EditScript Online /
NetScript User Guide
Version 10
Copyright and trademark information
Copyright © 2015 Nuance Communications, Inc. All rights reserved.
EMon® is a registered trademark of Nuance Communications, Inc.
EditScript™, IntelliScript™, AutoScript™, NetScript™, and PrintScript™ are trademarks of
Nuance Communications, Inc.
All other trademarks are the property of their respective owners.
U.S. Patent Number: 7,274,775.
Content has been removed from some graphics to maintain patient and institution privacy.
Document Version: v10.28 v1.1 07142015
Contact information:
Nuance Communications, Inc.
1 Wayside Road
Burlington, MA 01803
Tel 781-565-5000
Fax 781-565-5001
Table of Contents
EditScript Online / NetScript User Guide 1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Chapter 1
Getting Started in EditScript Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
What’s New in Version 10.4? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
What’s New in Version 10.6? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
What’s New in Version 10.8? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
What’s New in Version 10.12? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
What’s New in Version 10.20? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
What’s New in Version 10.22? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
What’s New in Version 10.24? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
What’s New in Version 10.28? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Installing ActiveX software components . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Accessing EditScript Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Navigating the EditScript Online Web Interface . . . . . . . . . . . . . . . . . . . . . . . . . 40
Resources for HIM Administrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Resources for Clinicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Resources for Medical Transcriptionists . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Online Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
The Support Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Uploading files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
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Chapter 2
Using NetScript. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Accessing NetScript . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Changing your password. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
NetScript Search Engine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Improved search page layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Performing a search . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Full-text search . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
NetScript Search Results (Listings) Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Review status color coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Sorting results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Viewing and printing entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Listening to entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
NetScript Details Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
NetScript CC list page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Adding clinicians to the CC list. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Removing clinicians from the CC list. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Chapter 3
About e-signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
How e-signature Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
e-signature Workflows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Single signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Parallel, dual signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Parallel co-signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Sequential, dual signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Sequential co-signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Group signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Modes and workflows summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Using e-signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Accessing e-signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
e-signature action buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Electronic signature workflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Chapter 4
Implementing e-signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Setting up e-signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Information on security groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Information on validation rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Information on distribution rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Information on prefill options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Information on additional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Implementing e-signature at your institution. . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Setting up the Specific Signature Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
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Single signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Parallel, dual signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Parallel co-signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Sequential, dual signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Sequential co-signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Group signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Common questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Appendix A: NetScript Options (EMon) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Getting started with NetScript Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Configuring General NetScript properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Configuring NetScript Listings Page properties. . . . . . . . . . . . . . . . . . . . . . . . . 113
Configuring NetScript Details Page properties . . . . . . . . . . . . . . . . . . . . . . . . . 116
Configuring NetScript Spell Check properties. . . . . . . . . . . . . . . . . . . . . . . . . . 119
Document Selector for Group Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Appendix B: Monitoring e-signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Aging Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Signed Documents (eAlerts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
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Introduction
The Dragon Medical 360 | eScription (formerly eScription) product line is designed to increase
the productivity of medical transcriptionists, and is based on the simple premise that it is faster
to edit than to type. Physicians dictate as usual, but rather than having their dictations typed
from scratch, EditScript creates accurate and fully formatted first drafts that medical
transcriptionists can quickly review and edit. As a result of using EditScript, health care
organizations have doubled the productivity of medical transcriptionists, saved costs, and
decreased turnaround time — without interfering with clinicians' workflow.
Using unique, patent-pending features, four major components work together to deliver
productivity results unequaled by any other technology vendor:
Voice Capture
Records, digitizes, and optimizes medical dictations for speech processing.
Speech Processing
Converts dictation to text while producing fully formatted draft documents.
Transcription Tools
Enables fast editing of draft documents.
Document Management & Distribution
Supports transcription management, document distribution, reporting, electronic signature,
and more.
About EditScript Online and NetScript
EditScript Online is the web portal to access NetScript and Reports. Through NetScript, you can
search for dictations and perform electronic signature.
7
How to use this guide
This user guide describes the features and capabilities of EditScript Online and NetScript and
discusses the important concepts that are associated with it. In addition, the guide will explain
how EditScript Online and NetScript work with other components of the
Dragon Medical 360 | eScription system to create a powerful and intuitive transcription
workflow.
Related guides
See the following guides for more information on topics referenced in this guide:
•
EMon User Guide
•
Reports User Guide
You can obtain this documentation via the Online Support Center.
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Getting Started in
EditScript Online
EditScript Online is a web portal that allows
you to securely access online technical
support, billing and productivity reports, and
NetScript. EditScript Online provides online
resources to three types of users: Health
Information Management (HIM)
administrators, clinicians, and medical
transcriptionists (MTs).
1
Topics discussed in this chapter:

What’s New in Version 10.4?

What’s New in Version 10.6?

What’s New in Version 10.8?

What’s New in Version 10.12?

What’s New in Version 10.20?

What’s New in Version 10.22?
What’s New in Version 10.4?

What’s New in Version 10.24?
The following feature has been added to
version 10.4.

What’s New in Version 10.28?

Getting Started

Accessing EditScript Online

Navigating the EditScript Online
Web Interface
Administrators, MTs, and clinicians use
NetScript to search for dictations, and
clinicians use it for e-signature. For more
information on NetScript see Chapter 2: Using
NetScript on page 49.
Archived dictation search
The search page in NetScript now allows
you to search for documents that were
transcribed between six months and two
years ago. A status called ‘Archived’ has
been added to the Status text box. See
Dictation Information in Chapter 2 on
page 54 for more information.
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What’s New in Version 10.6?
The following features have been added to version 10.6.
New CC List Format
A new, more descriptive format has been created for the CC List so that users can clearly
determine who is being CC'd for a document. When viewing a document, the contacts
selected in the CC List will appear below the CC List button. Each contact will be displayed
on its own line, with the contact's street address and email address following the name of
the contact (provided that both of these addresses have been defined).
Prevent Signature When Blanks Are Present
Clinicians working in NetScript can now be required to resolve document blanks when
attempting to sign a document. To enable this feature, in EMon go to Tools menu> NetScript
Options. On the General tab, check the Prevent Signature When Blanks Are Present
option. See Appendix A: Prevent Signature When Blanks Are Present on page 112.
What’s New in Version 10.8?
The following features have been added to version 10.8.
New Option to Limit the Type of Statuses MTs can Search on
A new NetScript Search functionality option has been added that limits the statuses that MTs
can search on to Unsigned, Partially signed, Signed, and Transcribed. In EMon go to the
Tools menu> NetScript Options. On the General tab, check the Limit eScriptionists to signed
and unsigned documents option. See Appendix A: Limit eScriptionists to signed and
unsigned documents on page 112.
Signature Note Enhancement change
Disabling the ‘Signature Note Enhancement’ feature in the Application Features console in
EMon will disable the feature in both EMon and NetScript. Previously, the feature only
disabled signature notes in EMon. Now if the feature is disabled, the Save, Review, & Add
Note and the Save & Add Note action buttons will not appear in the reviewer's/signer's
queue in NetScript. This feature allows a user to send a note to the next reviewer/signer for
a document, if the distribution's action results in a transmission to an eSignature queue.
New Distribute button added
When you search for and view a signed or partially signed document in NetScript, a
Distribute button is now displayed, allowing you to distribute a signed document from
NetScript. Previously, only a Save/Distribute button would appear for unsigned documents.
Note that if a change is made to a partially signed document, the Distribute button will be
disabled.
Added Navigation buttons to signature queue
Previous and Next navigation buttons have been added to the bottom of the clinician’s
signature queue in NetScript to allow the clinician to skip or go back to a document. Now a
clinician can leave a document unsigned if he/she sees an issue with it. Previously, the only
way to skip a document was to use the Return to Document List button and re-do the
search, leaving out that particular document. A progress indicator has also been added
which shows the number of the document that is currently displayed, such as ‘3 of 4’.
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What’s New in Version 10.12?
Please note that there have been some modifications to the following section: Installing ActiveX
software components on page 13, specifically with regards to UAC (User Account Control).
What’s New in Version 10.20?
The following features have been added to version 10.20.
Support for Win 7 IE9 and Win 8 IE10
NetScript version 10.20 supports additional operating system and Internet Explorer
versions:

Internet Explorer version 9 (32-bit) on Windows 7.

Internet Explorer version 10 (32-bit) on Windows 8.
Note: Please note that all documents will be displayed in plain text only (for example,
Spell Check functionality is not supported) and the browser’s own Spell Check,
provided with IE10 and later versions, is not supported. (See How to Disable IE’s internal
Spell Check feature on Windows 8 IE10 on page 33.)
ActiveX component upgrade for ‘Listen to Audio’ and ‘Printing’ Features
To listen to audio or to print documents, version 10.20 requires an upgrade to its ActiveX
software component. Users will be prompted to install the new version the next time they
use the ‘listen to audio’ or ‘print’ functionality in NetScript. The upgrade requirements and
installation steps are identical to those of a first time installation, as described in the
“Getting Started” section below.
What’s New in Version 10.22?
The following section has been added to version 10.22:
Configuring Internet Explorer 9 for Compatibility mode
Institutions who wish to configure their browsers to use Compatibility mode in Internet
Explorer 9, please see page 15.
What’s New in Version 10.24?
The following section has been added to version 10.24:
Configuring Internet Explorer 11 for Enterprise mode
Institutions who wish to configure their browsers to use Enterprise mode in Internet
Explorer 11 may configure their Group Policy to enable Enterprise mode and use a site list.
See page 14.
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What’s New in Version 10.28?
The following features have been added to version 10.28:
The Print and View buttons now appear at the top and bottom of dictation lists
The Print and View buttons will now appear both above and below the list of dictation from
the Signature Queue or from the results of a dictation search.
Double-clicking on a row in a dictation list opens that document
Double-clicking viewing on a row in the list of dictations from the Signature Queue or from
the results of a dictation search will now open the details for that particular dictation.
Previously, users had to click on the checkbox and then the View button. See Viewing and
printing entries in Chapter 2 on page 62.
Signature result checkbox default appearance
The dictation list in the Signature Queue may now be configured to have all its rows either
“checked” or “unchecked” by default for all providers at the institution. By default, all rows
are checked. To set this option, go to EMon> Tools menu> NetScript Options> Listings Page
tab. See Appendix A: Configuring NetScript Listings Page properties on page 113.
Do not auto-check non-reviewed documents in the signature queue
The dictation list in the Signature Queue can now be configured so that documents that have
not yet been reviewed by the reviewer are not checked by default. This is only valid for
cosignature parallel workflows. By default, the documents are checked. To set this option,
go to EMon> Tools menu> NetScript Options> Listings Page tab. See Appendix A:
Configuring NetScript Listings Page properties on page 113.
The ‘Birth Date’ field is now available for display in NetScript
A patient’s date of birth has been added as an optional field that can be displayed as part of
the list of dictations in the Signature Queue or search results page, as well as the details
page. By default, this field is unchecked. To set this option, go to EMon> Tools menu>
NetScript Options> Listings Page tab or Details Page tab. See Appendix A: Configuring
NetScript Listings Page properties on page 113 and Appendix A: Configuring NetScript
Details Page properties on page 116.
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Getting Started
Before using EditScript Online, check to see that your machine satisfies the hardware and
software requirements in the Requirements for eScription Component Installations
document (found on the Support Center). In addition, if you are listening to audio or printing
documents, you will need to install the ActiveX software components.
If UAC (User Account Control) is enabled for a particular machine, you can only listen to audio
or use the print functionality if the eScription site is configured as part of the "Trusted Sites".
See Adding the eScription web site as a Trusted Site on page 16.
If the ActiveX component is already installed, and an upgrade is required, you will be prompted
to install the new version the next time you use the ‘listen to audio’ or ‘print’ functionality in
NetScript. The upgrade requirements and installation steps are identical to those of a first time
installation, as described in the sections that follow.
Installing ActiveX software components
When you attempt to listen to a dictation or print a transcription for the first time, EditScript
Online will need to download ActiveX software components from
Dragon Medical 360 | eScription. These components allow you to listen to dictation audio and
print transcriptions. The installation has to be done only once per machine.
IMPORTANT! To install NetScript for printing or listening to audio, you will need to be a
Windows administrator and have administrator privileges. If you do not have Windows
administrative privileges, contact your IT department. Running Internet Explorer as an
administrator is not enough.
The installation on Windows XP is straightforward. See Installing ActiveX with Windows XP on
page 24. If you are using Microsoft Windows 7, there are additional steps. See Installing
ActiveX with Windows 7 on page 13.
Installing ActiveX with Windows 7
Prior to using EditScript Online on Windows 7, you will need to follow the steps below to be able
to listen to a dictation or print a transcription from NetScript.
Verifying 32-bit Internet Explorer for Win 7 64-bit
On a Windows 7 64-bit client platform, when Internet Explorer 8 or 9 is installed, both the 32bit and 64-bit versions will be made available. The ActiveX components for audio and print
functionalities only support the 32-bit version of IE8 and the 32-bit version of IE9, so verify that
the Internet Explorer version in use is 32-bit. To do so, go to Help menu > About Internet
Explorer.
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The version displayed should not mention 64-bit.
Below are the 32-bit (left) and 64-bit (right) versions of Internet Explorer 8.
Below are the 32-bit (left) and 64-bit (right) versions of Internet Explorer 9.
Configuring Internet Explorer 11 for Enterprise mode:
Institutions who wish to configure their browsers to use Enterprise mode in Internet
Explorer 11 may configure their Group Policy to enable Enterprise mode and use a site list.
Please refer to the following site for detailed information:
http://msdn.microsoft.com/en-us/library/dn640699.aspx
The specific sites to add to the list for eScription are as follows:
14

escription.com

escriptionasp.com

escriptiontest.com
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
escription.ca

escriptiontest.ca
Note: Before listen to audio or print functionalities in NetScript can be used, the
required ActiveX component must be installed for IE11. Please refer to Installing ActiveX
for IE11 on page 36.
Configuring Internet Explorer 9 for Compatibility mode:
Institutions who wish to configure their browsers to use Compatibility mode in Internet
Explorer 9, please follow the steps below:
Steps:
1
Open Internet Explorer and click on the Tools menu.
2
In the Compatibility View Settings window, enter:

escription.com

escriptionasp.com

escriptiontest.com

escription.ca

escriptiontest.ca
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Alternatively, you may configure Compatibility mode by using Group Policy (GPO) and
pushing the appropriate settings to your users.
IMPORTANT! Please note that the compatibility mode as described in this section is
only supported for IE 9. The compatibility mode for IE 8 is not supported. Consequently,
in the event that the browser version is downgraded from IE 9 compatibility mode to
IE 8, the eScription sites must be removed from the IE 8 browser's compatibility view
settings.
Adding the eScription web site as a Trusted Site
You will need to add www.eScription.com (or www.eScription.ca for Canadian customers) as
a trusted site.
Steps:
1
16
Go to Start> All Programs.
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2
Click on Internet Explorer.
If UAC (User Account Control) is on, its warning dialog will appear.
3
4
Select Allow.
Open Internet Explorer.
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5
Select Tools> Internet Options.
Note that in IE9, the Tools menu is represented only by its icon.
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The Internet Options dialog appears.
6
Click the Security tab.
7
Click the Trusted sites icon.
8
Click the Sites button.
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The Trusted sites dialog appears.
9
In the Add This website to the zone: field, enter the following addresses pressing
Add, after each:

https://www.escriptiontest.com

https://www.escription.com
For Canadian customers, also add:
20

https://www.escriptiontest.ca

https://www.escription.ca
10
Check the Require server verification (https:) for all sites in this zone check box.
11
Click Close, then OK when complete. The browser window's status bar will show
‘Trusted sites’ with a green checkmark next to it, towards the bottom right.
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In IE9, the zone security properties are no longer displayed in the status bar. To verify
the zone security of the site, access the page's properties using the steps below:
1
Click the File menu (press ALT if the menu bar is not initially visible).
2
Select Properties.
3
In the Properties dialog, verify that the Zone field value shows ‘Trusted sites’.
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Listen to Audio for the first time as an Administrator
Continue with the internet browser window opened in the previous section.
Note: If you have closed the previous IE browser window, simply open a new browser
window. Note that you must remain a Windows administrator in order to continue the
installation.
Steps:
1
Log into EditScript Online. See Accessing EditScript Online on page 38.
After you log in, at the bottom of the screen you should see the note: Trusted Sites |
Protected Mode: Off. (For IE9, the security zone information is available in the
Properties dialog, as described in the steps above.)
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When you try to print or listen to audio the first time, the install components box
appears as shown in the figure below.
2
Click anywhere on the screen shown in the graphic to install the ActiveX component.
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The Security Warning dialog appears.
3
Click Install to install the ActiveX component on your machine.
After the ActiveX is installed, the associated audio player (see Note below) will be
launched, playing the audio file of the dictation.
Note: Windows media player is usually installed to handle .wav files by default.
Installing ActiveX with Windows XP
If you have Windows XP, when you attempt print or listen to audio the first time, you will be
prompted to install the ActiveX control. Similarly, you will need Windows administrator
privileges to install the ActiveX component on Windows XP.
Steps:
24
1
When you try to print or listen to audio the first time, the install components box
appears.
2
Click anywhere on the screen shown in the graphic to install the ActiveX component.
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The security warning dialog appears.
3
Click Install to install the ActiveX component on your machine.
4
After ActiveX is installed, you can return to your previous action.
Installing the ActiveX component on Windows 8
Before installing the ActiveX component or using the NetScript audio feature on Windows 8, the
following prerequisites must be verified:
•
•
The default program to handle audio files must be set to Windows Media Player.
The Internet Explorer version used must be the regular Desktop mode and not the new
Metro mode.
Setting Windows Media Player as the default audio player for all audio files
Before installing the ActiveX component or using the NetScript audio feature on Windows 8, it is
important to note that on Windows 8, the application program that is assigned by default to
handle music files is the new "Music" app and not Windows Media Player, as on previous
versions of Windows operating systems. This "Music" app cannot correctly handle eScription
audio WAV files. As a result, the Windows Media Player must be reassigned as the default
program for handling audio files. See below for steps.
Steps:
1
From the Win 8 Start screen, type "default" into the search box.
"Default Programs" appears as shown below.
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2
Click Default Programs to bring up the Default Programs control panel.
3
Select Set your default programs.
A dialog with the list of available programs appears on the left.
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4
Scroll down the list until Windows Media Player is visible. Left-click to select it. Then
select Set this program as default to allow Windows Media Player to handle all audio
files.
5
Click OK.
Setting Windows Media Player as the default player for .WAV files only
If you want to keep the "Music" app as the default program for audio file types, and only specify
that .WAV files be associated with Windows Media Player, follow the steps below:
1
In step number 4 above, select Choose defaults for this program instead of Set this
program as default.
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2
On the next screen, scroll down and check the box next to the .wav file extension.
3
Click Save.
Internet Explorer Desktop Mode
Starting in Windows 8, Internet Explorer (such as IE10) supports two modes: the new Metro
mode and Desktop mode. ActiveX controls can only function in Desktop mode, so you must be
sure that you are using Desktop mode. See below for information on how to identify which
mode you are in.
When launching Internet Explorer from the Desktop view, Desktop mode is used. However,
when launching from the Apps Start screen, it is possible that Metro mode is used by default.
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Metro mode can be identified by its application program icon. The icon shows a white letter 'e'
on a blue background, as opposed to a blue letter 'e' on a white background. See below for the
Metro mode icon:
Also, once in Metro mode, the application takes up the full screen. If you right-click in the
window, the navigation bar and address field display at the bottom of the screen, rather than at
the top, as shown below:
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To switch from Metro mode back to Desktop mode, click on the wrench icon in the address bar
and select View on the desktop.
The desktop is shown, and the Desktop version of IE is automatically launched to the same URL
that is currently being visited.
Verifying 32-bit IE10 on Windows 8
ActiveX controls can only function with 32-bit versions of Internet Explorer browsers. That
remains true for Windows 8 and IE10 as well. However, on Windows 8 64-bit, whenever IE10 is
launched, at least two processes are run: a "high-level manager" process for IE10 to monitor all
browser tabs or window instances currently running on the machine, and an additional process
per individual browser tab or window that is opened or created.
This "high-level manager" process is always run in 64-bit. Fortunately, when IE 10 is in Desktop
mode, each tab inside the browser or each additional browser window opened is initiated in 32bit process by default.
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This will support NetScript’s ActiveX component as long as the ‘Protected Mode’ is not enabled.
To verify that the Protected Mode for IE10 is not enabled, follow the steps below:
Steps:
1
Open the Internet Options dialog (Tools icon> Internet options).
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2
Click the Security tab, then "Trusted sites".
3
Verify that the checkbox for "Enable Protected Mode" is not selected.
4
Click OK to close the dialog.
5
If it is selected, then deselect it, press OK, and restart IE.
Note that the "About IE10" box in Windows 8 cannot help determine whether a browser
tab or window is 32-bit or 64-bit because as mentioned above, the browser application
process itself remains 64-bit at all times for IE10 on a 64-bit Windows.
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The dialog will not indicate 64-bit, and shows the same information for both 32-bit and
64-bit:
Installing the ActiveX for Win8 IE10
The rest of the installation process for the ActiveX remains similar to Windows 7. See Installing
ActiveX software components on page 13.
How to Disable IE’s internal Spell Check feature on Windows 8 IE10
Starting in version 10, Internet Explorer provides its own spell check solution by default.
NetScript does not support this spell check, and it must be disabled using the steps below.
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Steps:
34
1
Press the Windows key+C to bring up the Windows 8 Charms bar (side widget panel).
2
Select Settings.
3
Select the Change PC settings menu at the bottom of the updated Settings bar to
launch the Settings page.
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4
Select General from the PC Settings page and scroll down to the Spelling section.
5
Click on the left side of the ‘Autocorrect misspelled words’ and ‘Highlight
misspelled words’ controls to turn them off.
Note that on Windows 8, the Spelling settings are shared between Internet Explorer (version 10
and later) and Win 8's Metro UI.
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Installing ActiveX for IE11
Similar to IE10 (see Verifying 32-bit IE10 on Windows 8 on page 30), NetScript’s ActiveX
component requires that the ‘Protected Mode’ remains disabled on a 64-bit operating system.
To verify that the Protected Mode for IE11 is not enabled, follow the steps below.
Steps:
1
36
Open the Internet Options dialog (Tools menu or icon> Internet options).
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2
Click the Security tab, then Trusted sites.
3
Verify that the checkbox for Enable Protected Mode is not selected, then click OK to
close the dialog.
4
If it is selected, then deselect it, press OK, and restart IE.
The rest of the installation process for the ActiveX remains similar to Windows 7. See
Installing ActiveX software components on page 13.
Disabling Password Caching in Internet Explorer
Note: This section is optional. It is written for IT/Security administrators as it requires
registry changes and involves security policies.
By default, Internet Explorer will allow users to have the option for the browser to remember
user logins and passwords for any website they visit. For those institutions who wish to disable
the ability for users to “save” their login username and password in Internet Explorer to all
websites, Microsoft has provided a KB article on how this could be done:
https://support.microsoft.com/kb/229940
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Accessing EditScript Online
To access EditScript Online, go to www.escription.com, the corporate web site for
Dragon Medical 360 | eScription.
A testing environment is also available for you to test current and new features of EditScript
Online and NetScript. To access this, go to www.escriptiontest.com. If you wish to access
material from your test environment, you must use the test web site.
Note: Internet Explorer is the only supported web browser.
To log in to EditScript Online:
1
From the eScription web site, enter the short name of your medical institution in the
CUSTOMER LOGIN field and click Log in.
Note: If you are not sure of the short name of your institution, contact your
administrator.
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2
Enter your User name and Password.
Note: Passwords are case-sensitive.
Tip: If you would like your browser to remember your password for future sessions,
click the Remember my password check box.
3
Click OK to log in. The EditScript Online home page displays.
Note: If the window fails to recognize your user name or password, contact your
administrator for access.
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Navigating the EditScript Online Web Interface
The EditScript Online home page consists of a menu of options (links) for users on the left-hand
side and related text on the right-hand side.
Click on a link to navigate to the various resources available through EditScript Online. The
home page corresponds to the top link of the menu, EditScript Online Home. The descriptive
text updates according to which link is selected.
The following links are available from the home page:
•
•
40
EditScript Online Home: provides links to the specific resource page for each of the
three users (administrators, clinicians, and MTs) and Online Tools.
Administrators: the main resource page for Health Information Management (HIM)
administrators.
•
Clinicians: the main resource page for clinicians.
•
MTs: the main resource page for medical transcriptionists.
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•
•
•
Online Tools: the main resource page for information about
Dragon Medical 360 | eScription products.
Change Password: the page to change your password.
Logout: the link (or button) to close your current session of EditScript Online. Clicking
this link will close the browser window.
Note: If you have multiple windows open under the same session, clicking on this
link will only close the window in which the link is located. The other windows will
still be active under the initial session.
Note: Users should always use the log out button once done using EditScript
Online/NetScript to end their session. Additionally, it is strongly recommended to
clear your browser’s cache at the end of your session.
Resources for HIM Administrators
When you click on the Administrators link from the home page, the system displays the main
resource page for Health Information Management (HIM) administrators.
The following links are available from the main Administrators page:
•
•
•
•
•
•
The eScriptionist: allows you to subscribe to and download The eScriptionist. Designed
for customers, The eScriptionist is a quarterly corporate electronic newsletter from
Dragon Medical 360 | eScription. This page includes a link to a subscription form and
links to previous issues that you can download and view.
View Productivity and Billing Reports: lists productivity and billing reports for your
specific institution. This page includes links to current and earlier reports that you can
download and view. See the Reports User Guide for more information.
Search for Dictations: allows you to search for dictations and transcriptions. See
Chapter 2: Using NetScript on page 49 for more information.
Software Downloads: allows you to download Dragon Medical 360 | eScription
software products. This page includes links to current and earlier software versions.
Upload to eScription: allows you to send large files to
Dragon Medical 360 | eScription. For further details on uploading files, see Uploading
files on page 47.
Support Center: takes you to the main page of the eScription Support Center. For
more information, see The Support Center on page 44.
Resources for Clinicians
When you click on the Clinicians link from the home page, the system displays the main
resource page for clinicians.
The following links are available from the main Clinicians page:
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•
•
•
e-signature: allows electronic signature and review of transcriptions. For more
information, see Chapter 3: About e-signature on page 77.
Read Guidelines for Dictating: lists recommended guidelines for dictating. By
following these guidelines, clinicians can improve the quality of transcriptions produced
through the Dragon Medical 360 | eScription speech recognition process.
Search for Dictations: allows you to search for dictations and transcriptions. For more
information, see Chapter 2: Using NetScript on page 49.
Resources for Medical Transcriptionists
When you click on the MTs link from the home page, the system displays the main resource
page for medical transcriptionists (MTs or eScriptionists).
The following links are available from the main MTs page:
•
eTips: lets you download and view eTips. Designed for MTs, eTips is a quarterly
corporate electronic newsletter. eTips includes product tips to increase productivity,
articles by and about fellow eScriptionists, and information about the
Dragon Medical 360 | eScription people and products.
To sign up for a subscription or to provide feedback, send an email to
[email protected]. Please provide your name, medical institution, phone
number, and the details of your request or feedback.
•
•
•
•
42
Templates: lists all normal templates available for use at your specific institution.
EditScript MT FAQ: lists eScriptionists’ frequently asked questions. Click on a question
to see the corresponding answer.
Software Downloads: allows you to download Dragon Medical 360 | eScription
software products. This page includes links to current and earlier software versions.
Search for Dictations: allows you to search for dictations and transcriptions. For more
information, see Chapter 2: Using NetScript on page 49.
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Online Tools
The Online Tools page provides links to useful information about the
Dragon Medical 360 | eScription system and products. Click the Online Tools link to access
the following page.
The following options are available from the Online Tools page:
•
•
•
Forums: lets you discuss issues with other MTs via the Dragon Medical 360 | eScription
forums. You can start a new discussion thread or respond to an existing thread. The
forums are monitored regularly, and are a good place to ask questions that are not
time-critical. For time-sensitive issues, please submit a ticket via The Support Center on
page 44.
Knowledgebase: lets you view frequently asked questions (FAQs) by topic category.
You can also search the entire knowledgebase for a specific topic.
Utilities & Manuals: contains the official documentation for
Dragon Medical 360 | eScription products. Documentation includes the following:
Tip: This page also includes utilities that may be helpful for working with
Dragon Medical 360 | eScription products.

User guides: include descriptions of products, its features and concepts, complete
setup and installation instructions, and other helpful reference material.
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•
•
•

Training materials: help customers learn to work with
Dragon Medical 360 | eScription products.

Feature notes: give an overview of new product features and updates.
Announcements: contains the latest Dragon Medical 360 | eScription technical
announcements. You can subscribe to receive new announcements.
MT Feedback: contains information on an MTs individual feature usage. You can also
register for certification on the Dragon Medical 360 | eScription system.
CA Config: contains information on the Dragon Medical 360 | eScription components
for use during the installation process.
The Support Center
The eScription Online Support Center is the main resource page for technical support. Since the
Dragon Medical 360 | eScription Support Team primarily interacts with administrators, the
Support Center can be accessed from the Administrators page.
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Support Center web interface
Click the Support Center link from the Administrators page, to display the main resource
page for Dragon Medical 360 | eScription Online Support.
The main Support Center page provides links to the following online features:
•
•
•
Register: allows you to create an account to track submitted support tickets. Once you
register, you can initiate a help request using the Submit a Ticket feature in the Support
Center.
Knowledgebase: lets you view frequently asked questions (FAQs) by topic category.
You can also search the entire knowledgebase for a specific topic.
Utilities & Manuals: contains the official documentation for
Dragon Medical 360 | eScription products. Documentation includes the following:
Tip: This page also includes utilities that can be used with your institution’s
Dragon Medical 360 | eScription products.
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•
•
•
•
•
•
•

User guides: include descriptions of a product, its features and concepts, complete
setup and installation instructions, procedures, and other helpful reference
material.

Training materials: help customers learn to work with
Dragon Medical 360 | eScription products.

Feature notes: give an overview of new product features and updates.
Project Tracking: allows you to view the plan and status of your ongoing installation
and upgrade projects.
Remote Desktop Support: allows our technical staff to initiate a remote desktop
session to take control of your PC to solve advanced support issues.
Submit a Ticket: allows you to initiate a help request from
Dragon Medical 360 | eScription Support. Support will assign a ticket key for each help
request to let you track the progress of your ticket.
Announcements: displays the latest Dragon Medical 360 | eScription technical
announcements. You can subscribe to receive new announcements via email.
Forums: lets you discuss issues with other MTs via the Dragon Medical 360 | eScription
forums. You can start a new thread of discussion or respond to an existing thread. The
forums are monitored regularly, and are a good place to ask questions that are not
time-critical. For time-sensitive issues, please submit a ticket.
Bug Tracking: allows you to search for known bugs and issues within
Dragon Medical 360 | eScription products.
About eScription Support: contains useful information about
Dragon Medical 360 | eScription support, including standard operational hours and
contact instructions.
On the right of the page, you can also perform the following actions:
•
•
46
Login: log in with your account information to submit tickets and to track tickets and
projects.
Search: allows you to search the entire Support Center for a specific topic.
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Uploading files
The Upload to eScription link under the Administrators page allows you to quickly send a
file to Support or other Dragon Medical 360 | eScription departments.
To send files:
1
Enter the recipient in the Send To field. The default address is
[email protected].
2
Click Browse to select the file on your local computer you wish to upload. The file
selection window appears.
3
Once you find your file, select it and confirm that the desired file name is entered in the
File name field. Click Open.
4
The file selection window disappears, and the name of your file appears in the
Filename field on the upload page.
5
Enter any comments in the Comments text box, including details on how the file
relates to your technical issue.
6
When all three fields are complete, click Send It.
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Using NetScript
NetScript is a web-based application that
allows you to search for and review dictations
and transcriptions. You access NetScript
through EditScript Online.
From the NetScript search engine, you can
search for transcriptions with a variety of
parameters. The search results (listings) page
displays all the dictations and transcriptions
that match your search. From this list, you
can listen to, view, or print the full details of
an entry. If additional clinicians need to be
consulted, you can carbon copy (CC) the
appropriate clinicians to individual
transcriptions.
2
Topics discussed in this chapter:

Accessing NetScript

NetScript Search Engine

NetScript Search Results
(Listings) Page

NetScript Details Page

NetScript CC list page
Note: User and institution access to
NetScript is configured either through
Security Groups or NetScript Options in
EMon. For more information on access and
restrictions to NetScript, see the EMon User
Guide.
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Chapter 2: Using NetScript
Accessing NetScript
Clinicians, administrators, and MTs use NetScript to search for dictations in audio or text
format. All three users can access NetScript via the menu options located on the left as follows:
•
Clinicians: > Clinicians > Search for Dictations
•
Administrators: > Administrators > Search for Dictations
•
MTs: > MTs > Search for Dictations
Note: In order to access NetScript, users need to belong to an appropriate NetScript
Permissions security group. You can set up security groups, define permissions and
restrictions, and assign members in EMon. For more information, see the EMon User
Guide.
Changing your password
If your password has expired, you will not be able to access the
Dragon Medical 360 | eScription system until it is reset.
Note: You will always be able to log into EditScript Online. However, you will not be able to
access NetScript, e-signature, or Reports until your password is reset.
Steps:
50
1
If your password has expired and you try to access Reports or NetScript (Search for
Dictations or e-signature links), the following screen appears.
2
Click on the here link to change your password.
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The Change Password screen appears.
3
Enter a new password in the New password and Re-type new password fields.
4
Click Save.
Note: If your new password does not meet your institution’s password policy, you
will receive an error message detailing the requirements your password must meet.
A notice appears that your password has been changed, and you can resume work.
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NetScript Search Engine
The NetScript search engine allows you to search for documents via several input parameters.
The more parameters you specify, the faster and more precise your results will be.
Improved search page layout
The search engine will display one of two layouts, based on whether the user is a clinician or an
administrator/MT. These new layouts are designed to allow you to enter and retrieve
information as quickly and as efficiently as possible.
Search parameters are divided into Basic and Advanced search areas. Basic search parameters
include those that the user is most likely to search by, and are ordered according to how a user
would most typically enter them. For a clinician, the basic search parameters include
confirmation number, clinician name, patient name, and MRN. For an administrator or MT, the
basic search parameters include MRN, account number, clinician name, patient name, and text
search. See the graphics below.
For clinicians:
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For administrators/MTs:
Clinician Information
•
•
•
Clinician Last, First Name: the name of the dictating clinician.
Clinician ID Number: the ID number unique to the clinician who created the original
dictation.
Signing Clinician: the clinician responsible for signing the final document.
Note: If no signing clinician is specified for a dictation, then the dictation will not
appear in the search results.
Patient Information
•
Patient Last, First Name: the name of the patient.
•
Medical Record Number: the unique medical ID number for the patient.
•
Account Number: the unique visit ID number.
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Dictation Information
•
Status: the dictation’s processing status. The latest version of NetScript allows users to
search for dictations with a status of Archived. Archived dictations are dictations that
were transcribed between six months and two years ago.
Note: Intermediate statuses cannot be searched unless Search Intermediate
Statuses is enabled in the EMon Application Features dialog. See the EMon User
Guide for more information.
•
•
Dictation ID: the unique ID for the dictation associated with a specific patient visit.
Confirmation Number: the unique transaction number automatically generated for the
clinician after each dictation is recorded.
•
Order Code: the unique ID for a product or service ordered for a specific patient visit.
•
Transcriptionist Name: the name of the MT responsible for the dictation.
•
•
Dictation Period: a start and stop date between which the dictation was originally
recorded. If you specify a start date but not a stop date, then the search engine will
assume the current date is the stop date.
Transcription Period: a start and stop date between which the transcription was
originally uploaded. If you specify a start date but not a stop date, then the search
engine will assume the current date is the stop date.
•
Work Type: the type of report dictated, e.g. operative note.
•
Business Entity: a subdivision of your medical institution.
Full-Text Search
•
Text Search: enter a word or phrase to search for in the dictations. See Full-text
search on page 55 for more information.
Tip: Click on the question mark next to search field for information on the different
search operators.
Note: This field will not appear if Full-Text Search is not enabled, see Getting started
with the full-text search feature on page 55.
Results
•
Sort Order: the display order on the search results page.
Performing a search
When you select the Search for Dictations link, the NetScript search engine appears (see
NetScript Search Engine on page 52).
Following are guidelines when searching:
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•
•
•
You can only search the current version of a document.
You can only search the dictation cache. Typically the cache contains documents that
are no more than 180 days old.
Results of full-text searches are filtered by your search permissions, just as the results
of any dictation search are filtered. See the EMon User Guide for more information on
filters.
To perform a search, follow the steps below.
Note: At any time, you can reset the search parameter fields by clicking the Clear button.
Steps:
1
From the search engine page, enter the search fields you want to use.
If full-text search has been enabled for your institution, you can search on a word or
phrase in addition to the other parameters you enter (see Full-text search on page 55).
Tip: Use the Sort Order drop-down menu under RESULTS to display your results in
a particular order. The default order is patient.
2
Click Search at the bottom of the screen.
Your search results are displayed on the search results page (see NetScript Search
Results (Listings) Page on page 59).
Note: You will not be able to view intermediate dictation statuses (e.g. suspended
dictations) unless Search Intermediate Statuses is enabled in the NetScript Options
dialog in EMon. See Appendix A: NetScript Options (EMon) on page 109.
To view or print a document, see Viewing and printing entries on page 62.
To listen to a dictation, see Listening to entries on page 65.
Full-text search
The full-text search feature allows you to further refine a search by searching dictations for a
word or a phrase. There are a number of search operators available to help you refine your fulltext search (see Full-text search operators on page 57).
Following are the guidelines of full-text search:
•
•
In addition to entering text in the Text Search field, you must enter at least one search
parameter in the clinician, dictation, or patient sections of the search page. If the results
of the search based on clinician, patient, or dictation criteria exceed the maximum
number of results, you will receive a message notifying you that you must further refine
your criteria.
You can only search the plain text version of a document. .rtf documents are not
included in full-text searches.
Getting started with the full-text search feature
Before you can use this feature, you must:
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•
Activate the NetScript Full-Text Search feature through the Applications Feature dialog
in EMon. See the EMon User Guide for more information on this dialog and for
instructions on enabling new features.
Note: You must have the appropriate security permissions to enable features
through the Application Features dialog.
•
Belong to a NetScript security group with the permission to search. See the EMon User
Guide for more information on security groups.
When this feature is enabled, you will notice the following changes to the NetScript interface:
•
The Text Search field is displayed on the search engine page.
Understanding search terms
A full-text search allows you to enter search terms. Search terms can be a single word (e.g.,
medicine, hospital) or a phrase (i.e., “at the hospital”). In order to create a multi-word term,
use double quotes. The search engine treats the words within the double quotes as a single
term. For instance, if you want documents that contain the phrase “at the hospital,” you must
enter that phrase (with the double quotes) into the search field. If you simply type the three
words without quotes around them, the search returns documents that contain any of those
words in them, not necessarily that phrase.
Using the full-text search feature
Follow the steps below to perform a search using full-text.
Steps:
1
Open the Search for Dictations and Transcriptions page in EditScript Online.
2
Enter search criteria in one or more of the search sections: clinician, patient, dictation.
Note: You must enter at least one search parameter in the clinician, dictation, or
patient sections of the search page. If the results of the search based on clinician,
patient, or dictation criteria exceed the maximum number of results, you will
receive a message notifying you that you must further refine your criteria.
3
Enter your search term(s) in the Text Search field under Full-Text Search. You can use
the available operators to narrow your search (see Full-text search operators on
page 57). Click Search.
Note: The Text Search field is not available unless the full-text search feature has
been enabled (see Getting started with the full-text search feature on page 55).
4
The Listings page displays the results of the search. When you view a dictation from the
list of results (see Viewing and printing entries on page 62), the term(s) that you
entered in your search is displayed.
In addition, any occurrences of the term(s) are highlighted in the text. You can use the
Search Results check box to toggle between highlighting and unhighlighting the
occurrences of the search terms in the document text.
Note: Highlighting search terms must be enabled through the NetScript Options
Details page dialog in EMon. For more information, see Appendix A: NetScript
Options (EMon) on page 109.
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Full-text search operators
There are a number of operators that you can use in conjunction with your search terms (see
Understanding search terms on page 56) to further refine your full-text search. This section
contains descriptions of the operators available to you when performing a full-text search.
Boolean operators
The following logic operators (boolean operators) are supported for full-text searches.
Note: Boolean operators must be in all caps (as shown below).
•
•
•
•
•
AND: Use AND to narrow your search. A search using AND returns documents that
contain all of the terms you enter in the text search field. For example, a search on
medicine AND hospital returns documents that contain both “medicine” and “hospital,”
but not just one of them.
OR: Use OR to broaden your search. A search using OR returns documents that contain
one word, or the other, or both. For example, a search on medicine OR hospital returns
documents that contain either “medicine,” or “hospital,” or both.
NOT: Use NOT to narrow your search. A search using NOT returns documents that
contain one word, but not the other. For example, a search on medicine NOT hospital
returns all the documents that contain the word “medicine” as long as they do not
contain the word “hospital.”
+ (Plus Sign): The plus sign (+) is used in multi-term searches to indicate that a
particular term is required. Use it at the beginning of a term to indicate that the term
must exist in the document, as opposed to the other term(s), which may exist in the
document. For example, a search on +medicine hospital returns documents that contain
the word “medicine” and may contain the word “hospital.”
- (Minus Sign): The minus sign (-) is used in multi-term searches to indicate that a
particular term is prohibited. For example, a search on medicine -hospital returns all the
documents that contain the word “medicine” as long as they do not contain the word
“hospital.”
Grouping operator
•
You can group search terms using parentheses. This option is very useful when you wish
to control a complex search that uses the boolean operators. For example, the following
search (medicine OR hospital) AND doctor indicates that in order for a document to be a
valid search result it must contain the word “doctor” and may contain either the word
“medicine” or “hospital” or both.
Term modifiers
There are a number of operators available that allow you to modify terms within your
search. The following list includes the type of term-modifying searches that are available
and the operators that are used for each.
Note: Many of these operators work either with single-word terms or multiple-word
terms, but not both. This information is specified for each operator below. For more
information on search terms, see Understanding search terms on page 56.
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•
Wildcard searches: Use the wildcard operators when you need to search on an
incomplete term.
Note: You can only use the wildcard operators with single-word terms.
•
•

Use the question mark (?) to perform a single character wildcard search. For
example, a search on te?t returns documents with words that match with that
single character replaced, such as “text” or “test.” You cannot use the question
mark as the first character of a term.

Use the asterisk (*) to perform a multiple character wildcard search. Wherever the
asterisk appears in the search term, it can be replaced with multiple characters.
For example, a search on test* returns documents that contain words with zero or
more characters after test, such as “test,” “tester,” to “tests.” You cannot use the
asterisk as the first character of a term, but you can use it in the middle of a term.
Fuzzy searches: Use the tilde (~) with a single-word term to find documents that
contain terms similar to the term you enter. For example, roam~ returns documents
that contain terms such as “foam” and “roams.” If you wish to specify how similar the
terms should be to the one you enter, you can include a value between zero and one
after the tilde (e.g., roam~.8). Higher values indicate that only terms with a higher
similarity are matched. If you do not specify a value, the default is .5.
Proximity searches: Use the tilde (~) with a multiple-word term to find documents that
contain terms within a specified number of words of each other. For example, a search
on “medicine hospital”~10 returns documents in which medicine and hospital are within
ten words of each other.
Escaping special characters
There are certain characters that are part of the query syntax, meaning that these
characters are used by the search engine to perform the search. Thus, these terms cannot
be used in a full-text search unless they are preceded by an ‘escape’ character that tells the
search engine to treat them differently. The following characters are special:
+, -, &&, ||, !, (, ), {, }, [, ], ^, “, ~, *, ?, :, \
To escape one of these characters, use the backslash character (\) before the special
character. For example, to search for (1+1):2, use the following line: \(1\+1\)\:2.
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NetScript Search Results (Listings) Page
When the NetScript search engine (see NetScript Search Engine on page 52) finds dictations
matching your search parameters, it returns a list of the results on the search results page.
The results are organized by row for each entry that matches your search criteria. Columns
show the relevant information of the dictations. There are several standard columns that
always appear. In addition, there are a number of optional columns that you can elect to
display. For more information on configuring the columns in NetScript, see Appendix A:
NetScript Options (EMon) on page 109. The standard and optional fields are listed below.
A check box appears to the left of dictations with viewable text. If audio is associated with a
document, a speaker icon is visible.
Following are the standard column fields, which cannot be disabled and are always included on
the search results page:
•
•
Clinician: the name of the dictating clinician who created the original dictation.
Confirmation Number: the unique transaction number automatically generated for a
clinician after each dictation is recorded.
•
Dictation ID: the unique ID for the dictation associated with a specific patient visit.
•
Patient Name: the name of the patient to whom the record refers.
•
Work Type: the type of report dictated, e.g. operative note.
•
Status: the processing status of a specific dictation.
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The following fields are optional. Through EMon, you can determine which, if any, of these fields
are displayed on the search results page. The first ten fields listed below are enabled by default.
See Appendix A: NetScript Options (EMon) on page 109.
•
Medical Record Number: the unique medical ID number of the patient.
•
Birth Date: the birth date of the patient.
•
Patient Account: the unique visit ID number.
•
Dictated: The original recording date and time of a dictation.
•
Transcribed Date: the original transcription date and time for a dictation.
•
Signature Date: the original signature date and time for a transcription.
•
Business Entity: a subdivision of your medical institution.
•
Note: a user comment describing issues with the record.
•
Problem Start: the date and time of an issue with the record.
•
Entered By: the individual or process responsible for logging a problem with the record.
•
Order Number: the unique ID for an order from a specific patient visit.
•
Duration: the duration of the dictation in minutes and seconds.
•
Transcribed By: the name of the transcriptionist who edited/transcribed the dictation.
•
Priority: the assigned priority of the dictation.
•
Status Start: the time at which the dictation entered its current work status.
•
Procedure Date: the date of the procedure described in the dictation.
•
Problem Description: the text describing the problem with a dictation.
•
Speaker ID: the speaker code, or unique ID of the clinician.
•
Patient ID: the medical record number (MRN), or unique ID of the patient.
•
•
•
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Patient Visit ID: the unique ID number of the patient visit. This identifier links the
dictation to a patient visit.
Work Status ID: the unique ID number of the work status.
QA Review Status: the QA review status of the dictation, e.g., Ready for Review,
Selected for Review, Reviewed, etc.
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•
•
•
•
•
Signer Name: the name of the clinician who signed the dictation.
QA Review Status ID: the unique ID number of the review status (see QA Review
Status above).
Line Count: the line count that Dragon Medical 360 | eScription uses to bill the
customer.
Net Line Count: the line count the customer uses to reimburse the transcriptionist who
edited or transcribed the document.
Customer Line Count: the line count that an MTSO uses to reimburse the MT who
edited or transcribed the document.
Review status color coding
For institutions using co-signature workflows, NetScript can display whether documents have
been reviewed or not. Through the use of color coding and additional Review Status column on
the Search Results page, you can quickly determine a document’s reviewed status.
To view the review status color coding, you must enable the Display Review Status Information
option in the NetScript Options Listings dialog, see Appendix A: NetScript Options (EMon) on
page 109 for more information.
The review status indicators for documents on the Search Results page are as follows:
•
•
•
If the dictation has not been reviewed - the term Outstanding appears in the
Review status column, and the row displays in red.
If the dictation has been reviewed - the term Reviewed appears in the Review status
column, and the row displays in green.
If the dictation does not have review as part of its signature workflow - the
term N/A appears in the review status column, and the row displays in grey.
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Note: The Review status column only appears if one or more of the search results has a
review status of Outstanding or Reviewed.
Sorting results
If column sorting is enabled at your institution, you can manipulate the results list on the
NetScript Search Results (Listings) Page on page 59 to find a dictation more easily.
Note: This feature must be enabled in the EMon Application Features Console. For more
information, see the EMon User Guide.
Steps:
1
Click on the desired column header to sort the entire list by this column.
Click once to sort the column results in ascending order.
Click twice to sort the results by descending order.
Click a third time to undo the sort.
2
To reorder the columns, left-click and hold on any column header in the list and drag it
to a new location.
3
When the column is in the desired location, release the left mouse button to drop the
column into place.
Note: Column order will not be saved from session to session.
Viewing and printing entries
You can select one or multiple entries on the search results page to view or print. If a dictation
has not gone through speech recognition or transcription, it cannot be viewed or printed (i.e.,
there will be no corresponding check box in the search results). In addition, you may not be
able to view or print documents with certain statuses, depending on your institution’s
configuration. Your institution can configure whether or not documents with a Pending or
Checked Out/Ready for Editing status can be viewed or printed (appear with a check box). It is
also possible to disable check boxes for all documents (see Appendix A: NetScript Options
(EMon) on page 109).
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Note: The ability to view and print documents is configurable by your institution.
To view one or more entries:
•
To view an entry, you can double-click on it, or follow the steps below.
or
1
Click the check box to the left of each entry you want to view.Click the check box to the
left of each entry you want to view.
Click Check All to select all entries. This is useful if you want to select most, but not all,
of the entries on the page.
To clear all the check boxes, click Clear All.
2
Click View.
A new Web browser window (the Details page) opens and displays, in sequential order,
the full record for every entry you selected from the list. See NetScript Details Page on
page 66 for more information.
To print one or more entries
Note: There are two ways you can print to your local printer: from the search results
page or the details page.
1
Click the check box to the left of each transcription you want to print.
Click Check All to select all entries. This is useful if you want to select most, but not all,
of the entries on the page.
To clear all the check boxes, click Clear All.
2
Click Print.
Microsoft Word opens an .rtf file displaying how the document will look when printed.
Note: Printing entries requires the installation of an ActiveX component (from
Dragon Medical 360 | eScription) on your local machine. If this component is not
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installed, your computer will prompt you to install. Refer to Installing ActiveX
software components on page 13.
3
Print the document from Microsoft Word.
4
When complete, close the Word document.
Viewing a document draft
You can view a draft of a document that has been recognized but has not yet been edited by a
transcriptionist. This is particularly useful when you wish to view a stat (high priority) dictation
that has yet to be edited.
Note: Your institution must enable the check box next to dictations with statuses of
Checked Out/Ready for Editing in order to make them viewable. See Appendix A: NetScript
Options (EMon) on page 109.
Steps:
1
From the search engine (NetScript Search Engine on page 52), select the parameters
you wish to find.
You can select the Ready for Editing status from the status drop-down menu. This
search criteria narrows the search to all documents that have been recognized but have
not yet been edited.
2
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The search results page appears with all matching dictations. Select the check box next
to a dictation and click View.
The details page appears. To listen to the dictation audio, click Listen.
Listening to entries
You can listen to dictations from the search results page or the details page. You can only select
one dictation to listen to at a time.
Note: This option is configurable by your institution. The view of the audio icon depends on
the document status, dictation information section, and your institution’s preferences.
Steps:
1
To listen to an individual dictation, click on the audio button (
check box and the text of the entry.
2
Windows Media Player plays the dictation.
) located between the
Note: Playing audio requires the installation of an ActiveX component (from
Dragon Medical 360 | eScription) on your local machine. If this component is not
installed, your computer will prompt you to install. Refer to Installing ActiveX
software components on page 13.
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NetScript Details Page
The details page displays the full details of a selected entry. When you click the view button on
the search results page, the details page displays. Each full record consists of the header, the
transcription text, the action buttons, and the Highlight Control (if highlighting is enabled in
EMon).
Header
The header information is located at the top of the details page. The header provides
information regarding a transcription. There are two standard header fields that always appear
on the details page. In addition, there are several optional header fields that can be enabled
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through EMon. For more information on configuring the header, see Appendix A: NetScript
Options (EMon) on page 109.
Note: The header fields are not editable in NetScript.
Following are the two standard fields, which cannot be disabled and always appear in the
header of the details page:
•
Status: the processing status of a specific record.
Note: If Display Review Status Information is enabled (see Appendix A: NetScript
Options (EMon) on page 109), the Review status of a document displays. See Parallel
co-signature in Chapter 3 on page 80 for more information.
•
Dictation ID: the unique ID for the dictation associated with a specific patient visit.
Following are the optional header fields. You can configure which, if any, of these fields appear
in EMon. For more information on configuring the header, see Appendix A: NetScript Options
(EMon) on page 109. The first six options listed below are enabled by default.
•
Patient Name: the name of the patient to whom the dictation refers.
•
Patient ID: the medical record number (MRN) or unique ID of the patient.
•
Speaker: the name of the clinician who created the original dictation.
•
Speaker ID: the speaker code or unique ID of the clinician who created the original
dictation.
•
Dictated: the original recording date and time of the dictation.
•
Procedure Date: the date the patient was admitted.
•
Account Number: the unique visit ID number.
•
Business Entity: a subdivision of your medical institution.
•
Medical Record Number: the unique medical ID number of the patient.
•
Birth Date: the birth date of the patient.
•
Order Number: the unique ID for a product or service ordered with regard to a specific
patient visit.
•
Signature Date: the date the dictation was signed.
•
Signer Name: the name of the clinician who signed the dictation.
•
Transcribed By: the name of the MT who created the transcription.
•
Work Type: the type of document written, e.g., operative note.
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•
Visit Start: the start date of the visit.
•
Visit End: the end date of the visit.
•
Recipient: the specific contact who is designated as the recipient of the document.
•
•
•
Attending Physician: the name of the attending physician; taken from the visit data in
EditScript MT.
Referring Physician: the name of the referring physician; taken from the visit data in
EditScript MT.
Admitting Physician: the name of the admitting physician; taken from the visit data in
EditScript MT.
•
PCP: the name of the primary care physician; taken from the visit data in EditScript MT.
•
CC List: read-only view of the CC List.
Transcription text
The transcription text appears below the header. If you are allowed to edit the transcription,
the text is enclosed in a text box. If you are allowed to edit, then you can use spell check (see
Spell Check on page 70). If you are only allowed to view, the text is displayed without a text
box enclosure.
If you would like to increase the size of the editing window so that it stretches to fill the browser
window, activate the Enable Full Width Text option in EMon. In addition, if you would like to
make available a toolbar through which NetScript users can increase font size, activate the
Document & Header Text option in the NetScript options dialog in EMon. Note that these
changes affect all NetScript users. See Appendix A: NetScript Options (EMon) on page 109 for
more information.
Action buttons
Action buttons allow you to perform certain actions with the transcription. Certain action
buttons are configurable on an institution-wide basis. For more information on configuring
action buttons, see Appendix A: NetScript Options (EMon) on page 109. In addition, your
security group’s permissions affect which action buttons are available to you (e.g., you cannot
save a document unless you have permission to modify it, you cannot pend a document with a
note unless you have permission to pend it, etc.). For more information on security
permissions, see the EMon User Guide.
The following action buttons are available on the details page:
Note: There are additional buttons for e-signature users. They will see any of the buttons
below that have been enabled, in addition to the e-signature action buttons.
Note: If Allow everyone to save is enabled in the NetScript Options and Headers dialog in
EMon, then administrators with permission to modify will be able to send a signature note
from NetScript using the Save and add note button.
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CC List
Click to edit the CC List, which is the list of additional clinicians associated with the
document.
Save Only
Click to save the document. If you have permission to edit the document, you can do so and
use this button to save without distributing it to others. This button is not configurable and
will always appear for users with the permission to modify in NetScript.
IMPORTANT! If a distribution rule is set to run When a document has been modified in
EMon or NetScript, then the document will be distributed when this button is used.
Save & Distribute
Click to save the document and distribute it to others. Clicking on this button will create a
new window that allows you to distribute the document to the default recipients or to a
recipient that you manually specify.
Note: You cannot distribute to an e-signature queue with this option. Distribution to an
e-signature queue must be done through EMon.
Unpend
Click to correct a document that has been pended. The status will change from Pended to
what the document status was prior to being pended.
Listen
Click to use the default audio player to listen to an individual dictation.
Print
Click to use the default Rich Text Format (rtf) editor to print an individual transcription.
Pend with Note
Click to assign a status of Pended to any document with errors. The document pends with a
note attached explaining the reason for pending. This can be used at any point before a
document has been signed.
Highlight Control
The Highlight Control, in the upper-right corner of the Details page, appears if highlighting of
blanks has been enabled in EMon. In addition, it appears if highlighting of search results
(terms) has been enabled in EMon and you perform a full-text search. The control allows you to
disable (or re-enable) highlighting of blanks and/or full-text search terms for a particular
dictation. Depending on what type of highlighting is enabled in EMon, and whether you have
performed a full-text search, the following two check boxes may appear in the Highlight
Control:
Note: The Search Results check box only appears if you have performed a full-text search
(and highlighting of search results is enabled in EMon). In addition, if only search results
highlighting is enabled in EMon, and you do not perform a full-text search, you will not see
the Highlight Control.
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•
•
Search Results - use to disable highlighting of full-text search results. If highlighting is
enabled, occurrences of full-text search terms are highlighted in yellow.
Blanks - use to disable highlighting of blanks (five or more underscores). If highlighting
is enabled, any blanks in a dictation are highlighted in red.
Spell Check
If you have the permission to modify the transcription text, you can use spell check. NetScript
Spell Check places a red line under any misspelled word, incorrect capitalization, or other
grammatical error. Spell check draws on the same medical dictionaries and English dictionary
as EditScript MT.
Note: Words that begin with numbers are NOT included in the spell check dictionary.
Note: Spell check must be enabled through the Tools> Application Features menu in EMon
for use. See the EMon User Guide for more information.
Steps:
1
Select the document you wish to edit.
The details page appears. The misspelled words contain a red line beneath them.
Note: Misspelled words that you type into the document will also be spell checked.
2
To correct a misspelled word, click on the misspelled word.
Tip: Left-click on the misspelled word.
A menu appears with the suggested spellings.
3
Select the new spelling.
Select Ignore All to ignore this word in the entire document.
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Select Spelling... to open the Spell Checker. You can use the Spell Checker to check all
misspelled words.
4
When you are done spell checking the document, click one of the Save buttons.
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NetScript CC list page
From the details page, clicking on the CC List will take you to the CC list page. The CC list page
allows you to edit the list of clinicians who will receive a copy of a transcription. If the CC list
already includes clinicians, they will appear in the Current CCs text box in the middle of the
page. Any new clinicians you add to the CC List will also appear in the Current CCs text box.
Adding clinicians to the CC list
There are two ways to add a clinician to the CC list: through the clinician list or the search field.
In addition, you can add a new contact if he is not listed in the CC list.
To add a clinician via the clinician list:
1
On the details page, click CC list.
The CC lists page appears.
2
Locate the clinician’s name in the clinician list at the bottom of the page.
Note: Clinicians are listed in alphabetical order by last name.
If the name of the clinician does not appear on the current page, click Next until you
reach the page containing the name.
If the clinician is not in the list you can add them as a new contact, see Adding a new
contact on page 73.
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3
Check the check box to the left of the clinician’s name.
The name of the clinician appears in the Current CCs text box.
To return to the details page without updating the CC list, click Cancel.
Tip: You can add all clinicians on the current page by clicking Select All, as long as
the Select All button has not been disabled (see Appendix A: NetScript Options
(EMon) on page 109).
4
When done, click OK to return to the details page.
The names of the CCs appear below the CC list button.
To add a clinician via the clinician search:
1
On the details page, click CC list.
The CC list page appears.
2
Type the last name of the clinician in the Search field.
Note: You can only search by last name.
3
Click Search.
The clinician list at the bottom of the page displays the clinicians with last names
matching your search.
4
Add the appropriate clinician by selecting the check box to the left of the clinician’s
name. The name of the clinician appears in the Current CCs text box.
Note: To return to the entire list of clinicians, simply delete the name in the search
field and click Search.
5
When the list of clinicians in the Current CCs text box is complete, click OK at the top
of the page to update the CC List and return to the details page.
The clinicians’ names in the CC List appear below the CC list button.
Note: Do not click the Back button. It will result in a warning page. If you click Back
by mistake, click on the Refresh button on your web browser to return to the CC list
page.
Adding a new contact
You can add a new contact if a clinician is not listed.
Note: Adding a new contact may cause the dictation to pend, depending on your
institution’s settings.
Steps:
1
From the details page, click CC list.
2
Click New Contact.
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The New Contact page appears.
3
Enter the necessary information.
4
Click OK to save the changes and add the clinician to the CC list.
5
Click OK to return to the details page.
Removing clinicians from the CC list
To remove clinicians you added from Current CCs, you can use the clinician list or search for the
clinician.
To remove a clinician via the clinician list:
1
Uncheck the check box next to the clinician’s name.
2
The name of the clinician should disappear from the Current CCs text box.
Tip: You can remove all clinicians, you added, by clicking Deselect All to remove all
the names from the Current CCs text box.
3
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Click OK when you are done. This will return you to details page which will display the
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To remove a clinician by searching:
1
Type the last name of the clinician in the search field.
Note: The clinician search engine searches only by last name.
2
Click Search.
The clinician list at the bottom of the page displays only clinicians with last names
matching your entry.
3
Remove the selected clinician from the CC List by unchecking the check box next to his
name.
The clinician disappears from the Current CCs text box.
4
When complete, click OK to return to the details page.
The name of the clinician disappears from the CCs list.
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About e-signature
e-signature, a component of NetScript, allows
clinicians to electronically review and sign
documents through EditScript Online.
e-signature offers a variety of signature
modes including, single, dual, group, and
co-signature.
The e-signature interface is very similar to the
NetScript interface. The list of transcriptions
in e-signature (a clinician’s signature queue)
is generated automatically when the
document is ready for signature.
3
Topics discussed in this chapter:

How e-signature Works

e-signature Workflows

Using e-signature
e-signature is an optional component that
must be purchased by your institution. For
more information about purchasing
e-signature, contact your
Dragon Medical 360 | eScription
representative.
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Chapter 3: About e-signature
How e-signature Works
Dictations bound for an e-signature queue follow the same process as other dictations. The
workflow diagram below highlights the dictation’s process from IntelliScript to becoming a
signed document. In addition, it also highlights the requirements necessary to achieve each
step in the process.
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e-signature Workflows
The major e-signature modes are single, dual, co-signature, and group signature. For dual and
co-signature modes, you have a choice as to whether you want the document received by
clinician’s simultaneously (parallel) or one after the other (sequential). For documents, when
two clinicians handle a document, a clinician can now add a signature note (if enabled) for the
other clinician to view prior to signing the document.
In this section, the six different e-signature workflows are presented along with possible
scenarios of how they might be used in an institution. For more information on setting up the esignature workflows at your institution, see Chapter 4: Implementing e-signature on page 87.
Note: When using e-signature, clinicians have the option to sign or review, save only, or
pend with note. Though some of the action buttons in e-signature are configurable, these
options, listed above, cannot be turned off.
Single signature
For single signature, one clinician signs the document. This the simplest signing mode.
Workflow
1
The clinician dictates and then receives the transcribed document in her signature
queue. The document status is Unsigned.
2
The clinician can edit and Save and Sign the document. The document status becomes
Signed and is final.
Scenario 1
A clinician sees a patient for a basic office visit. The clinician dictates the report. Then, the
clinician receives the report in her signature queue and signs the report.
Scenario 2
A physician assistant sees a patient and dictates the report. Then, the clinician reviews and
signs the document.
Parallel, dual signature
Dual signature requires signatures from two clinicians. Using the parallel workflow, the dictating
clinician and the signing clinician receive the document simultaneously. Either clinician can sign
first. The document is final after both clinicians have signed the document.
Workflow
1
The dictating clinician and the signing clinician receive the transcribed document
simultaneously in their signature queues. The document status is Unsigned.
2
Either clinician can edit and Save and Sign the document first. The document status
becomes Partially Signed.
3
The second clinician can Save and Sign. The document status becomes Signed and is
final.
Note: The second clinician can also edit the document and then Save as Unsigned
with a note. The edited document returns to the first clinician’s signature queue for
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a new signature with a note as to why the document was rejected. The document
status becomes Unsigned.
Scenario 1
A resident clinician and the attending clinician see a patient in the emergency department.
The resident clinician dictates the emergency department report. The dictating clinician and
the signing clinician both need to sign the report. Either can sign first.
Scenario 2
A physician assistant and a clinician perform a standard procedure. The physician assistant
dictates the report. Both the physician assistant and the clinician sign the document.
Parallel co-signature
Co-signature requires the dictating clinician to review a document and the signing clinician to
sign the document. In the parallel workflow, the dictating clinician and the signing clinician
receive the document simultaneously, and either clinician can handle the document first.
Note: In parallel co-signature, if the dictating clinician handles the document first, then the
signing clinician can still edit the document. However, if the signing clinician signs the
document first, the dictating clinician must review it but can no longer edit the document.
When a signing clinician goes to view the document, he can see if the dictation clinician has
reviewed the document if Display review status information is enabled in NetScript Options in
EMon. For more information, see Appendix A: NetScript Options (EMon) on page 109.
The Review status displays either Reviewed (with a green border) or Outstanding (with a red
border) to notify the signing clinician whether the document has been reviewed by the dictating
clinician.
Workflow
1
The dictating clinician and the signing clinician receive the transcribed document
simultaneously in their signature queues. The document status is Unsigned.
2
The dictating clinician can edit and then Save and Review the document. The
document status is still Unsigned but is identified as Reviewed in the system.
3
The signing clinician can edit and Save and Sign the document. The document status
becomes Signed and is final.
Note: If the signing clinician signs first, then the dictating clinician must Review the
document but cannot make any changes.
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Scenario 1
A resident clinician dictates an emergency department visit. The resident clinician needs to
review the report, and the attending clinician needs to sign the report in any order.
Sequential, dual signature
Dual signature requires signatures from two clinicians. In the sequential workflow, the dictating
clinician edits and signs the document first. Then, the document is sent to the signing clinician
for a signature.
Workflow
1
The dictating clinician receives the transcribed document in his signature queue. The
document status is Unsigned.
2
He can edit and Save and Sign the document. The document status becomes Partially
Signed.
Note: If enabled, the dictating clinician can also Save, Sign and Add Note for the
second clinician to see.
3
The partially signed document enters the signing clinician’s signature queue.
4
The signing clinician can Save and Sign the document. The document status becomes
Signed and is final.
Note: The second clinician can also edit and then Save as Unsigned with a note.
The document status becomes Unsigned. The edited document returns to the first
clinician who must sign again.
Scenario 1
A resident clinician and an attending clinician see a patient. Both clinicians need to sign the
document. The attending clinician wants the resident clinician to edit and sign the document
first.
Sequential co-signature
Co-signature allows a dictating clinician to review a document and the signing clinician to sign
the document. In the sequential workflow, the dictating clinician reviews the document. Then,
the document is sent to the signing clinician’s signature queue for his review and signature.
Workflow
1
The dictating clinician receives the transcribed document in his signature queue. The
document status is Unsigned.
2
The dictating clinician can edit and Save and Review the document. The document
status is Unsigned but identified as Reviewed in the system.
Note: If enabled, the dictating clinician can also Save, Review and Add Note for the
second clinician to see.
3
The reviewed document enters the signing clinician’s signature queue.
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4
The signing clinician can edit and Save and Sign the document. The document status
becomes Signed and is final.
Note: If the signing clinician edits the document, the final document can return to
the dictating clinician’s signature queue for viewing the final document if When
modified in NetScript or EMon is enabled for the e-signature distribution rule.
Scenario 1
A physician assistant dictates the report for a clinician. The clinician wants the physician
assistant to review the report before the clinician signs it.
Scenario 2
A resident clinician performs patient exams. The resident clinician dictates and reviews the
report. Then, the attending clinician signs the report.
Group signature
Group signature allows a predetermined group of clinicians to sign each other’s documents. A
single signature from any one clinician belonging to the pre-defined group is required to
complete a document.
Workflow
1
All the clinicians in the group receive the document in their signature queues. The
document status is Unsigned.
2
Any member, including the dictating clinician, can edit and Save and Sign the
document. The document status becomes Signed and is final.
Scenario 1
A radiologist views an x-ray and dictates the report. Any other radiologist can sign off on the
report to increase turnaround time.
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Modes and workflows summary
The graphic below show the workflows of the available signature modes.
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Using e-signature
In order for a clinician to electronically sign a document through NetScript, he must have the
proper permission granted through security groups. For more information on security access to
e-signature, see Chapter 4: Information on security groups on page 88 and the EMon User
Guide.
Accessing e-signature
Clinicians can access e-signature via the Clinician option in EditScript Online, as follows:
•
> Clinicians > e-signature
Once you have been granted access, clicking on the e-signature link displays all transcriptions
ready for your electronic signature. For information on the Listings page, see NetScript Search
Results (Listings) Page in Chapter 2 on page 59. For information on the Details page, where the
clinician signs the transcription, see NetScript Details Page in Chapter 2 on page 66.
Note: Clinicians must have appropriate access to use e-signature. If you have not been
granted access, an error message will appear. If you receive a message, contact your
administrator.
e-signature action buttons
The following action buttons are available to clinicians using e-signature depending on their
security permissions. The e-signature action buttons are enabled by default and cannot be
turned off.
Note: These buttons appear in addition to the standard action buttons that are enabled at
your institution (see Action buttons in Chapter 2 on page 68). For more information on
configuring action buttons, see Appendix A: NetScript Options (EMon) on page 109.
Note: If your institution has enabled signature note, then the first clinician to handle a
document will have the option to add a signature note for the second clinician for
sequential signature workflows. The action buttons will reflect this ability.
Save and Review / Review
Click to acknowledge that you have reviewed a document and found it acceptable. If you
have permission to modify the document, you can do so before clicking this button. If the
document has already been signed, then you will only have permission to review the
document; in this case, the button will simply appear as Review.
Save and Sign / Sign
Click to finalize a document with your electronic signature. This will change the status of the
document to Signed or Partially Signed, after which the document can no longer be edited.
If you have permission to edit the document, you can do so before clicking this button. If the
document requires you to sign without editing, then the button will simply appear as Sign.
In this case, if you still need to edit this document, you will need to click the Pend with Note
or the Save as Unsigned buttons.
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Save as Unsigned
Click to return a document that has a status of Partially Signed to a status of Unsigned. You
can edit the document before clicking this button. You will prompted to enter a note
indicating why you have unsigned the document. This is typically used by a signing clinician
to reject a document with errors that has been approved by a dictating clinician. Using the
note as a guide, the dictating clinician can correct the document and re-sign it.
Electronic signature workflow
You can review or sign documents electronically through NetScript by following the steps below.
Steps:
1
Log into EditScript Online and click on e-signature under the Clinicians option. All
documents that have been transcribed and are ready for your signature will be
displayed. From this page, you can view, print, or listen to a document. See NetScript
Search Results (Listings) Page in Chapter 2 on page 59 for more information.
2
To select all of the available documents to view and sign, click Check All, and then
View. Or, to manually select a few documents to sign, click Clear All, then click on the
appropriate check box(es). Click View.
The Details page appears displaying the transcription. See NetScript Details Page in
Chapter 2 on page 66 for more information.
If there is a signature note attached to the document, it will display when you first view
the details of the document.
You can then edit the document, pend the document with a note, or sign it from the
details page.
3
To edit the document, make the necessary changes and click Save. You can also save
and sign the document simultaneously by clicking Save and Sign.
To pend the document, click Pend with Note. You will be prompted to enter a pending
note. Enter the reason for pending the document, and click OK.
To sign the document, click Sign. The status of the document changes to Signed. Once
a document is signed, you can print the document and listen to the audio, but you can
no longer edit or pend it.
If signature note is enabled, you can add a signature note for the next clinician using
Review and Add Note or Sign and Add Note.
Note: You can only add a signature note to a document for the next clinician, if the
document has the status of Unsigned. If the document is Partially Signed or
Reviewed, you need to Save as Unsigned and add a note.
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Implementing
e-signature
When setting up e-signature for the first time,
there are several parts of the system that
need to be considered (e.g. distribution
rules). This section walks you through how to
implement e-signature, as well as the settings
for the distribution rules and security groups
of specific signature workflows.
4
Topics discussed in this chapter:

Setting up e-signature

Implementing e-signature at your
institution

Setting up the Specific Signature
Modes
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Setting up e-signature
When setting up e-signature, you need to be aware of the multiple components of the
Dragon Medical 360 | eScription system that need to be addressed prior to implementation.
Not all of these components are directly related to e-signature. This section will address the
different components that must be evaluated, modified, and set up as needed before esignature goes into effect at your institution.
IMPORTANT! e-signature should be set up and tested in your TEST environment before
being moved into your PRODUCTION environment.
To set up e-signature, follow the steps below.
Steps:
1
Compile the necessary information by completing the questions on page 95.
2
Choose NetScript configuration and prefill options, and contact your
Dragon Medical 360 | eScription representative if any changes need to be made.
3
Set up security groups.
4
Set up distribution rules.
5
Set up validation rules.
6
Check that clinicians using NetScript and e-signature have login and password
information and are members of the appropriate security groups.
7
Test the system in your test environment.
8
Move your system into your production environment.
Information on security groups
In the Dragon Medical 360 | eScription system, security groups grant users permissions to
perform a variety of actions. Security groups determine who has the final right to sign and the
right to electronically sign in Dragon Medical 360 | eScription. The Clinician (Other) security
group is used to determine who has the final right to sign documents. The Clinician NetScript
Permissions Security Group grants the right to electronically sign in NetScript.
Note: A clinician can only belong to one security group per work type or business entity
filter.
IMPORTANT! The signing clinician header field drop down menu is populated based on
clinicians who have the permission to electronically sign in the Clinician NetScript
Permissions security group and clinicians who have the permission of other electronic
signature in the Clinician (Other) security group.
For more information on security groups, see the EMon User Guide.
Clinician’s NetScript access
All clinicians using e-signature must have a login for NetScript. For more information on
NetScript logins and passwords, see the Managing Clinicians section in the EMon User Guide.
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Clinician NetScript Permissions security group
All clinicians using e-signature or NetScript need to be members of a Clinician NetScript
Permissions security group. Each permission can be individually controlled through restrictions.
Depending on the signature mode, different clinicians need different access rights. For
information on clinicians’ permissions needed for the different signature modes, see Setting up
the Specific Signature Modes on page 99.
When setting security group permissions, you must also determine the restrictions (if any) for
each permission. For example, if a clinician has the right to modify documents, you can restrict
that permission to only documents the clinician signs using the eSigner permission override
(see below).
The following permissions are available to members:
•
•
•
•
•
Search: search for dictations.
Modify: edit transcription text. It is recommended to restrict this permission to
documents that the clinician either dictates or electronically signs.
Pend: pend a document with a note. Clinicians, who use e-signature, should always
have this permission granted.
Unpend: unpend a document. Allowing a clinician to unpend a document is useful if you
want the clinician to fill in the blanks of a report because the MT could not understand
what was said.
Electronically sign in NetScript: sign and finalize documents. Allows a clinician to
electronically sign a document through NetScript.
eSigner permissions override
You can reduce the time it takes to set up security groups by using the eSigner permission
override. If a clinician has the right to search and electronically sign documents, the eSigner
permission override will enable modify, pend, and unpend for documents that are in the
clinician’s signature queue only. This greatly enhances the control you have over documents
and saves you time when assigning permissions to clinicians.
The eSigner permission override is enabled through EMon’s NetScript Options dialog. See
Appendix A: NetScript Options (EMon) on page 109 for more information.
The e-signature permission override needs to verify the following conditions:

The clinician has the right to electronically sign the document.

The document is in the clinician’s signature queue.

The e-signature permission override has been enabled.
If all conditions are met, the signing clinician will be able to modify, pend and unpend the
document she needs to sign.
Clinician (other) security group
The Clinician (other) security group has two permissions. This security group should be used
regardless of whether you are using e-signature or not.
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The first permission of the Clinician (other) security group is Other electronic signature. This
permission is for clinicians who have the right to be the final signing clinician for documents. In
this group, you would put any clinician who is the final signing clinician regardless of whether
they use e-signature.
The second permission creates a group to be used as a validation rule criteria. You can use the
security group with this permission as a filter to validate documents. Multiple security groups
with this permission can be created to work as filters for different validation rules.
Tip: The Clinician (Other) security group can be used to create validation criteria for
clinicians without giving them the final right to sign.
Information on validation rules
Validation rules are error tests that run during a specific event, e.g. when a transcriptionist
uploads a dictation. When a document fails a validation rule, it is automatically pended.
Validation rules are optional but are recommended for e-signature.
Validation rules for e-signature check that the appropriate clinicians are associated with a
document. The following section describes the validation snippets useful for e-signature and
when to apply them. For more information on validation rules, see the EMon User Guide.
Neither dictating nor signing clinician have permission to sign
The dictation will pend if:
•
•
The dictating clinician is not a member of a Clinician (other) security group with the
permission of other electronic signature.
The signing clinician is not a member of a Clinician (other) security group with the
permission of other electronic signature.
Note: If the Clinician (other) security group includes all clinicians who have the final
right to sign, then you should apply this validation snippet to all dictations.
You want to run this rule:
•
When eScriptionist completes a transcription.
Signing clinician field is empty or specifies someone without signing
permission
The dictation will pend if:
•
•
The signing clinician field is empty.
The signing clinician is not a member of a Clinician NetScript Permissions security group
with permission to electronically sign in NetScript.
You want to run this rule:
•
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Note: Only apply this rule to business entities and work types where ALL documents are
signed through e-signature.
Note: You must always fill the signing clinician field if you use this snippet.
Neither dictating nor signing clinician have permission to E-sign
The dictation will pend if:
•
Neither clinician is a member of a Clinician NetScript security group with permission to
electronically sign in NetScript.
Note: Only apply this rule to business entities and work types where ALL documents are
signed through e-signature.
Information on distribution rules
Distribution rules send documents to specified locations at specific times. An e-signature
distribution rule sends a document to a clinician’s signature queue. Distribution rules for esignature should be specific and should not be combined with any other type of distribution.
Note: Distribution rules do not check against security groups when distributing a
document. It is possible for documents to go to a signature queue that a clinician cannot
access.
Prior to defining distribution rules, it is important that you clearly understand the filter
organization and which filters you need to use. The organization from biggest to smallest filters
is: institution, business entity, work type, and clinician. It is easier to maintain broader filters.
If you use a variety of scenarios, you must determine the smallest organization you need the
rule to apply. See the Document Distribution section in the EMon User Guide for more
information.
Note: You can regularly use the dictating clinician as a filter for the distribution rules. Be
aware that the clinician filter requires the most maintenance due to clinician turnover.
Note: When creating the distribution rules, do not select “All except these speakers” as a
distribution filter. If you use this filter, then documents can be distributed to clinicians
recently added to EMon who do not use e-signature. The only time you would use “All
except these speakers” is if all clinicians in a specific business entity signed with esignature.
Signature Notes
If an administrator adds a signature note to a document, the clinician(s) ability to view the
signature note are dependent on the e-signature workflow. Below is a list of who will see the
administrator’s signature note based on distribution method and workflow. For more
information on signature note, see the EMon User Guide.
If the distribution is custom, you can select who you want to receive the signature note, and
you do not have to determine where the document is in the signature workflow.
If manually distributed using pre-defined distribution rules:
•
Single Signature: clinician sees the signature note.
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•
Parallel Signature: both clinicians see the signature note.
Tip: The first clinician to handle a document can add a note using the Save and Add
Note button followed by the Save and Sign button. Any note from an administrator
will be overwritten if a new note is added.
•
Sequential Signature: depends on which rule is used,

if first distribution rule runs, only the dictating clinician sees the signature note.
Tip: The dictating clinician can add a note using the Save and Add Note button
followed by the Save and Sign button. Any note from an administrator will be
overwritten if a new note is added.

•
if second distribution rule runs, only the signing clinician sees the signature note.
Group Signature: all clinicians in group see the signature note.
The signature note appears as a grey box when a clinician is viewing the transcription.
Information on prefill options
Your institution can select to prefill different parts of a dictation header. You can use prefill to fill
in the signing clinician field prior to transcription. Prefilling increases productivity for MTs and
decreases the occurrence of incorrect data. For example, if in a specific work type, all clinicians
dictate and sign their own documents, then you can prefill the signing clinician field header. To
set up the prefill, contact your Dragon Medical 360 | eScription representative.
Note: Prefilling only occurs once. If the dictating clinician is changed, then the signing
clinician must be manually changed.
Tip: Best practice is to prefill for your institution where there is a clear signing clinician for
a specific business entity and work type combination.
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You can prefill the signing clinician field in the following ways:
If Not Speaker, Patient Visit Attending
The signing clinician field will prefill with the dictating clinician if he can electronically sign or
has the final right to sign. If the dictating clinician cannot sign or electronically sign, then
prefill will check to see if an attending clinician is specified in the ADT data. The attending
clinician will be added to the signing clinician field. If neither condition is met, then the
signing clinician field will not be filled.
Note: This prefill option does not check that the attending clinician has the final right to
sign or the right to electronically sign.
Note: This option cannot be used if dual signature is used, or if the dictating clinician
has the right to electronically sign.
If Not Speaker, Do Not Prefill
If the dictating clinician has the right to electronically sign or has the final right to sign, then
prefill with the dictating clinician. Otherwise, the signing clinician field will not be prefilled.
Information on additional components
Security groups, distribution rules, validation rules, and prefill options are all necessary when
setting up e-signature. They deal directly with the e-signature process. Other components,
such as interface, additional distribution rules, reports, and clinician access to NetScript, must
also be addressed when setting up e-signature.
Interfaces and other distribution rules
When setting up e-signature, you must evaluate your interfaces and other distribution rules to
identify any changes that will need to be made. For example, you must determine if you want a
document sent to the EMR before it is signed, after it is signed or at both times. You need to
identify any changes that need to made to your interfaces when you set up e-signature for your
institution.
For information on modifying your interfaces, see the EMon User Guide or the EDT
Reference Guide.
For information on modifying your distribution rules, see the EMon User Guide.
Reports and eAlerts
Reports and eAlerts allow you to monitor e-signature. Certain eAlerts need to be turned on by
Dragon Medical 360 | eScription. For more information on the reports and eAlerts specific to esignature, see Appendix B: Monitoring e-signature on page 123.
Unsigning documents
Through EMon, administrators can unsign documents. Your institution may elect to turn on the
option to unsign a document. For information on unsigning documents, see Managing
Documents section in the EMon User Guide.
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Note: Unsigning documents is discouraged and is done at the discretion of your institution.
Dragon Medical 360 | eScription is not responsible for documents that have been unsigned.
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Implementing e-signature at your institution
Below is a list of questions and answers to consider when setting up e-signature for your
institution. For more information on e-signature and the various workflows, see Chapter 3:
About e-signature on page 77.
Workflow questions:
1
Will a single clinician sign his own documents in NetScript?

2
Will residents, physician assistants, or others dictate and sign documents along with a
final clinician?

3
8
The answer to this question helps you determine which clinicians will be signing in
e-signature. The clinicians need to become members of a Clinician NetScript
Permissions security group with signing privileges.
How will clinicians using e-signature be organized?

If all clinicians in a specific work type or business entity use e-signature, then the
filters for distribution rules and restrictions on security groups are easily managed.

If the use of e-signature is on a per clinician basis, then you will need to filter the
distribution rules based on the clinicians. You will also need to make sure that, for
dual or co-signature workflows, both clinicians will be using e-signature.
Is prefill applicable for certain signature modes?

9
The answer to this question helps you determine which clinicians will be the final
signing clinician and for which documents. These clinicians should become
members of the Clinician (other) security group.
Who can electronically sign in NetScript (use e-signature)?

7
If yes, then you would want to set up group signature. You must be sure that
these clinicians will ONLY be using group signature.
Who has the final right to sign and for what documents?

6
If yes, then you would want to set up co-signature with either parallel or
sequential workflows, depending on the signing workflow you want.
Do you have a group of clinicians who can sign each other’s documents?

5
If yes, then you would want to set up dual signature with either parallel or
sequential workflows, depending on the signing order you want.
Do you have residents, physician assistants, or others who dictate and only review
documents while another clinician signs?

4
If yes, then you would want to set up single signature.
If yes, contact your Dragon Medical 360 | eScription representative to set up
prefill. For more information on prefill, see Information on prefill options on
page 92.
Do you have naming conventions set up for security groups and distribution rules?

You should have planned naming conventions set up that clearly allow you and
others to identify distribution rules and security groups without having to view the
details.
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Security access to documents in Dragon Medical 360 | eScription:
1
Will the clinician’s signature be restricted based on work types or business entities?

This question will help you determine which filters, if any, to use in the security
groups.
Note: Knowing the work type restrictions is especially important for residents who
are able to sign some work types and not others.
2
Will clinicians be able to edit their own documents in NetScript?

3
Will clinicians be able to pend documents?

4
If yes, then you need to grant the permission unpend document in the Clinician
NetScript Permissions security group or turn on the eSigner Permissions Override.
Do you want clinicians to be able to search for documents in NetScript?

6
If yes, then you will need to grant the permission to pend documents in the
Clinician NetScript Permissions security group or turn on the eSigner Permissions
Override.
Will clinicians be able to unpend documents?

5
If yes, then clinicians need the permission to modify documents granted through
the Clinician NetScript Permissions Security Group or turn on the eSigner
Permissions Override.
If yes, then clinicians need permission to search.
Do you want to restrict certain permissions in NetScript? For clinicians? For physician
assistants?

All NetScript permissions can be restricted by speaker, work types, business
entities, etc. These restrictions are set up in the security groups. We recommend
restricting: modifying, unpending, and pending or the clinician will have the right
to perform these actions on all documents. For signers, you can restrict
permissions by using the eSigner permission override, see eSigner permissions
override on page 89 and Appendix A: NetScript Options (EMon) on page 109.
Distribution considerations:
1
Will clinicians’ signatures be restricted based on work types or business entities?

2
Do you need any preliminary, unsigned documents distributed?

3
96
If yes, you need to determine how to label a preliminary document as unsigned.
For more information on labelling documents, see the Distributing Documents
section in the EMon User Guide.
How will you identify a signed document?

4
The answer helps you determine which filters, if any, to use in the distribution
rules.
You need to determine how to identify a document as signed to differentiate
between unsigned and signed documents.
Where does a signed document need to be distributed?
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
5
Will only certain work types or business entities be using certain e-signature modes?

6
You need to determine who needs to receive the signed document and create
corresponding distribution rules.
If yes, you would use those as filters for the specific e-signature distribution rules.
Which signature modes will need distribution rules?

This is important to determine which distribution rules you need to add to your
system.
Miscellaneous questions:
1
What header information and action buttons do you want displayed in the search
results page, signature queue, and details page?

2
Do you need to be able to unsign documents?

3
If yes, you will need to set up the required validation rules and filters. See
Information on validation rules on page 90.
Do clinicians want email notification of documents in their signature queue?

5
If yes, see the EMon User Guide for instructions.
Do you want validation rules to check for a clinician’s right to sign?

4
There are several configurable buttons that can be set. See Appendix A: NetScript
Options (EMon) on page 109.
If yes, you will need EDT/email configured. See the EDT Reference Guide for
more information.
What changes need to be made to current distribution rules, templates, and interfaces?

You should make a list of all document distributions that will need to be changed.
For more information on distribution and the various interfaces, see the EMon
User Guide.
Tip: If you need to distribute a document to your EMR before and after it has been
signed, then you will need two additional distribution rules and a way to notify the
system of whether the document is unsigned or signed.
6
Will you need to know when documents are signed to update your deficiency system?
Does your institution have an interface from Dragon Medical 360 | eScription to your
deficiency system (EDT/status)?

If your institution has EDT/status, then the deficiency system will be automatically
updated when documents are signed. If you do not have EDT/Status, then a list of
recently signed documents can be emailed to you daily. See Appendix B:
Monitoring e-signature on page 123 for more information.
What information do you need?
1
Identify the signature modes and workflows you wish to use.
2
Identify the business entities that will use e-signature.
3
Identify the work types that will use e-signature.
4
Identify the clinicians who will be signing with e-signature.
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98
5
Identify who will be final signing clinicians.
6
Identify who will be signing or reviewing documents through e-signature.
7
Identify if prefill needs to be turned on.
8
Identify the action buttons, if any, that need to be configured.
9
Identify any changes that need to be made to your interfaces or other distribution
rules.
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Setting up the Specific Signature Modes
This section describes the security group and distribution rule settings for the various signature
modes. For descriptions of the signature modes, see Chapter 3: e-signature Workflows on
page 79. For information on how to set up security groups and distribution rules, see the EMon
User Guide.
To learn more about distribution rules, see Information on distribution rules on page 91. To
learn more about security groups, see Information on security groups on page 88.
IMPORTANT! The security group permissions listed in the following sections are the
minimum permissions necessary to run the various signature modes. Do not forget that
you can also use the eSigner Permission Override to save time when setting up security
group permissions and restrictions for signing clinicians.
Single signature
In single signature, one clinician is responsible for reviewing and signing a document. A more
detailed description is available in Single signature in Chapter 3 on page 79.
Security groups
The following security groups are required for clinicians using single signature.
Signing Clinician
•
Clinician (other)

•
Other electronic signature
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Distribution rules
The distribution rule will run for single signature regardless of whether the signing clinician is
the dictating clinician as long as the signing clinician field is filled in.
Note: The filter selection is dependent on how e-signature is organized by your institution.
Description: Single signature
•
How should the dictation be distributed?

Print, Fax, Email and/or Signature Queue
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•
When should this rule be run?:

When eScriptionist completes a transcription

When the document has been modified in EMon or NetScript
•
Filter Selection: Institution’s Preference
•
Recipient: Signing Physician
•
Recipient Properties: Electronic Signature Queue
Parallel, dual signature
In parallel, dual signature, two clinicians modify and sign a document simultaneously. A more
detailed description is available in Parallel, dual signature in Chapter 3 on page 79.
Security groups
The following security groups are required for clinicians using parallel, dual signature.
Dictating Clinician
•
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Signing Clinician
•
Clinician (other)

•
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Other electronic signature
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
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Distribution rules
The distribution rule will send the document to both clinicians’ signature queues at the same
time.
Note: The filter selection is dependent on how e-signature is organized by your institution.
Description: Parallel Dual Signature
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When eScriptionist completes a transcription

When a document has been modified in EMon or NetScript
•
Filter Selection: Institution’s Preference
•
Recipients:
•

Dictating Clinician

Signing Physician
Recipient Properties (for both): Electronic Signature Queue
Parallel co-signature
In parallel co-signature, one clinician reviews and another clinician signs in no particular order.
A more detailed description is available in Parallel co-signature in Chapter 3 on page 80.
Security groups
The following security groups are required for clinicians using parallel co-signature.
Dictating Clinician (Reviewer only)
•
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend
Signing Clinician
•
Clinician (other)

Other electronic signature
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•
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Distribution rules
The distribution rule will send the document to both clinicians’ queues at the same time.
Tip: You must make sure that the Review only button is selected for the dictating clinician
in the distribution rule.
Note: The filter selection is dependent on how e-signature is organized by your institution.
Description: Parallel co-signature
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When eScriptionist completes a transcription

When a document has been modified in EMon or NetScript
•
Filter Selection: Institution’s Preference
•
Recipients:

Dictating Clinician

Signing Physician
•
Recipient Properties for Dictating Clinician: Electronic Signature Queue (Review Only)
•
Recipient Properties for Signing Physician: Electronic Signature Queue
Sequential, dual signature
In sequential dual signature, two clinicians modify and sign a document. The dictating clinician
signs first followed by the signing clinician. A more detailed description is available in
Sequential, dual signature in Chapter 3 on page 81.
Security groups
The following security groups are required for clinicians using sequential, dual signature.
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Dictating Clinician
•
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Signing Clinician
•
Clinician (other)

•
Other electronic signature
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Distribution rules
Two distribution rules are required for sequential, dual signature to run correctly.
When working with sequential modes, the filter selection must be the same for both rules in
order for the rules to run properly.
Note: The filter selection is dependent on how e-signature is organized by your institution.
Description: 1 of 2 Sequential Dual
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When eScriptionist completes a transcription
•
Filter Selection: Institution’s Preference
•
Recipients: Dictating Clinician
•
Recipient Properties: Electronic Signature Queue
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Description: 2 of 2 sequential dual
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When a document is electronically signed but is not final
•
Filter Selection: Institution’s Preference
•
Recipients: Signing Physician
•
Recipient Properties: Electronic Signature Queue
Sequential co-signature
In sequential co-signature, the dictating clinician reviews first and then the signing clinician
signs. A more detailed description is available in Sequential co-signature in Chapter 3 on
page 81.
Security groups
The following security groups are required for clinicians using sequential co-signature.
Dictating Clinician (Reviewer only)
•
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend
Signing Clinician
•
Clinician (other)

•
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Other electronic signature
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
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Distribution rules
Two distribution rules are required for sequential, co-signature to run correctly.
When working with sequential modes, the filter selection must be the same for both rules in
order for the rules to run properly.
Tip: You must make sure that the Review only button is selected for the dictating clinician
in the distribution rule.
Note:The filter selection is dependent on how e-signature is organized by your institution.
Description: 1 of 2 Sequential co-signature
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When eScriptionist completes a transcription

When a document has been modified in EMon and NetScript
•
Filter Selection: Institution’s Preference
•
Recipients: Dictating Clinician
•
Recipient Properties: Electronic Signature Queue (Review only)
Description: 2 of 2 sequential co-signature
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When a document has been reviewed
•
Filter Selection: Institution’s Preference
•
Recipients: Signing Physician
•
Recipient Properties: Electronic Signature Queue
Group signature
In group signature, a dictating clinician dictates, and any clinician in the dictating clinician’s
Clinician NetScript Permissions security group can sign the transcription. A more detailed
description of group signature is available in Group signature in Chapter 3 on page 82.
IMPORTANT! Members of a group signature security group cannot do other types of
signing. For example, group signature members cannot perform single signing.
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IMPORTANT! The dictating clinician must be a member of a group signature security
group. The document is distributed based on the dictating clinician’s security group.
Security Groups
The following security groups are required for clinicians use group signature.
For each set of clinicians using Group Signature, you need a separate Clinician NetScript
Permissions security groups. For example, if you have ten groups using group signature then
you need ten security groups.
All clinicians in the group
•
Clinician (other)

•
Other electronic signature
Clinician NetScript Permissions (with restrictions)

Search

Modify

Pend

Electronically sign in NetScript
Distribution rules
The difference between the distribution rule for group signature and other signature modes is
the recipient. In group signature, the recipient is set to the Signature Group.
Note: The filter selection is dependent on how e-signature is organized by your institution.
Description: Group Signature
•
How should the dictation be distributed?

•
Print, Fax, Email and/or Signature Queue
When should this rule be run?:

When eScriptionist completes a transcription
•
Filter Selection: Institution’s Preference
•
Recipients: Signature Group
•
Recipient Properties: Electronic Signature Queue
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Common questions
e-signature is extremely flexible in its set up. The following section answers some questions
about e-signature’s set up, monitoring options, and uses.
Below are some common questions about e-signature.
Does the signing clinician header field always need to be filled in?
The signing clinician field does not need to be filled in if the dictating clinician is the final
signing clinician.
However, if you use, the Signing clinician field is empty or specifies someone without signing
permission validation snippet, then the signing clinician field MUST be filled in every time, or
the document will pend.
If you use this validation snippet, then it is best to prefill the signing clinician field when you
are able. For more information on prefilling, see Information on prefill options in Chapter
4 on page 92.
How do I tell if the documents are going to the wrong clinician’s signature
queue?
You can find where dictations are going by viewing the e-signature aging reports available in
EditScript Online. If you search by clinician, you can see if there are documents in an
inactive signature queue. You can find out more about monitoring e-signature through
reports in Appendix B: Monitoring e-signature on page 123.
If you need to check on a specific dictation, you can track the distribution of that dictation
through the document transmission history in EMon. See the EMon User Guide for more
information.
Clinicians who do not have permission to access NetScript are receiving
documents.
Check the distribution rules. If you set the speaker filter to “All except these speakers”, then
the distribution rule will fire for all speakers not listed.
Also, check the distribution rules to see that you did not accidently add the clinician to any of
the speaker filters. To correct this problem, simply remove the clinician from the filter.
Where can I find out how long a dictation has been in a signature queue?
Check the aging report located in the Reports and Productivity page in EditScript Online. If
your looking for all dictations past a certain number of days, you can sort the report by the
number of days unsigned. For more information on e-signature reports, see Appendix B:
Monitoring e-signature on page 123.
If you are looking for a specific dictation, you can search for it through the dictation tab in
EMon and view the dictation details there.
I have resident clinicians who sign in one work type but only review in another.
How do I set this up?
Simply make sure that Review Only is checked on the recipient properties dialog in the
distribution rules for documents that are being reviewed.
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I need to distribute the document before and after it is signed.
When distributing a document before and after signing, it is recommended that you use two
distribution rules.
The first distribution rule should contain an indicator (ISCopyIndictator) to identify that the
document is unsigned. The rule should run when the transcription is uploaded.
The second distribution rules should contain an indicator (ISCopyIndictator) to show that
the document is signed. The rule should run when the document is signed.
For more information, see the EMon User Guide.
Is NetScript available in formatted text?
Currently, the editing of formatted text is not supported by e-signature. However, you are
still able to print documents as formatted text.
If edits are made to formatted text, then the document will lose any existing formatting.
I deleted a clinician but there are still documents in the signature queue.
If you remove a clinician from NetScript security groups, their signature distributions are not
removed. The clinician must be removed from the distribution rules. If the clinician is not
available to sign the remaining documents, then you need to contact a
Dragon Medical 360 | eScription Support representative to remove the documents from the
signature queue. For information on deleting a clinician using e-signature, see the Managing
Clinicians section of the EMon User Guide.
I have a clinician in my system with two speaker IDs from two different business
entities. Is there any way he can sign in just one signature queue?
If the clinician wants to do single signing, you can use group signature if you have a clinician
with two IntelliScript IDs from two business entities. You can create a group so that
documents from both IDs will go to one signature queue.
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NetScript Options
(EMon)
In EMon, the NetScript Options dialog allows
you to configure the appearance and
functionality of your NetScript pages. The
dialog contains four tabs through which you
can define these properties: General tab,
Listings Page tab, Details Page tab, and Spell
Check tab.
A
Appendix Topics:

Getting started with NetScript
Options

Configuring General NetScript
properties

Configuring NetScript Listings
Page properties

Configuring NetScript Details
Page properties

Configuring NetScript Spell
Check properties
109
Appendix A: NetScript Options (EMon)
Getting started with NetScript Options
Before you can use this feature, you must:
•
Activate NetScript Options and Headers Management through the Applications
Feature dialog. See the EMon User Guide for more information on this dialog and for
instructions on activating features. Once you enable this feature, NetScript Options
appears in the Tools menu.
IMPORTANT! Once you enable this feature through the Applications Feature dialog,
you must log out and log back into EMon before the feature is available in the Tools
menu.
•
Belong to an Administrator EMon permissions security group that has the Manage
NetScript Options permission enabled. For more information on security groups and user
access rights, see the EMon User Guide.
Note: This permission is not automatically added to security groups with EMon
administrator permissions. You must add it manually.
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Appendix A: NetScript Options (EMon)
Configuring General NetScript properties
Through the General tab of the NetScript Options dialog you can enable a timeout feature for
NetScript, give all users the ability to save documents via NetScript, as well as configure
several other search and signature settings. Follow the steps below to configure these
properties.
Steps:
1
Select NetScript Options from the Tools menu.
The NetScript Options dialog appears.
2
Click on the General tab. Configure one or more of the available options. Click OK.
Timeout
Select the On radio button to create a timeout period for NetScript users. All NetScript
sessions will automatically expire if they have been inactive for the number of minutes
you specify in the Minutes field. This functionality is useful for security purposes. Select
the Off radio button to deactivate the timeout period.
Allow searching for intermediate statuses
Select to allow searching in NetScript for dictations that have no audio, are suspended,
deleted, abandoned, or being recorded.
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Use business entity short name on search page
Select to display short names in the business entity drop-down list on the dictation
search page in NetScript. By default this option is disabled and business entity
descriptions are displayed in the drop-down list.
Allow everyone to save changes in NetScript
Select to allow eScriptionists and administrators to modify and save changes to
documents in NetScript. By default this option is disabled so that only clinicians have
this capability. In order for users other than clinicians to modify and save documents in
NetScript, they must also belong to a NetScript security group with the permission to
modify documents.
Display review status information
Select to see when a dictation has been reviewed in the co-signature workflow. This is
useful for signing clinicians who wish to see if the document has been reviewed before
signing. See EditScript Online/NetScript User Guide for more information.
Limit eScriptionists to signed and unsigned documents
Select to limit the statuses that MTs can search on to Unsigned, Partially signed,
Signed, and Transcribed.
eSigner permission override
Select to allow certain permissions to be granted to signing clinicians for documents in
their queues. If a clinician has the right to search and electronically sign a document,
the eSigner permission override will enable the ability to modify, pend, and unpend
only documents that are in the clinician’s signature queue. This greatly enhances the
control you have over documents and saves you time when assigning permissions to
clinicians.
The e-signature permission override needs to verify the following conditions:

The clinician has the right to electronically sign the document.

The document is in the clinician’s signature queue.

The e-signature permission override has been enabled.
If all conditions are met, the signing clinician will be able to modify, pend and unpend
the document she needs to sign.
Only eSigners can print
Select to disable the Print button for administrators and MTs. See Printing from
NetScript on page 118 for more information on how to restrict the Print button.
Prevent Signature When Blanks Are Present
Select to require clinicians working in NetScript to resolve document blanks when
attempting to sign a document. When viewing a document with blanks in the rich text
editor, the blanks will be highlighted. After modification of a blank, whether by a cut,
paste, or drag and drop operation, or by typing, it will be unhighlighted. If the
document still contains blanks on signature, the clinician will see an error indicating
how many blanks remain. Also, when saving or signing, any new blanks created since
the document was opened will be highlighted.
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Appendix A: NetScript Options (EMon)
Configuring NetScript Listings Page properties
Through the Listings Page tab of the NetScript Options dialog you can define what columns
appear in the search results, determine the initial appearance of the check boxes (checked or
unchecked), determine which dictation statuses appear with a check box, and define whether
logout appears as a link or a button. Follow the steps below to configure any of these
properties.
Note: You cannot customize column labels using this dialog. Contact your Support
representative to customize column labels. If you upgrade to this version, and your system
already uses custom labels, you will not see them in EMon, but they will appear in
NetScript.
Steps:
1
Select NetScript Options from the Tools menu. The NetScript Options dialog appears.
2
Click on the Listings Page tab. Configure one or more of the available options. Click
OK.
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Column Type
Select the columns that are displayed in the search results on the Listings page. There
are six standard columns (Clinician, Confirmation Number, Dictation ID, Patient Name,
Work Type, Status) that always appear and cannot be deactivated. The next ten
columns listed are enabled by default, but can be disabled.
Note: If you are upgrading, your current column configuration will be retained.
Column types
Logout Appearance
Determine the appearance of the logout option on the Listings page by selecting either
Link or Button (link is the default value).
Disable View Text For All Documents
Select to disable all check boxes on the search results page so that documents cannot
be viewed or printed. All appropriate search results and columns still display. In
addition, you can listen to audio if it is available.
Show Checkbox for Documents with Status
Determines whether or not documents with the Pending or Checked Out/Ready for
Editing statuses are displayed with check boxes.
By default, check boxes (which allow you to view or print a document) do not appear
next to dictations with a status of Pending in the Listings page. Select the Pending
check box to display check boxes next to pending dictations on the NetScript search
results page.
By default, check boxes do not appear next to dictations with statuses of Checked Out
or Ready for Editing. These statuses correspond to dictations that have been speech
recognized, but not yet edited by a transcriptionist. Select the Checked Out/Ready For
Editing check box to show check boxes next to these dictations.
Default Search Result Checkbox Appearance
Determines the default status of all check boxes by selecting either Checked or
Unchecked. By default, all check boxes next to dictations in the Listings page are
unchecked initially.
Default Signature Queue Checkbox Appearance
Determines the default status of all check boxes in the Signature Queue by selecting
either Checked or Unchecked. By default, for all providers at the institution, all check
boxes next to dictations are checked initially.
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For Non-Reviewed Documents in Signature Queue (Co-sig only)
Select either Checked or Unchecked to determine the default status of all check boxes
of documents in the Signature Queue that have not been reviewed by the reviewer.
This is only valid for co-signature parallel workflows. By default, the documents are
checked.
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Configuring NetScript Details Page properties
Through the Details Page tab of the NetScript Options dialog you can determine which action
buttons are visible on the Details page, define which optional headers are included at the top of
the page, and more. Follow the steps below to configure any of these properties.
Steps:
1
Select NetScript Options from the Tools menu.
The NetScript Options dialog appears.
2
116
Click on the Details Page tab. Configure one or more of the available options. Click
OK.
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Appendix A: NetScript Options (EMon)
Header Fields
Select the fields that appear above the dictation text in the Details page. Status and
Dictation ID are standard header fields and cannot be deactivated. The next six options
listed are enabled by default, but can be disabled.
Note: If you are upgrading, your current header configuration will be retained.
Header fields
Action Buttons
Select the action buttons available to users on the Details page. The buttons you select
here apply to all users, including e-signature users, except Pend with Note, which only
applies to non-signers. The Pend with Note button is always available for e-signature
users, so enabling or disabling it will only affect non-signers. To allow users to
distribute manually from within NetScript (via print, fax, or email), check the Save &
Distribute button. See also: Action buttons in Chapter 2 on page 68.
Highlighting
Select Blanks to enable highlighting of five or more underscores. When enabled, these
blanks appear in red when you view a dictation.
Select Search Terms to enable highlighting of the search terms entered in the full-text
search. When enabled, the terms you searched for appear highlighted in yellow when
you view a dictation.
Note: In order to perform full-text searches, you must enable the feature in the
Application Features dialog.
Magnify
Select Document & Header Text to allow NetScript users to increase font size on the
Details page. Users can adjust the font size (via a toolbar) when viewing a report in
NetScript.
Enable Full Width Text
Select this option to increase the size of the editing window (which contains the
transcription text) so that it stretches to fill the browser window. This allows users to
view more of the dictation text at once.
Signature
By default, the Print button is enabled for all users, but it can be disabled for clinicians
if you do not want them to be able to print. When this option is enabled, clinicians will
see the Print button from the Details page when viewing a document. When it is
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disabled, they will not have the option to Print from the Details page. See Printing from
NetScript on page 118 for more information on how to restrict the Print button.
Printing from NetScript
By default, the Print button in NetScript is enabled for all users. When you want to restrict
printing from NetScript, use the print settings in the NetScript Options dialog. There are two
settings that determine which users can print: Only eSigners can Print (on the General tab) and
Signature Print (on the Details Page tab). Depending on which users you want printing from
NetScript, use one of the combinations below.
Note: Printing is restricted based on whether the user is a clinician or an administrator/MT.
•
•
•
•
118
If you want all users to print

Uncheck Only eSigners can Print

Check Signature Print
If you want no users to print

Check Only eSigners can Print

Uncheck Signature Print
If you want only clinicians to print

Check Only eSigners can Print

Check Signature Print
If you want only administrators and MTs to print

Uncheck Only eSigners can Print

Uncheck Signature Print
EditScript Online / NetScript User Guide V10
Appendix A: NetScript Options (EMon)
Configuring NetScript Spell Check properties
Through the Spell Check tab of the NetScript Options dialog you can specify the default
dictionary that will be used for spell check and select which dictionaries will be available to
NetScript users. Currently, US English and UK English dictionaries are available.
Note: If your institution uses NetScript’s Spell Check feature (enabled in EMon via Tools>
Application Features), there must be at least one dictionary selected as Available, and one
dictionary designated as the Default.
Steps:
1
Select NetScript Options from the Tools menu.
The NetScript Options dialog appears.
2
Click on the Spell Check tab. Specify a default dictionary and select which dictionaries
will be available to NetScript users. Click OK.
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Appendix A: NetScript Options (EMon)
Document Selector for Group Signature
Currently, in eSignature’s group signature workflow, whenever a document is distributed for
signature, it is distributed to all of the clinicians in the group. When a clinician logs in to
NetScript to sign, all documents for clinicians in the group are present in his/her signature
queue.
A new EMon option on the Application Features dialog called Document Selector for Group
Signature (Tools menu> Application Features) allows clinicians who are part of group
signature to view only documents for which they are the speaker or signing clinician.
With this feature enabled, a new drop-down menu appears on the Search results page for all
clinicians. It contains two options:
•
120
View own documents - shows only the documents for which the logged in clinician is the
speaker or signing clinician (selected by default).
EditScript Online / NetScript User Guide V10
Appendix A: NetScript Options (EMon)
•
View All - shows all documents for all clinicians in the eSignature group.
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Appendix A: NetScript Options (EMon)
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Monitoring
e-signature
You can monitor e-signature through esignature reports and the signed documents
option in EMon eAlerts.
The aging (e-signature) report displays
documents that have a status of unsigned.
The signed document option in the Complete
Daily SummaryeAlert can display which
documents were signed within the last day, or
X number of hours. These options are very
useful for monitoring e-signature and keeping
track of your backlog.
B
Appendix Topics:

Aging Reports

Signed Documents (eAlerts)
e-signature reports are available by request
on the Billings and Productivity page in
EditScript Online. For information on
accessing reports, see Chapter 1: Resources
for HIM Administrators on page 41.
123
Monitoring e-signature: B
Aging Reports
The aging (e-signature) reports are available by request on EditScript Online. They contain
information about unsigned documents in clinicians’ signature queues. There is both a
summary and a detailed report. Aging reports are updated daily and archived monthly.
The number of days unsigned is based on the discharge date. However, the number of days
unsigned can be set to start from the date of transcription. Contact your
Dragon Medical 360 | eScription Support representative if you wish to change the start date.
Note: If your institution uses group signature, it is possible to have an inflated number of
unsigned documents in the aging report. If a document is distributed to five clinicians in a
group, then the report will display the document as being in five signature queues. When
the document is signed, all five instances of that one document will be removed from the
aging report.
The reports are in Microsoft Excel and contain the following information:
•
Clinician: the clinician who is responsible for signing or reviewing the document.
•
Dictation ID: the unique ID for the dictation associated with a specific patient visit.
•
MRN: the unique medical ID number for the patient.
•
Account Number: the unique visit ID number.
•
Patient Type: the patient type
•
Work Type: the type of report dictated, e.g. operative note.
•
Business Entity: a subdivision of your medical institution.
•
Admit Date: the date of admission.
•
Discharge Date: the date of discharge.
•
Date Transcribed: the date the dictation was transcribed or edited.
•
Days Unsigned: the number of days from the date of discharge that the transcription
has been unsigned.
To sort the information in the detailed report follow the steps below.
Steps:
1
Download and save the e-signature Excel Report on the Billings and Productivity
Reports page.
2
Open the Excel report.
3
Highlight the entire worksheet.
4
From the Data menu, select Sort.
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Monitoring e-signature: B
5
Select the sort criteria you want to use, such as business entities, then clinician and
whether you want to view them in ascending or descending order.
6
Click OK. The data sorts based on the selections you made.
To subtotal the number of documents per business entity:
1
Highlight the entire work sheet.
2
From the Data menu, select Subtotal.
3
In the At each change in field, select Business Entity from the drop-down menu.
4
Click OK. The worksheet will be sorted and totaled.
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125
Monitoring e-signature: B
Signed Documents (eAlerts)
Information about which documents have been signed the previous day, or in the last X number
of hours, can be sent to you daily via email. An option called List documents that were
signed is available in the Complete Daily Summary eAlert in EMon (EMon>Tools menu>
eAlerts). For information on how to set up this eAlert, see the eAlerts chapter of the EMon
User Guide.
Tip: If you have EDT/Status, then your deficiency system will automatically be updated.
The list of signed documents will be in the body of the email and include the following
information:
•
Dictation ID: the unique ID for the dictation associated with a specific patient visit.
•
Signed At: the date and time the document was signed.
•
MRN: the unique medical ID number for the patient.
•
Account Number: the unique visit ID number.
•
Work Type: the type of report dictated, e.g. operative note.
•
Business Entity: a subdivision of your medical institution.
•
126
Signing Clinician: the clinician responsible for signing the final document.
EditScript Online / NetScript User Guide V10
Glossary
.rtf
See Rich Text Format.
ActiveX
A Microsoft software module that allows a program to add functionality by calling ready-made components that blend in and
appear as normal parts of the program.
EditScript Online uses this to install Microsoft Windows Media
Player as the default audio player for listening to dictations, and
Microsoft Word as the default .rtf text editor for printing transcriptions.
Administrator
A Health Information Management (HIM) administrator. One of
the three main users for EditScript Online.
Business Entity
The name of a subdivision within an institution network using
Dragon Medical 360 | eScription products.
Clinician
The physician responsible for creating a dictation. Also known as
a Dictating Clinician. One of the three main user types for
EditScript Online.
Confirmation Number
The unique transaction number automatically generated for the
Clinician after each Dictation is recorded.
Dictation
The audio record associated with a specific patient visit.
Dictation ID
The unique ID for a Dictation.
Document
The combined audio and text data associated with a specific
patient visit.
EditScript Online
The web portal resource that allows Administrators, Clinicians,
and MTs to securely access data and online technical support
from Dragon Medical 360 | eScription. Important features include
NetScript and e-signature.
127
eScriptionist
A Medical Transcriptionist using Dragon Medical 360 | eScription
products.
e-signature
An Dragon Medical 360 | eScription product that allows clinicians
to electronically review and sign Documents.
Medical Record Number
The unique ID for a patient. Also known as the Patient ID.
Medical Transcriptionist
An individual who converts a clinician’s dictations into a transcribed document. One of the three main user types for EditScript
Online.
MRN
See Medical Record Number.
MT
See Medical Transcriptionist.
NetScript
An Dragon Medical 360 | eScription product that allows Administrators, Clinicians, and MTs to search for patient Documents.
Other Clinician
A clinician who is not the final signing clinician.
Order Code
See Order Number.
Order Number
The unique ID for a product or service ordered with regard to a
specific patient visit.
Patient Account Number
The unique account number associated with each patient.
Rich Text Format
A method of encoding both formatted text and graphics for easy
transfer between software applications.
NetScript and e-signature use this method to print transcriptions
with the correct formatting.
Right to Sign
The clinician’s right to legally sign documents in any format. A
final signing clinician needs this right.
Right to Electronically Sign
The clinician's right to sign documents using e-signature. Dictating clinicians and final signing clinicians who sign in e-signature
need this right.
Signing Clinician
The physician responsible for final signature of a document.
Speaker Code
The unique ID for a clinician. Also known as the clinician ID.
Status
The state of completion of a dictation in the
Dragon Medical 360 | eScription process.
Transcription
The text record created from a dictation associated with a specific
patient visit.
Work Type
The type of report dictated, e.g. operative note.
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Index
Navigating the interface 40
Online Tools 43
web interface
corporate home page 38
logging off 41
password change 41
testing home page 38
e-signature 77
action buttons 84
implementing 87
monitoring 123
e-signature workflow 78
eTips 42
A
About e-signature 77
Accessing
EditScript Online 38
e-signature 84
NetScript 50
action buttons 84
adding clinicians 72
C
CC list page
adding clinicians 72
removing clinicians 74
Changing your Password 50
Compatibility mode 15
F
Files
Uploading 47
Full-text Search 55
Operators 57
Terms 56
full-text search 54
D
distributing documents
from within NetScript
document drafts 63
117
G
E
EditScript Online
Accessing 38
Administrator (HIM) Resources 41
administrator (HIM) resources 41
Clinician Resources 41
Medical Transcriptionist Resources
medical transcriptionist resources
eTips 42
Getting Started 13
glossary 127
group signature 120
42
H
home page
38
129
ActiveX
I
Implementing e-signature 87
Installing Active X with Windows XP on
page 19 13
Installing ActiveX 13
13
R
removing clinicians 74
S
L
Listening to Dictations 65
ActiveX 13
Listings page 59
logging off 41
M
monitoring e-signature
123
N
NetScript
CC list page
adding clinicians 72
removing clinicians 74
Listening to Dictations 65
Search Results page 59
NetScript Details Page 66
Action Buttons 68
Header 66
Highlight Control 69
Spell Check 70
Transcription Text 68
NetScript Options
activating 110
configuring
details page properties 116
general properties 111
listings page properties 113
spell check properties 119
NetScript Search Engine 52
Search Results page 59
Printing Entries 62
Sorting Results 62
Viewing Entries 62
Search Terms 56
Searching NetScript 54
security group
setting up 88
sequential co-signature 104
sequential dual signature 102
Sorting Results 62
Support Center 44
Uploading Files 47
T
Transcription Details 66
U
Uploading Files 47
Using e-signature 84
Using NetScript 49
V
validation rules, setting up 90
Viewing a Document Draft 64
Viewing Entries 62
W
What’s New 9
O
Online Tools
43
P
parallel dual signature 100
password change 41
Performing a Search 54
Prefill Signing Clinicians 92
Prevent Signature When Blanks Are
Present 112
Printing Entries 62
printing transcriptions
130
EditScript Online / NetScript User Guide V10