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Table Of Contents

Dragon 13 Administrator Guide

Whenanend-userdictateswithDragonNaturallySpeaking,Dragonautomaticallysavesall

audioandtranscribedtextinDragonRecordedAudio(.DRA)files.Iftheend-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

Profile.Forexample,Dragonusesthesefileswhenanend-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.

DuetotherestrictionsmandatedbytheHIPAAregulations,theseencrypted.DRAand

.enwvfilescanonlybeopenedbyDragonforitsinternaluse.Forexample,theycannotbe

accessedbythenon-MedicalversionsofDragon,theDragonNaturallySpeakingSDKClient

Edition(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

DragonPad.

Notes:

n Dragondoesnotencrypt.DRAfilesexplicitlysavedbyanend-user.Forexample,ifan

end-usersavesrecordeddictationwhensavingadocument(forexample,inWord,

WordPerfect,orDragonPad),thesesaved.DRAfilesareunencrypted.Theend-user

that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-

checkingtheEncrypt Patient Health InformationcheckboxintheMiscellaneoustabof

theAdministrative Settingsdialogbox.

Forexample,youmaywanttoturnoffthisoptionifyouarerunningsoftwarethat

automaticallyencryptsallfilesthataresavedtotheharddrive.

Formoreinformation,seetheMiscellaneoustaboftheAdministrative Settings dialogbox.

