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Using Partners Dragon Remote

Dragon Medical 360/Epic Off- Network Access

Updated December 12, 2016

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Contents Overview ................................................................................................................................................................................. 3

Requirements .......................................................................................................................................................................... 4

Limitations............................................................................................................................................................................... 5

Applications ......................................................................................................................................................................... 5

Computers ........................................................................................................................................................................... 5

Using Dragon Remote ............................................................................................................................................................. 6

Support.................................................................................................................................................................................... 7

Helpful Hints ........................................................................................................................................................................... 8

Appendix A – Windows 10 Installation ................................................................................................................................... 9

Troubleshooting .................................................................................................................................................................... 17

Citrix Audio Components Missing ..................................................................................................................................... 17

After reinstalling Citrix Receiver ....................................................................................................................................... 17

If that doesn’t work ........................................................................................................................................................... 17

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Overview The Partners Dragon 360 Remote configuration is designed to provide Dragon Medical 360 capability to users that are

not on the Partners Network, such as home users or off-network users such as Mass Eye and Ear and PCPO. When on

the Partners network a local install of Dragon exists on the client computer. In this Dragon 360 Remote configuration,

Dragon is instead already installed on a Partners Citrix server which makes it accessible for any user over the internet via

Citrix. In this configuration a full install of Dragon is not necessary on your local computer. Only 2 small files are needed

to provide compatibility for the microphone.

Important to note:

If a home user currently has a Partners laptop with VPN connectivity and is using it for Dragon access, it is

probably best to continue to use that configuration. In most cases it provides more features than the Dragon

Remote configuration.

Do not try to use Dragon Remote if you are ON the Partners network. It is optimized for use by home and other

off-network users. If it is used on the Partners network the available dictation sources are limited and

performance will not be equal to our standard Dragon 360.

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Requirements The requirements for using Dragon Remote are:

User must have completed a Dragon training class and have access to Dragon.

User must have access to the Epic Production environment

Microsoft Windows 7 or Windows 10 computer (Mac is not supported)

A connection to the internet

Nuance USB Headset , PowerMic II or PowerMic III

Download Plug-ins from http://healthcare.partners.org/dragon/dragon.htm if on the internet or

\\peccifs2\pecdragp$\Remote_Plugins if on the Partners network.

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Limitations This version of our Dragon Remote configuration has several important limitations. Some are limitations that are

inherent with this type of configuration where Dragon is hosted on a Citrix server; additional capabilities may be added

in the future.

Applications When Dragon is running on a local computer on the Partners network, Dragon can be used to dictate not only into Epic

but also into any application running on the local PC such as a web page or Microsoft Office Application. With the

Dragon Remote configuration running over the internet, Dragon is only able to dictate into applications that exist on the

Citrix server. That currently limits dictation to only Epic Hyperspace. Since Microsoft Office is not hosted on Citrix,

dictation into Word or Outlook is not available at this time. The Citrix team hopes to offer support for Microsoft Office

products at a future date.

Computers Dragon Remote will only work on Windows based computers. Mac is not supported by Nuance and they have no plans

at this time for Mac compatibility.

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Using Dragon Remote

Before using Dragon, it is necessary to install two plug-ins on the computer where you will be using Dragon. (See

appendix A for screenshots if needed)

1. Download the plugins from http://healthcare.partners.org/dragon/dragon.htm . This will download a ZIP file

with the 2 files in it. Click the zip file to display the contents. Or you can copy them from a computer that is on

the Partners network. Copy the Dragon Citrix extensions from \\peccifs2\pecdragp$\Remote_Plugins to a flash

drive or other storage

2. Install the Citrix Audio Plug in vddnspatch2.exe by clicking on it .

3. Install the PowerMic II Extensions PowerMic Citrix Extension Client.msi by clicking on it.

4. From Internet Explorer, start Citrix by logging into http://myapps.partners.org using your Partners credentials

5. Locate the icon labeled Epic Hyperspace with Dragon Remote and click it.

NOTE: Please note Dragon no longer launches simultaneously with Epic as it did in our

initial implementation

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6. Dragon is accessed from within Epic Hyperspace by clicking

Epic Button\PHS Applications\Dragon Options\Dragon Login

7. Use Dragon normally 8. As a recommended best practice we do suggest that the Dragon Logout button is used to end a Dragon

session. 9. When complete, exit Hyperspace and exit Dragon and insure that the Dragon profile is completely

saved before disconnecting from the internet or shutting down the computer.

Support For support during regular business hours, open a ticket with the Partners Help desk for

BWH Dragon – BWH

MGH Dragon – MGH

All others Dragon 360 – PeC . Support is available only during regular business hours

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Helpful Hints This remote configuration of Dragon has all of the same cautions about making sure you close your Dragon

profile to prevent profile corruption. Make sure to log off Dragon and insure that the profile is saved before

shutting down your PC.

If you have problem with the microphone being recognized, it may be because you have other microphones

(such as a webcam) which are conflicting. Try disconnecting any other microphone if you are having trouble.

If you get the message below, it means that the plug-in vddsspatch2.exe(power mic extension) is not installed.

Shut down Dragon and Epic and reinstall that file

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Appendix A – Windows 10 Installation

Windows 10 may display all or some of the warning screens shown below

From the Dragon web page click on Dragon Citrix Plug-ins. When prompted click on Open

Two files will be listed. First click on vddnspatch2.exe .

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When prompted, click on Run

On some Windows 10 systems you may get the following warning. It is Spam Checker which has never seen these

Dragon downloads to they are suspicious. Click on More Info to continue

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Click on Run Anyway to proceed

Click Yes

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Click Next to proceed with the installation

When complete, click Finish.

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Now install the PowerMic plug-in. Click on the file PowerMic Citrix Client Extension .

Again you may get a warning about the app being Spam . Click More Info to proceed.

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Click Run Anyway to proceed

Click Yes

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Click Next

Click Finish

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You also may have to Check Microphone

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Troubleshooting

Citrix Audio Components Missing If you get a message that the Citrix audio components are missing, then the component vddnspatch2.exe is missing or

broken. Uninstall both components vis Control Panel and reinstall.

After reinstalling Citrix Receiver If for any reason you need to reinstall the Citrix receiver, the Dragon plug-ins will need to be re-installed too.

If that doesn’t work Sometimes no matter how many times you reinstall, the Citrix receiver just does not see the Dragon audio components.

In this case the best thing to do is to uninstall and reinstall both Citrix Receiver and Dragon.

From Add/Remove Programs

1. Uninstall PowerMic

2. Uninstall Citrix Ex

3. Uninstall Citrix Receiver

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4. Reinstall Citrix Receiver

5. Reinstall plug-in vddnspatch2.exe

6. Reinstall plug-in PowerMic Citrix Extension