Dragon Medical One Desktop Application 2024.2

Important information

New access requirements

Dragon Medical One 2024.2 requires access to https://dragon.us.dmp.nuance.com via port 443; make sure your firewall doesn’t block this port.

Support update

Change in support definitions

The definition of support for Dragon Medical One has changed to more accurately describe how support is applied to releases. The ‘Support’ period for each release continues to be 12 months after the release date. In the past, this was closely followed by an ‘End of life’ date of approximately 15 months, which was extended for several releases over time. The new definition provides a ‘Limited support' period of 6 months after the ‘Support’ period and an additional period of 6 months before 'End of life’. End of Life is now 24 months after the release date. The new definitions and an updated release version chart are included below.

• Supported: A given major release or point release is supported for 12 months after the initial release date. During this period, Nuance will investigate any reported issues and make best efforts to address any confirmed defects in a future major, point or service release.
• Limited support: If a major release or point release is more than 12 months old, it will still interoperate with our Nuance cloud, but it is supported on a limited basis for an additional 6 months. 'Limited support’ means Nuance will investigate any reported issues but will not work to resolve an issue that cannot be reproduced on a supported release.
• End of support (EOS) and end of life (EOL): A major release or point release that is more than 24 months old will no longer function due to advances in the Nuance cloud infrastructure.

If you are using an unsupported version, please contact Nuance support immediately for information on how to upgrade.

What's new

Nuance Healthcare ID (NHID) removal from Dragon Medical One

As part of the evolution to improve performance and provide better user experiences, the Nuance Healthcare ID (NHID) is no longer supported by Nuance and has been discontinued as of April 1, 2024. All registered NHID users had access to Nuance Clinical Calculators, which is now replaced with a much more expansive collection of calculators from MD Calc. Please refer to this link for more details. NHID can no longer be accessed from Dragon Medical One.

Easier access to the Training center

Users can now access the Dragon Medical One Training center from the DragonBar menu in addition to accessing it via the 'What You Can Say' window or dictating open training. In the Training center, you can find quick reference guides, tutorial videos, webinars, newsletters and more to help you optimize Dragon Medical One.

Solved issues

General

• Dragon Medical One no longer terminates unexpectedly when the user executes a step-by-step command containing a voice command that opens another Dragon Medical One UI element (for example, the 'Manage Auto-texts' window). [1138717]
• Dragon Medical One no longer becomes unresponsive when logging on to a new Citrix session or reconnecting to a running Citrix session. [1340820]
• The Dragon Medical One Installer splash screen now references the correct version. [1271502]
• The ‘Record’ button behavior configuration (press-and-hold) is now properly set when signing out one user and signing in with another. [1139332]
• When transferring text from the Dictation Box to a target app via a step-by-step command, the text is now deleted correctly from the Dictation Box after transfer. [1343352]

Application support

• When documenting into Cerner apps, text is now inserted in the correct position. [DMOCE-2203]
• When starting Dragon Medical One or executing step-by-step commands on virtual servers with a large number of running processes, significant delays in starting Dragon Medical One or executing step-by-step commands are no longer observed. [DMOCE-2225]
• When releasing the speech focus from a control that is no longer active in Epic Hyperdrive, Dragon Medical One no longer becomes unresponsive for up to 3 seconds. [1467902]
• Using Dragon Medical One no longer causes a script error in the ClinicCenter EHR. [DMOCE-2196]
• Special characters are now correctly transferred from the Dictation Box when using the 'Simulate keystrokes' option. [1157294]
• Formatted auto-texts are now inserted with the correct formatting, in the expected text control rather than the Dictation Box. [1320922]

Known issues

Functionality not included in the 2024.2 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 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.

• Deploying Dragon Medical One using the Windows Installer fails if the user does not have administration rights. To be able to install the MSI package, you must run the Command Prompt as administrator.

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 is highlighted in black.

• Special and accented characters are not correctly retained when using the make that an auto-text voice command in the new 'Manage auto-texts' window.

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 10

  Microsoft Windows 11

  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 2016

  Microsoft Windows Server 2019

  Microsoft Windows Server 2022

• Runtime:

  Microsoft .NET 4.7.2

  Nuance Virtual Extensions 2024.3 (124.3.651.0)

  Nuance PowerMic 2024.3 (124.3.651.0)

  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 8.1

• Microsoft Windows Server 2008 R2
• Microsoft Windows Server 2012 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 2024.1

Dragon Medical One 2023.4 Hotfix 2

Dragon Medical One 2023.4 Hotfix 1

Dragon Medical One 2023.4

Dragon Medical One 2023.3 Service Release 1

Dragon Medical One 2023.3

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