Version 2.0
Nuance Management
Server
2013. Dragon Medical 360 | Network Edition, version 2.0
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Nuance Communications, Inc. is strongly committed to creating high quality voice and data management products that, when used in conjunction with your own company’s security policies and practices, deliver an efficient and secure means of managing confidential information.
Nuance believes that data security is best maintained by limiting access to various types of information to authorized users only. Although no software product can completely guarantee against security failure, Dragon Medical 360 | Net-work Edition software contains configurable password features that, when used properly, provide a high degree of protection.
We strongly urge current owners of Nuance products that include optional system password features to verify that these features are enabled! You can call our support line if you need assistance in setting up passwords correctly or in verifying your existing security settings.
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Chapter 1: Introducing the Nuance Management Server 1
What's new in Dragon Medical 360 | Network Edition 3
What's new in Nuance Management Server 4
What's new in Nuance Management Server 3.1 4
All products 4
DM360 Network Edition and vSync 4
What's new in Nuance Management Server 3.0 8
All products 8
DM360 Network Edition and vSync 11
Viewing Speech Recognition Metrics 17
Creating a speech recognition metrics query 17
Viewing Speech Recognition Metrics for DM360 Network Edition 19 Creating a speech recognition metrics query for DM360 Network Edition 20 Enable or disable the Dragon vSync connection notification 22 Restoring vSync support after updating a Citrix client 23 Pre-requisites for installing the DM360 Network Edition vSync Restoration Patch 23 Steps for installing the DM360 Network Edition vSync Restoration Patch on a
work-station 24
DM360 Network Edition vSync Restoration Patch Logging 24
Receiving notifications of vSync timeouts 25
Post installation tasks 26
Planning your configuration 26
Configuring your organization 27
Steps to configuring other objects in your organization 28
Dragon Medical Enterprise NMS Server Configuration 29
Contacting Technical Support 31
Dragon Medical 360 | Network Edition Overview 33
Dragon Medical 360 | Network Edition components 34
Nuance Management Server components 34
Profile Optimizer components Dragon Medical Clients 35
Master user profiles directory 36
Nuance hosted servers 36
Who works on the network 36
Security of NuanceLink Update Servers 37
Accessing and adding to your organization data 43 Setting up the Nuance Management Server to run Active Directory Services 51
Enabling Active Directory Services 51
Creating an NMC Administrator account for Active Directory 51
Set the Active Directory Connection String 52
Restarting the Nuance Management Service 53
Configuring LDAP 54
Configure LDAP in the Nuance Management Console 54
Install the client software with LDAP Enabled 57
Creating Single Sign-On user accounts 57
Implementing Active Directory Single Sign-On 58
Implementing EHR Single Sign-On 59
Enabling Dragon client computers for Active Directory Single Sign-On 64
Create a new Dragon short cut 64
Modify the nssytem.ini file 64
Chapter 2: Overview of NMS in the cloud 65
Overview of NMS in the cloud 66
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 66
What will be different when you migrate to NMS in the cloud? 67
Upgrading and moving data to the cloud 68
Managing user logins 68
Upgrading from Dragon Enterprise Edition to DM360 Network Edition using the Profile
Asso-ciation Tool 69
Authentication 69
Profile importing, exporting, and deleting 70
Upgrade to NMS in the cloud 71
Create an organization in the NMS cloud 71
Move data from the on-premise NMS server to the cloud NMS server 72
Upgrade the Profile Optimizer Server to the cloud 73
Uninstall the on-premise NMS server 73
Install the NMS Call Forwarder 73
Upgrade Dragon clients to Dragon Medical 360 | Network Edition, version 2.0 74
Configure Dragon clients to communicate with NMS in the cloud 75
Configure Dragon clients to communicate with the new Call Fowarder server 75 Enable the Nuance Management Console to download from the cloud NMS 76 Move data from an existing on-premise NMS server to the cloud NMS server 77 Logging existing and new users into NMS in the cloud 81
Chapter 3: Configuring sites 83
Configure product settings for an organization 85
DM360 Network Edition 85
Nuance Management Server 86
360 | SpeechAnywhere Services (SAS) 86
DM360 Recorders (Common) 87
DM360 Mobile Recorder 87
DM360 Recorder 88
EHRI 88
CLU 93
Configuring a site in your medical facility 94
Setting miscellaneous site settings 95
Choosing a network location for master user profiles 96 Setting general site settings for master user profiles 98
Choosing master user profile settings 98
The General tab 99
The HTTP Settings tab 100
The SSL Settings tabs 101
Configuring Dragon Settings 102
Setting site HTTP connection settings for master user profiles 105
Authentication 106
Firewall and Proxy Servers 106
Miscellaneous 107
Recommended settings for web servers 108
Setting site SSL connection settings for master user profiles 109
Certificate store 110
SSL Protocols 111
Recommended settings for SSL web servers 112
Setting site Data storage settings 112
Entering Data Storage Space and Logging Settings 112
Viewing, modifying, and deleting sites 114
Finding and viewing a site 114
Deleting a site 115
Modifying a site 115
Creating Organization Tokens 116
Chapter 4: Configuring groups and user accounts 117
When group settings supersede those of other groups 124
Changes to Group roles 125
A new role called “User” 125
The “DM360 Mobile Recorder” and the “DM360 Recorder” roles have been combined and are
now the “DM360 Recorders” role 125
The CLU role has been removed. 125
Creating groups 126
Creating a group 126
Saving a group 132
Setting Security Rights for NMC Administrator groups 132
Viewing, modifying, and deleting groups 135
Finding and viewing a group 135
Deleting a group 136
Modifying a group 136
Setting Dragon voice command options for provider groups 137
Configuring user accounts 140
Creating user accounts 141
Creating a user account 142
Assign a National Provider Identifier to a user account or a site 144
Assign a National Provider Identifier to a new user account 144
Assign a National Provider Identifier to a new site 145
Search for a National Provider Identifier using the name of a user or site 148
Search for a National Provider Identifier by user 148
Search for a National Provider Identifier by site 148
Configuring user account details and address settings 149 Nuance Management Console administrators and sites can receive messages from
the Nuance data center 152
Enable sending messages to a Nuance Management Console administrator 153 Enable sending email to an administrator when they receive an NMS message 153 Enable sending an SMS message to an administrator's phone when they receive an NMS
mes-sage 154
Send a message to an administrator, a client application user, or a group 156
Setting user password settings 157
To create a password 157
To change a password 158
Assigning user accounts to groups 159
Assigning a user account to a group 159
Removing a user account from a group 159
Import multiple users into the NMS server 161
Importing users into the Nuance Management Server 163
XML schema for the user XML import file 170
Setting user account Dragon options 178
Setting User Account options 178
Setting Auto-Formatting options 180
Setting Profile Optimizer ACO and LMO schedules 180
Setting Auto-Formatting Dragon options 181
Setting Auto-Formatting options 181
Viewing User Profile settings 196
Setting configurable user profile settings 197
Understanding additional user profile information displayed 197
Restoring corrupted master user profile from backup 198
Automatically log out an administrator after a period of inactivity 200 Scheduling the optimization of acoustic and language models 201
Understanding ACO and LMO processes 201
Defining ACO/LMO processes and their impact on recognition 201
Factors in how often to run ACO processes 202
Factors in how often to run LMO processes 203
Scheduling LMO and ACO processes for a group or user account 203
Factors that have no effect on regularly scheduled processes 204
Auto-checking the amount of new acoustic data before running optimization 205
View the adaptation status for a user profile 206
Scheduling optimization, medication, and command updates 208
Scheduling the Profile Optimizer 208
Scheduling the medication and command updates 209
Understanding how local cache user profile updates on client 209
Viewing, modifying, and deleting a user account 210
Finding and viewing a user account 210
Deleting a user account 211
Modifying a user account 211
Changing the user account password 213
Encryption of patient health information 214
Understanding how Dragon encrypts data 214
Saving space otherwise occupied by excess data that might not enhance security 215 Applying Dragon Settings to organizations, sites, or groups 216
Automatically grant permission to use the Dragon Medical client when you create a
user account 224
Obtaining and using the DM360 Network Edition enterprise license 224
Managing licenses 225
Types of license upgrades available 225
Obtaining and applying licenses 226
Importing licenses included with Dragon Medical 360 | Network Edition 226
Purchasing and obtaining new licenses 226
Preparing to grant licenses 226
Viewing licenses 227
Viewing existing licenses 227
Viewing license usage information 229
Granting licenses 231
Granting a license immediately after creating a user account 231
Granting a license to an existing user account 231
Receiving expiration alerts and renewing licenses 234
Viewing messages about expired licenses 234
Renewing the License 234
Revoking licenses 235
Dictating with Author licenses while disconnected from network 235 Applying Dragon Settings to organizations, sites, or groups 235
Configuring the Dragon settings 236
Options set through the Dragon client 237
Selecting a medical vocabulary for a medical specialty 242 US and UK English Dragon Medical Specialties and Vocabularies that support them 242 Setting Dragon voice command options for provider groups 246
Encryption of patient health information 249
Understanding how Dragon encrypts data 249
Saving space otherwise occupied by excess data that might not enhance security 250
Chapter 6: Managing user profiles and Speech Nodes 253
Creating a user profile 254
Upgrading a user profile to DM360 Network Edition Version 2.0 255
Before upgrading Dragon user profiles 255
Configuring the location of user profiles 257
Setting the location of profiles for Dragon 257
Setting the location of profiles for the Profile Optimizer 257
Associating new user accounts with existing user profiles 259
Installing the Profile Association Tool 259
Synchronization of Master and Local cache profiles 261
What happens during synchronization 261
Importing and exporting user profiles 264
Why import or export user profiles? 264
Why delete a user profile? 264
Approving updates of user profiles and language models 265 Checking the status of Profiles Optimizers and speech nodes 266
Viewing the status of scheduled optimizations 267
Uploading Profile Optimizer task logs 267
Upgrading the Profile Optimizer Server to NMS in the Cloud 267
Viewing Profile Optimizer Speech Node status 267
Viewing Profile Optimizer task details 268
Searching and filtering Profile Optimizer task details 269
Configuring Speech node collections 271
Using Speech Node collections without adding more speech nodes to your network 271 Setting up speech node collections during an upgrade to Service Pack 2 272
Running out of free speech nodes 274
Creating a Speech node collection 275
Searching for a Speech node collection 275
Editing a Speech node collection 276
Deleting a Speech node collection 277
Assigning a Speech node collection to a Site 277
Chapter 7: Using the Dragon Medical client on Windows Server 2008 R2
or Windows 7 Ultimate server 279
Using Dragon Medical on Windows Server 2008 R2 or Windows 7 Ultimate Server 280 Allow client users to connect to Dragon and applications on a server 281
Supported client and server operating systems 281
Support for dictation sources over a remote desktop connection 281 Installing Dragon software on the server and the client computer 283
Configuring the Windows server 284
Configuring Remote Desktop Connection for Windows Server 2008 R2 Part 1 285 Configuring Remote Desktop Connection for Windows Server 2008 R2 Part 2 291 Configuring Remote Desktop Connection for Windows 7 Ultimate Server 292 Configuring the client computer to connect to Dragon on a server through a remote
desktop connection 293
System Requirements for Dragon on Windows Server 2008 R2 or Windows 7
Ulti-mate Server 302
Chapter 8: Using the Data Distribution Tool 303
Adding words, commands, or vocabularies to User Profiles 304 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 304 Caution: Do not run the Data Distribution Tool on a Speech node 305
Using the Data Distribution Tool 306
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 306 Caution: Do not run the Data Distribution Tool on a Speech node 307
Data Distribution Topics 307
Do not run the Data Distribution Tool on a Speech node 308 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 308
Creating the Data Distribution Directory 309
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 309 Caution: Do not run the Data Distribution Tool on a Speech node 310 Create a data distribution directory in a location other than the default location 311
Connect the group to the data distribution directory 311
Starting the Data Distribution Tool 312
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 312 Caution: Do not run the Data Distribution Tool on a Speech node 313
Start the Data Distribution Tool 313
Adding and removing custom words 314
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 315 Caution: Do not run the Data Distribution Tool on a Speech node 316
Create a text file that contains custom words 316
Use the Data Distribution Tool to add custom words to the data distribution directory 316
Adding and removing vocabularies 317
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 318 Caution: Do not run the Data Distribution Tool on a Speech node 318 Use the Data Distribution Tool to add and remove vocabularies 319
Adding and removing custom commands 321
NMS, Text and graphics/auto-texts, and the Data Distribution Tool 321 Caution: Do not run the Data Distribution Tool on a Speech node 322
Use the Data Distribution Tool to add custom commands 322
Use the Data Distribution Tool to remove shared commands 324
Chapter 9: Managing Dragon Medical Clients 327
System Requirements for Dragon Medical Enterprise Clients 328 Installing Dragon and documentation from the Nuance Management Console 329
Setting the local download location for documentation 330 Downloading the Dragon MSI installer and documentation to a workstation 330 Setting general auto-formatting options in Dragon or the Nuance Management
Server 332
Status of General Formatting settings on recently reconnected laptops 332 Selecting a medical vocabulary for a medical specialty 334 US and UK English Dragon Medical Specialties and Vocabularies that support them 334 Configuring and running Dragon from a command line 338
natspeak switches 338
natspeak command line options 338
Starting Dragon Medical Clients from Command Line 340 Closing the Dragon Medical client from a command line 342
Running natspeak.exe/ShutDown during General Training 342
Viewing user activity 343
Auditing Events 344
Viewing how often providers or administrators log in or out of the system 344
Audit Event messages 345
Chapter 10: Managing update and license messages 347
Managing, enabling, and disabling product updates 348
Enabling and disabling product updates 348
Viewing unread messages and pending approvals 350
Receiving notifications from the Update Server 351
Opening/viewing the list of messages 351
Understanding types of messages NMS receives 352
Approving command and medication updates 352
Responding to license messages 353
Responding to license expiration messages 354
Downloading and distributing command and medication updates to clients 355
Downloading command and medication updates 355
Distributing command and medication updates to clients 355
Applying medication updates to clients 355
Downloading Dragon updates to clients 356
Purging messages 356
Changing the Schedule for Purging Messages 356
Chapter 11: Managing uploads to Nuance 359
Chapter 12: Managing the Nuance Management Server 363
Managing multiple Nuance Management Servers 364
Using and configuring the FileStore location for multiple NMS servers 365 Use a network traffic switch to balance the load on the Nuance Management
Server 366
Chapter 13: Backing up databases, user profiles, and logs 367
Backing up the Nuance Management Server database 368
Scheduled NMS log and database backups 368
Disabling scheduled backups of the NMS database 368
File names of database backups 369
Backing up the Profile Optimizer SQL database 370
Automatic Profile Optimizer log and database backups 370
File names of database backups 370
Backing up Master user profiles 372
To manually back up a User Profile 373
Restoring a Master User Profile from backup 373
To restore a user profile 373
Removing a master user profile folder for a deleted user account 375
Chapter 14: Working with Text and Graphics/auto-texts and custom
words 377
Overview - Managing Text and Graphics/auto-texts and custom words 378 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 378 Creating shared and personal Text and Graphics/auto-texts and custom words 381 A special note about synchronizing auto-texts after importing a user profile 381 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 381 Administrators create and manage common shared Text and Graphics/auto-texts and custom
words 382
Providers create and manage personal Text and Graphics/auto-texts and custom words 383 Workflow - Provider adds custom Text and Graphics/auto-texts and custom words 383 Importing Text and Graphics/auto-texts and custom words 385 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 385 Importing common shared Text and Graphics/auto-texts and custom words 386 Importing custom Text and Graphics/auto-texts and custom words 387 Importing vendor or third-party Text and Graphics/auto-texts and custom words 388 Managing auto-texts created by the Data Distribution Tool 389 NMS, Text and graphics/auto-texts, and the Data Distribution Tool 389
Chapter 15: Working with Text and Graphics/auto-texts 391
Overview of Text and Graphics/auto-texts 392
Valid characters and size limitations for Text and Graphics/auto-texts names and spoken
forms 393
Defining Text and Graphics/auto-texts 395
Adding and managing keywords for auto-texts 396
Overview of keywords for Text and Graphics/auto-texts 396
Change keywords for an organization 396
Change keywords for an organization 398
Searching for Text and Graphics/auto-texts 400
Viewing Text and Graphics/auto-texts details 402
Creating Text and Graphics/auto-texts 404
Example Text and Graphics/auto-texts: normal chest 406
Editing Text and Graphics/auto-texts 407
Using Text and Graphics/auto-texts 410
Scenario 410
Procedure 410
Setting a filter for Text and Graphics/auto-texts 411
Scenario 411
Procedure 411
Remarks 411
Adding or removing meta data 413
Add meta data information to Text and Graphics/auto-texts or commands 413 Remove meta data information from Text and Graphics/auto-texts or commands 413
Delete Text and Graphics or auto-texts 414
To delete Text and Graphics/auto-texts 414
Cutting, copying and pasting Text and Graphics/auto-texts or words 415 Cutting or copying and pasting Text and Graphics/auto-texts or words 415 Importing or exporting Text and Graphics/auto-text 417
Import Text and Graphics/auto-texts 417
Export Text and Graphics/auto-texts 417
Chapter 16: Working with custom words 419
Overview of custom words 420
Batch and Interactive words 420
The Dragon client and words 420
Re-synchronize words between a DM360 Network Edition User Profile and the
Nuance Management Server 421
Import words 426
Export words 426
Chapter 17: Troubleshooting issues 429
Analyzing audit events 430
Types of Event Messages 430
View log files for a variety of products and product components 432
View client logs for a variety of products 432
Upload a Dragon client log 432
View a client log 432
View server logs for a variety of products 433
Viewing speech node, Dragon, Profile Optimizer Server, and Nuance Management
Server logs 434
Upload Profile Optimizer Server logs 434
Dragon and Profile Optimizer Speech Node logs 434
NMS Server logs 436
Nuance Management Console logs 437
Upload the Nuance Management Console log file to the NMS 437
Viewing Dragon log files 438
To view Dragon log files 438
Chapter 18: Appendix 439
Applications with Basic Text Control support through vSync 440
Support for edit controls 441
Windows Presentation Framework controls 441
Edit controls that Dragon Medical 360 | Network Edition supports 441
Nuance Management Server
The Dragon Medical 360 | Network Edition with the Nuance Management Server (NMS) helps you meet your expanding medical organization's enterprise level needs. You use the Nuance Management Console to manage not only the NMS Server, but also multiple Dragon Medical 360 | Network Edition Clients from a sin-gle central location. This chapter introduces you to the components of the Dragon Medical 360 | Net-work Edition netNet-work.
What's new in Dragon Medical 360 | Network Edition 3 What's new in Nuance Management Server 4 Viewing Speech Recognition Metrics 17 Viewing Speech Recognition Metrics for DM360 Network Edition 19 Enable or disable the Dragon vSync connection notification 22 Restoring vSync support after updating a Citrix client 23 Receiving notifications of vSync timeouts 25
Post installation tasks 26
Contacting Technical Support 31
Dragon Medical 360 | Network Edition Overview 33 Dragon Medical 360 | Network Edition components 34 Security of NuanceLink Update Servers 37 Accessing NMS Server: Logging in through the Nuance Management Console 38 Changing global system settings 40 Accessing and adding to your organization data 43
Creating Single Sign-On user accounts 57 Enabling Dragon client computers for Active Directory Single Sign-On 64
What's new in Dragon Medical 360 |
Network Edition
n What's new in Nuance Management Server - All products
What's new in Nuance Management
Server
This section covers the newest release of the Nuance Management Server (NMS) and its web client, the Nuance Management Console. This release provides new features, updates, and enhancements for administrators that work with the NMS and the Nuance Management Console.
What's new in Nuance Management Server 3.1
All products
The following NMS 3.1 items are for all current products that use the Nuance Management Server and the Nuance Management Console, including DM360 Network Edition, DM360 Recorder, DM360 Mobile Recorder, Dragon Medical 360 | Direct , and 360 | SpeechAnywhere Services.
Feature Description
Port connectivity
Test access to ports from a site client machine
In NMS 3.1, you can test the ability of a client machine to communicate with the NMS (cloud or on-premise). You access a web page where you can test access to all ports required for connecting to the NMS, including:
- Port 8051 (http): To query the deployment type for the Nuance Management Console, Dragon Medical 360 | Net-work Edition, the Profile Optimizer, Dragon Medical 360 | Mobile Medical Recorder, and Dragon Medical 360 Recorder. - Port 8731 (http/s): To determine SOAP access to web serv-ices for Nuance Management Console and Dragon Medical 360 | Network Edition.
- Port 8010 (http/s): To determine Representational State Transfer (REST) access to web services for PowerScribe 360 | Mobile, 360 | SpeechAnywhere Services, Dragon Medical 360 | Mobile Medical Recorder, and Dragon Medical 360 Recorder.
For details, see 'Test access to NMS ports from a site client machine' in the DM360 Network Edition Installation Guide. Log files
Size of NMS log files In NMS 3.1, the default size of NMS log files has increased from 10 MB to 30 MB.
DM360 Network Edition and vSync
The following items are for Dragon Medical 360 | Network Edition, version 2.0.
Feature Description
Vertebrae settings
Feature Description
and user level level. For details, seeSetting Auto-Formatting Dragon options.
Citrix
Support for Citrix XenApp client version 11.x and Citrix XenApp client version 12.x with Citrix Receiver 3.x
You can use Citrix XenApp client version 11.x, Citrix XenApp client version 12.x, and Citrix Receiver 3.x with a variety of operating systems. For details, seeSupport for Dragon and vSync with Citrix clients and servers. Full Text Control support with published
Cit-rix applications for previous versions of Dragon
When you upgrade to Dragon Medical 360 | Network Edi-tion, version 2.0, you can continue to use older versions of Dragon until you complete the upgrade.
During the upgrade, you can use the following versions of the Dragon client with Dragon Medical 360 | Network Edi-tion, version 2.0 vSync to dictate with Full Text Control into published Citrix applications:
-DM360 Network Edition Service Pack 2 -DM360 Network Edition Service Pack 3 -DM360 Network Edition Service Pack 3.5
-DM360 Network Edition Service Pack 3.5 Hot fix 1 -DM360 Network Edition Service Pack 4
Citrix smooth roaming support with pub-lished Citrix applications for previous ver-sions of Dragon
When you upgrade to Dragon Medical 360 | Network Edi-tion, version 2.0, you can continue to use older versions of Dragon until you complete the upgrade.
During the upgrade, you can use the following versions of the Dragon client with Dragon Medical 360 | Network Edi-tion, version 2.0 to perform Citrix smooth roaming, with full Dragon select and say support:
-DM360 Network Edition Service Pack 2 -DM360 Network Edition Service Pack 3 -DM360 Network Edition Service Pack 3.5
-DM360 Network Edition Service Pack 3.5 Hot fix 1 - DM360 Network Edition Service Pack 4
Note: The version of the Dragon client must support the
edit control in the application. For details about support for edit controls provided by different versions of DM360 Network Edition, see ‘Support for Edit Controls’ in the Nuance Management Server Administrator guide. Speech usage metrics
View usage metrics for DM360 Network Edi-tion
In Dragon Medical 360 | Network Edition, version 2.0, the Dragon client sends usage metrics to the Nuance Man-agement Server (NMS). An administrator can design and run queries about speech metrics for DM360 Network
Edi-Feature Description
Users and user profiles
Configuring the location of user profiles In NMS 3.1, the NMS supports multiple versions of user profiles from Dragon Medical 360 | Network Edition 10.1 and Dragon Medical 360 | Network Edition, version 2.0. Each version has its own user profile location. An admin-istrator can configure these locations in the NMC. For details, seeConfiguring the location of user profiles. Dragon client
Enabling WPF edit control support when upgrading Dragon
Support for WPF edit controls is off by default. To enable support for this edit control, contact Nuance Technical sup-port. If support for WPF edit controls is enabled, you must set the TEXT_SERVICE_SUPPORT flag to 1 when you upgrade Dragon to DM360 Network Edition , version 2.0. For more details about upgrading Dragon, see the Instal-lation guide and the release notes for DM360 Network Edi-tion, version 2.0.
Upgrading to Dragon Medical 360 | Network Edition, version 2.0
Upgrading vSync to version 2.0 You can upgrade vSync from DM360 Network Edition Service Pack 2 and higher to Dragon Medical 360 | Net-work Edition, version 2.0 without having to immediately upgrade Dragon clients to Dragon Medical 360 | Network Edition, version 2.0.
vSync for Dragon Medical 360 | Network Edition, version 2.0 is compatible with the Dragon client from DM360 Net-work Edition Service Pack 2 and higher.
For details, see the Installation guide or the Release notes for Dragon Medical 360 | Network Edition, version 2.0. Medical vocabularies
Updated Medical Vocabularies Dragon Medical 360 | Network Edition, version 2.0 includes updated medical vocabularies to improve rec-ognition. For details, seeSelecting a medical vocabulary for a medical specialty.
Working with Text and Graphics/auto-texts Cutting and copying Text and Graph-ics/auto-texts or commands from one level to another level
An administrator can use the Nuance Management Con-sole to copy or cut and then paste Text and Graph-ics/auto-texts or commands from one level (user, group, or site) to another level. For details, seeCutting, copying and pasting Texts and Graphics/auto-texts or commands. Manage Data Distribution Tool auto-texts After upgrading to NMS in the cloud, opening Dragon for
the first time moves all existing auto-texts in a user’s cus-tom commands to the cloud NMS. The auto-texts are stored at the user level.
Auto-texts created and distributed using the Data Dis-tribution Tool (DDT) need to be stored at the site or group level, rather than at the user level.
Feature Description
NMS 3.1 allows administrators to store DDT distributed auto-texts at the site or group level.
For details, seeManaging auto-texts created by the Data Distribution Tool.
NMS in the cloud, Text and graphics/auto-texts, and the Data Distribution Tool
Dragon Medical 360 | Network Edition, version 2.0 and NMS 3.1 supports the sharing and storage of Text and graphics/auto-texts between the cloud NMS and client applications, including Dragon. This functionality only applies to Text and Graphics/auto-texts commands that do not contain lists. For details about managing pre-exist-ing Text and graphics/auto-texts created uspre-exist-ing the Data Distribution Tool and when to use and not use the Data Distribution Tool in Dragon Medical 360 | Network Edition, version 2.0, see "NMS in the cloud, Text and graph-ics/auto-texts, and the Data Distribution Tool" in Over-view of NMS in the cloud.
Working with custom words
Support for words across multiple Nuance products
NMS 3.1 provides support for custom words for multiple Nuance products, including Dragon Medical 360 | Network Edition, Dragon Medical 360 | Direct, or a
Spee-chAnywhere Services powered third party application). The client applications for these products obtain custom words from the cloud NMS and add them to an end-user’s vocabulary.
For details, seeOverview of custom words. Re-synchronize words between a user
pro-file and the Nuance Management Server
Certain events that involve user profiles may cause cus-tom words from the NMS and a user profile to become out of sync.
NMS 3.1 allows administrators to re-synchronize custom words between the NMS and a user profile. This requires the “Dragon – Resync user words” role, a role that is part of the NMC Administrators role and granted to all NMC administrators that currently have the “Manage DM360 Network Edition” right.
For details, seeRe-synchronize words between a DM360 Network Edition User Profile and the Nuance Man-agement Server.
Edit Control support
Support for EpicTer79Class DM360 Network Edition supports Full Text Control in to EpicTer79Class controls in local and Citrix published appli-cations.
Feature Description
TX18 / TXedit18 controls in local and Citrix published appli-cations.
Support for MS Word with vSync DM360 Network Edition supports Full Text Control in to MS Word controls in Citrix published applications.
What's new in Nuance Management Server 3.0
All products
The following NMS 3.0 items are for all current products that use the Nuance Management Server and the Nuance Management Console, including DM360 Network Edition, DM360 Recorder, DM360 Mobile Recorder, and 360 | SpeechAnywhere Services.
Feature Description
Working in the Nuance Management Console View unread messages and pending
approvals
When you log into the Nuance Management Console, the main page contains indicators that show the number of unread messages and pending approvals that you have. The indicators appear in the upper right corner of the main page, the left of the Help icon. SeeViewing unread messages and pending approvalsfor details.
The Nuance Management Console log file
The Nuance Management Console stores user session data in a Nuance Management Console log file. The log file includes data that could be useful for troubleshooting Nuance Man-agement Console exceptions or issues.
If an administrator performs an action that causes a Nuance Management Console error or crash, the next time the Nuance Management Console starts, it sends the Nuance Management Console Log file to the NMC server. Technical support can then analyze the log file. An administrator can also manually upload the Nuance Management Console log file to the NMS.
For details, seeNuance Management Console logs.
Adding multiple items to the NMS The Save & New button makes it easier for you to add cer-tain items to the NMS. For example, the button is available when you create a new user or add Text and Graphics/auto-texts.
When you click the button, the NMS saves your changes and allows you to immediately create a new user, Text and Graph-ics/auto-texts, or custom command. For details and usage examples, see:
-Create a user account
-Creating an Text and Graphics/auto-texts
New search, close/cancel, and back but-tons
In the Nuance Management Console, the search, close/can-cel, and back buttons have been updated as follows:
Feature Description
-Close/Cancel button: -Back button:
Product settings
Configure product settings for an organ-ization
Many organization level product settings are now located n the
Organizations Details screen on the Products tab. For
details, seeConfigure product settings for an organization. Managing administrators and users
Log out an administrator after a period of inactivity
You can configure the NMS to log out an administrator after a certain period of inactivity elapses. SeeAutomatically log out an administrator after a period of inactivityfor details. Set a longer waiting time for inactive
administrators before they are logged out of the NMS
The Log out users who do not respond after _ seconds field is now three characters long; allowing you to increase the amount of time (in seconds) that the NMS waits before logging out an inactive user.
Assigning new users to groups When you create a user, available groups are now listed by site. You use a Site drop down field to pick the group. See
Assigning user accounts to groupsfor details. Managing groups
Group rights and working in the Nuance Management Console.
Your group rights determine what you can see and do in the NMC. This applies to working with Accounts, groups, and sites. SeeSetting Security Rights for MC Administrator groupsfor details.
Updates to Group roles NMS 3.0 introduces changes that impact Group roles and names, including changes to the DM360 Mobile Recorder role and the CLU role, plus a new 'User' role.
Viewing site information for groups When you search for an organization, the Manage
Organ-izationscreen displays sites and groups that are part of the
organization. In NMS 3.0, the Manage Organization also displays the name and ID of the site a group is associated with.
Groups are associated with a single site In NMS 3.0, you associate a group only with one site. You make this association when you create a group.
• Under Group Details window, the Sites is no longer in the
Feature Description
when you create a group displays the Base group dialog box (instead of the New
Group dialog box). Use the Base Group dialog box to select a
group that will be the basis for the new group.
The Access tab allows you to manage the access rules for members of a group. You can create, modify, and delete access rules.
Messaging
Nuance Management Console admin-istrators and sites can receive mes-sages from the Nuance data center
A Nuance data center administrator can send messages to contacts in an organization. Organizations and their NMC administrators to receive notifications about events including system upgrades, outages, notices, news, etc. For details, see:
-NMC administrators and sites can receive messages from the Nuance data center
-Enable sending messages to an NMC administrator
-Send a message to an NMC administrator
Search enhancements
Overall search enhancements When you click the magnifying glass button in search screens, the Nuance Management Console, displays the fol-lowing graphic while it retrieves the search results:
The circle of green dots keeps moving while data is being retrieved.
To stop the retrieval of search results, click 'Cancel' .
Organization search enhancements The Search Organizations screen allows you to search for an organization by name, Organization ID, NPI, institution code, and license type. For details, seeSearching for an organ-ization.
Group search enhancements The Search Group screen now allows you to search for a group by Group name, Organization, or Role. For details, see
Viewing, modifying, and deleting groups.
Event search enhancements The Events screen now allows you to search for an event by event id. For more details, seeAnalyzing audit events. License search enhancements The License Summary screen now allows you to search for
a license by Organization and license type. For more details, see:
-Viewing existing licenses
Save search results to a .csv file On search result screens, you can save the search result data to a .csv file for future use. On screens that display search results, a status bar at the bottom of the screen displays: -The number of rows on the screen
Feature Description
-An icon to save search results to a .csv file
To save search results to a .csv file
1. Press the icon.
2. In the dialog box, browse to a location to save the file. 3. Press Save.
National Provider Identifier
Managing National Provider Identifier's for a user or site
All US healthcare organizations and physicians have a National Provider Identifier (NPI). An NPI is a unique number that identifies the organization.
You can assign a National Provider Identifier to a user or site. You can also search for a National Provider Identifier by user name or site name.
For details, see
-Assign a National Provider Identifier to a user account or a site
-Search for an National Provider Identifier using the name of a user or site.
DM360 Network Edition and vSync
The following items are for DM360 Network Edition.
Feature Description
NMS in the Cloud
NMS in the cloud In Dragon Medical 360 | Network Edition and NMS 3.0, data objects are stored in (Nuance Management Server) NMS in the cloud (in the Nuance data center) instead of an on-premise NMS.
Storing objects in NMS in the cloud allows customers that have more than one Nuance product to share data across multiple Nuance applications. For example, customers that may have Dragon Medical 360 | Network Edition, DM360 On Demand (DMOD), and Dragon Medical 360 | Direct. A customer that creates an auto-text or adds a command in the Nuance Management Console can see and use that object with multiple products.
For details, seeOverview of NMS in the cloud. Migrating data from an on-premise NMS to
NMS in the cloud
You use the cloud migration tool to move data from your on-site NMS server (NMS 2.0) to the NMS server in the
Feature Description
• An Organization in the NMS cloud, created by Nuance, with:
o The same Organization Id as the on-premise NMS server.
o A user credential that has the rights to add all the data to NMS in the cloud.
For details, seeMove data from an existing on-premise NMS server to the cloud NMS server.
Upgrading the Profile Optimizer Server to NMS in the cloud
Prior to NMS 3.0, the NMS sends requests to the PO server to get task and node information. In NMS 3.0, with NMS in the cloud, a path from NMS to the PO server no longer exists.
Instead, the NMS hosts an interface that allows the PO server to send task and node information to NMS in the cloud for storage. The NMS uses its locally accessible tasks and nodes storage to satisfy queries from the Nuance Man-agement Console.
Prior to NMS 3.0, the PO server sends updates to the NMS server every time the state of a task changes. In NMS 3.0, the PO server sends updates to the NMS in the cloud every 60 seconds (by default) for tasks on a scheduled basis.
When you upgrade the PO Server to NMS 3.0, the on-premise PO server starts migrating node and task tables to NMS in the cloud. The PO server first sends its newest data to NMS in the cloud. The server then sends older or historical data to the cloud.
During the upgrade, there may be a small period of time when data is not available in the Nuance Management Console for node groups or task status.
Support for speech code collections in the cloud
NMS 3.0 introduces updates that support managing speech node collections with NMS in the cloud:
Speech Node Collection screen:
- New Organization drop-down field
Speech Node Collections screen:
- New Organizationcolumn
Profile Optimizer Status view:
- The Last Day Utilization and the Last 7 days
util-ization columns have been removed
- New Service Start Time column - New Idle Since column
- The Resource Name column is now the Profile Name column.
Profile Optimizer Tasks view:
- New Organization column
Feature Description
-The Resource Name column is now the Profile Name column.
For details, seeConfiguring Speech node collectionsand
Viewing the status of scheduled optimizations.
Enabling downloads from the cloud NMS 3.0 allows customers to work with NMS in the cloud: An NMS server hosted in the Nuance data center. If you are using this solution, you must enable this feature. For details, seeEnable the NMS to download from the cloud (Nuance data center).
Initial user log in after upgrading to NMS in the cloud
After you upgrade a user account to Nuance Management Server (NMS) in the cloud or after you upgrade a Dragon client to NMS in the cloud, the user must log into the sys-tem using the Dragon client in connected mode. This action authenticates the user with the NMS and allows them to later use Dragon in disconnected mode. The user cannot use Dragon in disconnected mode until they first login to Dragon in connected mode.
Tools
Running tools in the Nuance Management Console
NMS 3.0 introduces some updates to the tools that you can use to manage the NMS. In the Nuance Management Console, the Utilities > Tools section contains three links:
-Launch data distribution tool -Launch user profile association tool -Launch cloud migration tool
When you click one of the three links, one of the following workflows will occur:
- If the application is not installed on your computer, your are prompted to install the application.
- If the application is installed on your computer and is up-to-date, your are prompted to run the application.
- If the application is installed on your computer, and is an older version, your are prompted to upgrade the appli-cation.
A new profile association tool The profile association tool is available as a separate tool from the Nuance Management Console. You can still access the tool from the Nuance Management Console but it is installed and run locally.
The main functionality of the profile association tool has not changed. However, there are some new features. For details, seeAssociating new user accounts with existing user profiles.
Client, medication, and command updates
Man-Feature Description
bling, and disabling product updates. Quickly find and process updates that
require your approval
The default view for the Approvals screen is now
Unap-proved Packages. This allows administrators to quickly
find and approve updates.
To access the Approvals screen in the Nuance Man-agement Console, in the ribbon, select Utilities >
Updates
Users and user profiles
Importing, exporting, and deleting user pro-files
You use the Dragon client to import, export, and delete user profiles. This functionality no longer exists in the Nuance Management Console. For details, see the Dragon Help or the Dragon user guide.
Importing a user In the Import Users wizard, the Select Group
Mem-bership page now includes the Select site combo box.
You can select available groups from the current organ-ization and a specific site.
SeeImport multiple users into the NMS serverfor details. Settings in the User Profile tab are now
read only
The settings in the User Account Details > User
Pro-file tab are now read only. The Language and Language
Accents settings have been changed to read only. The
User Profile tab now includes the Dragon Client Options section that displays a list of all client settings
that are set only in the Dragon client Dragon client
Closing Dragon from a command line On any workstation where Dragon is installed, end-users can logout of Dragon and close the Dragon from the com-mand line. For details, seeClosing the Dragon Medical client from a command line.
Setting the location of the Dragon MSI installer and DM360 Network Edition doc-umentation
There are new steps for configuring the location of and downloading the Dragon MSI installer and product doc-umentation. For details see:
-Setting the location and version of the Dragon MSI installer
-Downloading the Dragon MSI installer and doc-umentation to a workstation
-Setting the local download location for documentation
Performance and troubleshooting
View Speech Recognition Metrics In the Nuance Management Console, you can design and run queries about speech metrics for users. For details, seeViewing Speech Recognition Metrics.
Client log search enhancements You use the Client Logs screen to view log files for a vari-ety of products and items.
The screen allows you to search for log files using a user login, within a date range, and one or all products. In NMS 3.0, you can search for log files for: -DM360 Mobile Recorder
-DM360 Recorder
Feature Description
-EHRi -MiniDragon (Vsync) -The Cloud Migration Tool
For details, seeView log files for a variety of products and product components.
Restoring default settings in the Nuance Management Console
You can restore the default settings in a number of loca-tions in the Nuance Management Console. You restore the default settings by pressing the Restore Default but-ton at the bottom of the tab or screen, and then pressing Save to save the changes. The following areas in the Nuance Management Console UI now contain the Restore Defaults button:
Group Details > DM360 Network Edi-tion Settings > Auto-Formatting
-General -Capitalization
-Numbers, Units, Dates -Abbreviations
-Miscellaneous
Group Details > DM360 Network Edi-tion Settings > Commands
Site > DM360 Network Edition
-Miscellaneous -Master User Profile -Data
User Account Details > DM360 Network Edition > Auto-Formatting
-General -Capitalization
-Numbers, Units, Dates -Abbreviations
-Miscellaneous
Timeout settings
Setting the "Connection timeout" option to a value greater than 255
Setting the "Connection timeout" option to a value greater than 255 will cause issues with Dragon clients from Service Pack 3 or earlier. The older Dragon clients only accept a value less than 255 for the "Connection timeout" the option.
Setting the "Lock timeout" option to a value greater than 255
Setting the "Lock timeout" option to a value greater than 255 will cause issues with Dragon clients from Service Pack 3 or earlier. The older Dragon clients only accept a
Feature Description
Changes to the Text and Graphics/auto-texts UI and functionality
NMS 3.0 introduces the following changes to the Text and Graphics/auto-texts UI and functionality:
• The Auto-text screen now includes a Spoken form field. Dragon Medical 360 | Direct recognizes this field value as the default spoken form for the auto-text.
• The Spoken form field auto-populates as you enter char-acters in the Name field. .
• The Nuance Management Console removes special char-acters from the Auto-text Name and Spoken form fields as they are entered.
• You must have the Product – Manage NSA right to use or view the Spoken form field and the Spoken Phrases tab.
• The Auto-text screen no longer includes the Product field.
• Naming conventions for Dragon Medical 360 | Direct auto-texts are now equivalent to naming conventions for DM360 Network Edition auto-texts.
Synchronizing Text and Graphics/auto-texts after importing a user profile
After a user imports a User Profile, to synchronize their auto-texts with the Nuance Management Server (NMS), they must log out of the Dragon client. This does not have to occur right after the profile import unless they want to synchronize the auto-texts immediately after the profile import.
Support for keywords for Text and Graph-ics/auto-texts
A keyword. for Text and Graphics/auto-texts consists of a prefix and postfix/suffix. NMS 3.0 provides support for managing these keywords. For details, seeAdding and managing keywords for auto-texts.
Importing Text and Graphics/auto-texts You can now import Text and Graphics/auto-texts that were exported from the Dragon client (DM360 Network Edition) or exported from Nuance Management Console (NMS). For details, seeImporting or exporting Text and graphics/auto-text.
Edit Control support
Support for Tern17 version 17.0.6.8 or higher edit controls (x86 only)
You can use Full Text Control when working with a Tern17 Tern17 version 17.0.6.8 or higher edit control (x86 only) in a local application or a Citrix published appli-cation through a vSync connection. For details, see Sup-port for edit controls.
vSync support for Internet Explorer server edit controls
You can use Full Text Control when working with eClin-icalWorks, Cerner Powerchart Dynamic Documentation, and Athena Health EHR through a vSync connection. For details, seeSupport for edit controls.
Viewing Speech Recognition Metrics
In NMS 3.0, the NMS translates data from binary format used by Dragon Medical 360 | Direct to a new table format on a nightly basis. Speech metrics run against the new table format data to create reports.
In the Nuance Management Console, you can design and run queries about speech metrics for users.
The queries let you view the following speech recognition metrics:
n The length of dictation(s) in minutes
n The total number of characters in the dictation(s)
n The total number of Text and Graphics/auto-texts in the dictation(s) n The total number of characters in the auto-texts
n The total number of dictation sessions.
You can group the metrics by selecting up to three of the following group criteria:
n Organization n Partner n User n Application n Period: Month n Period: Day
Selecting group criteria allows you to specify the speech recognition metrics that the query dis-plays.
Creating a speech recognition metrics query
1. Log into the Nuance Management Console.
2. In the Trends area, under Speech Trends, select Speech Usage.
3. On the Speech Usage screen, to view specific speech recognition metrics, set one or more of the following items:
l Application Name: Search for speech recognition metrics created by a specific dictation
application.
l Start Date/Time: Search for speech recognition metrics create on or after a specific date
and time.
l End Date/Time: Search for speech recognition metrics create on or before a specific date
and time.
l Partner: Search for speech recognition metrics that are associated with a specific partner
l User l Application l Period: Month l Period: Day
l Group by (second): Specify a second sort level for the query results - one of: l Organization l Partner l User l Application l Period: Month l Period: Day
l Group by (third): Specify a third sort level for the query results - one of: l Organization l Partner l User l Application l Period: Month l Period: Day
4. Click the magnifying glass. The Speech Usage screen displays the results of the query. Example one: You create a speech metric query that groups data by organization and by user. The query retrieves and displays metrics as follows:
n First column: Organization - the name of the organization n Second column: Login Id - the login of the user
n Third column: Sessions - total number of dictation sessions for the user
n Fourth column: Length (minutes) - total number of minutes of dictation for the user n Firth column: Total Chars - total number of characters in the dictation
n Sixth column: Auto Texts - total number of auto-texts in the dictation
n Seventh column: Auto Text Chars - total number of characters in the auto-texts
Example two: You create a speech metric query that groups data by application, by user, and by organization. The query retrieves and displays metrics as follows:
n First column: Application - the name of the application used for dictation n Second column: Login Id - the login of the user
n Third column: Organization - the name of the organization
n Fourth column: Sessions - total number of dictation sessions for the user
n Fifth column: Length (minutes) - total number of minutes of dictation for the user n Sixth column: Total Chars - total number of characters in the dictation
n Seventh column: Auto Texts - total number of auto-texts in the dictation n Eight column: Auto Text Chars - total number of characters in the auto-texts
Viewing Speech Recognition Metrics
for DM360 Network Edition
In Dragon Medical 360 | Network Edition, version 2.0, the Dragon client sends usage metrics to the Nuance Management Server (NMS).
In the Nuance Management Console, you can design and run queries about speech metrics for DM360 Network Edition users.
You can view usage metrics in daily, monthly, quarterly and yearly reports.
Report criteria is dynamic; when you select a site, the NMC automatically makes available the appropriate (visible) groups for the site.
You can also export the Dragon usage metrics to a comma delimited files. The queries let you view the following metrics:
n Minutes of live dictation: l Per User l Per Group l Per Site l Per day l Per Week l Per Month
n Number of Words Recognized: l Per User l Per Group l Per Site l Per day l Per Week l Per Month
You can group the metrics by selecting up to two of the following group criteria:
n Group by (first) l Organization l Site l Group l User n Group by (second) l None
l Group l User
Group by fields display on the left hand side of each report.
Selecting group criteria allows you to specify the usage metrics that the query displays.
Creating a speech recognition metrics query for
DM360 Network Edition
To perform the following steps, you must have the Manage DM360 Network Edition right. 1. Log into the Nuance Management Console.
2. In the Trends area, under Speech Trends, select DMNE Speech Usage.
3. On the DMNE Speech Usage screen, to view specific speech recognition metrics, set one or more of the following items:
l Organization: The organization associated with the speech metric. l Last Name: The organization associated with the speech metric. l First Name: The organization associated with the speech metric.
l Start Date/Time: Search for speech recognition metrics create on or after a specific date
and time.
l End Date/Time: Search for speech recognition metrics create on or before a specific date
and time.
l Site: The site associated with the speech metric. l Group: The group associated with the speech metric.
l One of the following radio buttons: Hour, Day, Week, or Month. l Group by (first): Specify the first sort level for the query results - one of:
l Site l Group
l User -when you select this option, the first and last name of the user appear
in the results
l Group by (second): Specify a second sort level for the query results - one of: l None
l Site l Group
l User -when you select this option, the first and last name of the user appear
in the results
4. Click the magnifying glass. The Speech Usage screen displays the results of the query. Example one: You create a speech metric query that groups data by organization and by user. The query retrieves and displays metrics as follows:
n Login Id - The login of the user that performed the dictation. n Week- The week the dictation occurred.
n Length (minutes) - The total number of minutes of dictation for the user (to two decimal
n Total Words - The total number of words in the dictation.
Enable or disable the Dragon vSync
connection notification
In DM360 Network Edition Service Pack 2 and Hot fix 7, Dragon displays a notification in the tray area if there are connection issues between Dragon and vSync on a Citrix server.
In DM360 Network Edition Service Pack 3, you can enable or disable the notification. The option is enabled by default.
1. In the Nuance Management Console, select a site. 2. On the Site view, select DM360 Network Edition. 3. Expand the Miscellaneous section.
4. To enable the vSync connection notification, check Display vSync Status Tray Icon. 5. To disable the notification, uncheck Display vSync Status Tray Icon.
Restoring vSync support after
updating a Citrix client
Dragon uses vSync support to provide Dragon users with Full Text Control when they work with applications published from a Citrix server. An administrator updates or reinstalls one or more Cit-rix ICA clients on a workstation with Dragon.
Updating or reinstalling a Citrix ICA client deletes and un-registers Dragon Citrix client and vSync components. This disables and removes vSync support.
The vSync Restoration Patch provides a quick and simple way to reinstall vSync support after updating or re-installing a Citrix ICA client. After updating or reinstalling a Citrix ICA client on a workstation, run the patch on the workstation or push the patch install to the workstation. In DM360 Network Edition Service Pack 3, only use the vSync Restoration Patch to repair dam-aged vSync client components or to install the vSync client components for the first time. To upgrade vSync client components. use thethe patch installer. Do not use the vSync Res-toration Patch to upgrade these components.
Note: You must upgrade vSync on your Citrix servers before you upgrade vSync on Dragon client
computers.
The patch can be run on a 32-bit or 64-bit workstation where all, some, or none of the vSync com-ponents are installed. The patch installer can also be run in 'silent' mode.
When you run the patch installer, it successfully patches and re-registers the relevant dll and com-ponent files. The installer also displays messages about installation success or errors.
You can run or push the vSync Restoration Patch using any version of the DM360 Network Edi-tion Dragon client (Service Pack 1 or higher). If you do not have Service Pack 1, you must install it before you can install the patch.
Pre-requisites for installing the DM360 Network
Edition vSync Restoration Patch
Ensure the following items are met before you run the patch. Otherwise, the patch installation will fail and log error messages to the DgnSetup log file.
n The Dragon client must be installed on the workstation n Dragon must not be running on the workstation
n A Citrix ICA client must be installed on the workstation
n Citrix ICA Client Engine process must not be running on the workstation
You can install the patch even if the vSync components in the patch are the same version as the vSync components currently installed on the workstation.
Steps for installing the DM360 Network Edition
vSync Restoration Patch on a workstation
Perform the following steps after updating or reinstalling a Citrix ICA client on a workstation. 1. Ensure all the installation pre-requisites are met. SeePre-requisites for installing the DM360
Network Edition vSync Restoration Patchfor details.
2. On the DVD, find and run the vSyncRestore.exe file on the Dragon client workstation. Alter-nately, you can push the patch install to the workstation.
DM360 Network Edition vSync Restoration Patch
Logging
When you run the vSync Restoration Patch, it logs success and error messages to the DgnSetup log. It also logs the version numbers of the currently installed Citrix support components and the components in the patch.
Receiving notifications of vSync
timeouts
When vSync starts, it attempts to identify windows hosted on the Citrix server. vSync may time-out if it is unable to communicate with the Citrix server after a certain number of attempts. Dragon users are unable to use Full Text Control functionality with an application published from a Citrix server.
NMS Administrators can now receive notification when a Dragon client cannot establish a vSync connection to a Citrix server. Administrators can use a vSync timeout notification tool, a stand-alone command line tool, to receive notifications when network issues cause vSync to timeout. The notifications contain information about the number of users in a site that experienced vSync timeouts and the names of those users.
The vSync timeout notification tool searches the Dragon log in the Master Profile Directory for a special log statement that the Dragon client Citrix components generate when a certain number of attempts to communicate with the Citrix server timeout.
The tool generates notifications (as a WMI events) about the network issues. Administrators can write an MOF script to detect the event and take some action when the event occurs, for exam-ple, send an email or SMS, or write an event to the NT Event Log.
The generated WMI notifications contain information about the number of users that experienced vSync timeouts and a list of the users that experienced vSync timeouts.
Administrators can use the Windows Task Scheduler to configure the vSync timeout notification tool to run according to a schedule and to receive periodic notifications of vSync timeouts. Administrators should schedule the tool to run once a day.
Distribution of the vSync timeout notification tool
Dragon administrators can obtain the vSync timeout notification tool from Nuance through an ftp connection. Administrators receive a zip file that contains the vsync_notifier.exe, a readme.txt file, and a sample MOF script with the name ‘vsync_event_consumer_example.mof’. The Read-me.txt file and the sample contain information about the event properties that an MOF script must use to detect and react to vSync timeouts.
The Readme.txt file contains prerequisites and requirements for the vSync timeout notification tool. Readme.txt also contains instructions for installing, un-installing, and using the vSync time-out notification tool.
