CIS Commands: This set of commands is designed only for use in Dartmouth-Hitchcocks home-grown EMR (CIS) and you should not download these (and will find no use for them) if you are not a CIS user.
Consent: This is a series of text commands used to document the discussion and counselling done before performing common procedures
Counselling: These commands are intended to document the discussion medical providers provide while counseling patients with hypertension, elevated lipids, ect.
Differential Diagnosis: This group of commands will provide a quick differential diagnosis for a variety of commond symptoms, clinical conditions, etc.
Examination: This set includes a variety of text commands related to documenting the physical exam and ranges from brief and more extensive boilerplate exams for both men and women, and also "snippets" of exams for quickly documenting an accurate exam without having to worr about removing things that were abnormal or not examined. (With our permission, Nuance borrowed this set of commands and incorporated them directly into Dragon Medical 10.1, calling them "Medical Normals".)
Management: This group of text commands provides documentation of management strategies for selected common medical conditions.
Note Content: This is a limited group of text commands related to simple portions of the office or admission note that you might want to enter in a simple manner if completely negative, such as lack of allergies, a negative family history, or a negative review of systems.
Note Template: if you don't already have structured note templates built into your EMR or documentation system, this is a command set that will spit out the bare bones of an admission note, simple office SOAP note, etc. These structed note templates come with navigation fields built in to facilitate quick navigation through a note using either "dragon templates" (saying "next field" or "previous field") or movement to a specific navigation site using the "navigation field" command in the category below.
Navigation commands: this is a short set of commands that extends the "dragon template" navigation functionaity of Dragon 10 Medical by allowing you to navigate directly to a specific field, rather than navigating sequentially forward or backward in a document.
Outline and List Commands: This set of commands is intended to help any user create simple lists and outlines without having to go through the labor of saying "New line, numeral one period", etc.
Utility Commands: this is a broad category of commands that will help you do a variety of common things on your pc with Dragon. You'll have to look at the list to fully appreciate what these do.
For the medical practitioner wanting a "jump start" in the implementation of speech recognition, we are delighted to offer a collection of ready made medically-oriented commands. After you've had a chance to look these over and try them, we strongly suggest that you learn to make your own text commands appropriate to your medical specialty, practice and workflows. They are extremely easy and require no programming knowledge. Likewise, we encourage you to modify any of the commands we offer here.
