Home Forums Voice Dictation?

I split this thread from the General Discussion Forum. This was Dr. Mody's question. http://www.amazingcharts.com/ub/ubbthreads.php/topics/25037/Voice_Dictation#Post25037

This is my answer.

Most small practices can get away with using Dragon Medical 10.1 Small Practice Edition ~ http://www.knowbrainer.com/ShopOnli.../dns-medical-sm-practice-edition-101.cfm which carries an SRP of $1199 but is MAP priced and typically sold from Nuance certified speech recognition specialists for $1149. I recommend going to a reseller for, as David pointed out, that extra layer of Technical Support.

The microphone that's included in the box should only be considered as a starter microphone at best. To get the most out of NaturallySpeaking you need a good sound card and microphone. Otherwise you are just putting bicycle tires (by using the OEM microphone and your integrated soundcard) on a race car (Dragon Medical).

To specifically answer your question, you either need to use Dragon Full Medical or the Small Practice Edition (our recommendation) to work with Amazing Charts. All other versions of NaturallySpeaking are disabled their use in EMR applications.

It is not easy to make a specific microphone recommendation because it really depends more on your needs which can range from hand-held microphones (to avoid looking like a cyborg in front of patients), multitask microphones (works on your telephone and computer), ultra noise canceling headset microphones and even desktop microphones. Without knowing more information, it's difficult to make a single microphone recommendation but what I can do is point you to our KnowBrainer Microphone Comparison Matrix ~ https://www.knowbrainer.com/storefront/index.cfm?fuseaction=category.display&category_id=18 where you can view our latest microphone test results which compare pricing, accuracy, noise cancellation, features and even comfort.

Tom:

Thanks for the info. I am looking to see people who are using this with amazing charts to see how it works? In other EMR's I have seen that with dragon you can use the button to skip to different parts of the prewritten history to change [0/1+/2+] for pain by clicking on the microphone and saying 1+ and it changes the text from [0/1+/2+] to 1+ . Is this possible in AC?

Ketan

Sure is, see this.

Dr. Mody,

Yes, and here's how it works?

The NaturallySpeaking "next field" command (which can also be triggered by a hotkey) will select any text that is surrounded by brackets such as [Patient Name] and allow you to dictate over the field. This command will work in any Select-&-Say enabled application which includes most EMR software such as Amazing Charts. However, not all versions of NaturallySpeaking include the "next field". This feature is only natively available in Full Medical 10. Interestingly enough, the command will not work in the Dragon Small Practice Edition unless you are also using KnowBrainer 2010 ~ https://www.knowbrainer.com/storefront/index.cfm?fuseaction=category.display&category_id=3 which includes its own variation of the "next field" command called "Fill In". KnowBrainer also includes the ability to select random bookmarks.

Tom:

Are you a sales rep? Or do you use this in practice? If you are a rep for Dragon let me know, and how to get in contact with you.

Dr. Mody

We are a Nuance Gold Certified Partner and reseller and run the world?s largest Speech recognition forum. http://www.knowbrainer.com/PubForum/
We also use the software and hardware to run our company from E-mails to complex shipping commands and just about anything else you can think of.
You can send us an E-mail at support@knowbrainer.com or call at 615-884-4558.

Tom:

Is it better to buy small practice edition + the knowbrainer version of the next field or full medical edition?

What is the difference between to two?

what is "scripting for dragon"

if i m using this on a laptop, how do i know what kind of sound card is effecient?

From a purely next field command point of view, NaturallySpeaking Full Medical would be better because it includes both previous field and next field commands which also deploy a little faster. KnowBrainer only contains a Next Field command.

The Small Practice Edition doesn't contain a next field command but costs $400 less and you can add KnowBrainer, which includes a Next Field command, for an additional $99 plus you'll wind up with all the other KnowBrainer amenities (11,000 time-saving commands).

The differences between Small Practice and Full Medical are as follows:

Full Medical cost $400 more, includes a complimentary copy of KnowBrainer (when purchased from our company) includes 2 additional vocabularies which are radiology and pathology along with medical templates which can utilize the previously mentioned previous and next field commands.

Small Practice lacks medical templates, template commands, radiology and pathology vocabularies and costs $400 less ($300 less with KnowBrainer). However there is also a licensing issue. Small Practice can only be used by small practices of less than 50 physicians. Hospitals are required to purchase Full Medical.

The Scripting Guide is a manual on creating personal Advanced-Scripting commands in DNS Pro, Small Practice, Legal and Medical.

bump

DR. Grauman,

I hate to see the thread die too but I guess as Porky Pig would say "That's all Folks".

At least it has a reasonable title that we can find to reference when future postings require it.

Hello,
I have been struggling to find where I can purchase Dragon. It appears that Nuance does NOT sell the medical version. I have found various places online however the price ranges from $1500-$2000!
Can someone help me?

Also has anyone ever tried the non-Medical version of Dragon? Could that be trained to learn medical jargon since it costs a lot less?

Thanks

I would go through a medical software vendor like Tom Hamilton above or similar. Dragon needs some tech support for initial setup to work best. Plus you will need advice on microphones.

Nuance has set up all the DNS versions except Dragon Medical to be disabled when running an EMR on the same computer.

Thanks for the prompt responses!

Fortunately, I have a VPN at work to bypass that block.

Does anyone know if the Non Medical version can learn the medical vocab?

Lastly, I am a solo doc. If I decide to get Dragon Medical, can I get away with the small practice version?

Yes, but you will have to train most medical terms, one by one, as you dictate.


It has all the full version features, except Voice Fields .

I am using Dragon 11.

Is there anyway to import medical terms, phrases etc?

Dr. Niko,

You can use these Medical vocabs with version 11 Premium or Professional. They are the same vocabs in Medical 10 but with a few more words and phrases added and you can mix and match them as you please. We do suggest not using over two specialty vocabs at once. One example would be a pediatric plastic surgeon combining pediatrics and plastic surgery. http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=65&idcategory=11

Question on the license....

In a practice with 2 physicians would you have to purchase 2 copies of Dragon? (I assume the answer is: yes you need to buy 2 copies).

Second, if one physician uses multiple computers to work on can he use the same copy on multiple computers? Example Rooms# 1, 2, 3, 4, and the physicians desk. Just so that you know, we have tried roaming the laptop computer thing, and it just doesn't work for us. A wired computer in every room works best.

Third, if different physicians will on occasion use the same computer, how do you reconcile that issue? For example, Exam Room #3 is used by both physicians who need to dictate with dragon in that room.

Thanks in advance,
Jay

One licence per physician. Probably can install on five or more separate machines. Would need to switch voice profiles in the rooms when providers change or separate logins. You MAY have similar enough voices to share one profile in 10.1 if genders are the same.

Jay,

Questions #1 and #2 Yes, NaturallySpeaking is licensed to the end-user; not the computer and that's why you are permitted to install it on multiple computers.

Question #3 If 2 physicians are sharing 10 different computers, all that is required is 2 licenses because NaturallySpeaking is licensed to the end-user. In other words if you have a license to NaturallySpeaking Medical and someone else loaned you their computer, from a legal standpoint, you're good to go.

How would you know you have an adequate sound card?

Don't use a sound card mike. USB microphones have much better vocal sensitivity and noise rejection, which is essential for fast & accurate recognition.

Jay,

The soundcard built into your computer unless it's an after market soundcard such as SoundBlaster or TurtleBeach is just fine for everything other than speech recognition. The microphone you mentioned to me has a good card built into it as it is a high end USB mic. I believe it's also John's mic of choice. If you were to choose a non USB mic you would simply need an external soundcard that you can find on our site under soundcards.