Welcome to Dragon Medical 360 | Direct

DM360 Direct enables you to create text via speech recognition in any application that you can type in. In many applications the text is written directly into your application, in some others the text is written into the DM360 Direct Dictation Box and then you transfer it to the target application.

You can control DM360 Direct using the user interface, your keyboard, your voice or the buttons on your microphone. The descriptions in this online help are based on the default settings DM360 Direct is delivered with. To change how you control it, use the Options dialog box.

Working quickly

Use auto-texts to insert standard blocks of text; this saves you having to repeatedly record the same thing. To display a list of available auto-texts, say what can I say and scroll to the Auto-texts section.

Use your voice instead of your keyboard or mouse to perform tasks. Many of the actions in DM360 Direct can be initiated via voice command. To display a list of available voice commands, say what can I say.

What do you want to do?

Create text in your application

Anchor the speech focus to your application

Create text in the Dictation Box

Work with auto-texts

Work with voice commands

Change your settings

Troubleshooting

Creating and working with text

Creating text in your application

  1. Open DM360 Direct.
  2. Make sure that your application has the focus and place the cursor where you want the text to be written.
  3. Click or press the plus sign on your number key pad and start speaking.

The text is written directly in your application. If you are working with an application that DM360 Direct cannot directly write the text in, the Dictation Box is opened automatically and the text is written there. Edit the text, if necessary, and when you are finished, click or say transfer text. The text is transferred to your application (where you placed the cursor) and deleted from the Dictation Box. To undo the transfer, click or say recall text. The text is moved back to the Dictation Box where it will replace any text written in the meantime. The recalled text will not be deleted from your application.

Tips

Anchoring the speech focus

When an application has the speech focus, recorded speech is written in that application. You can anchor the speech focus to applications that DM360 Direct can directly write the text in. The icon changes to when the speech focus is anchored to an application. When recording is on, the icon changes to . Once the speech focus is anchored to your target application, you can open and navigate through other applications without removing the speech focus from the target application.

You can change which application has the speech focus anchored to it at any time. Anchoring the speech focus to another application automatically releases the speech focus from the application it was previously anchored to.

When you are working with an application that DM360 Direct can directly write the text in, do the following:

  1. Open DM360 Direct and your target application.
  2. Place the cursor in your target application where you want the text to be written and press CTRL + ALT + A to anchor the speech focus to your target application.
  3. Open any other application you need for analysis/reference (for example, your PACS).
  4. Click and start speaking.

The text is written directly in your application.

Tip

Editing text

You can use your keyboard and mouse to edit the recognized text:

If you are working with an application that DM360 Direct can directly write the text in, you can edit and correct directly in that application.

If you are working with an application that DM360 Direct cannot directly write the text in, we recommend that you edit and correct the text in the Dictation Box and only transfer the text once it is final. This ensures that your corrections are included in adaptation.

Tip

Editing text written in another application

When you are working with an application that DM360 Direct can directly write the text in, you can edit directly in that application. When you are working with an application that DM360 Direct cannot directly write the text in, you can add the text you want to edit to the Dictation Box and edit it there.

To add text that you have typed in another application, do the following:

  1. In the Options dialog box open the Dictation Box pane, select the Add the selected text from the target application to the Dictation Box check box and click Apply All.
  2. Open your target application and select the text you want to edit.
  3. Open DM360 Direct and expand the Dictation Box.
  4. The text you selected is available.

  5. Place the cursor where you want new text to be added, click or press the plus sign on your number key pad and start speaking.
  6. Edit the text, if necessary, and when you are finished, click or say transfer text.

The text is transferred to your target application and deleted from the Dictation Box.

Displaying recognized text in the Dictation Box

When you are working with an application that DM360 Direct cannot directly write the text in, you can decide if you want to see the text being written in the Dictation Box.

To show the Dictation Box, say show dictation box. To hide the Dictation Box, say hide dictation box.

Tips

Auto-texts

Auto-texts are standard blocks of text (also called 'normals' or 'canned text') that you can insert into your document with a short voice command. Using auto-texts reduces the time you need to record and improves the consistency of your documentation.

Example

Working with auto-texts

To display a list of available auto-texts, say what can I say and scroll to the Auto-texts section.

When you are recording, the application uses a keyword to identify that there is an auto-text to process. The default keyword is insert (if this does not work, contact your administrator to find out the keyword for your system). You must say the keyword and the spoken form, for example, insert quit smoking.

You can navigate to the fields in auto-texts via voice commands such as next field and go to previous field.

To use the default values and remove the field delimiters of all fields, say accept defaults. To use the default value and remove the field delimiters of the field with the focus, say field complete. If a field contains several values, separated by |, the first value will be used.

Note: After saying accept defaults, pause to ensure that the command is performed before you continue.

Managing auto-texts

All auto-texts that you created are listed in the Manage Auto-texts dialog box. You can edit existing auto-texts and add new ones.

To add an auto-text, do the following:

  1. Click and select Manage Auto-texts; the corresponding dialog box is displayed.
  2. Click + and fill in the required fields (repeat as necessary).
  3. Click Apply All.

Spoken form

If how the auto-text name is written and how it is pronounced are very different, make sure that the Spoken form (how it is pronounced) reflects this. You can only use alphabetic characters in spoken forms. For acronyms that are spelled out use capital letters, separated by spaces.

For the spoken form, do not use:

Very short phrases (such as one syllable only)

Capital letters (except for acronyms, for example, C I A)

Abbreviations

Digits (use 'twelve' and not '12')

Punctuation marks (for example, ", !, ?, etc.)

Symbols (for example, +, -, &, $, etc.)

Fields

Auto-texts can contain fields. Fields are gaps in the auto-text where you can enter specific text, for example, patient data. To add a field to an auto-text, enter [ ] in the relevant place of the auto-text's contents; you can enter any text between the field delimiters as default content, for example, CBC results [within normal limits], vital signs [within normal limits]. When you insert the auto-text, you can decide whether you want to replace the default values with specific text or use the default values.

Tips

Voice commands

You can control DM360 Direct using your voice. A variety of actions can be executed via voice command (instead of mouse, keyboard or microphone button); this can significantly speed up report creation. To see the list of voice commands available to you, say what can I say or click and select What You Can Say. The voice commands are categorized, with a main command and some alternatives. We recommend learning the commands that you find most useful.

For example, you are correcting your dictation and need to replace the last paragraph: say select last paragraph and you can immediately record new information.

Visual feedback

In the General pane of the Options dialog box, you can decide if you want visual feedback of voice command recognition. Select one of the following:

Step-by-step commands

Step-by-step commands execute a series of actions via a single voice command. You can create, modify and delete step-by-step commands. Creating and modifying step-by-step commands is only recommended for experienced users.

Note: After saying a step-by-step command, pause to ensure that the command is performed before you continue.

To create a step-by-step command, do the following:

  1. Click and select Manage Commands; the corresponding dialog box is displayed.
  2. Click + and fill in the Name, Description (optional) and Spoken form fields.
  3. Click New Step and select the type of step you want; repeat as necessary.
  4. Click Apply All.

Note: A red line around a field means that it is mandatory or you have not filled it in correctly.

Tips

Step types

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.

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.

The following keys can be entered in the Press keys field (curly brackets must be used):

Key Input format   Key Input format
Backspace {BACKSPACE} or {BS}   F1 - F24 {F1} to {F24}
Break {BREAK}   Return {RETURN}
Caps lock {CAPSLOCK}   Help {HELP}
Scroll lock {SCROLLLOCK}   Decimal {DECIMAL}
Delete {DEL} or {DELETE}   Separator {SEPARATOR}
Down arrow {DOWN}   Space {SPACE}
End {END}   Select {SELECT}
Enter {ENTER}   Print {PRINT}
Esc {ESCAPE} or {ESC}   Execute {EXECUTE} or {EXEC}
Home {HOME}   Snapshot {SNAPSHOT}
Insert {INSERT}   Cancel {CANCEL}
Left arrow {LEFT}   Windows {WINDOWS} or {WIN}
Num lock {NUMLOCK}   Applications {APPLICATIONS} or {APPS}
Page down {PGDN}   Left mouse button {LBUTTON} or {LBTN}
Page up {PGUP}   Right mouse button {RBUTTON} or {RBTN}
Right arrow {RIGHT}   Middle mouse button {MBUTTON} or {MBTN}
Tab {TAB}   Clear {CLEAR}
Up arrow {UP}   NUMPAD0 - NUMPAD9 {NUMPAD0} or {NP0} to {NUMPAD9} or {NP9}
Add {ADD}      
Subtract {SUBTRACT}      
Multiply {MULTIPLY}      
Divide {DIVIDE}      

The following modifiers can be entered in the Press keys field (always used with other keys):

Modifier Input format
Shift +
Ctrl ^
Alt %

Examples:

Sequence executed Input format
Alt+Ctrl+s %^s
Shift+Tab +{Tab}

Examples

Name Confidential email

Description This command will open Microsoft Outlook, create a new email message, enter CONFIDENTIAL in the subject line and place the cursor in the body of the email.

Steps

Open Application

Target C:\Program Files\Microsoft Office\Office14\OUTLOOK.EXE

Wait

Waiting time (ms) 2000

Press Hotkey

Hotkey Ctrl + N

Press Keys

Keys {TAB} {TAB}

Enter Text

Text CONFIDENTIAL

Press Keys

Keys {TAB}

 

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 TODO LIST

1.

2.

Press Keys

Keys {UP} {UP}

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

Text selection voice commands

For example: select this word - select this sentence - select this paragraph - select all

To use text selection voice commands, the cursor must be placed within text. If your cursor is in an empty paragraph, these voice commands will not be executed.

Once text is selected (via voice command), you can:

Select & say voice commands

Select & say voice commands can be used to select recorded or typed text and correct, replace, delete or format it via voice. These commands select the closest instance of the text to the left of the current cursor position. You can select single words, phrases, whole sentences or punctuation marks. For example:

  1. Say patient is a thirty year old male with a history of hypertension
  2. The recognized text: Patient is a 30-year-old male with a history of hypertension

  3. Say select thirty year old male
  4. The selected text: Patient is a 30-year-old male with a history of hypertension

For longer text passages, use through to select text from the first to the last word of your required selection. For example:

  1. Say patient is a thirty year old male with a history of hypertension
  2. The recognized text: Patient is a 30-year-old male with a history of hypertension

  3. Say select patient through history
  4. The selected text: Patient is a 30-year-old male with a history of hypertension

Note: The range of these commands is approximately one page up and down.

Editing selected text

Once text is selected (via voice command), the correction menu is displayed and you can correct, replace, delete or format the selected text, replace misrecognized text with recognition alternatives, etc. For example:

To display a list of available voice commands, say what can I say.

Note: The cursor automatically returns to its previous position when you correct text using the correction menu.

Navigating between multiple instances of selected text

Once text is selected (via voice command), say select again or select previous to scroll backwards and select next to scroll forwards through the text to find other instances of the text. When navigating between multiple instances of the text, phonetically similar matches are also highlighted. For example:

  1. Say patient has been in treatment for two years and wants to explore a different approach
  2. The recognized text: Patient has been in treatment for 2 years and wants to explore a different approach

  3. Say select to
  4. The selected text: Patient has been in treatment for 2 years and wants to explore a different approach

  5. Say select again
  6. The next selected text: Patient has been in treatment for 2 years and wants to explore a different approach

Remarks

Go back

Say go back to return the cursor to its position prior to the selection command. For example:

  1. Say patient is a twenty year old female
  2. The recognized text: Patience is a 20-year-old female|

  3. Say select patience
  4. The selected text: Patience is a 20-year-old female

  5. Say patient
  6. The replaced text: Patient| is a 20-year-old female

  7. Say go back, the cursor returns to the position prior to the selection command: Patient is a 20-year-old female|

Remarks

Undo/redo

Say undo to undo your last operation and redo to reverse an undo-operation. The behavior of these commands is dependent on the text editor you are using:

Undo: is the same as pressing Ctrl + Z or the undo button in your text editor.

Redo: is the same as pressing Ctrl + Y or the redo button in your text editor.

Note: The commands undo and redo do not work if your text editor has no or different functions assigned to pressing Ctrl + Z and Ctrl + Y.

Resuming recording

To go to a specific text position and delete everything that was recorded after that point, say resume with and the word before the text to be deleted. Use this command during recording if irrelevant content is recorded (for example, a question from the patient, a discussion with a colleague or background noise). You can also use this command to reformulate what you said or to correct misrecognized text. For example:

  1. Say patient has been in treatment for two years and wants to explore a different approach
  2. A colleague interrupts you.
  3. Say sure I'll be available at five
  4. The recognized text: Patient has been in treatment for 2 years and wants to explore a different approach sure I'll be available at 5

  5. Say resume with approach
  6. The corrected text: Patient has been in treatment for 2 years and wants to explore a different approach|

Remarks

Options and settings

Setting your input preferences

To change your settings, click and select Options; the corresponding dialog box is displayed:

Click Apply All to apply your settings.

Click Restore Defaults to undo your settings; the original delivery settings are re-applied to all tabs of the dialog box.

Dictation Box

The Dictation Box is used to display text when you are working with an application that DM360 Direct cannot directly write the text in. In this case it opens automatically when text is recognized.

Note: If you start by saying voice commands that do not result in text, the Dictation Box is not opened.

In the Dictation Box pane of the Options dialog box, you can make a variety of settings for transferring text to your target application and controlling what happens in the Dictation Box. You can transfer text while your microphone is turned on or off. If you transfer the text back to the Dictation Box, it is not deleted from the target application.

You can decide if you want the Dictation Box to be visible on-screen via voice command, hotkey, microphone button or menu item.

Using hotkeys (keyboard combinations)

Pressing a combination of keys on your keyboard (instead of clicking the user interface) to initiate an action can speed up tasks.

In the Hotkeys pane of the Options dialog box, always assign a combination of keys using one or more of the function keys and a letter/number; alternatively some function and numeric keys can be assigned as stand-alone hotkeys.

In the Microphone Buttons pane of the Options dialog box, you can also map hotkeys to microphone buttons.

Anchoring the speech focus to your application

You can anchor the speech focus automatically; in the Options dialog box, open the General pane and select Anchor the speech focus when recording is started. Before you start recording, place your cursor in the target application; this application will have the speech focus anchored to it. The speech focus is released from an application when recording is stopped or the application is closed.

If Anchor the speech focus when recording is started is not selected, you can manually anchor the speech focus via voice command, hotkeys or microphone button. The speech focus is released from an application when it is closed or you say release speech focus.

If the speech focus is anchored to an application and you open the Dictation Box, the speech focus is released from the application. If the Dictation Box is open when you anchor the speech focus to an application, it is automatically closed.

It is not possible to anchor the speech focus to unsupported applications. If you try to anchor the speech focus to an unsupported application, the Dictation Box opens.

Customizing your speech recognition settings

Factors such as user profile and the type of microphone used influence speech recognition. The settings that you log on with define how the system processes what you say. The options available depend on how DM360 Direct is configured. This means, for example, that you can only change to another language if the relevant language and lexicon are listed.

To change your settings for speech recognition, click and select Log Off; the corresponding dialog box is displayed:

Click OK to apply your settings.

Additional information

Hiding the application

DM360 Direct is always displayed on top of other open applications unless you actively hide it.

To hide the application, say hide Dragon, click or press CTRL + ALT + H.

To show the application, say show Dragon, click in the notification area or press CTRL + ALT + H again.

If you exit the application, it will not be available in the notification area.

Adaptation

DM360 Direct adapts to how you use vocabulary and your dictation style. This means that the more you use the application the more accurate the recognition results are. The application uses your final text to learn; if you have corrected text, the system compares it to your recorded speech. Words which you record but which are not known to the application are added and will be recognized when you use them in the future.

If you transfer text to an application that DM360 Direct cannot directly write in and then correct it, your corrections will not be used for adaptation; correct the text in the Dictation Box before transferring it.

360 | SpeechAnywhere Services online help

To help you work more efficiently, a variety of speech recognition features are available, for example, voice commands, auto-texts, scratch that, etc. The more you understand speech recognition and how to work with it, the faster you can create dictations. Automatic formatting (for example, dates, times, measurements, etc.) can also be very useful.

For more information on how to get the best results, say launch help and open the Speech Recognition Help tab.

SpeakAhead

In general, when you are speaking, you do not need to wait for the recognized text to be written. If you navigate between different sections of your document, you do not need to wait until the text appears in one section before moving onto the next.

When using voice commands, it is recommended to pause to ensure that the command is performed before continuing.

Speech recognition server connection

The speech recognition process takes place in the cloud via an Internet connection; everything that you say is protected and secure.

If there is a problem with your connection during recording, the microphone is turned off. To start again, click or press the plus sign on your number key pad.

Text transfer method

In the Dictation Box pane in the Options dialog box, the Text transfer method section defines how DM360 Direct interacts with the target application. Unless you have serious problems transferring text, do not change the default setting.

Troubleshooting

Here you find solutions to common issues.

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