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    User Guide

    User Guide

    DocQspeechEnd-User CourseJanuary, 2006

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    Acknowledgments

    RussFlett .....................................................................DirectorofLearning

    DianaMinks..............................................Manager, InstructionalDesign

    JustinLee ................................................................. InstructionalDesigner

    AudreyEitel......................................................................................... Editor

    KarenQuebbeman...................................................Subject MatterExpertKellyLincoln

    ThismanualcoversDocQspeech(formerlyASR)featuresfor

    DocQscribe5.10.0.84runningWindowsXP

    2006MedQuistCorporation

    ALLRIGHTSRESERVED

    Nopartofthismanualmaybecopied,photocopied,orreproducedinanyformorbyanymeanswithoutpermissioninwritingfromMedQuistCorporation.MedQuistisatrademarkofMedQuistCorporation.

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    How t o Use T his Manual

    DocQspeech End-User Course i

    How to Use This Manual

    MedQuistinstructionaldesignisconsistentwithadultlearning

    theorythatstipulatesexperientiallearning.Ourinstructional

    designisconsistentwiththisideainthatitprovidescontent

    deliveryfromaninstructorandhandsonexercisesthatlearners

    cancompletewiththeinstructororindependently.

    Manualscontain:

    objectivesandsummariesatthemoduleandtopiclevel.

    contentandexercisesthatimprovejobperformance.

    practiceexercisesthatenhancethetransferofknowledge,

    skills,andabilitiesfromtheclassroomtotheworkplace.

    Modules

    and

    Topics Eachmanualconsistsofmodulesthatgroup

    topicsrelatingtospecifictasksandskills.Eachmodulelists

    objectivestoprovidespecificgoalsforlearning.Modulesalso

    supplyalistingofprerequisiteknowledgenecessaryfor

    completingthetopicscoveredinthemodule.

    Performance

    and

    Application Eachmoduleandsometopicsendwithpracticeexercisesdesignedtohelpyoulearnthematerial

    presentedinthetopics.ThePerformingYourSkillssectionallows

    youtopracticeskills,andtheApplyingYourSkillssectionasksyou

    toapplyyournewknowledgebyansweringquestionsandsolving

    problems.Youcanfindtheanswerstotheexerciseonthepages

    followingtheexercises.

    Manual

    Features

    References Referencestokeyboardkeysarepresentedinbold

    type.Keycombinationsarereferredtointhefollowingformat:

    Alt

    +

    A.ThismeansholddowntheAltkeyandpresstheAkeyat

    thesametime.Menunamesandcommandsalsoappearinbold.

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    How t o Use Thi s Manual

    ii DocQspeech End-User Course

    Special

    text Informationthatyoutypeorenterispresentedin

    italicsoronaseparatelineinat ypewr i t er f ont .

    PromptsMessagesthatdisplaybyprogramsaresurroundedwith

    quotesandalsoappearinbold.Forexample,DOSdisplaystheprompt: Insertthedisktoformat.

    Specialsymbols Thefollowingsymbolsindicateimportantnotes:

    Thissymbolpointsoutanoteofadditionalinformation.

    Thissymbolcallsyourattentiontoaveryimportantnoteor

    warning.

    Thissymbolindicatesatiporshortcutforaprocedureyoujust

    learned.

    Q ThissymbolindicatesanotethatisspecifictoMedQuistora

    recommendedsettingforafield.Absenceofthisnoteindicates

    thatthefieldsettingisdeterminedbyclientspecificationsor

    otherrequirements.

    Thissymbolindicatesareferencenote.

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    Tab le of Cont ents

    DocQspeech End-User Course 1

    About This Course ............................................ 3

    Course Description ............................................................3

    Course Purpose ................................................................3

    Course Audience...............................................................3

    Course Objectives .............................................................3

    Introducing DocQspeech .................................... 5

    Becoming Comfortable Working with DocQspeech Jobs.......6

    Topic Summary ................................................................8

    Identifying a Speech Recognized Job..............................9

    Topic Summary .............................................................. 10

    Activating Speech Recognition Settings ......................... 11

    Accessing DocQspeech Settings........................................... 12

    Topic Summary .............................................................. 17

    Running a DocQspeech Line Count ............................... 18

    Topic Summary .............................................................. 20

    Module Summary ............................................21

    Performance and Application ..................................... 23

    Editing a DocQspeech Document .........................27

    Using DocQspeech Shortcut Keys .................................29

    Topic Summary .............................................................. 30

    Inserting and Deleting Tags ........................................ 31

    Inserting a Tag ............................................................... 31

    Deleting a Tag................................................................ 32

    Topic Summary .............................................................. 32

    Using Audio Highlights and Cursor Tracking.................... 33

    Applying Audio Highlighting ............................................... 33

    Applying Cursor Tracking .................................................. 34

    Applying the Auto Select Demographics Text When Closing ADTDialog Option ................................................................. 36

    Topic Summary .............................................................. 37

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    Table of Contents

    2 DocQspeech End-User Course

    Positioning Your Cursor ............................................ 38

    Topic Summary............................................................... 39

    Inserting DocQspeech Headings .................................. 40

    Converting Normal Text to a Heading ...................................40

    Inserting a Heading..........................................................41

    Copying Previous Section ..................................................47

    Topic Summary............................................................... 48

    Editing a DocQspeech Job ......................................... 49

    Topic Summary............................................................... 51

    Splitting a DocQspeech Job ....................................... 52

    Topic Summary............................................................... 56

    Module Summary ........................................... 57

    Performance and Application ..................................... 59

    Index .......................................................... 67

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    About T his Course

    DocQspeech End-User Course 3

    About This Course

    Course Description

    ThismanualcoversDocQSpeechfeaturesthatcanbeusedwhileeditingaDocQspeechjobinDocQscribe5.10.0.84runningunder

    WindowsXP.

    Course Purpose

    ThiscourseensurestheDocQSpeechMedicalEditorisfamiliar

    withtheAutomatedSpeechRecognitionoptionsavailablein

    DocQscribe.

    Course Audience

    TheaudienceforthiscourseisDocQspeechMedicalEditorsor

    anyoneseekingenduserknowledgeoftheDocQspeechfeatures

    availableinDocQscribe5.10.0.84.ADocQspeechenabledloginis

    required.

    Course Objectives

    Aftercompletingthiscourse,youwillbeableto:

    workcomfortablyinanDocQspeechenvironment.

    editaspeechrecognizeddocument.

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    About T his Cour se

    4 DocQspeech End-User Course

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 5

    Module 1:

    Introducing DocQspeech

    Module Description

    ThismoduleprovidesanoverviewofDocQspeech(formerly

    AutomatedSpeechRecognition)asitrelatestoDocQscribejobs.It

    providesinformationonidentifyingaDocQspeechjoband

    activatingsettingsthatareuniquetoDocQspeechjobs.Instructions

    arealsoprovidedforrunningalinecountonaDocQspeechjob.

    Module Performance Objectives

    Inthis

    module,

    you

    will

    learn

    how

    to:

    becomecomfortableworkingwithDocQspeechjobs.

    identifyaDocQspeechdocument.

    activateDocQspeechsettingsforyouruse.

    runalinecountonDocQspeechjobs.

    Module Prerequisites

    Tounderstandtheconceptsandperformthetasksinthismodule,

    youshouldknowhowto:

    workinaWindowsenvironment.

    establishanInternetconnection.

    openandnavigateinInternetExplorer.

    loginandtranscribeDocQscribedocuments.

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    Int r oducing DocQspeech

    6 MQ4018 - DocQspeech End-User Course

    Topic:

    Becoming Comfortable Working withDocQspeech Jobs

    DocQspeech(formerlyAutomatedSpeechRecognition).Thename

    soundsasthoughtheprocessforhandlingsuchajobwouldbe

    difficult.Infact,therearefewdifferencesbetweenatranscription

    DocQscribejobandaDocQspeechenabledjob:

    Thetextassociatedwiththejobdisplaysonthescreenwhen

    thejobaudioisdownloaded.

    Additionaloptions(tagsandcursormovement)areavailable

    totheuser.

    TrainedtranscriptionistscalledEditorsorMedical

    Editors(MEs)aretheonlyrolesallowedtolistentothejob

    andeditthetextwherenecessarytoensurethetextis

    accurate.

    ThejoboftheDocQspeecheditorisveryimportanttothe

    DocQspeechprocess.Oncethejobisuploadedtothesystemfor

    adaptation,thesystemlearnsfromtheeditsandimprovesitsrecognitionproficiencyastimepasses.Thetrainingofthe

    DocQspeecheditoriscrucialsothedocumentsarecorrectand

    includetheappropriatetagsneededfortheDocQspeechsystemto

    improveitsfuturerecognitionaccuracy.

    MosteditorsenjoyworkingintheDocQspeechenvironment.The

    followingpagedisplaysrealtestimonialsfromDocQspeecheditors.

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 7

    Ilovedbeingaproofreader...passingonmyknowledge...and

    helpingothersachievegoals.ThenextthingIknow,Imbeing

    askedtobeamedicaleditor.Beingamedicaleditorisoneofthe

    biggestchallengesinthisprofession.Itsbeenfascinatingtosee

    technologyadvancetothispointandtobeapartofit.Producingamedicalrecordinthismodeisunbelievablywonderful...notto

    mention,lessstressfulfortheolecarpaltunnel.Thisisnt

    threateningmylivelihooditsaddingtoit.Myproductionhas

    increasedinexcessof30%!!!!! DoIlikebeingamedicaleditor?To

    quotemykids....WELLDUH!!! Voicerecognitionishere...andIm

    readyforit.AS

    IhavebeenamedicaleditorforawhileandIloveit.Iimmediately

    realizedabout

    a25%

    increase

    in

    my

    productivity

    while

    doing

    less

    typing.Iwasaskedtotrythesystemandbelieveittobethebest

    toolamedicaltranscriptionist canhave.Ithankeveryonewho

    madethisopportunitypossible.AT

    Iwasveryexcitedtobeapartofthisnewtechnology.The

    instructionswereveryeasytounderstand,andtrainingwentvery

    smoothly.InthebeginningIfoundthattherewerequiteafew

    errorstocorrect,butthemostamazingthinghappened!Themore

    DocQspeech

    dictations

    I

    did

    for

    a

    doctor,

    the

    more

    precise

    DocQspeechbecame.Therearemanyreportsthatneedonlyafew

    correctionsnow.Ialsofindthespellcheckerandphysicianlookup

    functionstobeveryhelpful.Iamverythankfultobeapartofthis

    innovation!

    SL

    IimmediatelyfeltcomfortableeditingDocQspeechreports.Itdid

    allowmetoquicklyreturntonormalproductionlevels.

    DocQspeechreportschallengemymindinapositiveway.With

    thisnewchallengecomesasatisfactionincompletingeachreport.

    Theinformationavailableonthewebhasdefinitelyexpandedmy

    abilitytocompleteeventhemostdifficultreportand,therefore,has

    madetranscription/editingmucheasier.DB

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    Int r oducing DocQspeech

    8 MQ4018 - DocQspeech End-User Course

    Topic Summary

    DocQspeechisthetermusedtodescribejobsinDocQscribe

    thatmakeuseofAutomatedSpeechRecognition.

    WithaDocQspeechjob,thetextassociatedwiththejob

    displaysonthescreenwhenthejobaudioisdownloaded.

    ThetrainingoftheDocQspeecheditoriscrucialsothe

    documentsarecorrectandincludetheappropriatetags

    neededfortheDocQspeechsystemtoimproveitsfuture

    recognitionaccuracy.

    WorkingintheDocQspeechenvironmentisenjoyablefor

    mosteditors.

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 9

    Topic:

    Identifying a Speech Recognized Job

    Aspeechrecognizeddocumentiscreatedwhenacomputer

    generatesatextfilethatoriginatesfromavoicerecording.The

    speechrecognitionsoftwarerecognizesandinterpretsthedictators

    spokeninput.EditingisanotherfeaturetheDocQscribeplatform

    offers.

    AdownloadthatcontainsthistextfileiscalledaDocQspeech

    (formerlyASR)job.Thevisibledifferencebetweentranscription

    andeditingisthepresenceoftextwhenajobisdownloaded.

    DocQscribeeditingissimilartoDocQscribetranscriptioninthat

    thefunctionalityofshortcuts,ADTsearches,andheadinginserts

    remainsthe

    same.

    A

    DocQspeech

    job

    contains

    markers

    automaticallyinsertedbythesystemthatindicatepassagesof

    hesitation,silence,andbackgroundnoise.Thesemarkersare

    knownastags.Thespeechrecognitionsoftwareinsertstags

    whenprocessingthedictation.

    Text

    displays

    upon

    download

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    Int r oducing DocQspeech

    10 MQ4018 - DocQspeech End-User Course

    Youmayalsoinserttagstomarkpassagesofredundantorskipped

    speechwhileeditingthetranscription.Afterediting,thejobruns

    backthroughtheDocQspeechengineforadaptationtocaptureany

    editsthatwereapplied.Adaptationallowsthesystemtocontinue

    tolearnnewterminologyforthatworktypeandcontinuestotrainthesystemforthatspecificdictator.

    Taggedpassages,andthetagsthemselves,donotappearinthe

    finisheddocumenttheclientprints,butarenoterasedfromthe

    dictation.Thespeechrecognitionsoftwareusestagstoimprove

    futurespeechinterpretationandreduceeditingeffort.Also,when

    youmarkdictatedwordsinaDocQspeechjobandturnthetext

    intoaheadingbyusingCtrl+Shift+H,atagisautomatically

    applied.

    TheinstructionsforDocQspeechjobscontainedinthismanual

    aregeneralguidelines.Accountspecificinstructionsinthe

    ClientProfilecontainthedirectivesforeachindividualaccount

    andsupersedeanyinformationpresentedinthismanual.

    Topic Summary

    ADocQspeechdocumentisatextfilethatoriginatesfroma

    voicerecording.ADocQspeech(formerlyASR)jobdisplaystextwhenajobisdownloaded.

    ADocQspeechjobcontainsmarkersautomaticallyinserted

    bythesystemthatindicatepassagesofhesitation,silence,

    andbackgroundnoise.Thesemarkersareknownastags.

    TheinstructionsforDocQspeechjobscontainedinthis

    manualaregeneralguidelines.Accountspecificinstructions

    in

    the

    Client

    Profile

    contain

    the

    directives

    for

    each

    individualaccountandsupersedeanyinformation

    presentedinthismanual.

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 11

    Topic:

    Activating Speech Recognition Settings

    DocQscribeprovidessomesettingsthatareuniquetoDocQspeech

    jobs.TheGeneralandPedalSettingstabsareusedtosetplayback

    andadjustfootpedalfeatures.

    Ifnecessary,reviewtheseoptionsintheUsingToolbars,Menus

    andKeystrokesmoduleintheDocQscribeEndUsermanual.

    TheSpeechRecognitiontaballowsyoutoselecttagandcursor

    settings.

    TheSpeechRecognitiontabonlydisplayswhenyouare

    receivingDocQspeechjobs.

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    Int r oducing DocQspeech

    12 MQ4018 - DocQspeech End-User Course

    Taggingisdesignedtoimproverecognizedtextoutput.Overtime,

    thisresultsinimprovedrecognizedtextthatresultsinlessediting

    timeandhigherproductivity.Whenatagisinsertedinaspeech

    recognizeddocument,thehighlightedtextbecomeshiddenwithin

    thetaggingcode.

    Therearetwotypesoftags:

    tagsinsertedbythesystem,and

    tagsthatyouinsertwhileeditingtoimprovetherecognition

    process.

    Accessing DocQspeech SettingsToaccesstheDocQspeechsettingstovieworinserttags,usethe

    stepsbelow:

    1. Dooneofthefollowing:

    PressAlt+T,andthenO.

    ClickOptionsonthetoolbar.

    ChooseTools>Optionsfromthemenubar.

    TheOptionsdialogboxdisplays.

    Options

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 13

    2. ClicktheSpeechRecognitiontab.Thefollowingspeech

    recognitionoptionsdisplay:

    IftheSpeechRecognitiontabdoesnotdisplayonyour

    computer,youarenotsetuptoreceiveDocQspeechjobs.

    3. SelectthetypesoftagsintheSpeechRecognitiontabyouwant

    todisplayonthescreenwhileyouareediting:

    Option DocQscribeKeyboardCombination

    Description

    Silence

    N/A

    (Inserted

    bythesystem)

    Insertedby

    the

    system,

    Silence

    Markerstagpausesindictation.The

    defaultsettingissettooff.Selectthe

    optiontoactivate.

    Default

    settingsare

    shown

    here

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    Int r oducing DocQspeech

    14 MQ4018 - DocQspeech End-User Course

    Option DocQscribeKeyboardCombination

    Description

    Hesitations N/A(Inserted

    by

    the

    system)

    Insertedbythesystem,

    HesitationMarkerstagspeechdelays,

    likeumsandahs.Thedefault

    settingissettooff.Selectthecheckbox

    toactivate.

    Nonspeech N/A(Inserted

    bythesystem)Insertedbythesystem,Non

    Speechtagsbackgroundnoisesuchas

    music,papershuffling,etc.Thedefault

    settingissettooff.Selectthecheckbox

    toactivateit.

    Redundant

    Speech

    Ctrl+Shift+R RedundantSpeechtags

    identifyrepeatedandredundant

    phrases.Typicallyusedtomark

    repeatedgenericphrasesthatcould

    notbeusedinanytypeoftranscribed

    report.Examplesinclude:

    Endofdictation

    Thisisanewparagraph

    Thiscompletesmydictation

    Youshouldnotuseredundantspeechtagswithphrasesthat

    containpatientspecific

    informationorpropernames,

    excludingthedictatorsname,but

    askippedmarkercanbeplaced

    thereinstead.Examplesinclude:

    Thiscompletesthedictation

    onpatientJohnH.Smith,

    MedicalRecordNumber0000

    ThisisDr.MarkSmith

    completingdictation

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    Int r oducing DocQspeech

    16 MQ4018 - DocQspeech End-User Course

    Inallinstancesredundantphrasesshouldbeeditedifthe

    softwaredoesnotrecognizethemcorrectlybeforetheyare

    tagged.Forexample,thephysiciandictatesthiscompletesmy

    dictationandtherecognizerdisplaysthiscompletesmy

    vacation.CorrectthetexttowhatwasdictatedbeforetaggingwiththeRedundantSpeechmarker.

    ThecorrectandconsistentuseoftheRedundantSpeechmarker

    trainsthesoftwarerecognizertoautomaticallytagthesephrases

    duringtherecognitionprocess,thussavingtheeditortimeand

    effort.

    TheSilence,Hesitation,andNonSpeechmarkersautomatically

    displayintherecognizedtextiftheboxischeckedintheSpeechRecognitiontab.Whilethevisibilityofthesemarkers

    maybehelpful.Occasionally,editorsmayfindthetextdifficult

    toeditwiththesemarkersturnedon.Asentenceshowing

    silence,hesitation,andnonspeechmarkersmaydisplay:The instrument was advanced into the

    stomach finding some retained food.

    There is some erythema and

    inflammation of the

    gastrojejunostomy which was otherwise normal.

    The instrument was advanced

    ThedefaultfortheSilence,Hesitation,andNonSpeechmarkers

    issettooff.PressAlt+TandthenO,clicktheSpeech

    Recognitiontab,andselectthemarkers.

    PressCtrl+Shift+Rforredundantspeechtags.

    PressCtrl

    +

    Shift

    +

    Sfor

    skipped

    speech

    tags.

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    Int r oducing DocQspeech

    18 MQ4018 - DocQspeech End-User Course

    Topic:

    Running a DocQspeech Line Count

    MedicalEditorscandifferentiatetheirtranscriptionproduction

    versustheireditingproductionwhentheyrunalinecount.You

    cannowchooseCorrectionunderSelectaDocQscribeTasktorun

    alinecountforDocQspeecheditors.

    TorunalinecountforjustyourDocQspeechlinecount,usethe

    stepsbelow:

    1. PresstheF9keywhileonthetranscriptionscreenof

    DocQscribe.

    DocQmanage

    loads

    and

    the

    DocQmanage

    Statistics

    screendisplays:

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    Int r oducing DocQspeech

    MQ4018 - DocQspeech End-User Course 19

    2. ClickoneofthefollowingoptionsfromtheSelectaReport

    Typedropdownlistbox:

    DailySummary (Grandtotal)

    MonthlySummary(Grandtotal)

    Detail(Brokendownbyreport)

    3. SelectCorrectionfromtheSelectaDocQscribeTaskdrop

    downlist:

    4. Useoneofthefollowingoptionstoindicateadaterangeforthe

    SelectaDateRangewithinwhichJobswerefinishedarea:

    Clickthedropdownlistboxandclickadateoption(for

    example,Today,Yesterday,Thismonth,etc.).

    ClicktheShowCalendariconstotherightoftheFromand

    Tofieldsandclickthedate.

    5. ClicktheRunReportbutton.AlinecountofyourDocQspeech

    production(locatedunderCountScore)displays:

    6. Reviewtheinformationpresented.

    7. Whenfinished,clickLogoutfromtheDocQmanagemenu.

    8. PressCtrl+WtoclosethewindowandreturntoDocQscribe.

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    Int r oducing DocQspeech

    20 MQ4018 - DocQspeech End-User Course

    Topic Summary

    Editorscandifferentiatetheirtranscriptionproduction

    versustheireditingproductionwhentheyrunalinecount.

    ClickCorrectionfromtheSelect

    a

    DocQscribe

    Task

    dropdownlisttorunthelinecountforDocQspeecheditors.

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    Int r oducing DocQspeech

    22 DocQspeech End-User Course

    Inallinstancesredundantphrasesshouldbeeditedifthe

    softwaredidnotrecognizethemcorrectlybeforetheyare

    tagged.

    ThecorrectandconsistentuseoftheRedundantSpeechmarkertrainsthesoftwarerecognizertoautomaticallytag

    thesephrasesduringtherecognitionprocess,thussavingthe

    editortimeandeffort.

    Notagsdisplayinthefinaldocumenttheclientreceives.

    ThedefaultfortheSilence,Hesitation,andNonSpeech

    markersissettooff.PressAlt+TandthenO,clickthe

    Speech

    Recognitiontab,andselectthemarkers.

    Editorscandifferentiatetheirtranscriptionproduction

    versustheireditingproductionwhentheyrunalinecount.

    ClickCorrectionfromtheSelectaDocQscribeTask

    dropdownboxtorunthelinecountforDocQspeech

    editors.

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    Int r oducing DocQspeech

    DocQspeech End-User Course 23

    Performance and Application

    Performing Your Skills

    Toperform

    the

    skills

    introduced

    in

    this

    module,

    complete

    the

    followingexercises:

    1. HowdoyouaccesstheSpeechRecognitiontabtoselecttag

    andcursorsettings?(Page12)

    2. DocQscribedisplaystwodefaulttagsthatareautomaticallyset

    uptodisplayintheonscreeneditor.Whichtwoaretheyand

    whendoyouusethem?

    (Page14,15)

    3. InDocQspeech,whatkeystroketurnstextintoaheadingand

    appliesatag?(Page10)

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    Int r oducing DocQspeech

    24 DocQspeech End-User Course

    4. TorunalinecountonyourDocQspeechjobs,youchoosea

    specificoptionfromtheSelectaDocQscribeTaskdropdown

    list.Whatisthisoption?(Page19)

    Applying Your Skills

    Toapplytheskillsintroducedinthismodule,completethe

    followingexercises:

    1. Whichtagsdisplayonthefinaldocumenttheclientreceives?

    (Page15)

    2. DescribethetypeofinformationthatdisplaysontheDetailed

    LineCountCorrectionReport.(Page19)

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    Int r oducing DocQspeech

    DocQspeech End-User Course 25

    Performing Your Skills Answers

    1. PressAlt+TandthenO,orclickOptionsonthetoolbar,or

    chooseTools>Optionsfromthemenubar.

    2. RedundantSpeechtagsidentifyrepeatedand

    redundantphrases.Typicallyusedtomarkrepeatedgeneric

    phrasesthatcouldnotbeusedinanytypeoftranscribedreport.

    SkippedSpeechtagsareusedwhenincludingelements

    thatarenotpartofthefinalreport(otherwisedeleted).Theyare

    typicallyusedwhenremoving/markingmorethanfive

    consecutivewords.

    3. Ctrl+Shift+H

    4. ClickCorrectionfromtheSelectaDocQscribeTask

    dropdownboxtorunthelinecountforDocQspeecheditors.

    Applying Your Skills Answers

    1. Notagsdisplayinthefinaldocumentthattheclientreceives.

    2. Theinformationthatdisplaysincludesthedateofthe

    Correctiontasks

    finished,

    the

    number

    of

    jobs,

    minutes,

    the

    CountScoreperjob,andtotalsasapplicable.

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    Int r oducing DocQspeech

    26 DocQspeech End-User Course

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    Edit ing a DocQspeech Document

    MQ4018 - DocQspeech End-User Course 27

    Module 2:

    Editing a DocQspeech

    DocumentModule Description

    Thismoduleprovidesstepbystepinstructionsonhowtoedita

    DocQspeechdocument.Specificareasthatarecoveredinclude

    insertingtagsandheadings,usingaudiohighlightingandcursor

    trackingfeaturesandsplittingaDocQspeechjob.

    Module Performance Objectives

    In

    this

    module,

    you

    will

    learn

    how

    to:

    useshortcutkeyboardcombinationswithDocQspeechjobs

    todecreaseeditingtime.

    insertanddeleteDocQspeechtagstoclarifyoridentify

    passagesinthedictation.

    useaudiohighlightingandcursortrackingwhileediting.

    positionyourcursortosynchronizeaudiowithtextortextwithaudio.

    insertDocQspeechheadings.

    editaDocQspeechjobeffectively.

    splitaDocQspeechjobthatcontainsseveraldictated

    documents.

    Module Prerequisites

    Tounderstandtheconceptsandperformthetasksinthismodule,

    youshouldknowhowto:

    workinaWindowsenvironment.

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    establishanInternetconnectionandnavigateinInternet

    Explorer.

    loginandtranscribeDocQscribedocuments.

    identifyaDocQspeechdocumentandactivateDocQspeech

    options.

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    Topic:

    Using DocQspeech Shortcut Keys

    AsinDocQscribetranscription,displaythehotkeysbypressingF1:

    TheDocQscribetranscriptionshortcutsremainunchangedand

    availableduringdocumentediting.However,editingemploysadditionalshortcutkeys,whichonlydisplayontheF1shortcutlist

    duringediting.

    YoumusthaveDocQspeechoptionsactivatedforyour

    DocQscribelogintoviewandusetheDocQspeechhotkeys.

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    ThetablebelowliststhefrequentlyusedDocQscribeshortcuts,as

    wellastheeditingshortcuts:

    Key(s) Description

    Ctrl+Shift+D Bringsupboxofavailabletags

    Ctrl+Shift+N Normaltag(convertstonormaltextordisplays

    hiddentext)

    Ctrl+Shift+R Redundanttag

    Ctrl+Shift+S Skippedtag

    Ctrl

    +Shift

    +

    X

    Copyprevioussection

    Ctrl+K Sentencebreak

    Ctrl+M SynchronizeAudiowithText

    Ctrl+Shift+M SynchronizeTextwithAudio

    Ctrl+Space Play/StopAudio

    Ctrl

    +

    Shift

    +

    A Capitalizationtoggle(highlighttexttobechanged)

    Ctrl+Shift+H Headingtoggle(highlighttexttobechanged)

    Topic Summary

    PressF1toviewthelistofshortcutkeysforDocQscribe.

    DocQspeecheditingemploysadditionalshortcutkeys,whichonlydisplayontheF1shortcutlistduringediting.

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    Topic:

    Inserting and Deleting Tags

    WhileyouareeditingaDocQspeechjob,youcaninserttagsto

    clarifypassagesorredundantand/orskippedspeech.Youcanalso

    removetags.

    Inserting a Tag

    ToinsertataginaDocQspeechjob,usethestepsbelow:

    1. Usethearrowkeystopositionthecursoratthebeginningofthe

    textyouwanttomarkandpressShift+arrowkeystohighlight

    thetext.

    2. Dooneofthefollowing:

    PressCtrl+Shift+Rforredundantspeech.

    PressCtrl+Shift+Sforskippedspeech.

    PressCtrl+Shift+Dtodisplayapopuplistofallpreset

    tags.Usethearrowkeystoselecttheoneyouwantand

    pressEnter.

    DocQscribeinsertsthetagintheplaceindicated.

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    Deleting a Tag

    TodeleteataginaDocQspeechjob,usethestepsbelow:

    1.

    Use

    the

    arrow

    keys

    to

    position

    the

    cursor

    at

    the

    beginning

    of

    the

    tagyouwanttoremove(orshowthehiddentext)andpress

    Shift+arrowkeystohighlightthetag.

    2. PressCtrl+Shift+N.DocQscriberemovesthetag.

    Topic Summary

    WhileyouareeditingaDocQspeechjob,youcaninserttags

    toclarifypassagesorredundant(Ctrl+Shift+R)and/or

    skipped(Ctrl

    +

    Shift

    +

    S)speech.

    TodeleteataginaDocQspeechjob,pressCtrl+Shift+N.

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    Topic:

    Using Audio Highlights and Cursor Tracking

    WheneditingDocQspeechtext,youhavetheoptionofactivating

    anyofthreecursorstylefunctions:

    AudioHighlightingCreatesayellowhighlightboxthat

    movesthroughthetextasaudioplays.Itisarecommended

    settingforeditingDocQspeechdocuments.

    CursorTrackingAlignsthetextcursorwiththeaudioeach

    timeplaybackisstopped.Ifyouchoosenottoselectthis

    option,youcanfollowtheaudiocursorusingthedirectional

    arrowkeys.

    AutoselectdemographicstextwhenclosingADTdialog

    Speechrecognizedtextisautomaticallyselectedfromthe

    startofthedocumenttothepositionwhichcorrespondsto

    thecurrentaudiopositionthefirsttimetheDemographics

    andADTdialogisclosed.Thisenablesthemedicaleditorto

    quicklyplaceaskiptagoverthetextifneeded,without

    havingtohighlightthetextmanually.

    Oncethesefunctionsareturnedoff,theystayoffuntilturnedon

    again.Theyareuserspecific,notjobspecificfunctions.

    Applying Audio Highlighting

    Toapplytheaudiohighlightingfeature,usethestepsbelow:

    1. Dooneofthefollowing:

    PressAlt

    +

    TandthenO.

    ClickOptionsonthetoolbar.

    ChooseTools>Optionsfromthemenubar.

    TheOptionsdialogboxdisplays.

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    2. ClicktheSpeechRecognitiontab.Thefollowingspeech

    recognitionoptionsdisplay:

    3. SelecttheShowaudiohighlightoption.

    4. PressEnterorclickOKtoclosetheOptionsdialogbox.

    DocQscribecreatesayellowhighlightboxthatmovesthrough

    thetextastheaudioplays:

    Applying Cursor Tracking

    Toapplythecursortrackingfeature,usethestepsbelow:

    Yellow

    highlight

    Showaudio

    highlight

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    1. Dooneofthefollowing:

    PressAlt+TandthenO.

    ClicktheOptionsbuttononthetoolbar.

    ChooseTools>Optionsfromthemenubar.

    TheOptionsdialogboxdisplays.

    2. ClicktheSpeechRecognitiontab.Thefollowingspeech

    recognitionoptionsdisplay:

    3. SelecttheCursortrackingoption.

    4. PressEnterorclickOKtoclosetheOptionsdialogbox.

    DocQscribealignsthetextcursorwiththeaudioeachtime

    playbackisstopped.

    Cursor

    tracking

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    Applying the Auto Select Demographics Text WhenClosing ADT Dialog Option

    ToapplytheAutoselectdemographicstextwhenclosingADT

    dialogoption,usethestepsbelow:

    1. Dooneofthefollowing:

    PressAlt+TandthenO.

    ClicktheOptionsbuttononthetoolbar.

    ChooseTools>Optionsfromthemenubar.

    TheOptions

    dialogbox

    displays.

    2. ClicktheSpeechRecognitiontab.Thefollowingspeech

    recognitionoptionsdisplay:

    3. SelecttheAutoselectdemographicstextwhenclosingADT

    dialogoption.

    Autoselect

    demographics

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    4. PressEnterorclickOKtoclosetheOptionsdialogbox.

    Speechrecognizedtextisautomaticallyselectedfromthestart

    ofthedocumenttothepositionwhichcorrespondstothe

    currentaudiopositionthefirsttimetheDemographicsandADTdialogisclosed.

    Topic Summary

    AudioHighlightingcreatesayellowhighlightboxthat

    movesthroughthetextasaudioplays.

    CursorTrackingalignsthetextcursorwiththeaudioeach

    timeplaybackisstopped.

    TheAutoselectdemographicstextwhenclosingADT

    dialogoptionhighlightstextatthebeginningofthe

    dictationthatthesystemidentifiesasdemographic

    informationbasedonthecurrentaudiopositionthefirst

    timetheDemographicsandADTdialogisclosed.

    Oncethesefunctionsareturnedoff,theystayoffuntil

    turnedonagain.Theyareuserspecific,notjobspecific,

    functions.

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    Topic:

    Positioning Your Cursor

    AsdiscussedindetailintheUsingToolbars,MenuOptionsand

    KeystrokesmoduleoftheDocQscribemanual,audiocanbeplayed

    anywhereinadocumentifthetextcursorisactiveandpositioned

    tothespot.Alternatively,thetextcursorcanbeplacedwherethe

    audioisactiveandpositionedtothatspot.Youcanusethe

    followingkeyboardcombinationsbeloworchooseAudioonthe

    menubartoviewtheseoptionswhenaDocQspeechjobis

    available:

    Option KeyboardCombination

    Procedure

    Synchronizing

    AudiowithTextCtrl+M Beginsplayingsoundatthe

    designatedplaceinthetext.

    Usethearrowkeysto

    positionthecursoratthe

    pointinthetextwhereyou

    wanttolistentotheaudio,

    pressCtrl+M,andthen

    clickPlay.

    Synchronizing

    TextwithAudioCtrl+Shift+M Positionsyourtextcursor

    withyouraudio.This

    commandisfunctional

    whetheraudioisstoppedor

    actuallybeingplayed.Click

    Playtostartaudioplayback

    atthetextcursorposition.

    These

    adjustments

    do

    not

    change

    the

    settings

    of

    your

    computerssoundvolumecontrols.

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    Topic Summary

    PressCtrl+Mtobeginplayingsoundatthedesignated

    placeinthetext.

    PressCtrl

    +

    Shift

    +

    Mtopositionyourtextcursorwithyour

    audio.

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    Topic:

    Inserting DocQspeech Headings

    Therearedifferentwaystoinsertaheading,dependingonyour

    purpose.

    Converting Normal Text to a Heading

    Tochangenormaltextintoaheading,usethestepsbelow:

    1. Usethearrowkeystopositionthecursoratthebeginningofthe

    textyouwanttochangetoaheadingandpressShift+arrow

    keystohighlightthetext.

    2. PressCtrl+Shift+H.DocQscribecapitalizesalllettersand

    addstheheadingtags,aswellasreformattingthesurrounding

    text.Forexample,thefollowingsentencecontainsnormaltext:

    Pastmedicalhistoryremarkableforahistoryofchronic

    obstructivepulmonarydisease,

    WhenconvertingPastmedicalhistoryintoaheading,

    DocQscribedisplays:

    Remarkableforahistoryofchronicobstructivepulmonary

    disease,

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    Converting a Heading to Normal Text

    Ctrl+Shift+Hactsasatoggleifyouwanttochangetheheading

    backtonormaltext.

    Toconvertaheadingtonormaltext,usethestepsbelow:

    1. Usethearrowkeystopositionthecursoratthebeginningofthe

    headingyouwanttochangetotextandpresstheShift+arrow

    keystohighlightthetext.

    2. PressCtrl+Shift+H.DocQscriberemovestheheadingformat

    andconvertstheheadingtonormaltext.Forexample,thetext

    belowcontainsaheading:

    Remarkableforahistoryofchronicobstructivepulmonary

    disease,

    Whenconvertingtheheadingtotext,DocQscribenowdisplays:

    Pastmedicalhistoryremarkableforahistoryofchronicobstructivepulmonarydisease,...

    Inserting a Heading

    Youmayfindyouneedtoinsertaheading.

    Toinsertaheadinginthejobfromthelistofpredefinedheadings,

    usethestepsbelow:

    1. Usethearrowkeystopositionthecursorwhereyouwantthe

    headingtobegin(usingarrowkeysormouse)andpressShift+

    arrow

    keystohighlightthetext.

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    2. PressCtrl+H.TheInsertHeadingdialogboxdisplays:

    SeetheappendicesintheDocQscribemanualforcompletelists

    ofdefaultheadings.

    3. StarttypingtheheadingnameandDocQscribemovesthe

    highlightedareadownthelistasitmatchesyourkeystrokes.

    Youcanalsousethescrollbartofindtheheadingnameyouare

    lookingfor.

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    4. Whenthecorrectheadingnameishighlighted,pressEnter(or

    clickOK).Thedialogboxcloses,theheadingdisplaysinyour

    jobinred,capitalizedletters,andthecursorispositionedatthe

    startofthenextline:

    Iftheheadingisnotred,thisindicatesthattheheadingisnot

    properlyformatted.Thetemplatewillnotrecognizeitasa

    headingiftheheadingisnotred.

    5.

    Typethetextassociatedwiththeheadingonthelinebelowthe

    headingwhereDocQscribeautomaticallyplacesthecursor.

    Adding a Heading

    Iftheheadingyouneedisnotinthepredefinedlist,youcanaddit

    foruseinthejobyouareworkingon.

    Whenyouusethesesteps,theheadingyouaddisnotsavedto

    theglobalheadinglist.Thismeansthenewheadingisonly

    availableforthisjob.Tosaveaheadingforfutureuse,youneed

    tosaveittotheexpansionlist(coverednextinthistopic).

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    Toaddanewheadingforthisjobonly,usethestepsbelow:

    1. Positionthecursorwhereyouwanttheheadingtobegin(using

    arrow

    keysormouse).

    2. PressCtrl+H.DocQscribedisplaystheInsertHeadingdialog

    box.

    3. PressAlt+NorclickNew.ThePleaseenterthenewheading

    dialogboxdisplays:

    4. Enterthenewheadinginthetextbox.

    Donottypelabelcharacters.Inaddition,donottypea

    colon(:)attheendoftheheading.TheTemplateinsertsthese

    symbolsifrequired.

    5.

    PressEnter

    or

    click

    OK.

    The

    dialog

    box

    closes,

    the

    new

    heading

    displaysinyourjobinred,capitalizedletters,andthecursoris

    positionedatthestartofthenextline.

    Whenyouaddaheadingtotheheadingslistinthisway,the

    newheadingisnotpermanentlystoredwiththelistandisonly

    availableuntilyouUploadorAbandontheJob.

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    Adding a Heading to the Expansion List

    Onceaheadinghasbeeninsertedintothetextofthereport,itis

    recommendedthatyouaddtheheadingtoyourexpansionlistso

    youcanuseitinthefuture.

    Toaddanewheadingtotheexpansionlist,followthestepsbelow:

    1. Highlight(Shift+arrowkeys)theentireheading(includingthe

    characters):

    2.

    PressCtrl

    +

    E.

    DocQscribedisplaystheExpansionsandAuto

    Correctionsdialogboxwiththehighlightedtextdisplayingin

    theWithtextbox:

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    3. EnteranabbreviationforyournewheadingintheReplace

    field.

    AllheadingabbreviationsbeginwiththeletterH.

    Toviewalistofabbreviationsfortheheadingsthatarealready

    entered,pressTabuntiltheshortformsarehighlightedtosee

    sampleabbreviations.

    4. PressAlt+AorclickAddtoaddtheentry.Yournewheading

    isaddedtotheexpansion/autocorrectionslist.

    5. PressAlt+CorclickClose.

    Replace

    field

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    Copying Previous Section

    TheCopyPreviousSectionfeaturesallowyoutocopythetext

    associatedwiththepreviousheadingandpasteittotheheading

    wherethecursoriscurrentlypositioned.

    Anexampleofwhenaneditorfindsthisusefulcanbewhen

    typingoperativereportswhereadictatormaydictate:

    PostoperativeDiagnosis:Thesame.

    TousetheCopyPreviousSectionfeature,followthestepsbelow:

    1. Movethecursortotheleftmarginunderthesecondheading.

    2. PressCtrl+Shift+X.DocQscribeplacesthetextunderneaththe

    previousheadingbelowthesecondheading.Forexample:

    Placecursor

    hereto

    bringabove

    textin

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    Topic Summary

    Whileeditingyouhavetheabilitytochangenormaltextinto

    aheading,convertaheadingtonormaltext,inserta

    heading,addaheading,addaheadingtotheexpansionlist,

    andcopyaprevioussection.

    Tomakeaheadingavailabletousewithotherjobs,you

    mustaddittotheexpansionlist.

    TheCopyPreviousSectionfeaturesallowyoutocopythe

    textassociatedwiththepreviousheadingandpasteittothe

    headingwherethecursoriscurrentlypositioned.

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    Topic:

    Editing a DocQspeech Job

    Wheneditingajob,youneedtolistencarefullytoeachwordand

    focusonthedictation.Oftenyouhearwordsthathavebeenleftout

    bytherecognitionsoftware,whileotherwordsnotactually

    dictateddisplayonyourscreen.Youalsoencounternonsense

    words,particularlywithnewdictators,whoserecognitionratesare

    stilllow.

    Inordertorealizeoptimalbenefitsfromthesystem,itis

    importantnottomakeanyunnecessarychangestothe

    document.Forexample,reformattingofdatesandheadings,

    reformulationofparagraphs,etc.Thesechangesareonly

    necessaryiftheyarerequiredduetoclientstandardsand/or

    clientspecificsettings.

    ThefollowingtableprovidestipsforeditingaDocQspeechjob:

    Topic Procedure

    Beginningof

    Reports

    Whenyouseepatientinformationthatdisplaysatthe

    topofthereportandappearstobenonsense,pressCtrl

    +

    Shift+Stoinserttheskiptag.

    EndingsofReports Ifthedictatorrepeatspatientspecificinformationor

    addsacclist,pressCtrl+Shift+Stoinserttheskiptag.

    Ifthedictatorsaysagenericphrase,theneditif

    necessaryandpressCtrl+Shift+Rtoinsertthe

    redundanttag.

    GenderChanges Ifthedictatororrecognizerusesthewronggender,edit

    thisasnecessary,unlessyouareworkinginaverbatim

    account.

    GrammarChanges Ifyounoticeanincorrectverbtense,evenifthedictator

    misspoke,correcttheverb(exceptforverbatim

    accounts).

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    Topic Procedure

    Numbering/Lists Numbering/Listsrefertonumbersandliststhatwere

    previouslydisplayedinaparagraphform,orwere

    incorporated

    into

    the

    text

    as

    a

    regular

    word.

    DocQspeech

    nowhastheabilitytocreateanumberedlistifthe

    dictatorreadsitassuch.Forexample,thedictatorstates

    Iamputtinghimonthefollowingdrugs:numberone

    aspirin,numbertwopainkillers,numberthreemuscle

    relaxers.DocQspeechnowdisplaysthisnumberedlist

    as:

    1.Aspirin

    2.PainKillers

    3.MuscleRelaxers

    Thesystem

    can

    currently

    only

    put

    one

    space

    after

    a

    periodinanumberedlist.

    Subheaders TheDocQspeechengineinsertssubheadersinthe

    followingformat:

    HEENT: Examisotherwiseunremarkable.

    NECK: Supple.

    CHEST: Hasdecreasedbreathsounds.

    HEART: Distantheartsoundswithoutappreciable

    murmur.

    ABDOMEN: Thereisnoorganomegaly,mass,or

    tenderness.

    EXTREMITIES: Unremarkable.

    WordsInserted Deletewordsorsmallphrasesthatshouldnotbepartof

    thefinalreport.PressCtrl+Shift+Stoinserttheskip

    tagifremovingmorethanfivewordswhicharenot

    beingreplacedwithcorrectedtext.

    MissingWords Addanywordsthatweredictated,butnotrecognized,if

    theyshouldbeincludedinthefinalreport.

    Dates ModifythedatetomeettherequirementsoftheClient

    Profileasnecessary.

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    Topic Summary

    Wheneditingajob,youneedtolistencarefullytoeachword

    andfocusonthedictation.

    Inordertorealizeoptimalbenefitsfromthesystem,itis

    importantnottomakeanyunnecessarychangestothe

    document.

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    Topic:

    Splitting a DocQspeech Job

    IfyoureceiveaDocQspeechjobthatcontainsseveraldocuments

    thathavebeendictated,youmusttreateachofthemasaseparate

    job.

    DocQscribeallowsyoutosplittheDocQspeechjobintomultiple

    documents,editeachofthemindependently,anduploadeachone

    asaseparatejob.

    AlwaysconsulttheClientProfileforspecificdirections.

    Thedocumentsmayrequiredifferentformatting,andthereforecall

    fordifferentworktypes,ordemographicsandADTinformation

    thatmaybedifferentfromdocumenttodocument.

    ADocQspeechjobishandledmuchlikearegulartranscriptionjob

    thatneedstobesplit,butthereareafewdifferences.Whenyou

    downloadtheDocQspeechjob,allofthetextforallofthereports

    displays.

    Tosplitthedictationintomorethanonejob,usethestepsbelow:

    1. Downloadthejobandeditthefirstdocument.

    2. Usethearrowkeysormousetoplacethecursorattheendof

    thefirstreportandpressCtrl+Shift+Endtohighlightallof

    theremainingtext.

    3.

    PressCtrl

    +

    Shift

    +

    Stomarkwithatag.Theremainingtextisnowhidden.

    Whenyousplitjobs,onlythetextyouareuploadingforthe

    currentreportshoulddisplayonyourscreen.Whenyouapply

    thetagtotheremainingtext,itbecomeshidden.

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    4. Dooneofthefollowing:

    PressCtrl+Shift+U.

    ChoosetheJob

    Flow

    >

    Splitmenupath.

    ClickSplitinthetoolbar.

    TheSpellCheckfunctionactivates.

    5. MakeanynecessarySpellCheckcorrections.TheSplitscreen

    displays:

    6. NoticeifQAorQCischeckedintheFunctionlistbox.Youcan

    clickQA/QCNote>>toviewanyexistingnote,butdonotadda

    newnoteatthistimetoindicateaDocQspeechsplitjob.

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    7. PressCtrl+Ytoconfirmyouwanttosplitthedictationand

    uploadthenewjob.TheJobUploadStatusdialogboxdisplays

    andshowsthejobuploading.TheSplitJobdetailsscreen

    displays:

    8. PressEnter,Alt+O,orclickOK.TheUploadscreendisplays

    andthefirstreportuploads.

    AnADTScreendisplaysthatisidenticaltotheoriginalor

    masterjob.Itmaybenecessarytomakechangestothereport

    type,dates,etc.

    ThePlaybackSliderwillbeinthepositionofthebeginningof

    the

    next

    dictation.

    Youarenowreadytoeditthenextjobintheseries.Thetext

    displaysonthescreenjustasitwas.

    Therecognizedtextfromthefirstreportdisplaysandthe

    remainingreportsareskipped.

    9. HighlightthetextfromthefirstreportandpressCtrl+Shift+S

    toinsert

    a

    tag.

    Therearenowatleasttwoskiptagsonyourscreen.

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    10.Highlightthemarkerwhichishidingtherecognizedtext

    thathasnotyetbeenedited.PressCtrl+Shift+Ntodisplaythe

    hiddentext.

    11.

    EditthesecondreportandmarkanyremainingtextwithCtrl+Shift+Stoinsertaskipmarkerandthensplitthejob

    againifnecessary.

    Whenyousplitjobs,onlythetextyouareuploadingforthe

    currentreportshoulddisplayonyourscreen.Whenyouapply

    thetagtotheremainingtext,itbecomeshidden.

    12.Dooneofthefollowing:

    Ifasubsequentjobexists,startoverandrepeatsteps411.

    Ifyouareonthelastjob,gotostep13.

    13.PressCtrl+UorclickUploadontheuppertoolbar,afterthe

    lastreporthasbeencompleted.

    RefertothePlaybackAnalysistoverifythatyouareattheend

    ofthe

    dictation.

    14.PressAlt+YorclickYestouploadthejob.TheJobCreator

    Screendisplays.

    15.PressDownloadJobandthelastreportwilluploadalongwith

    thevoicefile.

    EachsplitisuploadedtoDocQmanageasaseparatejob.You

    canonlysplitfromamasterjob,notfromasplitjob.

    Splitjobslistamasterjob,whichistheInternalJobIDforthe

    masterjob.

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    Topic Summary

    AlwaysconsulttheClientProfileforspecificdirections

    whensplittingajob.

    ADocQspeechjobishandledmuchlikearegular

    transcriptionjobthatneedstobesplit,butthereareafew

    differences.

    EachsplitisuploadedtoDocQmanageasaseparatejob.You

    canonlysplitfromamasterjob,notfromasplitjob.

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    Module Summary

    Thefollowinglistprovideskeypointstorememberfromthetopics

    presentedin

    this

    module:

    PressF1toviewthelistofshortcutkeysforDocQscribe.

    DocQspeecheditingemploysadditionalshortcutkeys,

    whichonlydisplayontheF1shortcutlistduringediting.

    WhileyouareeditingaDocQspeechjob,youcaninserttags

    toclarifypassagesofredundant(Ctrl+Shift+R)and/or

    skipped(Ctrl+Shift+S)speech.

    TodeleteataginaDocQspeechjob,pressCtrl+Shift+N.

    AudioHighlightingcreatesayellowhighlightboxthat

    movesthroughthetextasaudioplays.

    CursorTrackingalignsthetextcursorwiththeaudioeach

    timeplaybackisstopped.

    TheAuto

    select

    demographics

    text

    when

    closing

    ADT

    dialogoptionhighlightstextatthebeginningofthe

    dictationthatthesystemidentifiesasdemographic

    informationbasedonthecurrentaudiopositionthefirst

    timetheDemographicsandADTdialogisclosed.

    Oncethesefunctionsareturnedoff,theystayoffuntil

    turnedonagain.Theyareuserspecific,notjobspecific

    functions.

    PressCtrl

    +

    Mtobeginplayingsoundatthedesignatedplaceinthetext.

    PressCtrl+Shift+Mtopositionyourtextcursorwithyour

    audio.

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    Whileeditingyouhavetheabilitytochangenormaltextinto

    aheading,convertaheadingtonormaltext,inserta

    heading,addaheading,addaheadingtotheexpansionlist,

    andcopyaprevioussection.

    Tomakeaheadingavailabletousewithotherjobs,you

    mustaddittotheexpansionlist.

    TheCopyPreviousSectionfeaturesallowyoutocopythe

    textassociatedwiththepreviousheadingandpasteittothe

    headingwherethecursoriscurrentlypositioned.

    Wheneditingajob,youneedtolistencarefullytoeachword

    andfocusonthedictation.

    Inordertorealizeoptimalbenefitsfromthesystem,itis

    importantnottomakeanyunnecessarychangestothe

    document.

    AlwaysconsulttheClientProfileforspecificdirections

    whensplittingajob.

    ADocQspeechjobishandledmuchlikearegular

    transcriptionjob

    that

    needs

    to

    be

    split,

    but

    there

    are

    afew

    differences.

    EachsplitisuploadedtoDocQmanageasaseparatejob.You

    canonlysplitfromamasterjob,notfromasplitjob.

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    MQ4018 - DocQspeech End-User Course 59

    Performance and Application

    Performing Your Skills

    Toperform

    the

    skills

    introduced

    in

    this

    module,

    complete

    the

    followingexercises:

    1. WhatmustyouhaveforDocQspeechshortcutskeystoworkin

    DocQscribe?(Page29)

    2. Fillinthekey(s)columnforthetablebelow: (Page30)

    Key(s) Description

    Bringsupboxofavailabletags

    Normaltag(convertstonormaltext)

    Redundanttag

    Skippedtag

    Copyprevioussection

    Sentencebreak

    SynchronizeAudiowithText

    SynchronizeTextwithAudio

    Play/StopAudio

    Capitalizationtoggle

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    Key(s) Description

    Headingtoggle(highlighttexttobechanged)

    3. Ifyouactivateaudiohighlighting,whathappens?(Page33)

    4. Ifyouactivatecursortracking,whathappens?(Page33)

    5. Describethedifferencebetweenthesynchronizingaudiowith

    textandsynchronizingtextwithaudiofeatures.(Page38)

    6. HowwouldyouchangethenormaltextPreoperative

    diagnosistoaheading?(Page40)

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    3. Whenyousplitajob,whatareyoudoingwiththesubsequent

    text?(Page52)

    4. Whyshouldntyoumakeanyunnecessarychangestoa

    DocQspeechjob?(Page49)

    5. TheClientProfilestatesthatalljobsmustbetranscribed

    verbatim.Whatdoesthismean?(Page49)

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    MQ4018 - DocQspeech End-User Course 63

    Performing Your Skills Answers

    1. YoumusthaveaDocQscribeloginwithDocQspeechoptions

    enabledtoviewandusetheDocQspeechhotkeys.

    2. Thecorrectanswerstothekey(s)columnarefoundbelow:

    Key(s) Description

    Ctrl+Shift+D Bringsupboxofavailabletags

    Ctrl+Shift+N Normaltag(convertstonormaltextordisplays

    hiddentext)

    Ctrl+Shift+R Redundanttag

    Ctrl+Shift+S Skippedtag

    Ctrl+Shift+X Copyprevioussection

    Ctrl+K Sentencebreak

    Ctrl+M SynchronizeAudiowithText

    Ctrl+Shift+M SynchronizeTextwithAudio

    Ctrl+Space Play/StopAudio

    Ctrl+Shift+A Capitalizationtoggle

    Ctrl+Shift+H Headingtoggle(highlighttexttobechanged)

    3. Audiohighlightingcreatesayellowhighlightboxthatmoves

    throughthetextasaudioplays.Itisarecommendedsettingfor

    editingDocQspeechdocuments.

    4. Cursortrackingalignsthetextcursorwiththeaudioeachtime

    playbackisstopped.Ifyouchoosenottoselectthisoption,you

    canfollowtheaudiocursorusingthedirectionalarrowkeys.

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    5. SynchronizingAudiowithText(Ctrl+M)beginsplayingsound

    atthedesignatedplaceinthetext.Youusethearrowkeysto

    positionthecursoratthepointinthetextwhereyouwantto

    listentotheaudio,pressCtrl+M,andthenclickPlay.

    SynchronizingTextwithAudio(Ctrl

    +

    Shift

    +

    M)positionsyourtextcursorwithyouraudio.Thiscommandisfunctional

    whetheraudioisstoppedoractuallybeingplayed.ClickPlayto

    startaudioplaybackatthetextcursorposition.

    6. UsethearrowkeystohighlightthewordsPreoperative

    diagnosisandpressCtrl+Shift+H.DocQscribecapitalizesall

    lettersandaddstheheadingtags,aswellasreformattingthe

    surroundingtext.

    7.

    Whenyouseepatientinformationthatdisplaysatthetopofthereportandappearstobenonsense,orifthedictatorrepeats

    patientspecificinformation,oraddsacclist,inserttheskiptag

    (Ctrl+Shift+S).

    Applying Your Skills Answers

    1. HighlightthetagandpressCtrl+Shift+N.Thisreturnsthe

    original

    recognized

    text

    to

    the

    screen

    and

    removes

    either

    the

    skiporredundantspeechmarkerthatwasused.

    2. Aftertypingthecomplaintsunderthefirstheading,usethe

    CopyPreviousSectionfeature.Insertthesecondheadingand

    movethecursortotheleftmarginunderthesecondheading.

    PressCtrl+Shift+X.DocQscribeplacesthetextunderneaththe

    previousheadingbelowthesecondheading.

    3. Youarehidingthetext.Whenyousplitjobs,onlythetextyou

    areuploading

    for

    the

    current

    report

    should

    display

    on

    your

    screen.Whenyouapplythetagtotheremainingtext,it

    becomeshidden.

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    Index

    MQ4018 - DocQspeech End-User Course 67

    Index

    A

    AddingaHeadinginaDocQspeech

    Job,43

    AddingaHeadingtotheExpansion

    ListinaDocQspeechJob,45

    AudioHighlighting,33,63

    AutoSelectDemographicsText

    WhenClosingADTDialog

    Option,36

    AutomaticSpeech

    Recognition,

    9

    B

    BeginningofReports,49

    C

    Calendaricon,19

    ClientSpecificInstructions,10,21

    ConvertingaHeadingtoNormal

    Text,41

    ConvertingNormalTexttoaHeading,40

    CopyPreviousSectionin

    DocQspeechJobs,47,48,58

    CursorTracking,33,34,36,63

    D

    Dates,50

    DocQmanage,18

    DocQscribe,9

    DocQspeechEditor,6DocQspeechKeyboardOptions,38

    DocQspeechShortcutKeys,29

    E

    EditingaDocQspeechJob,49

    Tabletips,49

    Endingsof

    Reports,

    49

    G

    GenderChanges,49

    GeneralandPedalSettingstab,11

    GrammarChanges,49

    I

    InsertingaHeading,41

    InsertingDocQspeechHeadings,40

    M

    MissingWords,50

    N

    Numbering/Lists,50

    P

    PositioningYourCursor,38

    R

    RunReportbutton,19

    RunningaDocQspeechLineCount,

    18

    S

    SplittingaDocQspeechJob,52

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    Index

    T

    Tag

    Deletinga,32

    Insertinga,31

    TagDeletion,32TagTypesUsedinDocQspeechJobs

    Tableof,13

    Tags,9

    W

    WordsInserted,50