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Modeling Health Data Architecture After DNS

Posted on September 12, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I was absolutely intrigued by the idea of structuring the healthcare data architecture after DNS. As a techguy, I’m quite familiar with the structure of DNS and it has a lot of advantages (Check out the Wikipedia for DNS if you’re not familiar with it).

There are a lot of really great advantages to a system like DNS. How beautiful would it be for your data to be sent to your home base versus our current system which requires the patient to go out and try and collect the data from all of their health care providers. Plus, the data they get from each provider is never in the same format (unless you consider paper a format).

One challenge with the idea of structuring the healthcare data architecture like DNS is getting everyone a DNS entry. How do you handle the use case where a patient doesn’t have a “home” on the internet for their healthcare data? Will the first provider that you see, sign you up for a home on the internet? What if you forget your previous healthcare data home and the next provider provides you a new home. I guess the solution is to have really amazing merging and transfer tools between the various healthcare data homes.

I imagine that some people involved in Direct Project might suggest that a direct address could serve as the “home” for a patient’s health data. While Direct has mostly been focused on doctors sharing patient data with other doctors and healthcare providers, patients can have a direct address as well. Could that direct address by your home on the internet?

This will certainly take some more thought and consideration, but I’m fascinated by the distributed DNS system. I think we healthcare data interoperability can learn something from how DNS works.

Dragon Medical Enabled EHR – Chart Talk

Posted on July 12, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I recently was asked by Deanna from Mighty Oak to check out a demo of their Chart Talk EHR software (previously called DC talk). It’s always a challenge for me since there are only so many hours in a day to be demoing the more than 300 EHR companies out there. So, instead of doing a full demo, I asked Deanna to highlight a feature of Chart Talk that set them apart from other EHR software companies.

She told me that Chart Talk’s killer feature was its integration with Dragon Naturally Speaking’s voice recognition software. I was very familiar with DNS and other voice recognition software, so I was interested to see if they really could create a deep integration of Dragon Medical over the other EHR software I’d seen that integrated it as well.

I have to admit that I was pretty impressed by the demo. It was really quite amazing the number of things that you could do with your voice in the Chart Talk EHR software. Certainly standard transcription like documentation worked out well in Chart Talk. However, the impressive part was how you could navigate the EHR with your voice. Here’s a demo video that does a decent job illustrating it:

What made the documentation even more interesting (and is partially shown in the above video) is the use of various DNS macros and the even more powerful built in macros for pulling in vital signs, past history, etc. Plus, I like the idea that when you have any issues with Dragon Medical, you don’t get someone at your EHR company who doesn’t really know much about Dragon. Since Chart Talk’s completely focused on Dragon integration, you know they know how to support it properly.

I of course only saw a partial demo of the Chart Talk software. So, I’m only commenting on the Dragon Medical integration in this post. It would take a much longer and more in depth evaluation to know about the other features and challenges to the software.

Plus, there’s no doubt that voice recognition isn’t for everyone. They tell me that some people do the charting with their voice right in front of the patient. That feels awkward to me, but I guess it works for some people. Then, there’s the people who don’t want to go through the learning curve of voice recognition. However, I’d guess that Chart Talk could make a case for being some of the best at teaching people to overcome that learning curve since every one of their users uses it.

I also know that Chart Talk originally started as DC talk. So, anyone considering Chart Talk should likely take a good look at how well the software fits with their specialty. I know the people at Mighty Oak have been making a big effort to work for any specialty. However, like every EHR software out there, they just work better for some specialties better than others.

It’s also worth noting that Chart Talk is a client server EHR. I guess the web browser isn’t quite ready for the processing power that’s required to have a nice voice enabled user experience.

Needless to say I was impressed by the voice recognition integration and how pretty much every command can be performed using your voice. I’d be interested to know of other EHR companies that are striving for that type of deep integration. I’m not just talking about being able to basically dictate into a text field. I’m talking about actual navigating the EMR with your voice.

Digital Voice Recorders Replacing Transcriptionists

Posted on March 11, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’ve discussed before the voice recognition software Dragon NaturallySpeaking (Medical and Preferred) and the microphone options and even announced when Dragon NaturallySpeaking Medical first came available. It’s enough to say that we’re big fans of voice recognition software and Dragon NaturallySpeaking in particular. It’s a great companion to an EMR or EHR implementation.

Today, I came across the Sony Digital Voice Recorder with Dragon NaturallySpeaking Software and I wondered if any of my readers have used this before. It seems like it could be an interesting way to replace a transcriptionist.

Basically, the doctor would record his notes on this device and then the Dragon NaturallySpeaking software would convert it to text and could be easily placed in the EMR. For $150, that seems like a bargain.

Really, the only question is how good Dragon NaturallySpeaking is at converting the recorded voice into text. I imagine it’s at least as good as doing it in real time. Does anyone have experience with it? If I hear some good reviews, then I’ll add it to my list of EMR technologies. This seems like it could be a really good solution for that doctor that doesn’t want to give up his/her transcribing ways.


Dragon Naturally Speaking Preferred Versus Medical

Posted on February 13, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve always been a little bit skeptical about paying the $1000+ for the medical version of Dragon Naturally Speaking. $1000 just seems like a lot of money to be paying for what seems to amount to some medical dictionaries. However, someone who is very familiar with nuance and Dragon Naturally Speaking told me that doctors should really purchase the DNS Medical or they’ll end up dissatisfied.

Well, today I was reading the forum on Amazon for Dragon Naturally Speaking which asks if the medical version is worth it for doctors. The responses generally weren’t worth while, but someone who calls themselves “Pain Doc” suggested the following:

I have used DNS for about 7 years. I started with version 6 as I recall. I had my transcriptionist email me the text files from all my dictations for several years and then I “fed” those to DNS to learn the vocabulary. I then had a very serviceable medical DNS for my practice and an unemployed transcriptionist.

What a genius idea for anyone that’s currently doing transcription. A great way to save about $1000 on software.

Check out the following prices for the various versions of DNS on Amazon:
UPDATE: Dragon NaturallySpeaking Premium 12 is out now.
Dragon NaturallySpeaking 10 Preferred – Currently $151.49 with $50 rebate ($101.49 after rebate)
Dragon NaturallySpeaking 9 Preferred – Currently $92.97
I’m still looking around for the best location to buy Dragon NaturallySpeaking Medical.

Interestingly, this same person quote above also said, “I also upgraded to DNS 10.0 which is a total POS. I am back to 9.0 and wouldn’t recommend 10.0 to anyone.” I’d love to hear more people’s comments on this subject.

Wireless Microphones for Dragon Naturally Speaking

Posted on February 12, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In a recent comment by Tom Hamilton, he gave a nice review of a wireless microphone that can be used with Dragon Naturally Speaking Medical. I figured I’d been covering enough EMR politics and implementation lately that it was about time to mingle a little bit of technical content in the middle.

I’ve been told a number of times that if you want to use Dragon Naturally Speaking medical, then finding a high quality microphone is absolutely essential to a quality voice recognition experience. Check out Tom’s review of the Samson Stage 5 Wireless microphone. Wireless is definitely the future.

Samson Stage 5 Wireless Microphone With Dragon NaturallySpeaking Review:<iframe src=”http://rcm.amazon.com/e/cm?t=crashutah-20&o=1&p=8&l=as1&asins=B0002ORQ56&md=10FE9736YVPPT7A0FBG2&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr” style=”width:120px;height:240px;” scrolling=”no” marginwidth=”0″ marginheight=”0″ frameborder=”0″></iframe> 

We’ve just completed Phase 3 testing of the new Samson Stage 5 wireless microphone [$99 on Amazon] and you can read our complete review by clicking Samson Stage 5 Review but the short version is that the new Samson Stage 5 wireless VHF microphone combo includes both a lapel microphone and a headset microphone, costs $99-$105 and is as accurate as our best (starting at $115) theBoom “O” [$149.99 on Amazon] and $145 Sennheiser ME3 wired microphones [$135.83 on Amazon] which cost more and are not wireless. The Stage 5 even includes a three-year warranty. With the exception of end users who require extreme portability, we can’t imagine why anyone would want to pay extra for a wired microphone with a one or two-year warranty. Now everyone can afford to cut the cord!

KnowBrainer, Inc. Support Staff – Tom Hamilton
A Nuance Gold Certified Endorsed Vendor
ALWAYS Ask If Your Speech Recognition Vendor Is Nuance Certified

Thanks Tom for the review.

Check out the following prices for the various versions of DNS on Amazon:


I’m still looking around for the best location to buy Dragon NaturallySpeaking Medical.

Dragon NaturallySpeaking (Medical) Version 10 Available

Posted on August 14, 2008 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

NaturallySpeaking (Medical) Version 10 is now available. Have any of the EMR and HIPAA readers used DNS 10? I’d be interested to know people’s reviews of DNS 10 as compared to 9. Luckily the upgrade is relatively inexpensive to go from one version to the next, but I’d be interested to hear people’s experience with DNS 10.

One of my blog readers already did their KnowBrainer 7 page pictorial preliminary review of DNS 10. Too bad the pictorial review is a pdf file. Also, that review is pretty technical, so if you’ve never used DNS before, then I wouldn’t suggest reading that review.

Check out the following prices for the various versions of DNS on Amazon:
Dragon NaturallySpeaking 10 Preferred – Currently $151.49 with $50 rebate ($101.49 after rebate)
Dragon NaturallySpeaking 9 Preferred – Currently $92.97
I’m still looking around for the best location to buy Dragon NaturallySpeaking Medical.