Dragon Medical One Version 5 Release Notes (2023)

What's new

New functionality for end users: wake word

End users using USB microphones can now turn the microphone on and off using their voice. Users must first enter sleep mode, a state where the Dragon is waiting to hear the wake word. In standby mode, the Dragon Medical One only responds towake updomain; all other audio input is ignored. To enter standby mode, start Dragon Medical One, turn on the microphone, and sayGo to sleep. The microphone will now be in standby mode, waiting for thewake updomain. Users need to set the microphone setting to "Microphone On/Off" for this feature to work. It will not work for those who have "Press and Hold" enabled. Please note that users must install the latest audio extensions for this functionality to work. For more information, see the end user help.

New functionality for application providers: support for jxBrowser Java

Application vendors that offer Java-based applications that use embedded HTML controls via the jxBrowser control can now enable Full Text Control support in their HTML-based text controls by integrating a new set of APIs into the Dragon Medical One Java Text Control SDK. For more information, see the Java Integration SDK Guide.


Improvements for end users

resilience mode

Improved Dragon Medical One's resistance against unnecessary downtime. End users can now log in to Dragon Medical One and use speech recognition during back-end infrastructure outages that previously caused login failures. End users will have restricted access to some features (for example, automated text messages, step-by-step commands, options, and settings) for the remainder of the session and will be notified of these limitations when they log in.

Observation:Users working with PowerMic Mobile will need to temporarily switch to a USB microphone to take advantage of Dragon Medical One's improved resilience during interruptions.

Support for additional microphone device buttons

End users can now assign actions to additional microphone device buttons. Fast Forward, Fast Rewind, Play/Stop and Custom Left Tint PowerMic buttons are now available for customization. In addition, the Fast Forward and Fast Back buttons are assigned the "next field" and "previous field" auto text navigation functionality by default.

Improvements for application providers

64-bit support for TRichEdit

64-bit applications that host text controls based on the TRichEdit control class are now supported.

Runtime memory consumption on Cerner Millennium

Improved runtime buffer space for Dragon Medical One interop components loaded on Cerner Millennium. Components that are no longer actively used by Dragon Medical One will be downloaded more aggressively; the memory consumption of the Cerner Millennium process will no longer increase. [SOD-17562]

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problems solved

In general

  • Fixed an issue that prevented speech recognition profile settings from being saved correctly when Dragon Medical One is set to require login credentials and the user restarts the application. this resulted in the end user being prompted to select the preferred microphone each time they launch Dragon Medical One. [SOD-14913]


  • Fixed an issue that prevented recording from starting correctly when Dragon Medical One is deployed in virtual environments using RDS virtualization technology and hosted on Microsoft Windows Server 2008 R2 servers. [SOD-15008]

  • Fixed an issue that caused runtime performance to deteriorate when documenting in Epic Hyperspace with Dragon Medical Advisor licenses assigned to the end user. [SOD-15981]

  • Fixed an issue that caused Dragon Medical One to crash when executing or viewing a step-by-step command from Nuance Dragon Medical Network Edition and imported through the Nuance Management Console. [SOD-16884]

  • Fixed an issue that sometimes caused Dragon Medical One hosted in Citrix server environments to stop responding during dictation. [SOD-17532, SOD-17560]

application support

  • Fixed an issue that caused incorrect insert positions when dictating in the CoPathPlus app. [SOD-14314]

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Microsoft Word
  • Fixed an issue that caused the viewable area to scroll up and down when dictating in Microsoft Word documents. [SOD-15074]

  • Fixed an issue that caused protected sections and page breaks to be removed when using theborralvoice command while dictating in Microsoft Word documents. [SOD-15348]

  • Fixed an issue that sometimes caused text without whitespace to be entered when dictating in documents based on the TX Text Control class hosted in Cerner PowerNote. [SOD-15429]

  • Fixed an issue that sometimes caused Cerner Millennium 2018 to crash when dictating on documents based on HTML text controls. [SOD-15959]

  • Fixed an issue that could cause a script error message (The object does not support this action.) are sometimes displayed when working with documents in Cerner mPages. [SOD-17145]

  • Fixed an issue that sometimes caused the dictation box to open and prevented end users from having full control of the text in all documents when dictating to HTML-based text controls in the Cerner PowerChart application. [SOD-18921]

  • Fixed an issue that sometimes caused Cerner PowerChart to crash during documentation in HTML-based text controls. [SOD-15987]

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In general
  • Fixed an issue that caused incorrect input positions when dictating in the Medhost app. [SOD-14723]

  • Fixed an issue that prevented end users from having full control of the text in documents after the first document they dictated was closed in Java-based applications. [SOD-18890]

  • Fixed an issue that sometimes caused EHRs using HTML-based text controls to crash when attempting to close the EHR. [SOD-15745]

  • Fixed an issue that sometimes caused Cerner PowerChart to crash when dictating to HTML-based text controls. [SOD-15987]

Known issues

Standby mode

When moving between endpoints in virtual environments while Dragon Medical One is in standby mode, the application may not stop recording correctly or may become unresponsive when reconnecting to the virtual server session. If you encounter these problems in your workflow, stop recording before disconnecting from the virtual server session.

Grundig device button support

When Grundig virtual server device drivers are deployed on a virtual RDS server, Dragon Medical One using a Grundig device may stop responding when reconnecting to a session.

Troubleshooting Data

Dragon Medical One 5.0 ships with a configuration file template that disables logging to the file system. This change was made to mitigate potential performance issues when writing log data to the file system. For more information on how to customize logging levels, see the topic 'Logging level settings' in themedical dragon oneInstallation and Administration Guide.

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system requirements

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

system requirements

    • Sistemas operativos: Windows 7, Windows 8.1, Windows 10, Windows Server 2012 R2, Windows Server 2016
    • If your environment does not meet the minimum requirements described, Nuance's ability to support may be limited. What this means is that most functionality issues can still be fixed, but if a bug is suspected or you are experiencing an issue that requires technical investigation beyond the known issues and solutions, we recommend that you upgrade to the latest supported version. The following products are included in this best effort support framework (this list is not exhaustive):

Windows Server 2008 R2

Citrix XenApp 6.5

Receptor Citrix < 4.3

  • Internet Explorer: Internet Explorer 11
  • Runtime: Microsoft .NET 4.5

virtualized environments

    • Virtualized environments: Citrix XenApp 6.5 or later - Citrix Receiver 4.3 or later
    • VMware Horizon View 6: agente VMware Horizon View 6, cliente VMware Horizon View 4.3 o superior usando el protocolo VMware PCoIP
    • VMware Horizon View 7: agente VMware Horizon View 7.6 o superior, cliente VMware Horizon View 4.9 o superior
    • Virtual Server Operating Systems: Windows Server 2012 R2, Windows Server 2016
    • Internet Explorer: Internet Explorer 11
    • Runtime: Microsoft .NET 4.5, Nuance Virtual Extensions, Nuance PowerMic

Observation:Audio extensions are backward compatible for up to one year. However, to enjoy the new features, we recommend that you upgrade.

Product life cycle

Versionstateend of supportend of life
Medical Dragon One 3.4end of supportJanuary 01, 2019October 1, 2019
Medical Dragon One 3.5end of supportMarch 1, 2019October 1, 2019
medical dragon one 3.6supportedJuly 1, 2019December 01, 2019
medical dragon one 4.0supportedSeptember 1, 2019March 1, 2020
medical dragon one 5.0supportedMay 01, 2021

Third party environments

Support for third-party environments is valid only as long as they are supported by the respective provider and may be subject to other restrictions. Contact Nuance Technical Support for more details. For more information, see the documentation provided with the third-party product and Nuance's support documentation.

When standard vendor support is discontinued, Nuance will continue to provide support if an issue is specific to the Nuance solution, within the constraints of the vendor's standard EOL and Nuance policy. This means that issues that are a combination of the vendor's component and the Nuance solution cannot be supported.

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