Quick Start: Instant Reporter - Dictating for Transcription

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1 Quick Start: Instant Repter - Dictating f Transcription Release 10 F reading physicians using Instant Repter to dictate f transcription TCP A Contents Introduction to Instant Repter f Reading Physicians... 1 The Dictation Wkflow with Transcription... 1 Using the Hand-held Dictation Microphone... 2 Keyboard Shtcuts... 3 Components... 4 Dictating Clinical Repts... 5 Getting Help and Infmation... 6 Introduction to Instant Repter f Reading Physicians Instant Repter is a complete, integrated clinical repting solution including dictation, transcription, reviewing, approving, printing, faxing, stage, and Web distribution. Instant Repter expedites repting, provides clear documentation of critical results, and saves costs. Dictating f speech recognition is also available. Speech recognition automatically converts dictation to text. The Dictation Wkflow with Transcription 1 Dictation. The reading physician dictates the body and conclusion of the clinical rept. 2 Transcription. The transcriptionist transcribes into the Microsoft Wd rept. 3 Review. The reading physician reviews and approves the transcribed rept. 4 Stage and Distribution. The system automatically stes and distributes the rept. Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 1 of 6

.. 6 Introduction to Instant Repter f Reading Physicians Instant Repter is a complete, integrated clinical repting solution including dictation, transcription, reviewing, approving, printing, faxing,

2 Using the Hand-held Dictation Microphone The system suppts the following microphones: Olympus Directrec DR-1200 Philips SpeechMike LFH3200 Philips SpeechMike 5276 Olympus Directrec DR-1200 Microphone Recd LED Volume decrease Switch between body and conclusion Fast rewind Play/Stop Left mouse button Speaker Microphone front Microphone back New Switch between body and conclusion. Insert/Overwrite LED Volume increase Recd Insert/Overwrite Fast Fward Right mouse button Trackball F1-F4 Programmable function keys not suppted. Left mouse button Recd Dictate Insert/Overwrite Switch between inserting overwriting text. Fast Rewind Rewind dictation. Play / Stop Play stop playing the dictated rept. Fast Fward Advance dictation. Left mouse button Insert pointer. Right mouse button Open shtcut menu. Trackball Move pointer. Programmable function keys F1-F4 not suppted. Philips SpeechMike LFH3200 Microphone Switch between body and conclusion Fast rewind Play/Stop Left mouse button Speaker Microphone front Microphone back EOL Switch between body and conclusion. Recd Dictate. Insert/Overwrite Switch between Recd LED inserting overwriting text. Fast Rewind Rewind dictation. Insert/Overwrite Play / Stop Play stop playing the dictated rept. Recd Fast fward Fast Fward Advance dictation. Left mouse button Insert pointer. Right mouse button Trackball F1-F3 Programmable function keys not suppted Left mouse button Right mouse button Open shtcut menu. Trackball Move pointer. Programmable function keys F1-F3 not suppted. Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 2 of 6

Insert/Overwrite LED Volume increase Recd Insert/Overwrite Fast Fward Right mouse button Trackball F1-F4 Programmable function keys not suppted.

3 Keyboard Shtcuts From the Help menu, click Keyboard Shtcuts. Function Keys F1 F6 F9 F10 F11 F12 Display Online Help. Display list of all pri Online exams f this patient. Display primary comparison exam rept. Copy case single image to removable media. Select another series in the exam. Display the Edit Series dialog box. Arrow Keys Specific to Clinical Repting Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Increase the volume. Decrease the volume Decrease the recall interval. Increase the recall interval. Keypad controls if microphone not detected The Olympus Directrec and Philips Speech Mike have specialized button controls. If you are using another microphone you ll need to use the numeric keypad controls alternate key combinations shown in the following chart. Alpha Keys Specific to Clinical Repting Tip: Physicians can quickly approve repts using a few of the following keyboard shtcuts. Backspace Ctrl+Alt+C Wind+Alt+C Ctrl+Alt+X Wind+Alt+X Ctrl+Alt+S Wind+Alt+S Ctrl+Alt+F Wind+Alt+F Ctrl+Alt+D Wind+Alt+D Ctrl+Shift+9 Ctrl+Shift+? Ctrl+Shift+: Ctrl+Shift+C Ctrl+Shift+~ In mammography only: Switch from one comparison exam to the next. Switch display of body conclusion. Show hide the text Slow the audio speed. Increase the audio speed. Reset the audio speed to Direct one. Clear text in the Findings section and place the pointer f adding Findings. Marks exam read, save rept edits, go to next exam without saving image edits. Close the current exam and open the montage f the next exam. Convert conclusions to a numbered list. Mark exam read, save image edits, and open the next exam. Other Function Keys End Esc Home Pg Dn Alt+Pg Dn Ctrl+Pg Dn PgUp Alt+PgUp Display last image. Close exam and return to the last displayed list window. Same as Done. Display first image. Go to the next image in the exam. In Series-per Square mode, scroll through the next series square assignments. Go to the next series. Automatically scroll the images. Requires that looping (L) is on. Go to the previous image in the exam. In Series-per Square mode, scroll through the previous series square assignments. Go to the previous series. Note: See the Dominat Diagnostic Reading Wkstation Quick Start f alpha-key keyboard shtcuts. Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 3 of 6

Arrow Keys Specific to Clinical Repting Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Ctrl+Alt+ Wind+Alt+ Increase the volume. Decrease the volume Decrease the recall interval.

4 Clinical Rept Status Codes Status Description Status Description ApD* ApD ApP ApPr ApR AuD AuP DiD DiH DiP DiPr DiR Approved and queued f automatic update to ApD. F 30 seconds, physician can update. Approved Approving Approving by a resident Approved by a resident Audited Auditing Dictated Dictation on hold Dictating Dictating by a resident Dictated by resident DiS NoN PrD PrP TrB TrD TrH TrP Dictated STAT Stops completion of rept Purged dictation Purging Transcription break Transcribed Transcription hold Transcribing Note: "P" at the end of the code = in process "D" at the end of the code = done Components Clinical Rept Components Automatically adding infmation to clinical repts DR Systems provides a set of clinical rept templates that can be customized. These templates can be designed to automatically impt infmation from database into the rept. F example, inserting a patient s mammography histy. Combine clinical repts Reading physicians can create a single clinical rept f multiple related exams to improve accuracy and completeness of the repts and increase efficiency f the reading physician. F example, if the physician is reading a patient's mammogram and a breast ultrasound, the physician can create a single clinical rept f both exams. Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 4 of 6

Dictated STAT Stops completion of rept Purged dictation Purging Transcription break Transcribed Transcription hold Transcribing Note: "P" at the end of the code = in process "D" at the end of the

5 Dictation Dialog Box Components Body Conclusion Display exam properties Breast coding Length Recd (min:sec) play body conclusion File size (KB) Dictate Mode of operation Position in recding Deletes selected body conclusion Insert Overwrite Status after you save Voice and text rept Audio playback controls Expand contract dialog box Text rept only Play automatically after rewind Microphone volume Change application mode manually Change role speech user Open the template Revert to template Opens Keyboard controls if a microphone foot pedal controller gets disconnected Dictating Clinical Repts 1 Start reading the first exam on the wklist. Rept in Microsoft Wd The system simultaneously displays: The Dictation dialog box. The clinical rept in Microsoft Wd. The exam images. 2 Dictate the body of the rept. 3 Dictate the conclusion of the rept. See the online Help f instructions on: Adding hyperlinks in repts f referring physicians to view images. Inserting data from the PACS automatically into repts. Dictation dialog box Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 5 of 6

Change application mode manually Change role speech user Open the template Revert to template Opens Keyboard controls if a microphone foot pedal controller gets disconnected Dictating Clinical Repts

6 Imptant Microsoft Wd Tips When Microsoft Wd blocks your view of exam images You can't view exam images if the Wd window is maximized if Wd is set to always display on top of other windows. If the Wd window is maximized 1 Double-click the title bar at the top of the Microsoft Wd window. This restes the window to the size pri to maximizing. 2 To further reduce the size of the Wd window: Click the bottom-right cner of the window. Drag the cner up and to the left. Placement of Wd on top of images Single monit systems - do not place Wd on top If you are using a single-monit, you need to set up Microsoft Wd so it doesn't block viewing of images. 1 In the Transcription dialog box, click Me to display the complete dialog box. 2 Clear the MS Wd on Top checkbox. Multiple monit systems - OK to place Wd on top In multiple monit systems, you do not need to change the default setting of Wd on top. You can leave the default setting unchanged: Leave the MS Wd on Top checkbox selected. Getting Help and Infmation Displaying Online Help Display a comprehensive Help program: Press F1 click Help Topics from the Help menu. Contacting DR Systems Mesa Rim Road San Diego, CA Phone: Fax: Sales Sales@drsys.com Info Info@drsys.com Suppt drsuppt@drsys.com Customer Suppt Online Go to and click Customer Suppt Login. Accessing the Resource Center View and download white papers, user guides, TechNotes, technical specifications and other documents: Go to and click the Resource Center button. Copyright and Notice Copyright and its licenss. All rights reserved. Protected by U.S. Patents: Template: TCP H Quick Start: Instant Repter - Dictating f Transcription Release 10 Page 6 of 6

2 To further reduce the size of the Wd window: Click the bottom-right cner of the window. Drag the cner up and to the left.

Web Ambassador Quick Start

Web Ambassador Quick Start Release 0 For referring physicians TCP-000563-A Contents Accessing patient exams via the Internet... The Web Ambassador workspace... Receiving exams automatically and manually... Marking exams as reviewed...