Dragon Medical One Desktop Application 2023.3

Important information

Mandatory update to the configuration file

Dragon Medical One 2023.3 introduces a breaking change to the Dragon Medical One configuration file. Make sure that the configuration file delivered with Dragon Medical One 2023.3 is used in your deployments. Failure to use the updated configuration file will lead to an error during application start; the error message will state that 'The “Flavor” setting is not configured correctly in the configuration file. Please contact your administrator.'

Update to the 'DefaultOptions' configuration file section

Dragon Medical One 2023.3 introduces a breaking change to the Dragon Medical One configuration file section that is used to define application default options. If your deployments configure default options via the configuration file, either update your configuration file to the one that is delivered with Dragon Medical One 2023.3, or change the existing configuration file as follows:

Change

<section name="SoD.DefaultOptions" type="SoDCommon.DefaultOptionsSection, SoD.Common" requirePermission="false"/>

to

<section name="SoD.DefaultOptions" type="SoDCommon.DefaultOptionsSection, Nuance.SoD.Common" requirePermission="false"/>

Using Microsoft Edge WebView2 to display the content of the personalization and help window

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.

Microsoft Edge WebView2 deployment in Citrix environments

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

Change of default settings for Citrix virtual channels

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, or contact Nuance Technical Support.

Citrix and VMware automatic USB device splitting to enable button controls on Nuance PowerMic devices

In a session roaming use case in Citrix or VMware environments where the Nuance virtual extensions cannot be used (for example, on Linux-based thin clients), manual device splitting is not supported. Automatic device splitting must be configured; for more information, see the Deployment and Configuration for Citrix Environments and Deployment and Configuration for VMware Horizon View Environments guides.

What's new

Dragon Medical One redesign

The Dragon Medical One DragonBar has been redesigned based on customer feedback:

• Reduced the size by 75% to minimize the footprint on screen.

• Updated the volume indicator.

• Updated indicators for speech focus anchoring and Basic Text Control.

The following usability improvements have been made:

• Full design refresh of the ‘Corrections’ menu, notification messages and the Dictation Box.

• Support for automatically changing the color to match the Windows operating system theme.

• The position of the DragonBar and Dictation Box is now saved between sessions in VDI environments.

This redesign is also the first step towards compliance with accessibility standards; as a result, users cannot revert to the previous DragonBar.

Warning message for formatted auto-texts

End users will now see a warning message if they try to edit formatted auto-texts through Dragon Medical One and not Nuance Management Center. This behavior is not new, but the warning message now informs end users that trying to do this will make the auto-text revert to plain text.

Epic Hyperdrive support

Epic Hyperdrive customers who register on fhir.epic.com to subscribe to the Hyperdrive connector app will have two static client IDs. They will have one static client ID for production and one for non-production environments. Dragon Medical One is now able to detect the environment and set the appropriate client ID.

Support for TX30

Dragon Medical One now supports applications that use the TX TextControl 30.0 text control.

DAX Express in Dragon Medical One

DAX Express is a workflow solution that uses your mobile device plus Dragon Medical One to add artificial intelligence to your documentation workflow.

The DAX Express app on your mobile device securely captures your patient conversation during a visit. An in-app clinical summary is available for your review immediately after the visit. Use DAX Express with Dragon Medical One on your workstation to edit the clinical summary and transfer it to your EHR for finalization.

Solved issues

General

• When ‘Transfer text when recording is stopped’ is enabled, text is now transferred immediately after recording ends, even when there is no pause between this and the end of the dictation. [SOD-49667, DMOCE-1825]

• Accented characters can now be transferred correctly from the Dictation Box in formatted text mode. [SOD-48789, DMOCE-1757]

• When ‘Audio feedback when voice commands are recognized’ is enabled, Citrix now gives audio feedback when voice commands are recognized. [SOD-48687, DMOCE-1638]

• The show anchored application voice command now shows the anchored application without resizing the window. [SOD-31002, DMOCE-1909]

• Users working in a Citrix environment can now move between different workstations without audio error. [DMOCE-1834]

• The delay between pressing the PowerMic button and starting recording in virtual environments has been considerably reduced. [DMOCE-1819]

• Dragon Medical One no longer stops responding when recording. [DMOCE-1726]

• The delay between pressing the PowerMic button and starting recording on Cerner PowerChart in double-hop Citrix environments has been considerably reduced. [DMOCE-1933]

Application support

• The Chrome/Edge change warning on the Dragon Medical One login window is now only displayed when needed. [SOD-50660, DMOCE-1910]
• The Dictation Box no longer opens when switching dictation from an unsupported edit control to a supported edit control. [SOD-50422]
• The Dictation Box no longer opens when dictating on Edge-enabled MPages. [SOD-50355, DMOCE-1877]
• The Dictation Box no longer opens when users dictate into Cerner MPages with a Webview2 container after tagging text. [SOD-51606/DMOCE-1974]
• The Dictation Box no longer opens when users insert public phrases in Cerner MPages with a WebView2 container. [SOD-45426/DMOCE-1765]

Known issues

Functionality not included in the 2023.3 release

Use cases and functionality that are not supported

• Fields that are supported for dictation at the cursor but require key press simulation for full functionality
• Basic Text Control with URL support

Applications and text control types that are not supported

• WPF

• Delphi TRichEdit

VMware Horizon Agent 8

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).

Screen saver not displayed

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.

Dragon Medical One

General

• When accessing links in the 'Help' window, the application displays an error message. Users can click 'Yes' or 'No' or close the error window to continue with help content, or say open training to access the training module. The training module covers most feature-related help topics.
• When opening the ‘Corrections’ menu in virtual server environments, any parts of the menu that overlap with the desktop have a black border.
• When transferring text from the Dictation Box to the target text control, the target application sometimes displays an error message telling the user that the operation cannot be completed because the clipboard is in use by another application. In this case, users can recall the text back to the Dictation Box and try to transfer the text again.
• 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' window.
• 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.
• Saying press tab does not insert a tab in the Dictation Box, it changes the focus to another text control instead.
• The following voice commands do not work in the anchored Microsoft Word application when the focus is on any other window: press space, press tab, press enter, cut, copy, paste.

Dictation

• When using a selection voice command in the Dictation Box after it was opened automatically, the cursor focus is removed from the original unsupported application.
• 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' window, 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, the commands undo that and redo that 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 over text that contains bullet points, the cursor is not positioned at the end of the newly dictated text.

Formatted auto-texts

• When inserting a formatted auto-text that contains a table in the Dictation Box, the cursor is not positioned at the end of the auto text.
• When transferring a formatted auto-text from the Dictation Box to Microsoft Word or a Google Chrome/Microsoft Edge text control, the transferred text in highlighted in black.
• When using the voice command accept defaults in a formatted auto-text, the formatting in the auto-text fields is lost.
• When editing a formatted auto-text in the 'Manage Auto-texts' window, the formatting of the auto-text is lost.
• When inserting a formatted auto-text that contains a large picture, users experience a delay.

System requirements

For more information on supported infrastructure and text control support, see the Dragon Medical One Installation and Administration Guide.

System requirements

• 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

Virtualized environments

• Citrix:

  Citrix XenApp and XenDesktop 7.15 or higher

  Citrix Virtual Apps and Desktops 1912 or higher

  Citrix Workspace app 1912 or higher

• VMware Horizon View 7:

  VMware Horizon View Agent 7.13 or higher

  VMware Horizon View 5.5 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 2023.4 (123.4.305.0)

  Nuance PowerMic 2023.4 (123.4.305.0)

  Note: Audio extensions are backwards compatible up to a year. However to take advantage of new functionality, we recommend you upgrade.

Virtualized environments - Thin client support

• IGEL (For information on the IGEL thin clients supported, search for Nuance compatibility in the IGEL Knowledge Base.)

Best-effort support

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):

• Microsoft Windows 7
• Microsoft Windows Server 2008 R2
• Citrix XenApp 6.5
• Citrix Workspace app < 1912

Third-party environments

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.

Product life cycle

Release history

Dragon Medical One 2023.2 Service Release 1 Hotfix 1

Dragon Medical One 2023.2 Hotfix 1

Dragon Medical One 2023.2 Service Release 1

Dragon Medical One 2023.2

Dragon Medical One 2022.3 Hotfix 3

Dragon Medical One 2022.3 Hotfix 2

Dragon Medical One 2022.3 Hotfix 1

Dragon Medical One 2022.3

Dragon Medical One 2022.2 Hotfix 2

Dragon Medical One 2022.2 Hotfix 1

Dragon Medical One 2022.2

Dragon Medical One 2022.1