Nuance Healthcare
Release overview | Important information | What's new | Improvements | Solved issues | Known issues | System requirements | Release history
Dragon Medical One 2022.2 is an incremental release intended as a preview for an upcoming version of Dragon Medical One.
Dragon Medical One now uses Microsoft Edge WebView2 to display richer content with improved usability in the Dragon Medical One personalization and help window. To support this improvement, you must deploy the Microsoft Edge WebView2 runtime component to machines that host Dragon Medical One. Failing to do so will not impact the core functionality of Dragon Medical One but will potentially impact end users interacting with content displayed in the Dragon Medical One personalization and help window. To deploy Microsoft Edge WebView2 to machines hosting Dragon Medical One, install the Microsoft Edge WebView2 Evergreen Standalone component; for more information, see Webview2 - Microsoft Edge Developer.
Currently, some Citrix environments exhibit issues that can cause the Microsoft Edge WebView2 runtime process to fail working as expected, leading to the Dragon Medical One personalization and help window not displaying properly, and to sometimes terminate with a message visible to end users. As a workaround, you can apply a configuration change to Citrix to disable the Citrix Special Folder Redirection feature (SfrHook) for the Microsoft Edge WebView2 runtime process. To do so, add the following registry keys to your Citrix environment configuration:
[HKEY_LOCAL_MACHINE\SOFTWARE\Citrix\CtxHook\AppInit_DLLs\SfrHook\msedgewebview2.exe]
[HKEY_LOCAL_MACHINE\SOFTWARE\WOW6432Node\Citrix\CtxHook\AppInit_DLLs\SfrHook\msedgewebview2.exe]
For Citrix documentation on the registry keys, see: How to Disable Citrix API Hooks on a Per-application Basis
Starting with Citrix Virtual Apps and Desktops 2109, the 'Virtual channel allow list' policy setting will be enabled by default.
This means that Nuance custom virtual channels will no longer work with the default configuration. The policy setting for virtual channels must be disabled (preferred), to allow all virtual channels again, or configured to allow Nuance virtual channels. For more information, see the Nuance Citrix Extension Deployment and Configuration Guide delivered with the Nuance virtual extension package orcontact Nuance Technical Support.
Running the MSI installer will create a new entry called 'Dragon Medical One 2022' in Apps & features, side-by-side to any older versions of Dragon Medical One. Automatically upgrading from an older version is currently not supported.
Dragon Medical One no longer requires Philips Virtual Server device extensions to be deployed on the virtual server; deploying the virtual extensions to the end point is sufficient to enable support of Philips microphone device buttons in Dragon Medical One.
Dictation at the cursor is now supported for the following EHRs when hosted in Google Chrome and Microsoft Edge:
To support dictation at the cursor in web-based EHRs, you must install the Dragon Medical One web extensions for Google Chrome and Microsoft Edge.
End users can now deploy Dragon Medical One to their end point using the Dragon Medical One Installer.
Administrators can now deploy Dragon Medical One to virtualized environments that are hosted on Microsoft Windows Server 2022.
Dragon Medical Virtual Assistant use cases are now supported when using Nuance PowerMic Mobile as input device.
The 'Optimize for rapid navigation' setting is now correctly applied when documenting in the following applications:
Dragon Medical One now allows hotkeys to be entered one key at a time as an alternative to pressing the full sequence at once. For example, to configure Ctrl+F2, end users can now start editing the hotkey and do one of the following:
Log files generated when using Dragon Medical One with WebView2 controls in Cerner Millennium have been renamed from SoD.CommunicationHub_yyyymmdd.log and SoD.HubLauncher_yyyymmdd.log to SoD.CommunicationHubyyyymmdd.log and SoD.HubLauncheryyyymmdd.log. The default location of these log files is the same as for the SoD.log file. In a virtual desktop/application environment, we recommend configuring a user-specific folder as the log file location, for example: %USERPROFILE%\\Documents\\SoD.CommunicationHubyyyymmdd.log
To configure the log file location of the hub launcher, go to SoD\CommunicationHub, open LauncherAppSettings.json and edit the 'path' key.
To configure the log file location of the communication hub, go to SoD\CommunicationHub, open appsettings.json and edit the 'path' key.
The default log level is Error. The following log levels are supported:
Verbose
Debug
Information
Warning
Error
Fatal
Microsoft Windows voice commands to copy and paste text
Fields that are supported for dictation at the cursor but require key press simulation for full functionality
Section 508 compliance
Text control mapping
Basic Text Control with URL support
Dragon Medical One Java Integration SDK
Dragon Medical One .NET Integration SDK
WPF
TX30
When having VMware Horizon Agent 8 installed, Dragon Medical One might not start again after the application has been closed. The issue has been fixed with the VMware Horizon 2111 release (Horizon Agent 8.4).
When working with a Philips SpeechMike or Nuance PowerMic 4 device, the screen saver is not displayed after the configured period of inactivity when recording is in standby mode.
To disable this behavior, press and hold the left mouse and touchpad buttons on the recording device for five seconds. When the firmware setting has been changed successfully, the device provides visual and audio feedback. This setting is stored on the device and needs to be changed individually on each device.
On a virtual machine, when configuring the 'General.EnableHandsFree' and 'General.StartInStandbyMode' settings in the SoD.DefaultOptions section of the Dragon Medical One configuration file to 'True', these settings are not reflected in the 'General' pane of the 'Options' dialog box.
When working in unsupported applications with Basic Text Control enabled, the microphone icon is sometimes not updated to indicate Full Text Control when switching to a supported application.
When working with a Nuance PowerMic III device in an RDS environment, the microphone device buttons will stop working after disconnecting and reconnecting or locking and unlocking the RDS end point.
When having the Dictation Box open and with the 'Anchor the speech focus when recording is started' option enabled in the 'General' pane of the 'Options' dialog box, putting the cursor into a supported text control and starting recording will not close the Dictation Box on the first attempt and the Dragon Medical One user interface will reflect the change of the recording status only with a delay of several seconds.
When dictating in Google Chrome or Microsoft Edge applications, formatting commands are not supported.
When dictating in Google Chrome or Microsoft Edge applications, 'undo that' and 'redo that' commands are not supported.
When dictating in an edit control and exiting the edit control application, the remaining part of the utterance will be written to the Dictation Box in the incorrect order.
When dictating in Epic Hyperspace and switching between fields, the dictated text is always inserted in the first field.
When dictating with the dictation anchored to Epic Hyperspace and closing the application, Dragon Medical One sometimes becomes unresponsive.
For more information on supported infrastructure and text control support, see the Dragon Medical One Installation and Administration Guide.
Operating systems:
Microsoft Windows 8.1
Microsoft Windows 10
Microsoft Windows 11
Microsoft Windows Server 2012 R2
Microsoft Windows Server 2016
Microsoft Windows Server 2019
Microsoft Windows Server 2022
Runtime:
Microsoft .NET 4.7.2
Microsoft WebView2
Citrix:
Citrix XenApp and XenDesktop 7.15 or higher
Citrix Virtual Apps and Desktops 1808 or higher
Citrix Workspace app 1912 or higher
VMware Horizon View 7:
VMware Horizon View Agent 7.6 or higher
VMware Horizon View Client 4.9 or higher
Virtual server operating systems:
Microsoft Windows Server 2012 R2
Microsoft Windows Server 2016
Microsoft Windows Server 2019
Microsoft Windows Server 2022
Runtime:
Microsoft .NET 4.7.2
Nuance Virtual Extensions 122.3.423.0
Nuance PowerMic 122.3.423.0
Note: Audio extensions are backwards compatible up to a year. However to take advantage of new functionality, we recommend you upgrade.
If your environment does not meet the minimum requirements outlined, Nuance's ability to assist may be limited. This means that most functionality questions continue to be addressed, but if a bug is suspected or you are running into an issue that requires a technical investigation beyond known issues and fixes, we will recommend that you upgrade to the latest supported version. The following products fall into this best-effort support framework (this list is not comprehensive):
Support for third-party environments is only valid as long as they are supported by the corresponding vendor and might be subject to other restrictions. Please contact Nuance Technical Support for details. For more information, see the documentation delivered with the third-party product and supporting Nuance documentation.
When standard support by the vendor has stopped, Nuance will continue support if an issue is specific to the Nuance solution, within the limitations of the vendor’s standard end-of-life and Nuance's policy. This means that issues that are a combination of the vendor’s component and the Nuance solution cannot be supported.