation is
stored in hidden Mode and can be placed in the text field
Dragon Medical 10 gives easier and finer control over the
form, spacing and capitalization of items written in various contexts (e.g., inserting a space before or after, capitalizing
hiDDeN MoDe icoN—in version 10.1
the next word, or using alternate forms like “Fig.” instead
(MeDicAL & MeDicAL eNterpriSe oNLy)
of “figure” before numerals.) For instance, if you want all
users will now see an icon to remind them if text dictated
numbers between zero and ten to be written as numerals,
into hidden Mode is ready to be transferred into an ehr
you can now simply set this with just one check on the
text box. also, we listened to you, our clinician customers:
you can decide if you want to stay in hidden Mode after transferring text or return to a “normal” mode where your
eMBeDDeD DAtA coLLectioN tooL (ALL MeDicAL eDitioNS) Data Collection engine embedded in the product.MeDicAL vocABuLArieS (ALL MeDicAL eDitioNS)
a New user wizard screen invites users to participate
Medical specialty-specific vocabularies that ensure
in a program designed to collect data to improve the
high physician dictation accuracy.
overall accuracy of Dragon Medical 10. the option is
Dragon Medical 10 now supports nearly 80 medical spe-
cialties and subspecialties, ensuring high physician dicta-tion accuracy. Dragon Medical 10 recognizes even rarely
SupportS hipAA reguLAtioNS —
used medical diagnoses and medications “out of the box.”
(ALL MeDicAL eDitioNS, eNgLiSh oNLy) Protects patient confidentiality and helps provider poWerMic™ reADy (ALL MeDicAL eDitioNS) organizations support HIPAA (Health Insurance Program your PowerMic buttons to run a Dragon Portability and Accountability Act) standards.
Dragon Medical 10 protects sensitive and confidential
Dragon Medical 10 supports the handheld PowerMic
patient information by providing support for network file
microphone and allows users to assign Dragon or user
storage of speech files, helping your organization satisfy
commands to PowerMic buttons. Clinicians can now
hIPaa privacy and confidentiality guidelines. Version 10.1
navigate faster and save time by further reducing
provides more secure encryption methods that provide
even greater levels of information security. What's New in Dragon® Medical 10? MicrophoNe SLeep MoDe —in version 10.1! (MeDicAL & MeDicAL eNterpriSe oNLy)
users can set Dragon Medical to have their microphone go to sleep when they want.ten minutes, a half hour, or even two hours since Dragon Medical was last used. MeDicAL ForMAttiNg ruLeS (ALL MeDicAL eDitioNS) Smart software expands medical abbreviations and follows capitalization rules of medical terms.
Dragon Medical 10’s medical specialty vocabularies can be set to have common phrases such as “hPI” either ex-panded to appear as “history of Present Illness,” “history of present illness,” or “hPI”, depending upon physician preference. MycoMMANDS (MeDicAL & MeDicAL eNterpriSe oNLy) Show user commands only in Command browser.
Personal voice commands now appear in Dragon Medical 10’s Command browser for faster use and easier maintenance. For more product information please visit Nuance healthcare at www.nuance.com/healthcare or call 866-748-9537.
2009 Nuance Communications, Inc. all rights reserved. Nuance, the Nuance logo, Dragon, and PowerMic are trademarks and/or registered trademarks of Nuance Communications, Inc., and/or its subsidiaries in the united States and/or other countries. all other trademarks are properties of their respective owners.
Instructions for a Renal Captopril Study Department of Nuclear Medicine & Centre for PET Name:________________________________ Appointment: Date:______________ Time: ______________ Your doctor would like you to have a Renal Captopril Scan . This is a test to look at the blood flow to kidneys as a possible cause of high blood pressure. Please report to the Depa
Retail Program The retail program provides up to a 34-day This program is based on the CareFirst BlueCross BlueShield (CareFirst) supply of medication. Simply present your or CareFirst BlueChoice, Inc. (CareFirst BlueChoice) preferred drug prescription drug identification card at a list, which is made up of all generic prescription drugs (Tier 1) and preferred brand name prescription dru