Nuance acronym guide

Glossary of common acronyms

The following terms and definitions are referenced by Nuance's omni-channel customer engagement platform as well as general industry terms.



AAS: Audio Acquisition Server (FreeSpeech)

The Time Division Multiplexing Acquisition Server (TAS) or the VoIP Acquisition Server (VAS). The TAS is physically connected to the digital extensions and acquires audio directly from them. The VAS acquires audio by sniffing VoIP (RTP) packets, which are directed to a designated extension or IP address (both static and dynamic) through a standard network card. This solution is software based.

ACD: Automated Call Distributor (Call Steering Architecture)

Automatic call distribution (ACD) systems are used to handle incoming calls and forward them to an agent who handles the request.

ACA: Affordable Care Act

The comprehensive health care reform law enacted in March 2010.

ACI: Ambient Clinical Intelligence

A Nuance solution that builds on the speech recognition technology of its Dragon Medical One cloud platform, which is designed to facilitate hands-free clinical documentation for healthcare professionals, and enhanced with the addition of assisted workflows, task and knowledge automation, and specialized ambient sensing hardware.

ACDIS: Association of Clinical Documentation Improvement Specialists

ACDIS is a community of CDI professionals who share the latest tips, tools, and strategies to implement successful CDI programs and achieve professional growth.

ACO: Accountable Care Organizations

Groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to the Medicare patients they serve.

ACV: Annual Contract Value

ADK: Advanced Dialog Kit (Prodigy)

AEM: Authentication Experience Manager

AHIMA: American Health Information Management Association

The American Health Information Management Association is a professional association for health professionals involved in the health information management needed to deliver quality health care to the public.

AHT: Agent Handle Time

The average time it takes a call center agent to handle a customer interaction from start to finish.

AI: Artificial Intelligence

An area of computer science dealing with the capability of machines to imitate intelligent human behavior.

AMA: American Medical Association

The American Medical Association, founded in 1847 and incorporated in 1897, is the largest association of physicians—both MDs and DOs—and medical students in the United States. The AMA’s mission is “to promote the art and science of medicine and the betterment of public health.

ANI: Automatic Number Identification (from FST-SOW VDF)

A feature of a telecommunications network for automatically determining the origination telephone number on calls.

APM: Alternative Payment Models

A payment approach that rewards providers for delivering high-quality and cost-efficient care.

APR: Automatic Password Reset

ARR: Annual Recurring Revenue

ASC: Ambulatory Surgery Center

A health care facility that offer patients the convenience of having surgeries and procedures performed safely outside the hospital setting.

ASP: Application Service Provider

ASR: Automatic Speech Recognition

A system that converts speech from a recorded audio signal to text.

ATO: Account Takeover

A form of identity theft where a fraudster illegally gets access to a victim’s account and the sensitive information within it, enabling them to make unauthorized transactions.

AV: Autonomous Vehicle

An autonomous car, also known as a driverless car, robot car, or self-driving car, is a vehicle that can guide itself without human conduction and has become a concrete reality and may pave the way for future systems where computers take over the art of driving.


General-purpose role-based security architecture for Windows.


BCS: Business Consulting Services at Nuance

BET: Backend technology (Vocalizer)

BGM: Background Model

BPO: Business Process Outsourcing (VQA context)


CAPD: Computer-Assisted Physician Documentation

Real-time intelligence at the point of care. Hospital staff burnout is fueled by documentation rework and retrospective queries and burnout leads to an exponential rise in medical errors, denials, and increased costs. Nuance’s Computer Assisted Physician Documentation (CAPD) solutions help combat these problems.

CC (Complications or Comorbidity):

The presence one or more additional diseases or disorders occurring with (that is, concomitant or concurrent with) a primary disease or disorder. This generally means a patient requires more resources; therefore, hospitals are paid more to care for these patients. Greater specificity in documenting the patient’s diagnosis allows the coder to select the diagnosis code which most accurately reflects the patient’s condition resulting in assignment to the appropriate MS-DRG. (See MCC)

CDC: Centers for Disease Control and Prevention

A federal agency that conducts and supports health promotion, prevention and preparedness activities in the United States, with the goal of improving overall public health.

CDE: Clinical Documentation Excellence

Nuance’s suite of solutions for CDI teams. Documentation guidance at the point-of-care makes it easier for physicians to capture patient stories and avoid rework. Automated encounter prioritization and worklist management lets highly skilled CDS staff spend less time searching through charts. Clinicians working together without limitations means more time to focus on quality improvement initiatives.

CDE One: Clinical Documentation Excellence One

Nuance’s product that helps users to harness smart, efficient workflows, enhance productivity, and improve CDI and care team satisfaction with cloud-based workflow management, collaboration and insights.

CDEM: Customer Data Extraction Module (for VDE context generation)

CDI: Clinical Documentation Improvement

Cloud-based technologies increase the productivity and effectiveness of teams with an end goal of CDE.

CDS: Clinical Decision Specialist

Ensures accuracy and quality among medical coders, doctors, nurses, and other healthcare staff. They maintain charts, medical records, and reports and solve any issues involving documentation.

CDS: Clinical Decision Support

Provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care.

CLC: Cross Linguistic Components (TTS)

CLM: Cross Linguistic Mapping (TTS)

CLU: Clinical Language Understanding

The ability for Nuance technology to interpret clinical language.

CMD: Core Mobile Dictation (CMD) platform (core servers)

CMI: Case Mix Index

Relative value assigned to a diagnosis-related group of patients in a medical care environment. The CMI value is used in determining the allocation of resources to care for and/or treat the patients in the group.

CMS: Centers for Medicare & Medicaid Services

Previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s He alth Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of

CMS: Customer Management System or Contract Management System

For tracking agreement changes in SFDC.

CN: Cloud Native

An approach to designing, building and running applications based on cloud infrastructure as a platform (or platform as a service PaaS) combined with microservice architectures and new operational tools of continuous integration, containers, or orchestrations. Benefit: Improves speed, scalability, and resiliency.

CPR: Concatenated Prompt Recordings

CQM: Clinical Quality Measures

Clinical quality measures, or CQMs, are tools that help measure and track the quality of health care services provided by eligible professionals, eligible hospitals and critical access hospitals (CAHs) within our health care system. These measures (health outcomes, clinical processes, patient safety, efficient use of resources, care coordination, patient engagement, population health, and adherence to clinical guidelines) use data associated with providers’ ability to deliver high-quality care or relate to long-term goals for quality health care. Measuring and reporting CQMs helps to ensure that our health care system is delivering effective, safe, efficient, patient-centered, equitable, and timely care.

CRR: Correct Routing Rate (see also TCR)

KPI used for Call Steering speech applications and engagements.

CRV: Challenge Response Verfahren

CSAT: Customer Satisfaction

A measure of how products and services meet or surpass customer expectations.

CSO: Customer Success Organization

CSP: Client Support Profile

CTI: Computer Telephony Integration

CXC: Customer eXperience Center

Located at Nuance's Burlington headquarters. Designed for salespeople to come and show the power Nuance, the breadth of our products, and the potential for our customers.

CXF: Customer Experience Forum

Regional gathering of Enterprise customers with Enterprise executives and solution specialists (regional – NA, EMEA, APAC).

CXS: Customer Experience Summit

Annual gathering of top Enterprise customers with Enterprise executives and solution specialists (regional – NA, EMEA, APAC).


DAX: Dragon Ambient eXperience

DCS: Digital Customer Solutions

DDFW: Dragon Drive Framework

A powerful platform that enables intuitive and safer voice and touch driven interactivity between a driver and their vehicle – Dragon Drive Framework also supports seamless access to cloud services through Dragon Drive Mobile or Dragon Drive Cloud.

DDT: Dialog Decision Table

DET: Detection Error Tradeoff

Method to compute accuracy of langID for NVSL.

DICOM: Digital Imaging and Communications in Medicine

A standard for handling, storing, printing, and transmitting information in medical imaging.

DIP: Deal in Play

DLM: Dynamic Language Model

DMA: Dragon Medical Advisor

An industry leading Computer Assisted Physician Documentation (CAPD) solution that engages physicians at the point of care with evidence based advice that fits naturally into existing workflows through Dragon Medical One.

DMCC: Device Media Call Control (Avaya)

DMNE: Dragon Medical Network Edition

Nuance locally installed, real-time speech recognition solution helps clinicians quickly and more accurately dictate anywhere in the EHR using their own words.

DMO: Dragon Medical One

Nuance’s cloud based speech recognition that provides a consistent and personalized clinical documentation experience across solutions, platforms and devices regardless of physical location.

DNE: German: Datennutzungserklärung

DNFB: Discharged Not Final Billed

Most facilities code records after patients have been discharged. However, exceptions may occur when an organization has a concurrent-coding program or for long-stay patients, during which interim billing and, therefore, interim coding may occur. Those accounts that are not yet billed at the time of discharge are on the DNFB list. This listing will include patient accounts categorized as suspended or discharged but unbilled.

DNIS: Dialed Number Identification Service

DNN: Deep neural networks

Inspired by the biological neural networks in human brains, a DNN uses sophisticated mathematical modeling to process data in complex ways.

DNS: Dragon Naturally Speaking

DPNSS: Digital Private Network Signaling System

DPT: Data Processing Toolkit

Used for VDE context generation.

DRG: Diagnosis-Related Group

A patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives. In general, a DRG payment covers all charges associated with an inpatient stay from the time of admission to discharge.

DRIVE Lab: Design, Research, Innovation and Vehicle Experience Lab

Researching the user experience is crucial to ensure a safe and positive brand experience and user acceptance – Nuance has set up DRIVE Labs in US and Germany to drive innovation and help our customers delivering a positive user experience.

DRIVE Lab: Design, Research, Innovation and Vehicle Experience Lab

Researching the user experience is crucial to ensure a safe and positive brand experience and user acceptance – Nuance has set up DRIVE Labs in US and Germany to drive innovation and help our customers delivering a positive user experience.

DRS: Data Repository Server (FreeSpeech, VPW)

DSC: Dragon Naturally Speaking Client Edition

DSP: Digital Signal Processor

DSS: Dragon Naturally Speaking Server Edition

DTMF: Dual Tone Multi Frequency

DVOP: Dragon Voicemail to text On Premise


EAP: Expansion Availability Period (after GA)

EHR: Electronic Health Record

The digital version of a patient’s paper chart.

EMR: Electronic Medical Record

The digital version of a patient’s paper chart.


Type of programming language.

ERP: Enterprise Resource Planning (Systeme zur Resourcenplanung)



FAS: Full Application Service

FFS: Fee for Service

A payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care.


Internal term used when referring to one of the following:

1. moving a customer contract from perpetual licensing to term licensing

2. sales agreement where the customer chooses to migrate their on-premise Nuance solution(s) to the cloud

FSCS: Fast Start Call Steering


GDOT: Global Deal Optimization Team

GMM: GMM-SVM support vectors

Technology to compute langID, “Gaussean Mixture Modeling” für Forensische Analsysen.

GTS: Global Technology Solutions

GVP: Genesys Voice Platform


HACRP: Acquired Condition Reduction Program

The Affordable Care Act established the Hospital-Acquired Condition (HAC) Reduction Program to provide an incentive for hospitals to reduce HACs. Effective beginning Fiscal Year (FY) 2015 (discharges beginning on October 1, 2014), the HAC Reduction Program required the Secretary of the Department of Health and Human Services to adjust payments to applicable hospitals that rank in the worst-performing quartile of all subsection (d) hospitals with respect to risk-adjusted HAC quality measures. These hospitals will have their payments reduced to 99 percent of what would otherwise have been paid for such discharges. In the FY 2017 HAC Reduction Program, hospitals with a Total HAC Score greater than 6.5700 are subject to a payment reduction.

HCC: Hierarchical Condition Category

Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by CMS. This model identifies individuals with serious or chronic illness and assigns a risk factor score to the person based upon a combination of the individual’s health conditions and demographic details. The individual’s health conditions are identified via ICD-10 diagnoses that are submitted by providers on incoming claims.

HDE: Hosted Development Environment

HDSP: High Definition Sound Performance

HHS: Department of Health and Human Services

Also known as the Health Department, the HHS is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services.

HIE: Health Information Exchange

The mobilization of health care information electronically across organizations within a region, community or hospital system – in practice the term HIE may also refer to the organization that facilitates the exchange.

HIM: Healthcare Information Management

Information management applied to health and health care. It is the practice of acquiring, analyzing and protecting digital and traditional medical information vital to providing quality patient care.

HIMSS: Healthcare Information and Management Systems Society

An American not-for-profit organization dedicated to improving health care in quality, safety, cost-effectiveness, and access through the best use of information technology and management systems (largest US-based health IT conference).

HIPAA: Health Insurance Portability and Accountability Act of 1996

This act makes it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs.

HIS: Health Information System

Refers to a system designed to manage healthcare data. This includes systems that collect, store, manage and transmit a patient’s electronic medical record (EMR), a hospital’s operational management or a system supporting healthcare policy decisions.

HIT: Health Information Technology

Information technology applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers, providers, payers, and quality monitors.

HITECH ACT: Health Info Tech for Economic and Clinical Health Act

Part of the American Recovery and Reinvestment Act of 2009 (ARRA), the HITECH Act was created to motivate the implementation of electronic health records (EHR) and supporting technology in the United States.

HMI: Human-Machine Interface

Any device or software that allows someone to interact with a machine – from a simple touchscreen to connected mobile technology.

HSO: Hosted Services Offering

HRO: High-Reliability Organizations

Organizations with systems in place that make them exceptionally consistent in accomplishing their goals and avoiding potentially catastrophic errors.


ICD: International Classification of Diseases and Related Health Problems

The international standard diagnostic tool for epidemiology, health management and clinical purposes.

ID&V: Identification and verification

IDN: Integrated Delivery Network

Formal system of providers and sites of care that provides both health care services and a health insurance plan to patients in a defined geographic area.

IE: Intelligent Engagement

Providing the right experiences to the right customers at the right time across channels through the application of deep learning, prediction and analyzing past behavior.

IIS: Internet Information Services (IIS, formerly Internet Information Server)

An extensible web server created by Microsoft for use with Windows NT family.

IM: Incident Manager

ISM: Integrated Sales Methodology

IVR: Interactive Voice Response

An automated telephony system that allows a computer to interact with humans through the use of voice and touchtone keypads, providing the appropriate responses and routing to appropriate recipients.


JDK: Java Development Kit

JRE: Java Runtime Environment

JSD: Jira Service Desk



Krypton: For Human to Machine

Nuance new online real-time large vocabulary continuous speech speech recognition engine. High configurability also referred to as “specialization”.

KPI: Key Performance Indicator

Helps businesses make smart business decisions.


LAC: License Authorization Code

The LAC is in the Nuance license file.

LDAP: Lightweight Directory Access Protocol

LID: Language Identification

Scores computed for accuracy of NVSL / NIdentifier.

LME: NDEV language model enrollment

Specific customer vocabularies, special product names > 2000 words at max.

LOB: Line of Business

LVIS: Loquendo Voice Investigation System

LVSL: Loquendo Voice Security Library

LVSS: Loquendo Voice Security Server


MACRA: Medicare Access and CHIP Re-authorization Act

MACRA, enacted in 2015, repealed the Sustainable Growth Rate formula, which had been used since 1997 to control spending by Medicare on physician payments, and stipulates the development of two new payment tracks: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM). These new payment tracks move away from fee-for-service payment models to a reimbursement methodology based on value.

MCC: Major Complications or Comorbidity

The presence one or more additional diseases or disorders occurring with (that is, concomitant or concurrent with) a primary disease or disorder. This generally means a patient requires more resources; therefore, hospitals are paid more to care for these patients. Greater specificity in documenting the patient’s diagnosis allows the coder to select the diagnosis code which most accurately reflects the patient’s condition resulting in assignment to the appropriate MS-DRG. (See CC)

MCO: Managed Care Organization

A health care provider or a group or organization of medical service providers who offers managed care health plans (a group of activities ostensibly intended to reduce the cost of providing for profit health care and providing health insurance while improving the quality of that care).

MEDPAC: Medicare Payment Advisory Commission

An independent US federal body headquartered in Washington, D.C., established by the Balanced Budget Act of 1997. The Commission’s 17 members bring diverse expertise in the financing and delivery of health care services.

MIB: Management Information Base

A database used for managing the entities in a communication network. Most often associated with the Simple Network Management Protocol (SNMP), the term is also used more generically in contexts such as in OSI/ISO Network management model.

MIPS: Merit-Based Incentive Program

MACRA combines the existing Medicare Meaningful Use (MU), Physician Quality Reporting System (PQRS), and Value-Based Modifier (VBM) programs into MIPS, starting with the CY2017 performance year. MIPS payment adjustments are applied to Medicare Part B payments two years after the performance year, with CY2019 being the payment adjustment year for the CY2017 performance year. MIPS defines four categories of eligible clinician performance, contributing to a MIPS composite performance score (CPS) of up to 100 points (relative weights are indicated for the CY2017 performance year and associated CY2019 payment year): Quality (50%), Advancing Care Information (ACI, renamed from Meaningful Use) (25%), Clinical Practice Improvement Activities (CPIA) (15%), and Resource Use (10%).

MMF: Multimodal framework (Prodigy)

MOR: Management Operating Rhythm (context Sales, ISM)

MRCP: Media Resource Control Protocol

Provides the means for a client device requiring audio streams to control stream processing resources in the network. Applying this definition to Dialogic’s telecommunications product line, MRCP can be used to control speech synthesizers and recognizers that provide speech recognition, and to stream audio from a common location to a user. There are several benefits for adopting MRCP for media requirements: MRCP provides a mechanism to provide the same audio to both phone and web customer interfaces; MRCP does not lock a solution into one vendor; during the development effort, Dialogic worked with several major speech vendors who are moving to an MRCP-only interface for their text-to-speech and speech recognition products.

MRCP: Multimedia Resource Control Protocol

MREC: Modular Recognizer

MT: Medical Transcriptionist

Sometimes referred to as healthcare documentation specialists, these people listen to voice recordings that physicians and other healthcare workers make and convert them into written reports. They also may review and edit medical documents created using speech recognition technology. Transcriptionists interpret medical terminology and abbreviations in preparing patients’ medical histories, discharge summaries, and other documents.

MU: Meaningful Use

The HITECH Act outlined the intended plans for the adoption of electronic health records through meaningful use. The CMS Medicare and Medicaid EHR Incentive programs have evolved into three stages of meaningful use with their own goals, priorities, and their own final rule.


NAA: Nuance Automation Assistant

NAR: Nuance Application Reporting

NAS: Nuance Application Studio

NCE: Nuance Conversation Engine

A software component providing advanced dialog capabilities to NLU-based systems and applications; it is a successor to Nuance’s Advanced Dialog Kit (ADK). Compared to ADK, (replacing ADK).

NCLF: Nuance Customer Leadership Forum

NCS: Nuance Cloud Service

NDA: Non-Disclosure Agreement

NDEP: Nuance Digital Engagement Platform

A unified technology platform that combines virtual assistant and human assisted customer service technologies to allow organizations to target the right visitor with the right message at the right time—across web, mobile, messaging applications, SMS and smart devices.


Gain access to the Dragon Mobile SDK and Vocalizer.

NDF: Nuance Development Framework (from CS-Steering SOW Vodafone)

NDM: Nuance Dialog Module

NEO: Nina Experience Orchestrator

NEP: Nuance Engagement Proposal

Functional requirements.

NES: Nuance Experience Studio

Web application tool to build NLU models from data.

NHA: Nuance Healthcare Analytics

NIC: Klaus Allwichers VB-sizing calculator

NLG: Natural Language Generation

One of the tasks of natural language processing that focuses on generating natural language from structured data such as a knowledge base or a logical form (linguistics).

NLP: Natural Language Processing

The ability of computers to process large amounts of natural language data, like a conversation, in a way that is productive and efficient, taking certain tasks off the hands of humans and allowing for a machine to handle certain processes.

NLU: Natural Language Understanding

The comprehension by computers of the structure and meaning of human language.

NMDP: Nuance Mobile Developer Program

(Now: NDEV self-service program).

NMEE: Nuance Meaning Extraction Engine

NMS: Nuance Management Station service

NMSP: Nuance Mobile Speech Platform

NNH: Nuance Notification Hub

1 single solution for notification campaigns via SMS, mail or voice.

NNM: Nuance Naturally Mobile

NNOC: Nuance Network Operation Center (NOD)

NPA: Nuance Performance Analytics

(Formerly Clinical Performance Analytics).

NPEP: Nuance Proactive Engagement Platform

NRS: Nuance Recognizer Server

NSP: Nuance Service Proposal

NSS: Nuance Speech Server

NTE: Nuance Transcription Engine

Nuance Transcription Engine takes audio recordings of a multi-person discourse or a live conversation stream and returns a text transcript of the dialog with up to 88% accuracy—among the highest in the industry.

NTFS: New Technology File System

A proprietary file system developed by Microsoft.

NTS: Nuance Transcription Services

Nuance’s full-lifecycle outsourced transcription solution for clinical documentation.

NVC: Nuance Voice Control

NVF: Nuance Voice Fonts

Hosted solution of pre-recorded prompts for specific domains.

NVI: Nuance Voice Insight

Hosted solution that provides end-to-end call recordings analysis of entire caller interactions.

NVP: Nuance VocalPassword

NVP: Nuance Voice Portal

NVSL: Nuance Voice Security Library

Integration of speaker verification features and core technologies from former Persay and Loquendo + ASR und speaker segmentation.


OA&M: Operations, Administration and Maintenance

ODBC: Open Database Connectivity

A standard application programming interface (API) for accessing database management systems (DBMS).

ODI: On Demand Insight

Client data reports for NOD.

OEM: Original Equipment Manufacturer

OOTB: Out-of-the-Box Performance

OPEX: Operating expense, operating expenditure, operational expense, operational expenditure

An ongoing cost for running a product, business, or system.

OPPE: Ongoing Professional Practice Evaluation

Introduced by The Joint Commission, Ongoing Professional Practice Evaluation is intended to make the decision of privileging more objective and continuous.

OPPS: Outpatient Prospective Payment System

In response to rapidly growing Medicare expenditures for outpatient services and large co-payments being made by Medicare beneficiaries, Congress mandated that CMS develop a hospital Outpatient Prospective Payment System (OPPS) and reduce beneficiary co-payments and is used by CMS to reimburse for hospital outpatient services.

ORS: Genesys Orchestration

OWASP: Open Application Security Project

Framework for security standards for NOD.



PACS: Picture Archival Communication System

A medical imaging technology which provides economical storage and convenient access to images from multiple modalities (source machine types).

PAN: Product Availability Notification

Mail from R&D to customers on GA of a product release.

PCI: Peripheral Component Interconnect

PCM: Pulse-Code Modulation

PDR: Persistent Data Replicator

FreeSpeech Architecture Component that syncs 2 data repos. servers.

PES: Patient Engagement Solution

PFP: Pay for Performance

PIB: Product Information Bulletin

PIF: Project Initiation Form

Used for setting up PS-projects.

PIK: Product Information Key

Loquendo Products; same as LAC (license authentication code) to be used for eval licenses.

PIR: Post-Incident Review

PKI: Public Key Infrastructure

A system for the creation, storage, and distribution of digital certificates which are used to verify that a particular public key belongs to a certain entity.

PLDA: Probabilistic Linear Discriminant Analysis

(Feature of 9.3 biometrics)—allows modeling the i-vectors probability distribution, capturing the information related to the intra-speaker and inter-speaker variability, in the i-vector space. The NVSL Speaker Recognition Training Toolkit (formerly known as the PLDA Retraining Toolkit) can provide substantial accuracy improvements for applications integrating NVSL speaker recognition features. PLDA = extended calibration with at least 400 known speakers => improve EER by ~20%; Harry: extended calibration is PLDA (probabilistic LDA) to maximize inter-speaker discrimination and ignore intra-speaker variations. This is particularly powerful for cross-channel data, where the algorithm (hopefully) learns systematically to ignore the differences between various channels. For this to work, you need enough samples of the same speaker under different acoustic conditions.

PMM: PowerMic Mobile

A secure, wireless microphone for iPhone and Android to work in conjunction with Dragon Medical One.

POA: Present on Admission

Present on admission is defined as the conditions present at the time the order for inpatient admission occurs. The POA indicator is intended to differentiate conditions present at the time of admission from those conditions that develop during the inpatient admission.

PPP: Pay per Performance

PSI: Patient Safety Indicator

Patient Safety Indicators (PSIs) are a set of measures that screen for adverse events patients experience as a result of exposure to the health care system. These events are likely amenable to prevention by changes at the system or provider level.

PSO: Patient Safety Organizations

Creates a legally secure environment (conferring privilege and confidentiality) where clinicians and health care organizations can voluntarily report, aggregate, and analyze data, with the goal of reducing the risks and hazards associated with patient care.

PS One: PowerScribe One

Nuance’s cloud-based radiology reporting tool powered by AI.

PSP: Primary Support Period

M&S for a given release.

PSTN: Public Switch Telephone Network

(Telephonnetz/ CS-integration).


QHP: Qualified Health Plan

A major medical health insurance plan that covers all the mandatory benefits of the Affordable Care Act.


RACF: Resource Access Control Facility

RAF: Risk Adjustment Factor

The RAF is a relative measure of the probable costs to meet the healthcare needs of an individual beneficiary. CMS pay plans for the risk of the individual beneficiaries they enroll, instead of calculating an average amount of Medicare/Medicare Advantage beneficiaries. By doing so, CMS is able to make appropriate and accurate payments for enrollees with differences in expected costs.

RBA: Role-Based Authorization (Biometrics)

RFO: Reason for Outage

RIS: Radiology Information System

A networked software system for managing medical imagery and associated data—especially useful for tracking radiology imaging orders and billing information.

ROM: Risk of Mortality

Provides a medical classification to estimate the likelihood of in hospital death for a patient. The ROM classes are minor, moderate, major, and extreme. The ROM class is used for the evaluation of patient mortality.

RCA: Root Cause Analysis

RPA: Robotic Process Automation

RSNA: Radiological Society of North America

Based in Oak Brook, IL and established in 1915, the RSNA is an international society of radiologists, medical physicists and other medical professionals with more than 54,000 members across the globe.

RTP: Real-Time Protocol

RTSP: Real Time Streaming Protocol


SALT: Speech Application Language Tags

SAMS: Systematic Acoustic Modeling Solution

SAN: Storage Area Network

Fibre channel connectivity to data repos server required for large VPW solution.

SAS: Festplatte (146GB für VPW)

SDK: Software Development Kit

A set of software development tools that allows the creation of applications for a certain software package, software framework, hardware platform, computer system, operating system, or similar development platform.

SDLC: Software Development Life Cycle

Used for NOD and security framework.

SDM: Service Delivery Management

SDR: Service Disruption Report

SDS: Spoken Dialogue Systems

SIAI: Service Improvement Action Item

SIIM: Society for Imaging Informatics in Medicine

The leading healthcare professional organization for those interested in the current and future use of informatics in medical imaging.

SIP: Session Initiation Protocol

(German: Sitzungs-Einleitungs-Protokoll).

SKU: Stock Keeping Unit

SLA: Service Level Agreement

SLM: Statistical Language Models

SLO: Service Level Objective

SMTP: Simple Mail Transfer Protocol

SNMP: Simple Network Management Protocol

SPIF: Sales Performance Incentive Fund

SOAP: Simple Object Access Protocol

SOI: Severity of Illness

Defined as the extent of organ system derangement or physiologic decompensation for a patient. It gives a medical classification into minor, moderate, major, and extreme. The SOI class is meant to provide a basis for evaluating hospital resource use or to establish patient care guidelines.

SPID: Speaker Identification

SPOC: Single Point of Contact

SPOF: Single Point of Failure

SRC: Service Reliability Center

SRE: Site Reliability Engineering

SSE: Speech Signal Enhancement

A suite of signal processing technologies that remove noise from microphone input and send out a cleaner signal for improved speech recognition and hands-free communication in noisy environments.

SSL: Secure Sockets Layer

SSM: Statistical Semantic Model

SSO: Single-Sign-On

STE: Secure Tuning Environment (SpScience)

SVC: Speaker Verification Controller

Context FreeSpeech, agent desktop.


TAPI: Telephony Application Programming Interface

TCP: Transmission Control Protocol

Communication between architecture modules of a FS scenario.

TCR: Transaction Completion Rate (see also CRR)

KPI used for transactional speech services and engagements.

TCV: Total Contract Value

TTS: Text to Speech

A type of speech synthesis that converts text into spoken voice output.

TUIT: True User and Imposter Trial

Used to verify performance of biometric system.



UDE: Universal Destination Entry

Navigation and local search.

URS: Universal Routing Server

USSD: Unstructured Supplementary Service Data

UX: User Experience

A person’s emotions and attitudes about using a particular product, system or service.


VAS: Voice Acquisition Server (FreeSpeech)

Audio acquisition server (FreeSpeech). The Time Division Multiplexing Acquisition Server (TAS) or the VoIP Acquisition Server (VAS). The TAS is physically connected to the digital extensions and acquires audio directly from them. The VAS acquires audio by sniffing VoIP (RTP) packets, which are directed to a designated extension or IP address (both static and dynamic) through a standard network card. This solution is software based.

VB: Voice Biometrics

A speaker authentication technology that captures a voice sample from a live caller, compares it to a previously stored voiceprint, and produces a confidence score of how closely the caller’s voice sample matches the voiceprint.

VBP: Value-Based Purchasing

CMS initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries.

VBC: Value-Based Care

We’re transitioning as an industry from fee for service to VBC which aims to advance the triple aim of providing better care for individuals, improving population health management strategies, and reducing healthcare costs.

VM2T: Voicemail to Text

(AKA V2T).

VNA: Vendor Neutral Archive

A medical imaging technology in which images and documents (and potentially any file of clinical relevance) are stored (archived) in a standard format with a standard interface, such that they can be accessed in a vendor-neutral manner by other systems.

VPMCLI: VocalPassword

Includes a command line utility that enables administrator to perform various administration tasks such as: retraining voiceprints or deleting history records from the database.

VPN: Virtual Private Network

VPP: Voice Processing Platform

VPS: Genesys Voice Platform Solution


Web services use standard Internet protocols such as HTTP, XML, and SOAP to provide connectivity and interoperability between systems and companies.

VQA: Voice Quality Assurance

VSOE: Vendor Supplier/Specific Objective Evidence

Term used in Application M&S, If an arrangement consists of multiple deliverables, or elements, revenue should be allocated to the various elements based on vendor-specific objective evidence of fair value. The best evidence of fair value is the price

VVM: Visual VoiceMail

VXML: Voice Extensible Markup Language (also VoiceXML)


WCF: Windows Communication Foundation

WSDL: Web Service Description Language