There are several advantages of using Advanced Scripting commands within Dragon Medical Practice Edition.  Advanced Scripting allows you to create complex scripts and sequences to perform virtually any function on the computer using voice commands.  Creating Advanced Scripting commands within Dragon Medical Practice Edition requires familiarity with the Microsoft Visual Basic programming language.

This illustrated how to guide will walk you through the process of creating an Advance Scripting command to automatically save a Microsoft Word document to a specific directory and automatically name it with the patients name.

STEP 1: Create a Directory

This will be where your reports are saved to once you’ve completed them.  In this guide, I will save the reports to a folder I created, titled, Sample Medical Reports.

The location is: C:\Users\Joshua Stewart\Documents\Sample Medical Reports\

NOTE:  This code was written to find the [Name] field in your templates, therefore’ make sure there is a [Name] field in your template(s).

STEP 2: Create an Advanced Scripting to Automatically Save a Document to a Specified Directory

 1. Open Dragon Medical Practice Edition

 2. Open the MyCommands Editor by going the DragonBar, then Tools > Add New Command. 

 3. Enter a Name. The MyCommands Editor window will open.  Choose a name for your command and enter it in the [MyCommand Name] field.  For this guide, I will name the command, Save Dictation

4.  Enter a Description.  In the [Description] field, enter a description that will help you identify the command.

5. Specify a Group.  In the [Group] field, specify whether this command will be a Dragon command or a user-defined command.  If it is user-defined, you can type over “user-defined” with a group name of your choice.  The new group name will appear in the list the next time you create a command. Putting macros in a group will make them easier to find and manage within the command browser.

6.  Command Type: Change the Command Type to [Advanced Scripting].

NOTE: When Advanced Scripting is select the content window will change to a script window.

7. Enter the following visual basic script into the Script window

NOTE: SendKeys “C:\Users\Joshua Stewart\Documents\Sample Medical Reports\ should be replaced with whatever directory you chose in Step 1.

8.  Set Object Reference Library.  Right-click in your script window and select [References].

9. Select the Word Processing Application you are using.  In this guide, I am using Microsoft Word 2010, therefore; I will choose Microsoft Word 14.0 Object Library (8.5).

10. Click [OK].

11. You will be brought back to the main MyCommands Editor window, select [Save].

NOTE: If you receive a syntax error, you’ve entered the code incorrectly.

Congratulations, you’ve just created an Advanced Scripting Macro that will allow you to say “Save Dictation, which will grab the patients name field from your template and automatically save it.

Verification Source:  In-house testing

Test Date: 10.5.11

This how-to guide will take you through the process of programming the Phillips SpeechMike III with Dragon® Medical Practice Edition in 4 simple steps. The SpeechMike III allows you to automate various features of Dragon Medical Practice Edition, supercharging your productivity and efficiency. Whether you’re navigating though a template, opening applications, inserting text or invoking hotkeys, the Philips SpeechMike III gives you the power to get more done in less time. Illustrated screen shots are featured below for your convenience.

STEP 1: Connect your Philips SpeechMike III

Connect your Philips SpeechMike III to any open USB port on your computer. We recommend using the USB port on the back of your PC if possible as there is typically more power allocated to them.

STEP 2: Download & Install the Philips Device Control Center

Successor of the Device Configuration Tool, the Philips Device Control Center is used to tailor the behavior of the SpeechMike III, and Foot Control device for a range of applications. Once the PDCC is installed, the default profile is configured for Dragon Medical Practice Edition, streamlining the process for new users to begin using the device. Your buttons will have become pre-programmed to operate the basic functionality of the unit.

NOTE: Some documentation will refer to the Philips Device Control Center as Speech Control. These applications are one in the same.

1.  Click Here to download the Philips Device Control Center. As of November 1, 2011 Version 2.8 Build 260 is the latest. This download may take up to 20 minutes depending on your Internet speed.

2. Once the download has completed, go to where it was saved and extract (unzip) the folder to display its contents. Double-click the PhilipsDeviceControlCenterSetup to begin the installation.

3. A Philips Device Control Center Install Shield Wizard will appear. This wizard will take you through the installation process step by step. Select [Next] to begin.

4. Following the prompts in the wizard to complete the installation will take only a few more clicks of the next button.

You may minimize the Device control Center for now and return to it in Step 4.

STEP 3: Create a profile in Dragon Medical Practice Edition

In this step we create your user profile in Dragon Medical Practice Edition using the Philips SpeechMike III as the dictation source. For this guide, we will assume that you have not yet created a user profile before and are starting fresh. If you have already been using Dragon Medical software with a different dictation source, we recommend that you add an additional dictation source to your existing profile, selecting the USB input option. Otherwise you may follow these steps.

1. Open Dragon Medical Practice Edition, if this is your first time opening Dragon Medical Practice Edition, a Profile Creation wizard will appear.

Note: If the profile creation wizard does not automatically appear, go to Profile > Open User Profile and select [New]

2. Select [Next] to begin the profile creation process.  The wizard will ask your name, age, region, vocabulary, and accent.  Choose the option in the lists that best fit you.

3.  You will come to a screen that will ask ‘How do you talk to your computer?’, choose [USB] under the Microphone category then [Next] to continue.

4. Your selections will now be displayed. Please review to ensure that you have selected the best options that will fit your needs and select [Create]. Dragon Medical Practice Edition will begin to create your profile based on the options selected.

5.  You will then be prompted to ‘Check your Microphone’, select [Next] to adjust your audio settings.

6.  Select [Start Volume Check] to begin the process. When doing so, the text in the box above will illuminate. Read the text in that box until you hear a beep.

7. Once you’ve hard the beep, you will advance to the next window. Select [Start Quality Check] and read the text in the box until you hear a second beep. Select [Next] to advance to the training options.

8.  The system will now prompt you to begin training. Select [Show text with prompting], select a story and read the story in to the Philips SpeechMike III until training has completed. This process will take approximately 8-10 minutes.

Once you have completed the training process your profile will be created and you will now be able to dictate into Dragon Medical Practice Edition using your Philips SpeechMike III. As mentioned in Step 2, your SpeechMike III is now preprogrammed to control the basic functionality of Dragon Medical Practice Edition, such as controlling the microphone and playback. Proceed to Step 4 if you wish to customize the SpeechMike III to meet your individual needs.

STEP 4: Customizing the Philips SpeechMike III

As we mentioned above, the microphone is now programmed to work with Dragon Medical Practice Edition. You will always have the choice to change the default configuration to meet your specific needs. Follow the instructions below to do so:

1. Open the Philips Device Control Center aka Speech Control Application, and select the [Application Control] tab.

There are three columns in the Application Control Tab:

Name – This is the button on the SpeechMike III that can be programmed.
Pressed – This column represents the action that will take place once the button is pressed.
Released – This column represents the action that will take place once the button is released.

2. If you wish to change the default settings, select the ellipsis box […] next to the desired action (i.e. Pressed or Released)

3.  Once the ellipsis box is selected, an Edit Operation window will open.

4. In order to make a change to the default settings or to add new settings, use the [Add], [Edit] and [Delete] buttons.

5. The edit and delete options are self-explanatory. If you select [Add], an Operation Step Editor dialog window will appear with 6 options.

Hotkey – This option will allow you to program a hotkey or a combination of hotkeys to the button selected.
Text – This option will allow you to insert a block of text when the button is selected.
Start Application – This option will allow you to automatically open a particular application on your computer when the button is engaged.
Mouse Button – This option will allow you to use a mouse command when the button is engaged.
Dragon NaturallySpeaking Command – This option will invoke a built-in Dragon command when the button is selected.
Delay – This option will tell the system to wait for a specific period of time when the button is selected.

6. Make your selection, again select [Next] to return to the edit operation screen.

7.  Select [Apply] to transfer your new settings to the SpeechMike III.

8.  Close the Philips Device Control Center and you are good to go!

Note: The PDCC must be running in the background and set to active in order for the device to recognize the commands. Confirm that it is running in your System Tray.

Verification Source:  In-House Testing

Yes, the instructions below will assist you with configuring client computers to work with Dragon Medical Practice Edition on a server

After you install Dragon Medical Practice Edition, Dragon Client for Remote Desktop, and the Remote Desktop Connection 7, to ensure the providers can dictate successfully; perform the following steps on each client computer that will connect to Dragon Medical Practice Edition on the server.

STEP 1: On the client, plug in the microphone that you will use to dictate with Dragon Medical Practice Edition. Then perform the Audio Setup Wizard to check that microphone sound levels and signal quality are suitable for using Dragon Medical Practice Edition.

STEP 2: On the server, make sure that the “Remote audio” recording device is created.

STEP 3: In the Windows registry, set the HKLM\SYSTEM\CurrentControlSet\Control\Terminal Server\WinStations\RDP-Tcp\fDisableAudioCapture to 0.

STEP 4: On the Windows Server 2008 R2, ensure that the group policy setting “Allow audio recording redirection” is enabled. Group Policy settings for Remote Desktop Services can be found in the following locations in either the Local Group Policy Editor or the Group Policy Management Console (GPMC):

Computer Configuration\Policies\Administrative Templates\Windows Components\Remote Desktop Services\Remote Desktop Session Host\Device and Resource Redirection

STEP 5: Optionally, you can publish all applications and EMRs on the Windows Server 2008 R2 operating system using Remote Application Manager. This provides full support for dictation and playback.

STEP 6: In the Dragon Medical Practice Edition client, configure the Roaming User master directory and Roaming Administrative settings. Nuance recommends enabling the Roaming User feature to store user profiles on a secure network.

STEP 7: Inform end users when they can create their roaming user profiles: Creating user profiles requires a minimum of four (4) minutes of Short training. It is not possible to skip user profile training when Dragon Medical Practice Edition is installed on the Windows Server 2008 R2 and Remote Desktop Connection 7 is used.

STEP 8: Install the Remote Desktop Connection 7 (RDP 7) software on the end user’s computer (or laptop). The download is available here: 

http://www.microsoft.com/downloads/details.aspx?FamilyId=72158b4e-b527-45e4-af24-d02938a95683&displaylang=en

1. When you start Remote Desktop Connection 7, in the Remote Desktop Connection dialog box, click [Options].

2. Select the [Local Resources] tab.

 3. Click [Settings]

4. Select the [Play on this computer] option and the [Record from this computer] option, and click [OK]. Selecting these options ensures that audio support is enabled each time the user opens the remote connection to use Dragon Medical Practice Edition on Windows Server 2008 R2.

 STEP 9: On the [Local Resources] tab, set the [Apply Windows key combinations] field to [Only when using the full screen]. Using full screen allows you to use the PowerMic II Button Control application correctly.

STEP 10: On the [Display] tab, set the [Display configuration] to Full Screen.

STEP 11: Open or create a user profile and begin dictating with Dragon Medical Practice Edition.

Verification Source:  Dragon Medical Practice Edition IT Administrators Guide