Does Dragon Medical Work With Citrix?Now, it does. With the release of Dragon Medical One, Nuance developed ground rules for Citrix environments. Because of its immense complexity, Citrix usually requires a dedicated administrator—someone who can configure it to operate within a specific environment. In light of that complexity, we’re going to focus on two particular Dragon Medical / Citrix scenarios. Please note that in both of these cases, the EHR is published in a Citrix XenApp session:
- Dragon Medical installed on a local machine
- Dragon Medical published with Citrix XenApp
CPU2.4 GHz processor – We find that most Dragon Medical users run an i3, i5, or i7 chipset.
RAMAt least 4 GB – If you use multiple applications with Dragon Medical, we recommend 8 GB.
- Windows 10, 11 32-bit
- Windows 10, 11 64-bit
- Windows Server 2012 64-bit R2*
- Windows Server 2012 64-bit*
- Windows 2008 R2 64-bit SP2
- Windows Server 2008, SP1, SP2, and R2, 32-bit and 64-bit
- If you decide to use Dragon Medical locally, you free up the server to run other applications.
- Installing Dragon Medical on your computer is relatively easy.
- Your dictation doesn’t affect network bandwidth availability.
- You have Dragon Medical available to use with other programs on your computer.
- Barring any complications (see above), you can dictate without the Dictation Box.
- You don’t need a very robust computer to use Dragon Medical, since the server is doing all the work.
- Any computer that can access Citrix XenApp published applications, and has the Citrix client extension installed, can use Dragon Medical. There’s no need to install the full program on exam room computers. See below for more information.
- Your IT team can regulate who can use Dragon Medical.
- Dragon Medical uses the Citrix server, so your admin should make sure that it has the ability to handle the extra load generated by each user.
- Your network should have at least 1.3 Mbps of bandwidth per Dragon Medical user, to transfer audio from your microphone to the Citrix published application.
- You will lose the ability to use Dragon Medical directly with programs installed on your computer, such as Microsoft Word. You’ll need the Dictation Box in these situations.
- Perhaps first and foremost, in order to use Dragon Medical with a XenApp published EHR, it has to be published in the same session.
- In addition, your IT team will need to install Dragon Medical on the same server cluster as the EHR.
- You need to install the 12.52.350.048 build of Dragon Medical, also referred to as Dragon Medical One. If you need access to this build, please contact your Dragon reseller.
- Make sure to give your clients policy rights so that they can run Dragon Medical on the server.
Load balancingNuance recommends that if you use Citrix Load Balancing, Dragon Medical and your EHR should be on the same server.
Citrix Application Isolation EnvironmentsNuance recommends that if you use Application Isolation Environments, Dragon Medical and your EHR should be in the same AIE.
Citrix User Profile ManagerNuance recommends that if you run a User Profile Manager:
- Turn off Active Write Back
- Turn off Profile Streaming
- Alternatively, add this exclusion to the UPM: C:\Users\%Username%\AppData\Roaming\Nuance
- Install the Citrix Client Extension, included with the install package. The executable filename is vddnspatch2.exe.
- Configure the XenApp client for “High definition audio.”
- PowerMic Citrix Extension Client.msi
- PowerMic Citrix Extension Server.msi