Dragon Medical Network Edition

Transcription

1 Dragon Medical Network Edition Version Minitracker Release Notes 1

2 Dragon Medical Network Edition Release Notes Copyright Copyright Nuance Communications, Inc. All rights reserved. Nuance, ScanSoft, the Nuance logo, the Dragon logo, Dragon, DragonBar, NaturallySpeaking, NaturallyMobile, RealSpeak, Nothing But Speech (NBS), Natural Language Technology, Select-and-Say, MouseGrid, and Vocabulary Editor are registered trademarks or trademarks of Nuance Communications, Inc. in the United States or other countries. All other names and trademarks referenced herein are trademarks of Nuance Communications or their respective owners. Designations used by third-party manufacturers and sellers to distinguish their products may be claimed as trademarks by those third-parties Published by Nuance Communications, Inc., Burlington, Massachusetts, USA Visit us on the Web at to our international web sites are shown there. Published on 9/22/2017 L

3 Contents Contents Copyright 2 Contents 3 What s new in Dragon Medical Network Edition 4 System requirements for DM Network Edition, version Dragon Medical Network Edition guides and manuals 6 System requirements when running Dragon with memory intensive applications 7 Installing or Upgrading DM Network Edition 8 Logging and Protected Health Information 9 The Protected Health Information Warning Dialogs 9 Nuance Upgrade Training 10 Update installer updates 11 When to use the Update installer 12 Upgrading the Citrix Client Extension 13 The VMware PowerMic Extension (For use with RTAV) 14 Using the PowerMic with VMware Horizon and RTAV 14 Install the VMware PowerMic Extension on the Dragon Medical client machine 14 VMware PowerMic Extension and RTAV Information for Dragon end users 15 Requirements for Using VMware PowerMic Extensions 15 New in Dragon Medical Network Edition 17 Known Issues and Fixes 18 Product build numbers 19 DM Network Edition Version 2.x Releases 19 Viewing version numbers for DMNE service packs or hotfixes 20 Finding DM Network Edition build numbers 22 3

4 Dragon Medical Network Edition Release Notes What s new in Dragon Medical Network Edition This section covers the newest release of Dragon Medical Network Edition; Nuance s leading speech-recognition and reporting solution for medical professionals. This release provides new features, updates, and enhancements for providers and administrators. DMNE is a minitracker release for Cerner customers that should be deployed in environments with clients running DMNE 2.0 or later. For more details, visit and view article System requirements for DM Network Edition, version Software components: DM Network Edition version client build (including vsync/minitracker number ). Update Installer/Service pack build number An abbreviated client including: The Update Installer Nuance Management Center server support: Dragon SDK support Cerner customers: vsync MiniTracker, version vsync Restorer Dragon Client for Remote Desktop Citrix Extension (previously known as the Citrix Client Update) VMware Extension to support Real-Time Audio- Video (RTAV) The Update installer version of the software does not include updates for language or acoustic models. See Upgrade installer updates on page 11 for more information. For additional software versions, see the Build Number Table at the end of this document. NOTE: This software is available separately for US English and UK English. The Dragon Client supports Nuance Management Center server 5.7 (onpremise and cloud) and (SP4). To obtain a copy of the supported version of the NMC server software, contact Nuance. Dragon SDK 2.7, version , is available at the time of this DMNE release. You can download this software from isupport. NOTE: This software is available separately for US English and UK English. PowerMic SDK support DMNE ships with support for PowerMic SDK version Product download location: isupport Solution Product upgrade support: Service Pack Update installer (2.7.1) Upgrade from DMNE 2.x 4

5 What s new in Dragon Medical Network Edition Minimum version of the.net Framework Upgrading profile to version 2.x requirement: Minimum version of the Dragon client for by Nuance Management Center server 5.5: DM Network Edition vsync Dragon client support: Web browser support Citrix products support New Windows support Service pack update installer will install over previous US English and UK English 2.x products Full Build Installer (2.7.1) Upgrade from DMNE 2.x. Upgrade from DMNE 1.0 SP6. Upgrade from Dragon Medical Enterprise Edition version 10.x Upgrade from Dragon Medical Practice Edition version 11.NET Framework 4.5 If you are upgrading from the following versions of Dragon Medical, you must upgrade your user profiles to version 2.x as described in the DM Network Edition Installation Guide: Server and Client upgrade from DM Network Edition 1.0 SP6 (build number ) Upgrade from Dragon Medical Enterprise Edition 10.x Upgrade from Dragon Medical Practice Edition version 11 DM Network Edition 1.0 SP6 (build number ) DM Network Edition 1.0 SP6 (build number ) and newer. Note that generally the vsync Mini-Tracker component on all Citrix servers must be equal to or greater than the highest version of the vsync client component installed on the Dragon workstations. Internet Explorer 9, 10 and 11 for all DMNE 1.x and 2.x products. As of January 2016, Microsoft only supports Internet Explorer version 11 and higher. DMNE supports: -Citrix XenApp server 7.11 and Citrix XenDesktop 7.11 and Citrix Receiver 4.5 and 4.7 -Windows 10 Anniversary Edition validation, Creator Update -Windows Server 2016: You can use the Dragon Medical client with Remote Desktop on Windows Server2016. However, limited support is available for XenApp with vsync and XenDesktop (optimized mode) due to third-party issues that cause poor audio for transcription. For details, see the Dragon and Citrix products Administrator Guide. 5

6 Dragon Medical Network Edition Release Notes Dragon Medical Network Edition guides and manuals DMNE version Planning and Deployment Guide Installation Guide Administrator Guide Citrix Administrator Guide Version 2.7 L-3929 L-3930 L-3928 L-3931 Please refer to isupport Solution 14111: Dragon Medical 360 Network Edition User Documentation. 6

7 System requirements when running Dragon with memory intensive applications System requirements when running Dragon with memory intensive applications When reviewing the memory requirements for your system consider the requirements for your EMR system in addition to Nuance s recommendation for Dragon. You may need to configure your system with more memory than recommended by Nuance. Contact your EMR vendor for specific information. For more information on Nuance s system requirements, please see the Dragon Planning and Deployment guide located here: 7

8 Dragon Medical Network Edition Release Notes Installing or Upgrading DM Network Edition When you install or upgrade DM Network Edition, be sure to install or upgrade the server components; the Nuance Management Center server and Console, Speech Nodes, and the SDK (if included with the product), before installing or upgrading the Dragon client. See the DM Network Edition Installation Guide for details on how to install the server and client components of DM Network Edition. 8

9 Logging and Protected Health Information Logging and Protected Health Information The default logging settings in Dragon Medical products produce log data that complies with privacy standards. Dragon Support may instruct you to change these logging settings to produce logs that provide more information. In this case, the log data may include patient relevant data, for example, patient name. To remain compliant to local privacy standards, you should only use these logging settings in a test environment, or with test patient data. The Protected Health Information Warning Dialogs If you have changed your logging settings so that the logs may include PHI, warning dialogs will appear when you load a user profile, giving you the option to cancel these changes. If you click OK, PHI may appear in the logs. If you click Cancel, Dragon will shut down if you are in the Dragon Client, or will disable logging if you are in the EHR Synchronizer/MiniTracker. 9

10 Dragon Medical Network Edition Release Notes Nuance Upgrade Training Upgrading to DM Network Edition version upgrade is complex if you are not upgrading from DM Network Edition Version 2.x. You will need to plan your upgrade carefully, taking your specific needs and environment into account. Nuance strongly recommends our Upgrade Training Package to help your IT team to transition to DM Network Edition version with minimal disruption. This package provides web-based training for the IT personnel responsible for upgrading your system. It includes a 3-day engagement which ensures that all of the upgrade steps are performed correctly and in the right sequence. Please contact your Account Executive for more information about this offering, or call If you do not know your Account Executive, Nuance can put you in contact with that person. See DM Network Edition Upgrade Training to view the class agenda. If you are upgrading from DM Network Edition Version 2.0 or newer, upgrade is much simpler, and you may not require upgrade training. 10

11 Update installer updates Update installer updates The Update installer installs product updates as a software patch. These updates do not include updates for language or acoustic models. You use the Update installer provided with DM Network Edition to upgrade the entire Dragon client at one time, including the vsync components on the client machine. You can also use the Update installer to upgrade many Dragon clients quickly and simultaneously. The Update installer upgrades Dragon clients to DM Network Edition from version 2.x. You can obtain the Update installer zip file from the isupport site. For details, visit and view article The Update installer zip file, DMNE2DOT7.zip, contains the following files and directories: DMNE2DOT7.exe: The Update installer MiniTracker.exe: vsync for the Citrix server NOTE: Minitracker.exe version ( ) is a separate zip file, not included in the Updater installer zip file. vsyncrestorer.exe: for restoring vsync support after updating a Citrix client Citrix Extension (previously known as the Citrix Client Update): Contains the Citrix Client update (vddnspatch2.exe and vddnspatch2.msi), as well as PowerMic extensions for the Citrix Client and Server. See the Citrix Administrator Guide for more information. VMware Extension: Contains the PowerMic VMware Client Extension.exe. This software makes it possible to use Real-Time Audio Video in VMware Horizon environments. Dragon Client for Remote Desktop: Contains software that allows you to use a PowerMic over remote desktop. The Medical Sample Commands directory. 11

12 Dragon Medical Network Edition Release Notes When to use the Update installer If Dragon is installed: on a workstation on a Citrix server Use the Update installer or the full Dragon installer to upgrade Dragon (and if applicable, vsync client component) to DM Network Edition NOTE: DMNE is a minitracker release for Cerner customers that should be deployed in environments with clients running DMNE 2.0 or later. Repair vsync after installing or upgrading the Citrix client To repair vsync on workstations where the Citrix client has either been updated or reinstalled, use the vsync Restoration Patch, vsyncrestorer.exe, included in the Update installer zip file. Update vsync on a Citrix server To update the vsync component on a Citrix server that publishes applications, use MiniTracker.exe, included in the Update installer zip file. In this configuration, Dragon is installed on a workstation and not on the Citrix server. NOTE: Minitracker.exe version ( ) is a separate zip file, not included in the Updater installer zip file. It is included as a separate deliverable (available on isupport) and can be installed on the Citrix server the same way as previous minitracker installations have been installed. 12

13 Upgrading the Citrix Client Extension Upgrading the Citrix Client Extension If you are upgrading from a 2.3 or older version of the Citrix Extension (formerly known as Citrix Client Update) to the version 2.7.1, take the following steps to upgrade: 1. On each machine where the Citrix XenApp client is installed, keep your current version of vddnspatch.exe or vddnspatch.msi installed. Install the new vddnspatch2.exe file on the XenApp client machines that are running XenApp 6.x clients (not needed for later XenApp installations). 2. If you will be using a PowerMic, install the Citrix Client Extension. Navigate to the Citrix Client Extension directory in your installation files and double-click the PowerMic Citrix Extension Client.msi file. 3. Repeat steps 1 and 2 until vddnspatch2.exe and the Citrix Client Extension are installed on all of the XenApp client machines. 4. On the XenApp Server, upgrade DM Network Edition to version If you will be using a PowerMic, install the Citrix Server Extension. Navigate to the Citrix Server Extension directory in your installation files and double-click the PowerMic Citrix Extension Server.msi file. 5. (Optional) Uninstall the old version of vddnspatch.exe or vddnspatch.msi from the XenApp client machines. 13

14 Dragon Medical Network Edition The VMware PowerMic Extension (For use with RTAV) DMNE and VMware Horizon View users can use VMware Real-Time Audio-Video (RTAV) to redirect audio to the remote desktop. RTAV audio redirection uses less network bandwidth than USB audio redirection. The VMware PowerMic Extension software (included with DMNE and higher) redirects PowerMic II and III button actions to the remote desktop. To find out if the extension software is installed and available for use, check with your administrator. Using the PowerMic with VMware Horizon and RTAV To use RTAV with DMNE, set the Display protocol for View setting to PCoIP. The administrator must allow a client to change this setting. 1. On the VMware Horizon Client screen, select the virtual desktop. 2. In the Connect Via drop-down list, select PCoIP. Note: In VMware Horizon 7, DMNE will not detect the PowerMic if the Display protocol for View setting is set to "VMware Blast". You must use PCoIP instead. Install the VMware PowerMic Extension on the Dragon Medical client machine 1. Log on to the DMNE workstation as an administrator. 2. Open the \VMware Extension\Client folder. 3. Double-click PowerMic VMware Client Extension.exe. 4. Follow the instructions in the Installation wizard to install the extension. Note: You only need to install this software on the client. Silently install the VMware PowerMic Extension You can install the VMware PowerMic Extension using the command line. For example:

15 Dragon Medical Network Edition "<path>\ PowerMic VMware Client Extension.exe" -i -q -l log.txt Note: The -l parameter enables logging. If you enable logging you must specify a log file name ( log.txt in this example). Uninstall the VMware PowerMic Extension You can uninstall the VMware PowerMic Extension using the command line. For example: "<path>\ PowerMic VMware Client Extension.exe " /uninstall -i -q -l log.txt VMware PowerMic Extension and RTAV Information for Dragon end users Configure audio settings for the VMware PowerMic Extension and RTAV 1. On the client computer, launch the VMware Horizon client, and navigate to the top menu bar. Under Connect USB Device, make sure Dictaphone Power- MicII-NS is not selected. 2. On the Playback devices and Recording devices dialog, verify that the Microphone Array - VMware Virtual Microphone setting is visible and is selected as the default device. Using USB redirection on VMware If you previously installed RTAV, and you want to use USB redirection instead, you must uninstall the VMware PowerMic Extension from the client machine. You can uninstall VMware PowerMic Extension from the Windows Control Panel. Alternatively, you can uninstall from the command line following instructions noted in the section below, Uninstall the VMware Power- Mic Extension. Requirements for Using VMware PowerMic Extensions VMware Horizon View requirements: VMware Horizon 6 or VMware Horizon

16 Dragon Medical Network Edition Client PC requirements: VMware Horizon Client or higher. Sound card or USB audio device. One of the following operating systems: o Microsoft Windows 7 o Microsoft Windows Embedded Standard 7 o Microsoft Windows 8 o Microsoft Windows 8.1 o Microsoft Windows 10 Note: Not supported for Zero Clients Network requirements: Network latency must not exceed 50 milliseconds

17 Dragon Medical Network Edition New in Dragon Medical Network Edition To view information about what is new in Nuance Management Center server 5.7, visit and view article Note that Nuance Management Center server is supported for on-premise and cloud-based installations. Feature New in Dragon Medical Network Edition minitracker for administrators Description DMNE minitracker Minitracker Addresses memory leaks observed when creating notes in Cerner MPages and Dynamic Documents. Cerner administrators Minitracker is backwards compatible with all DMNE 2.x client releases

18 Dragon Medical Network Edition Known Issues and Fixes Issue Customer Issue 1862/1893 Issues and Fixes in Dragon minitracker In-Depth Description Issue Significant memory leaks are observed when creating notes in Cerner MPages and Dynamic Documents. New behavior Memory leaks are no longer observed when creating notes in Cerner MPages and Dynamic Documents

19 Dragon Medical Network Edition Product build numbers The following table summarizes the Dragon, Nuance Management Center server (NMC server), Profile Optimizer Server (POS), and SDK builds that are part of different releases of Dragon Medical Network Edition. DM Network Edition Version 2.x Releases Product version Product Component Build Number 2.7.1, US English Dragon minitracker

20 Dragon Medical Network Edition Viewing version numbers for DMNE service packs or hotfixes The DMNE full and service pack installer includes the checkfordragonupdates batch tool. The tool lets you view the versions of DMNE service packs and/or hotfixes installed on a computer. The tool does not show information about full DMNE product installations. The DMNE installer installs the checkfordragonupdates batch tool in the DMNE install directory. Steps for viewing DMNE service packs and/or hotfixes 1. On the computer with DMNE, open a DOS command prompt with administrator privileges. 2. In the command prompt, navigate to the location of the checkfordragonupdates.bat file: If DMNE is installed in the default directory, type: cd C:\Program Files (x86)\nuance\naturallyspeaking12\program If DMNE is installed in a non-default directory, type the path to the DMNE install directory. 3. Type checkfordragonupdates.bat. 4. Press Enter. If one or more DMNE service packs and/or hotfixes are installed on the computer, the computer displays the following message: The following SPs and HFs have been installed: <text> <text>: Information about the service packs and/or hotfixes on the computer. For example: SP2.6.1 Or SP HF1 + SP

21 Dragon Medical Network Edition If no DMNE service packs and/or hotfixes are installed on the computer, the computer displays the following message: "No SPs or HFs have been installed

22 Dragon Medical Network Edition Finding DM Network Edition build numbers Component Dragon client Instructions Method 1: On the DragonBar, click Help > About Dragon. Method 2: 1. In the Start Menu, select All Programs > Network Edition > Show Dragon Log, or, if you are running Windows 8 or newer, go to Win 8 Metros and click the "Show Dragon Log" icon. For this to work, you must be logged in to Windows under the Dragon user s account. 2. Open the dragon.log file. The build number is the value to the right of "Dragon Medical Version ". Method 3: On a workstation, in Windows Explorer, on Windows Vista, Windows 7, Windows 8.x, Windows 10, or Windows Server 2008, look here: C:\Users\<WindowsUsername>\AppData\Roaming\Nuance\NaturallySpeaking12\Dragon.log Method 4: From the Start menu, go to All programs -> Network Edition -> About Network Edition. Nuance Management Center server Method 1 (for an on-premise NMC server): 1. On the NMC server server, navigate to: C:\Program Files\Nuance\NMS Server\Nuance.NAS.Server.exe. 2. Double-click Nuance.NAS.Server.exe. 3. In the Properties dialog box, click Version. The build number is the value to the right of "Dragon Medical Version". Method 2: 1. View the version number in the lower right corner of the Nuance Management Center console login screen. SDK Method 1: 1. In the Nuance Management Center console, in the Utilities ribbon, select Profile Optimizer Tasks. 2. Highlight a task and select DM Network Edition log. Method 2: On a Speech Node machine, find and open the Dragon log file. Profile Optimizer Server Method 1: 1. In the Nuance Management Center console, in the Utilities ribbon, select Profile Optimizer Tasks. 2. Highlight a task and select View Speech Node Log. The build number is the value to the right of "assembly version="

23 Dragon Medical Network Edition Component Instructions Method 2: 1. On the POS server, find and right click POService.exe. 2. In the POService.exe Properties dialog box, click Version. The build number is the value to the right of "File version:"