Echo is available in ‘Echo Only’ mode or combined with the full Lexacom toolbar. This guide applies to both, your exact layout may vary.

How to use patient mode (spoken word)

Patient Mode

Echo will automatically insert descriptive terminology next to medical terms to help inform patients. 
e.g. “Apyrexial” becomes “Apyrexial (did not have a raised temperature)”
This guide explains how to use Patient Mode using spoken word via dictation.

• Log in to Lexacom Echo
• The Toolbar will appear at the top of the screen:

Echo Only	Combined

• Press the ‘Comprehension Engine® hotkey’* on your keyboard and repeat until the green speech icon appears
  • If you are using a handheld Olympus or Philips microphone with an F2 button, you can press this instead of Insert.
  • In combined mode, you can also click on the icon on the right to swap modes.

* Note: by default the ‘Comprehension Engine® hotkey’ is the ‘insert’ key but this can be changed in the settings as outlined here.

Echo Only	Combined

• Dictate your Echo audio in to a chosen application e.g. clinical system
• Medical terminology will be identified by Comprehension Engine®. It will automatically insert a description for the patient in brackets next to the transcribed text. E.g.
  • User dictates = “The patient was aphonic”
  • Echo transcribes = “The patient was aphonic (voice can not be heard)”

Comprehension Engine® terminology is evolving every day, if you identify a term that hasn’t yet been added and would benefit your patients you can submit a request.

How to Request Additions to Patient and Clinician Mode