11.0
Table Of Contents
- Chapter 1: Introduction to Dragon 11
- Getting started with Dragon 11.0
- Dragon version 11 - What's New for administrator
- Creating Windows shortcuts to User Profiles and Vocabularies
- Using multiple acoustic models with a User Profile
- Using Australian, Indian, and Southeast Asian vocabularies in Dragon 11
- Installing, modifying and upgrading Dragon
- Chapter 2: Preparing to Install Dragon
- Chapter 3: Installing Dragon
- Installing Dragon on a single computer
- Sample custom installation of Dragon Medical
- Post Installation Tasks
- Cleaning up after uninstalling Dragon
- Dragon file structure
- Turning off Dragon's use of Microsoft Active Accessibility Service
- Choosing a Medical Vocabulary to Support Your Specialty
- Enhancing the privacy of patient data
- Chapter 4: Upgrading Dragon
- Upgrading Dragon NaturallySpeaking or Dragon Medical
- Installing on or Upgrading to Windows Vista and Windows 7
- Upgrading multiple User Profiles
- Preparing to upgrade Roaming User Profiles
- Step 1: Install Dragon 11 on the computer where you upgrade the Dragon 9.x o...
- Step 2: On the Dragon 9.x or 10.x end-user systems that use the Roaming feature
- Step 3: On the central network storage location for the Dragon 9.x or 10.x Ma...
- Step 4: Copy the Dragon 9.x or 10.x Master Roaming User Profiles to the Dra...
- Step 5: On the administrator system where you plan to upgrade the Dragon 9.x ...
- Upgrading master Roaming User Profiles
- Upgrading multiple User Profiles
- Using the User Profile Upgrade Wizard
- User Profile Upgrade Wizard: Select the profile(s) to upgrade
- User Profile Upgrade Wizard: Begin profile upgrading
- Vocabularies Created by a Third Party (other than by Nuance)
- Upgrading User profiles with third party vocabularies
- Step 2: Upgrade a User Profile that uses a custom vocabulary
- Step 3: Import custom words to the upgraded User Profile
- Step 4: Export the customized vocabulary
- Step 5: Use nsadmin or the Data Distribution tool to copy the vocabulary you ...
- Chapter 5: Installing Dragon using the Windows installer (MSI)
- Overview of Installing Dragon using the Windows Installer (MSI)
- Overview of the Network Installation of Dragon from a Server
- Modifying Roaming User Profile, Miscellaneous, Schedule Settings in the INI File
- Understanding and applying the Roaming User Options
- Editing Miscellaneous and Scheduled Task Settings in nsdefaults.ini File
- Understanding Network and Connection Settings in roamingdef.ini File
- Carrying Out an Administrative Installation with .bat File
- Install Dragon on an initial computer and choose the default settings
- Extracting MSI/MST Files from the Dragon setup.exe
- Using .MSI/.MST Files for Custom Installations Example
- Installation using the Dragon installation process
- Install the Same Configuration on Additional computers
- Creating Custom Installation Using Microsoft Custom Install Wizard
- Installation using the Dragon command line
- Natspeak.exe command line reference
- Other Actions You Can Take on Command Line
- Modifying Default Installation Directory
- Configuring Installation of Product Updates
- Suppressing Reboot of the computer After Installation
- Installing the same Roaming User Profile Configuration on Additional computer(s)
- Revising Day/Time of Scheduled Tasks (Optional)
- Configuring Local or On-Demand Install of Vocabularies/Text-to-Speech (Optional)
- Upgrading Your Dragon Installation from the Command Line
- Step-by-Step Process for Upgrading Roaming User Profiles
- Major and Minor Upgrades: Silent Upgrade
- Using setup.exe for Upgrades
- Step-by-Step Command Line Installation with msiexec.exe
- Additional Options for Installations with msiexec.exe
- Additional Options for Silent Installations
- Modifying Default Installation Directory
- Configuring Installation of Product Updates
- Suppressing Reboot of computer After Installation
- Suppressing Reboot of computer After Installation
- Installing the Same Roaming User Profile Configuration on Additional computer(s)
- Launching Online Registration Form After Installation
- Installing Some Vocabularies Locally and Others On Demand
- Installing Text-to-Speech Feature
- Reinstalling Dragon with Particular Set of Features
- Setting Day/Time for Scheduled Tasks
- Launching Online Registration Form After Installation
- MSI Options Specific to Dragon
- MSI Options for Installing Dragon Features/Advanced Options
- MSI Options for Roaming User Profile, Tuning, and Data Collection Setup
- Feature Variables to Set Through the ADDLOCAL or ADVERTISE Properties
- Installing Visual C++ Runtime for Dragon
- Chapter 6: Configuring and using the Roaming feature and Roaming User Profiles
- Setting up the Roaming feature
- Overview of the Roaming feature
- Setting up the Roaming feature
- Creating a network storage location for the Master Roaming User Profiles
- Where to install and configure Dragon
- Storage space required for the Master and Local Roaming User Profiles
- How Dragon Synchronizes Master and Local Roaming User Profiles
- Estimating Network traffic caused by synchronization
- Enabling the Roaming feature on each computer where a user will dictate
- Administrative Settings: Roaming tab
- Administrative Settings: Roaming User Network Location
- Setting up HTTP Connection: HTTP Settings
- Setting up secure web server connection: SSL Settings
- Testing and troubleshooting an HTTP connection
- Setting and selecting Roaming User Profile options
- Creating a Roaming User Profile on the local computer
- Creating and training a new Roaming User Profile
- Converting a non-roaming local User Profile into a Roaming User Profile
- Dictating with a Roaming User Profile
- Opening a Roaming User Profile
- Using multiple dictation sources with a single User Profile
- Running the Acoustic and Language Model Optimizer for Roaming User Profiles
- Controlling user access to other user's profiles
- Configuring Internet Information Services and WebDAV for HTTP Roaming
- Configuring Internet Information Services and WebDAV
- Configuring Dragon internet roaming
- Upgrading Roaming User Profiles: Overview
- Chapter 7: Customizing and optimizing Vocabularies
- Chapter 8: Customizing a User Profile
- Chapter 9: Maintaining a Dragon installation
- Maintaining Installations
- Using Acoustic and Language Model Optimizer and Scheduler Tools
- Removing One or More Optimization Schedules
- Exporting and Importing User Profiles
- Handling Dragon Error Messages
- Working with the Usability Log
- Accessing the Dragon Knowledge Database
- Hardware Compatibility List
- Managing user administrative privileges
- Chapter 10: Working with Custom commands
- Chapter 11: Commands that perform actions based on the application state
- Chapter 12: Configuring administrative features in Dragon
- Glossary
- .DRA files (definition)
- Accuracy Center (definition)
- Accuracy Tuning (definition)
- Acoustic Optimizer (definition)
- Advanced Scripting (definition)
- Commands-only Vocabulary (definition)
- Command Browser (definition)
- Correction menu (definition)
- Command Mode (definition)
- Correction-only mode (definition)
- Data Distribution Tool (definition)
- Dictation Box (definition)
- Dictation Mode (definition)
- Dictation Source (definition)
- DragonPad (definition)
- Hidden Mode (definition)
- Language Model optimization (definition)
- Language Model Optimizer (definition)
- Normal Mode (definition)
- Numbers mode (definition)
- QuickStart (definition)
- Recognition Modes (definition)
- Roaming User (definition)
- Spell Mode (definition)
- User Profile (definition)
Dragon Administrator Guide version 11
Enhancing the privacy of patient data
When a user dictates using Dragon Medical, Dragon automatically saves all audio and transcribed
text in Dragon Recorded Audio (.DRA) files. If the user corrects any of the dictated text, Dragon
automatically stores these corrections in .enwv files. Both these files are saved in the background.
These automatically created .DRA and .enwv files are used by Dragon to optimize the User Pro-
file. For example, Dragon uses these files when a user runs the Acoustic and Language Model
Optimizer.
Dragon encrypts these automatically created .DRA and .enwv files before storing them in the
local or Roaming User Profile directories to ensure they do not become a back door into patient
data and violate the patient's privacy. These files are also encrypted when a user dictates into a sup-
ported application like Microsoft Word or an Electronic Medical Record (EMR)application.
Due to the restrictions mandated by the HIPAAregulations, these encrypted .DRA and .enwv
files can only be opened by Dragon Medical for its internal use. For example, they cannot be
accessed by the non-Medical versions of Dragon, the Dragon NaturallySpeaking SDK Client Edi-
tion (DSC), or the Dragon NaturallySpeaking SDK Server Edition (DSS). In addition, any
encrypted .DRA and .enwv files automatically created by Dragon, cannot be opened in Drag-
onPad.
Notes:
n Dragon Medical does not encrypt .DRA files explicitly saved by a user. For example, if a user
saves recorded dictation when saving a document (for example, in Word, WordPerfect, or
DragonPad), these saved .DRA files are unencrypted. The user who created these files has the
responsibility of saving these files in a secure location.
n Nuance does not guarantee that the file encryption provided in Dragon will ensure total HIPAA
compliance. Other security measures are required for full compliance.
Security Considerations
As long as other adequate security protections are in place to protect patient data, you can avoid
saving excess patient data by choosing to:
1. Turn off encryption of patient data (not recommended)
2. Turn off creation of .DRA files and set options to conserve disk space, resulting in fewer saved
files
3. Turn off creation of unencrypted .nwv files
Turning on/off encryption of patient data
It is possible to turn off the encryption of these background speech recognition files by un-check-
ing the Encrypt Patient Health Information check box in the Miscellaneous tab of the Administrative
Settings Dialogue.
Nuance can not guarantee HIPAA compliance when this feature is turned off.
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