NUANCE DRAGON MEDICAL - VERSION 10 User manual

Version 10
User Guide
Dragon NaturallySpeaking
Dragon Medical

Version 10 Professional, Medical, Legal, Contact Center, Preferred, Standard, and Essentials editions.
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50-A11A-10511

iii
Contents
CHAPTER 1 Introduction 1
About this guide 2
What should I expect from Dragon? 3
CHAPTER 2 Installation and User Creation 5
System requirements 5
Plugging in the microphone 6
What you should know before installing 7
Before installing the software 8
Choosing type of installation 9
Installing software — Typical Installation 9
Installing software — Custom Installation 11
Modifying application settings for all users 16
Modifying administrative settings 16
Setting formatting options 17
Creating a new user 18
Training a new user 22
Adapting to your writing style 23
Scheduling periodic optimizations 24
Upgrading Existing Users from Versions 8.x and 9.x 25
Version 10 File Structure 27
Accessing log files, samples, and tools 28
Setting command, hot key, backup options 29
CHAPTER 3 Starting to Dictate 33
Starting Dragon 33
Turning on the microphone 34
Starting to dictate 35
Getting Help 39
Troubleshooting 41
The DragonBar 41
Using QuickStart 44
CHAPTER 4 Working on Your Desktop 47
Programs, documents, and folders 47
Switching between open windows 48
Opening and closing menus 49
Selecting buttons, tabs, and options 50
Selecting icons on the desktop 51
Resizing and closing windows 52
Scrolling in windows and list boxes 52
Opening lists and making selections 53

Contents
iv
Pressing keyboard keys 53
Moving the mouse pointer and clicking the mouse 58
CHAPTER 5 Correcting and Editing 63
Correcting mistakes 63
Selecting text by voice 67
Moving around in a document 71
Copying, cutting, and pasting text 73
Deleting text 74
Spelling as you dictate 76
Playing back your dictation 77
Using text-to-speech 83
CHAPTER 6 Formatting 85
Capitalizing text 85
Formatting text 89
CHAPTER 7 Dictating Numbers, Punctuation, and Special Characters 93
Dictating numbers 93
Punctuation 104
Dictating hyphenated words 107
Dictating compound words 109
Dictating names 110
Dictating abbreviations and acronyms 110
Dictating e-mail and Web addresses 113
Dictating special characters 114
Switching recognition modes 119
INDEX121
Technical Support 127
Information and Sales 127
Training and Customization Services 127

CHAPTER
1
1
Introduction
ragon NaturallySpeaking and Dragon Medical let you talk
to your computer instead of typing. As you talk, your words
are transcribed onto your screen and into your documents or e-
mail messages.
Talking to a computer while it types what you say is called
dictating. You can dictate, rather than type, into any program
that accepts text.
You can use Dragon to:
■Compose letters, memos, and send e-mail messages—Cut and
paste inside your documents as well as revise and format text.
Just think about what you want to say, and then say it into the
microphone.
■Enter data into forms or spreadsheets. (Available in
Professional and higher editions)—Most people can dictate
numbers faster than they can type. Using Dragon
Professional or higher editions, you can create custom voice
commands to let you move from field to field on your form by
voice.
■Work on the Web—Search the Web, access information, and
navigate Web pages by speaking URLs and links.
■Start programs and open menus.
■Use handheld recorders to dictate while you are away from
your computer. Dragon can then transcribe what you said.
D

Introduction
2
About this guide
This guide covers all editions of Dragon, including Dragon
NaturallySpeaking and Dragon Medical. Most information
presented applies to all the editions, and differences between the
editions are noted.
Conventions used in this guide
1This guide contains many examples of words and phrases
you can say when using Dragon. These examples appear in
italics with quotation marks, for example: “Format That
Bold.”
2Some procedures also include sample text for you to dictate.
Sample text appears in a different typeface, with punctuation
in square brackets.
3This guide applies to the five English dialects that ship with
Dragon:
■US English
■UK English
■Australian English
■Indian English
■Southeast Asian English
US English uses US spelling, punctuation, and time and
currency formats. We recommend US English for Canadian
users since this dialect formats numbers (including times,
telephone numbers, and currency) in North American
formats.
All other dialects use UK spelling, punctuation, and time and
currency formats (some number settings depend on your
Windows Regional Settings). Where multiple dialects are
used in dictation examples, those dialects appear in a different
font style. For example:
You can also correct a longer phrase by saying “Correct
[text] Through [text]” (US/Canada) or “Correct [text] To
[text]” (Other Dialects).

User Guide
3
4This guide uses US spelling and punctuation for consistency.
5This guide also includes tips and notes to help you use the
software more effectively. Tips and notes appear like this:
If you pause correctly, but Dragon still types a command as
dictation, you can force it to recognize what you say as a command by
holding down the CTRL key.
With Numbers Mode on, Dragon tries to interpret everything you say
as a number. If you dictate words, the results will be unpredictable.
However, you can still navigate menus and switch between programs
by voice when Numbers Mode is on.
What should I expect from Dragon?
One reason to use Dragon is to do your writing more quickly;
creating letters, reports, and other documents by voice. Another
is to reduce the stress associated with keyboarding. Or maybe
you just like the idea of being able to lean back in your chair, put
your feet up on the desk, and still get work done.
Dragon is good for all these reasons, but making it work well
requires some effort from you. Dragon learns about your voice
and pronunciation as you use it. When you use words the
program doesn’t know, it will misrecognize them. By correcting
your mistakes, you help Dragon improve its ability to recognize
your way of speaking.
Do I still need my keyboard and mouse?
Although you can use Dragon to do almost everything on your
computer by voice, some things are still easier to do using the
mouse or keyboard.
If using a mouse and keyboard is an option for you, try
experimenting with using your voice and using your hands for
different tasks, to see what works best.
What if I can’t use a keyboard and mouse?
If using a mouse and keyboard is not an option, Chapter 4,
Working on Your Desktop on page 47.
NOTE:

CHAPTER
5
2
Installation and User Creation
his chapter presents how to install and set up Dragon, and
then how to train Dragon to understand your voice.
System requirements
System requirements to run Dragon are:
■Intel®Pentium®4 (or equivalent AMD processor) 1GHz
processor or greater. Recommended: Intel®Pentium®2.4 GHz
(1.6 GHz dual core processor) or equivalent AMD processor.
Faster processor will produce faster performance.
During the installation process the software checks to make sure
your system meets the minimum requirements. If your system does not
meet the requirements, the software will not be installed.
■512 MB RAM minimum. Recommended: 1 GB RAM. For
Windows Vista, 1GB RAM is required.
■512 KB minimum L2 Cache. Recommended: 1 GB L2 Cache.
■Minimum of 1 GB of free hard disk space. Minimum 2.5 GB
for Dragon Medical.
■Windows 2000 (Service Pack 4 or higher), or Windows Server
2000 (Service Pack 4 or higher), Windows Server 2003,
Windows XP Home or Windows XP Professional (32-bit with
Service Pack 2 or higher), and Windows Vista Home or
Professional Windows Vista with or without Service Pack 1
(32-bit only).
■DVD drive required for installation.
■Sound card capable of recording, set to 16 bit 11 KHz for
audio recording.
T
NOTE:

Installation and User Creation
6
■Nuance-approved noise-canceling headset/microphone. A
microphone is included with the full product, but is not
included with upgrade versions.
■Microsoft®Internet Explorer®6 or higher (free download
available at www.microsoft.com).
■Speakers—Optional for playback of recorded speech and text-
to-speech features.
■For Bluetooth wireless microphone support, visit
http://support.nuance.com/compatibility.
■An Internet connection for activation and automatic updates.
■Additional software—Additional operating system support for
Professional, Legal, and Medical Editions:
Citrix MetaFrame Presentation Server 4.0 or 4.5 for Citrix
support.
Plugging in the microphone
To use Dragon, you will need to plug in your microphone.
If you are not sure how to plug in your microphone, consult the
documentation that came with your microphone.
If you already have speakers for your computer, you can also
use these to playback recorded speech instead of your headphones.
Multiple users on one computer
Dragon is licensed on a “per individual” basis. You are
permitted to install the software on more than one computer
(such as on a desktop and a laptop computer, or on a work and
a home computer), but you cannot use the software concurrently
on more than one computer.
You are permitted to create multiple voice profiles, so long as
each voice profile is for you. If someone else wants to create a
voice profile, that person must purchase a separate Dragon
license.
Volume license agreements are available.
NOTE:

User Guide
7
What you should know before installing
Before installing, modifying, or upgrading Dragon, you should
know about issues with Vista and coexistence with other
Dragon products.
Installing on Windows Vista
Dragon Version 10 is compatible with all editions of Windows
Vista. Versions 8.x, 9.0, and 9.1 of Dragon do not install or run
on Windows Vista. (Versions 9.5 and higher do work on
Windows Vista.)
If you upgrade a machine from a previous version of Windows
to Windows Vista and that machine has Version 8.x, 9.0, or 9.1
of Dragon installed, that version of Dragon will not work after
upgrading to Windows Vista. All your user profiles from these
previous versions remain intact and can be upgraded when you
install Dragon Version 9.5 or higher.
Coexistence with other Dragon products
Coexistence with previous versions of Dragon
You can have only one version of Dragon NaturallySpeaking
installed on your system.
Running Version 8.x or 9.x concurrently with Version 10 is not
supported.
Coexistence with Dragon NaturallySpeaking SDK
Client Edition
You can install Dragon SDK Client Edition 10 on the same
machine where Dragon 10 is installed. In addition, Dragon 10
and Dragon SDK Client Edition 10 can share users and
vocabularies.
You can only run one product at a time. For example, if you are
running Dragon, you cannot run any of the SDK Client tools or
samples.
Coexistence of Version 10 with Dragon SDK Client Edition
Version 8.x or 9.x is not supported.
NOTE:
NOTE:

Installation and User Creation
8
Before installing the software
Before installing, modifying, or upgrading Dragon:
1Close all open applications.
2Turn off or disable antivirus software; the installation process
can sometimes trigger a false virus report.
You must have Administrator rights to install or uninstall Dragon
on Windows 2000, Windows XP, or Windows Vista. Administrator
rights are not required to create a user or use the software after
installation.
On Windows 2000, Windows XP Professional, and Windows Vista
systems, if as an administrator you want to create a Dragon user for a
Windows limited user (user with restricted privileges), you must log on
using that Windows limited user account before creating the Dragon
NaturallySpeaking user.
If you create a Dragon user account for a limited user while logged in
as a Windows administrator, the limited user will not be able to access
that user account. These restrictions also apply to an upgrade
installation.
3Choose the type of installation to carry out.
Choose Installation Type
Choose whether to install the entire product or only
particular features of the product, as explained in the next
section.
You can also carry out an
MSI installation. Refer to the
online Dragon System Administrator Guide PDF or Help file
for details.
NOTE:

User Guide
9
Choosing type of installation
When you install Dragon, you can either do a complete (typical)
installation or a custom installation. Nuance recommends you
do a complete installation unless you are experienced with the
product. The table below tells more about each installation type.
If you decide not to install some Dragon components by
selecting Custom installation, you can install them later by running the
Setup program again and choosing Modify.
If you are installing the product for multiple users, you should
choose a Custom installation rather than a Typical/Complete
installation. To carry out a custom installation, proceed to
Installing software — Custom Installation on page 11.
Otherwise, proceed with Installing software — Typical
Installation on page 9.
Installing software — Typical Installation
To install all features of Dragon:
1Insert the Dragon DVD into your DVD drive.
If the installation does not start automatically, use Windows
Explorer to find and double-click setup.exe on the DVD.
TYPE DESCRIPTION
Typical/
Complete
Installs all options and speech files. Requires
the maximum disk space.
Custom Lets you select options and speech files to
install. Can greatly reduce the disk space
required. During a custom installation, in the
Dragon Naturally Speaking Professional
and Dragon Medical editions, you can mod-
ify settings that are then applied to all users
created with this installation, including Win-
dows limited account users.
NOTE:

Installation and User Creation
10
Windows Vista: When you start the installation on Windows
Vista, you may see the message saying A program needs your
permission to continue. Click Continue to start the installation.
2After the Windows Installer begins, it installs two software
packages if they are not already installed:
■Visual C++ Version 8.0
■PowerMic Microphone Drivers (Medical edition only)
3After the Wizard begins, click Next to proceed to the License
Agreement page. Read the text and select I accept the terms...,
then click Next.
4Enter your User Name and Organization, and the Serial
Number supplied to your installation.
5(Optional) When the Setup Type page appears, click the
Change button and choose where to install the product.
If no earlier versions of Dragon are installed on your system,
the default directory is:
C:\Program Files\Nuance\NaturallySpeaking10
For a list of directories created by installation, see Version 10
File Structure on page 27.
6While you are still on the Setup Type page, select Typica l.
NOTE:

User Guide
11
7On the Ready to Install the Program page, you can choose:
■Enable QuickStart mode for the current user—If you enable
QuickStart, the product launches at system startup time
and adds the Dragon QuickStart icon to the Windows task
bar.
■Upgrade existing speech files to work with the installation—
If you select this option, either immediately after you install
(or after you reboot when you are prompted to reboot),
Dragon starts the user upgrade process (Upgrading
Existing Users from Versions 8.x and 9.x on page 25).
8Click Install to start the installation.
9When prompted, click Finish to complete the installation. (If
you are prompted to restart your computer, restart it now.)
10Select Start > All Programs > Dragon NaturallySpeaking 10 >
Dragon NaturallySpeaking 10. The DragonBar appears on
your desktop.
11(optional) If you have users from Version 8.x or 9.x that you
would like to upgrade before proceeding, refer to Upgrading
Existing Users from Versions 8.x and 9.x on page 25.
12If you have no previously existing users, the New User
Wizard starts immediately after you run the product. Proceed
to Creating a new user on page 18 to set up a user, then
continue as instructed, to train the user.
You are now ready to create a user, as explained under
Creating a new user on page 18.
Installing software — Custom Installation
To install portions of Dragon or to install it for multiple
users:
1Insert the Dragon DVD into your DVD drive.
If the installation does not start automatically, use Windows
Explorer to find and double-click setup.exe on the DVD.

Installation and User Creation
12
Windows Vista: When you start the installation on Windows
Vista, if you see a message saying A program needs your
permission to continue, click Continue to start the installation.
2After the Windows Installer begins, it installs two software
packages if they are not already installed:
■Visual C++ Version 8.0
■PowerMic Microphone Drivers (Medical edition only)
3After the Wizard begins click Next to proceed to the License
Agreement page. Read the text and select I accept the terms...,
then click Next.
4Enter your User Name and Organization, and the Serial
Number supplied to your installation.
5(Optional) When the Setup Type page appears, click the
Change button and choose where to install the product.
If no earlier versions of Dragon are installed on your system,
the default directory is:
C:\Program Files\Nuance\NaturallySpeaking10
For a list of directories created by installation, see Version 10
File Structure on page 27.
6While you are still on the Setup Type page, select Custom for
the type of installation.
If you decide not to install some Dragon components by
selecting Custom installation, you can install them later by running the
Setup program again and choosing Modify.
NOTE:
NOTE:

User Guide
13
7Click Next and you see a tree where you can select any
particular feature of the product and click the down arrow to
its left to choose where/when to install it:
■Install now, on local hard drive
■Install now, with all subfeatures on local hard drive
■Install when it is needed on a just-in-time basis
These options are particularly useful for installing multiple
languages and/or multiple vocabularies.
For example, see the selections for the Southeast Asian
English vocabulary shown in the illustration below.
If you are using Dragon Medical, you can choose to install,
for example, the Surgery vocabulary under US English,
shown in the next illustration.

Installation and User Creation
14
8Click Next again and, if you do not have the Professional or
Medical edition, skip to the next step. Otherwise, choose any
check boxes under Additional options to have additional dialog
boxes pop up at the end of the installation, where you can
make changes that affect all users dictating on this computer.
9Click Next.
Installing other languages, dialects, and
specialized vocabularies
To install user files for the other languages or dialects supplied
with your edition, choose Custom on the Setup Type page. The
user files for each language or dialect contain both spellings
and pronunciations specific to that region. For example, users
who wish to dictate US English spellings—including users with
accents—should install the US (American) English user files.
OPTION DESCRIPTION
Modify the application's settings for all users
Displays the Options dialog box at the end of the instal-
lation; here you set several options for all users at once
(see online Help for details). Useful for an installation in
a shared area; for example, in an examining room
where multiple healthcare providers can dictate.
Modify the administrative settings
Displays the Administrative Settings dialog box at the
end of the installation, where you set up the Roaming
User feature, where to backup your files, and who can
modify commands/vocabularies.
Formatting options
Displays Formatting dialog box at end of installation,
where you apply uniform formatting to all documents
dictated at this installation; for example, formats for
dates, times, and phone numbers. You also set whether
to expand contractions, apply abbreviations, and insert
commas automatically. See online Help for more details.

User Guide
15
10On the Ready to Install the Program page, you can choose:
■Enable QuickStart mode for the current user
In QuickStart mode, the product launches on system
startup with the Dragon QuickStart icon in the Windows
task bar. For more on the QuickStart option, see Version
10 File Structure on page 27.
■Upgrade existing speech files to work with the installation
If you select this option, immediately after you reboot,
Dragon NaturallySpeaking starts the user upgrade process.
11Click Install to start the installation.
12When the installation completes, proceed with any of the
following sections that apply to your custom installation:
■Modifying application settings for all users on page 16
■Modifying administrative settings on page 16
■Setting formatting options on page 17
13If you chose to upgrade speech files earlier, when the
message about upgrading your user speech files pops up, click
OK. (The message might tell you that the installation will not
be complete until after your system is restarted.)
14Check Yes, check for program updates to download any
updates after the setup completes and click Finish to complete
the installation.
15If you were told you need to reboot in order to complete the
installation, reboot your computer now.
16Select Start > All Programs > Dragon NaturallySpeaking 10 >
Dragon NaturallySpeaking 10.
17If you have users from Version 8.x or 9.x that you would like
to upgrade before proceeding, refer to Upgrading Existing
Users from Versions 8.x and 9.x on page 25. Otherwise, if
you have no previously existing users, the New User Wizard
starts immediately and you can create a user as explained
under Creating a new user on page 18.

Installation and User Creation
16
Modifying application settings for all users
If you checked off Modify the application’s settings for all users
during a custom installation, the Options dialog box opens
immediately after the installation completes.
If you did a typical installation, open the Options dialog box
by running Dragon NaturallySpeaking and selecting Tools > Options.
In the Options dialog box, you see several tabs you can use to set
up various aspects of dictating with the product:
For more information on each tab, see the online Help. If you
have the Medical Edition, you also see tabs for PowerMic I,
PowerMic II, and the Dictation Box.
Modifying administrative settings
If you checked Modify the administrative settings during a custom
installation, the Administrative Settings dialog box opens
immediately after the installation ends.
If you did a typical installation, open the Administrative
Settings dialog box by running Dragon NaturallySpeaking without
opening a user and selecting Tools > Administrative Settings.
In the Administrative Settings dialog box, you see these tabs:
■Roaming—To set up roaming users.
■Miscellaneous—To create backup/distribution directories and
control who can modify custom commands.
■Scheduled Tasks—To schedule voice recognition optimization
and data collection for improved accuracy, and let users
modify the schedule.
For details, refer to the Help by clicking the Help button.
NOTE:
■Correction
■Commands
■View
■Hot keys
■Text-to-speech
■Miscellaneous
■Data
NOTE: