Installation and Administration Guide Dragon Medical

1 Installation and Administration GuideDragon MedicalVersion 2009. Version Professional and Medical editions. This material may not include some last-minute technical changes and/or revisions to the software. Changes are periodically made to the information provided here. Future versions of this material will incorporate these changes. Nuance Communications, Inc. has patents or pending patent applications covering the subject matter contained in this document. The furnishing of this document does not give you any license to such patents. This software is protected under the following patents, among others: 5,202,952; 5,526,463; 5,231,670; 5,388,183; 5,428,707; 5,680,511; 5,715,367; 5,754,972; 5,765,132; 5,794,189; 5,799,279; 5,818,423; 5,822,730; 5,850,627; 5,890,181; 5,915,236; 5,920,836; 5,949,886; 5,960,394; 5,970,448; 5,970,460; 5,983,179; 6,029,124; 6,064,959; 6,073,097; 6,088,671; 6,092,043; 6,092,044; 6,101,468; 6,125,342; 6,125,347; 6,138,098; 6,151,575; 6,163,768; 6,167,377; 6,212,498; 6,260,013, 6,292,779; 6,349,282; 6,360,237; 6,393,399; 6,424,943; 6,456,972; 6,490,555; 6,535,849; 6,601,027; 6,912,498, 7,315,818.

2 No part of this manual or software may be reproduced in any form or by any means, including, without limitation, electronic or mechanical, such as photocopying or recording, or by any information storage and retrieval systems, without the express written consent of Nuance Communications, Inc. Specifications are subject to change without notice. Copyright 2008-2009 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.

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4 Nuance disclaims all liability for any direct, indirect, incidental, consequential, special, or exemplary damages resulting from the use of the information in this document. Mention of any product not manufactured by Nuance does not constitute an endorsement by Nuance of that 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 believes that data security is best maintained by limiting access to various types of information to authorized users only.

5 Although no software product can completely guarantee against security failure, the Enterprise Express software contains configurable password features that, when used properly, provide a high degree of protection. Legal Notice Italic. 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. Publication Line. Published by Nuance Communications, , Massachusetts, USAV isit Nuance Communications, Inc.

6 On the Web at 06/2009iOverview of the Installation and Administration Guide for Dragon Medical , Version .. 1 Chapter 1: Installing Dragon Medical .. 3 Installing, Modifying, and Upgrading Dragon Medical .. 4 Preparing for an Installation or Upgrade .. 5 Installation restrictions .. 5 File Structure .. 5 Installation checklists .. 6 Recommended System Requirements .. 8 Storage space required for user files .. 9 Installing on or Upgrading to Windows Vista .. 10 Coexistence with other Dragon products .. 10 Installing Dragon on a Single Machine .. 11 Installing Dragon on a single machine.

7 11 Activating Dragon .. 13 Sample custom Installation of Dragon Medical .. 14 Post Installation Tasks .. 30 Cleaning up after uninstalling Dragon .. 30 Version 10 File Structure .. 31 Turning off Dragon s use of Microsoft Active Accessibility Service .. 33 Choosing Medical Vocabulary to Support Your Specialty .. 34 Enhancing the privacy of patient data .. 39 Chapter 2: Upgrading Dragon Medical .. 41 Upgrading Dragon Medical .. 42 What you should know before upgrading from a previous version .. 42 Installing on or Upgrading to Windows Vista .. 43 Upgrading multiple users.

8 43 Upgrading roaming user files: Overview .. 45 Upgrading multiple users .. 53 Upgrading Users with Vocabularies Created by Third Parties .. 56 ContentsiiDragon Medical , Version , Installation and Administration GuideChapter 3: Installing Dragon Medical Using the Windows MSI Installer .. 59 Overview of Installing Dragon Using the Windows Installer (MSI) .. 60 Before You Begin .. 60 Finding the MSI Installer on the DVD .. 61 Entering Command Lines .. 61 Windows Vista Notes .. 61 Overview of the Network Installation of Dragon from a Server .. 62 Modifying Roaming User, Miscellaneous, Schedule Settings in the INI File.

9 63 Carrying Out an Administrative Installation with .bat File .. 71 Installation using the Dragon command line .. 87 Upgrading Your Dragon Installation from the Command Line .. 97 Step-by-Step Command Line Installation with .. 105 MSI Options Specific to Dragon .. 113 MSI Options for Installing Dragon Features/Advanced Options .. 115 MSI Options for Roaming User, Tuning, and Data Collection Setup .. 118 Feature Variables to Set Through the ADDLOCAL or ADVERTISE Properties .. 121 Installing Visual C++ Runtime for Dragon .. 125 Chapter 4: Setting Up and Dictating with Roaming Users.

10 127 Setting Up and Dictating with Roaming Users .. 128 Overview of the Roaming User feature .. 129 Setting up the Roaming User feature .. 133 Enabling the Roaming User on each machine where a user will dictate .. 142 Creating a Roaming User on the local machine .. 160 Dictating with a Roaming User .. 161 Chapter 5: Using Dragon in a Citrix Presentation Server Environment .. 165 Using Dragon in a Citrix Presentation Server Environment .. 166 Sizing and performance information .. 166 Installing and publishing Dragon on the Citrix server .. 171 Creating Policies for Dragon on the Citrix server.