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Computer-based voice recognition for radiology reporting has become extr= emely accurate and due to the substantial cost savings compared with transc= ription services, is the preferred method of report dictation for many radi= ologists.
The following voice recognition packages are recommended for use with OnePacs.
OnePacs offers its own voice recognition solut= ion (OPVR Cloud), which is tightly integrated into the OnePacs reporting sy= stem. OPVR is built into the Cloud Report E= ditor and does not require installation or training. Documentation ca= n be found here.
Certain third-party voice recognition solutions can be seamlessly integr= ated with the OnePacs Cloud Report editor using the OnePac= s third party VR integration feature. This means that dictation can be = captured and directed to the currently active reporting window, regardless = of whether or not the reporting window is in focus; e.g., users may dictate= while viewing studies in the DICOM viewer, interacting with the DICOM view= er while text is directed to the reporting window.
While OnePacs allows the use of 3rd party voic= e recognition products, the best level of integration remains OPVR Cloud. Features such as saving of audio files, ce= rtain voice command, and others may not be supported when using a 3rd party= product.
M*Modal's Fluency Direct product may be used with OneP= acs and supports both mac OS and Microsoft Windows. It may be used s= tand-alone together with OnePacs, though maximal compatibility is ensured b= y using the OnePacs third party VR integration feature= . When using Fluency Direct with OnePacs without the OnePacs third party in= tegration feature active, the Fluency Direct browser extension for = Dragon compatibility should be installed.
Dragon medical one from Nuance = is a cloud-based voice recognition solution provided by Nuance. It may be u= sed stand-alone together with OnePacs, though maximal compatibility is ensu= red by using the OnePacs third party VR integration featur= e. When using Dragon with OnePacs without the OnePacs third party integ= ration feature active, Nuance's browser extension for Drag= on compatibility should be installed. The "General Medicine" topic is suita= ble for use with radiology reporting.
Some groups using OnePacs utilize the nVoq "Say it" medic= al speech recognition solution.
*Note: Fluency DirectTM by M-Modal, Dragon Med= ical OneTM by Nuance, and Say ItTM by nVoq are third = party products which may be used for dictation with the OnePacs system; no = endorsement of or affiliation with the OnePacs system by these companies or= products is implied.
When using third party VR products with OnePacs, maximal compatibility i= s ensured by using the OnePacs third party VR integration = feature.
If third party VR products are used without the direct integration featu=
re, compatibility may be aided by having OnePacs voice recognition set to <=
u>ON, but with the microphone state set to "stopped".
When using OnePacs Classic Voice Recognition, or a third party voice rec=
ognition software package, it is recommended that users enter reports in pl=
ain-text mode, to facilitate voice recognition-based formatting or editing =
and navigation features.
To do so, first access reporting preference=
s either from the general =E2=80=9CUser Preferences=E2=80=9D item in the =
=E2=80=9COptions=E2=80=9D menu on the main OnePacs worklist page, or by cli=
cking on the gear icon in the upper right hand corner of the OnePacs report=
window.
The option to be selected appears as follows:
To confirm that you are reporting in plain text mode, check for the pres= ence of a rich text editing toolbar at the top of the report edit field (it= will be absent in plain text mode):
If the computer on which dictation is being performed is also the PC whi= ch is being used for case review, one may use the hidden mode feature of Dragon Medical Practice Editi= on to enable simultaneous dictation while reviewing cases. To use this feat= ure, say the words =E2=80=9Chidden mode on=E2=80=9D when you wish to enter = hidden mode. Your dictation from that point onwards will be recognized by D= ragon, but rather than =E2=80=9Ctyped=E2=80=9D immediately, it will be stor= ed for later use. After you have finished case review, place the cursor in = the location where you wish the recognized text to be pasted, and say the w= ords =E2=80=9Ctransfer text=E2=80=9D. The results of your dictation during = the time hidden mode was on will be pasted at the cursor location.
A video demonstrating use of this feature is available here.
Any standard voice-recognition grade microphone will work with either of= the above described dictation methods in OnePacs.
For users using the Dragon Medical Professional package, Nuance offers a= microphone with user-programmable buttons, which can control dictation fun= ctions from the handset. This device is called the PowerMic and is describe= d here:
http://shop.nuance.com/st=
ore/nuanceus/en_US/pd/productID.139321300
http://speechrecsolutions.com/microphones_dictaphone.html
A variety of other microphones are available from a number of on-lin=
e vendors, including:
http://speechrecsoluti=
ons.com/
http://www.speechtechnology.com/microphones/
http://www.emicrophones.com/
One vendor offers an online guide to microphone selection:
http://speechrecsolutions.com/microphone_selectio=
n_guide.htm
A popular option for users who prefer hands-free di=
ctation is the Buddy Flamingo stand-alone microphone:
http://speechrecsolutions.com/microphones_buddy.html
The OnePacs cloud reporting system contains a fac= ility for saving audio files, without voice recognition, which are attached= to the case and can be listened to by transcriptionists for the purpose of= transcribing cases. This can be used in conjunction with the proofreading = workflow.
In order to use this feature, enable OnePacs Voic= e Recognition in user settings, and enable the "Store audio files" feature.= To suppress recognition of text by OPVR, you may= additionally select the "Only store audio" option. The microphone should b= e set to an enabled state such as "Command mode only":
When this is done, and the report is completed or= a draft is saved, an audio file will be available through the "study files= " feature, which can be played in-browser:
It is also possible to toggle the audio storage o= ptions on the fly while dictating cases, rather than setting them as a defa= ult preference:
Audio files are retained for a period of = 60 days, after which they will be automatically deleted. The audio= files are intended to be used for transcription into a written report and = accordingly are not retained indefinitely. Users can download the audio for= any particular study if they wish to retain the audio for that study.
The audio files are available to users who have v= iew access for the case in question, and who additionally meet one of the f= ollowing criteria: the case is assigned to them, they produced the audio fi= le themselves, or their user type is Administrator, Transcriptionist, or Ra= diology Assistant.
Deprecated Feature
OnePacs users are advised to cease use= of this deprecated method, and instead use the store audio feature of OnePacs Voice Recognition,= described in the previous section of this document.
The manual dictation/transcription feature has been deprecated because t= his feature depends upon an in-browser Java applet, and all major browsers = either have already, or have announced that they soon will, end support for= in-browser Java applets. Accordingly, this feature is deprecated and the a= vailability of this feature is not guaranteed going forward.