Dragon Medical One Desktop Application 2024.3

Important information

New access requirements

Dragon Medical One 2024.3 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

We've changed our support definitions for Dragon Medical One to more accurately describe how support is provided to releases. End of Life is now 24 months after the initial release date. When a product release becomes available, it is fully Supported for 12 months, then we provide Limited Support for 6 months. After another 6 months, the product reaches End of Life. The new definitions and an updated release version chart are included below.

• Supported: We support major releases and point releases 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 work with our Nuance cloud, and 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

Manage auto-text formatting

When auto-text formatting is enabled for an organization, site or group, users can turn on this feature in the Dragon Medical One app.

1. Log on to Dragon Medical One.

2. Select the menu icon .

3. Select Manage Auto-texts.

4. Select + Create and turn on/off Formatted text to enable or disable auto-text formatting.

The Manage auto-texts dialog has been redesigned and is now simpler to use.

Dragon Medical One WebView2 communication hub targets .NET 8.0 runtime and ASP.Net Core 8.0 runtime

The Dragon Medical One WebView2 communication hub now targets the .NET 8.0 runtime and ASP.NET Core 8.0 runtime. This upgrade ensures that the hub benefits from ongoing updates and support, reducing security vulnerabilities and improving overall product quality. The .NET 6.0 runtime will stop receiving updates from Microsoft in November 2024.

IMPORTANT: You now need to deploy the .NET 8.0 runtime and ASP.NET Core 8.0 runtime on your machine separately. The .NET runtime and ASP.NET Core runtime are no longer packaged with Dragon Medical One. Refer to the latest version of the Installation and Administration Guide for detailed instructions on ensuring compatibility with your systems. Failure to do so might result in compatibility issues or loss of functionality.

Wake word uses Microsoft Keyword Spotter

Dragon Medical One’s wake word feature now uses Microsoft Keyword Spotter to recognize keywords while offline in local and virtual environments. This upgrade reduces the chance of false positives by moving away from Cerence VoCon components.

Changes

• Removal of Cerence VoCon components: All Cerence VoCon components have been removed.

• Implementation of Microsoft Keyword Spotter: Dragon Medical One now exclusively implements Microsoft Keyword Spotter for offline keyword recognition.

• Integration and API features: The SDK has been updated with consideration of integration, API features, recognition quality, memory, performance, file size and platforms.

• Supported environments: The SDK supports local, Citrix, VMware and RDS Windows end points.

Linux extensions deprecated

For maintenance and security reasons, there will be no future versions or security updates for Linux extensions. Users should instead use the Citrix native extension for Linux. Further details will be made available in end-of-life support information by mid 2025.

Improvements

Improved authorization security enforcement

We've implemented significant improvements in how credential information is managed post-authentication in Dragon Medical One. These changes are designed to bolster proper authorization across the stack, mitigating future threats and making sure that our authentication methods are effective.

Enhancements

• Handling user credentials:

  • We've updated the way we handle user credentials after successful authentication so we can dispose of user credentials securely.

  • We ensure that we transmit and use access tokens securely to prevent unauthorized access across the product stack.

• Token renewal process:

  • We’ve improved the token renewal process for Native/LDAPLOCAL authentication to make the experience smoother and more secure. In case of token renewal issues, an error message is displayed.

Best practices and Auth0/MSAL libraries updated

When integrating with third-party authentication methods, Dragon Medical One Desktop Application now uses the latest version of the Auth0/MSAL libraries. This is in alignment with Microsoft security requirements.

• Library update: MSAL/Auth0 libraries have been updated to the latest released and stable version in Dragon Medical One Desktop Application to ensure compliance and enhance security.

• Best practices: The integration process has been thoroughly reviewed and updated to follow best practices for authentication methods.

Solved issues

General

• Dictation is now inserted into the correct Word document when switching between documents. [1320823]

• Clipboard contents are no longer randomly inserted into dictation. [1320824]

• Deactivating the "Always use when logging on" option now works as expected. [1320846]

• Dragon Medical One now uses the correct color theme when using a customized config file. [1320858]

• Formatting commands in Microsoft Word now work as expected. [1320860]

• WebView2 no longer terminates unexpectedly due to browser failures. [1320880]

• Dragon Medical One no longer terminates unexpectedly in the following scenarios:

  • When users roam between workstations. [1657787]

  • When Cerner users don't have standby mode enabled and roam between workstations. [1320885, 1758575]

  • After logging a nullreferenceexception for onappcontextupdate. [1702494]

  • When a Powerchart user in a Citrix environment switches on the mic and gets a DMA exception. [1723564]

  • When dictating in an RDP and Windows Server 2022 environment. [1654706]

• The cursor now behaves as expected while dictating. [1331390]

• Help content is still available if the file path contains extended characters. [1333962]

• The make that an auto-text command no longer inserts extra characters. [1339991]

• LDAP authentication now works as expected. [1468321]

• Local authenticator SSL certificates now work as expected. [1513693]

• The sodria_nmhost.exe process now works without errors. [1511437]

• Tab indentation now works in the Dictation Box when in plain text mode. [1559917]

• Dictated text now has the correct formatting when inserted into Microsoft Word. [1619144]

• Long auto-texts are now displayed correctly in the Dictation Box. [1629552]

• Dragon Medical One no longer logs an exception when exiting WebView2. [1719923]

• PowerMic Mobile now handles dictation as expected, without poor audio or missing sections. [1704571]

Application support

• Dragon Medical One no longer logs PHI in entries tagged as Epic Exceptions. [1549726]

• When Epic Hyperdrive controls are destroyed, Dragon Medical One now removes any invalid controls from the control pool. [1522254]

• Text from dictated auto-texts no longer appears in both the field in Epic Hyperdrive and the Dictation Box at the same time. [1621248]

Known issues

Functionality not included in the 2024.3 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.

Formatted auto-text context formatting limitations

Formatted auto-texts are inserted using the clipboard, which means Dragon Medical One can't apply context-dependent formatting adjustments like automatically adding white space or adjusting capitalization. To avoid this, users can dictate a punctuation mark or new line before inserting an auto-text, or adjust the formatting and capitalization manually.

Dragon Medical One

General

• Sometimes a crash dump file is created when closing Dragon Medical One.

• 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 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.
• 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.

• Sometimes when the user opens the Options dialog box and then closes Dragon Medical One, the app doesn’t close properly and can’t be restarted. To be able to restart Dragon Medical One, the user first needs to manually end the SOD.exe task in Task Manager. SOD-1677201

• Dragon Medical One terminates unexpectedly when a DMA user (using the Nuance EHRi Web Extension) is not using .NET 6. runtime. To solve this issue, do the following:

  • Open the .NET download page.

  • Navigate to ASP .NET Core Runtime 6.0.33.

  • Navigate to Windows Installer.

  • Download the software from x86 link.

  • Install the software.

  • Confirm if this crash is specific to the extension user.

• When DMA users navigate in their Cerner application, the microphone sometimes stops responding. When this issue occurs, Dragon Medical One freezes temporarily.

• When DMA users document in their Cerner application, sometimes a text field stops responding to keyboard input. Users can continue with dictation, and the text field will respond to the keyboard again when Dragon Medical One is closed - SOD-1846641

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. SOD-48736
• When the Dictation Box is open and the 'Anchor the speech focus when recording is started' option is 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 after a delay of several seconds.
• When dictating in Google Chrome or Microsoft Edge applications, formatting commands are not supported. SOD-1135326
• When dictating in Google Chrome or Microsoft Edge applications, the commands undo that and redo that are not supported. SOD-1135417
• When dictating in an edit control and exiting the edit control application, the remaining part of the utterance is written to the Dictation Box in the incorrect order. SOD-1135536
• When dictating over text that contains bullet points, the cursor is not positioned at the end of the newly dictated text. SOD-1157113

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. SOD-1157105
• 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. SOD-1157124

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 .NET 8.x (x86)

  Microsoft ASP.NET Core 8.x (x86)

  Microsoft WebView2

Virtualized environments

• Citrix:

  Citrix XenApp and XenDesktop 7.15 or higher

  Citrix Virtual Apps and Desktops 1912 LTSR or higher

  Citrix Workspace app 1912 LTSR 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

  Microsoft .NET 8.x (x86)

  Microsoft ASP.NET Core 8.x (x86)

  Nuance Virtual Extensions 2024.1 (124.1.547.2423)

  Nuance PowerMic 2024.1 (124.1.547.2423)

  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 8.1
• Microsoft Windows Server 2012 R2
• 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 2024.2

Dragon Medical One 2024.1

Dragon Medical One 2023.4 Hotfix 3

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