PowerScribe® 360 Reporting

Client Installation and Configuration

Product: PowerScribe® 360 Reporting Doc. Num: 889800

Version: 3.5 Date: 22 February 2017
Subject: Client Installation and Configuration

Introduction
The information in this document explains how to install the PowerScribe 360 Reporting client software.
Users who have an older version of PowerScribe 360 Reporting client software already installed will be upgraded
automatically when they run the new client installation. (See Install the Client Application below.)

Uninstall Required For PowerScribe 5.x/4.x Users

Users who are upgrading from PowerScribe 5.x or 4.x must uninstall that older client application before installing
the PowerScribe 360 Reporting client software.
Use the following steps to uninstall the old PowerScribe 5.x or 4.x client.
1. From the client workstation, click Start > Control Panel > Programs and Features (or Add Remove
Programs depending upon your version of Windows).
2. Uninstall the programs listed below (if they exist on the workstation) in the following order:
a. PowerScribe 5.0 Dictation Client or PowerScribe Workstation Client (4.x)
b. Dictaphone PowerScribe SDK Components
c. Dragon SDK Client Components
d. PacsBridge
3. On the workstation’s C:\ drive, delete the Dictaphone folder.
4. Open the folder called Program Files, right-click the Nuance folder and select Delete from the sub-menu to
remove the Nuance folder completely.
5. From your Field Engineer, obtain the file named DNS95remover.exe and copy it to the workstation.
6. Run the DNS95remover.exe file on the client workstation. This removes the remnants of the Dragon 9.5
application from the workstation.
7. Reboot the workstation and log in once the reboot is completed.

© 2017 Nuance Communications, Inc. All rights reserved.

Client Installation and Configuration

Installing the Client Software

Installing the PowerScribe 360 Reporting client application is a two step process. Be sure to perform the steps in
Client Workstation Requirements before installing the client application.
 Client Workstation Configuration: Before you install the client, review and/or perform all of the steps in
the workstation requirements section of this document.
 Install the Client Application: After verifying that the workstation meets the requirements, install the client
using the steps in the client installation section of this document.
Client Workstation Configuration
Hardware/Software Requirements
 Ensure that all Microsoft updates have been applied to each workstation.
 PowerScribe 360 Reporting version 3.5 requires Microsoft .NET Framework version 4.0 or higher to support
SHA256 certificates.
 PowerScribe 360 Reporting version 3.5 requires Microsoft Internet Explorer version 11.
 Apply the latest Microsoft root certificates on each workstation.

Admin / Editor
Integrated Client
Client/Standalone Dictation Client

Dual-Core or
Optimal Quad-Core 2.7 GHz
Processor Dual-CPU 2.4 GHz or above
Dual-Core or Dual-CPU 2.4 GHz or
Minimum Single-Core 2.4 GHz
QuadCore 1.8 GHz or above
RAM Optimal 4GB 8GB
Minimum 4GB 4GB
Windows 7 Windows 7
Optimal
Windows 8.1 Windows 8.1
(64 Bit O/S)
Operating Window 10 Pro/Ent 11,12 Windows 10 Pro/Ent 11,12
System3
Minimum Windows 7 Windows 7
(32 Bit O/S) Windows 8.1 Windows 8.1
# NIC / Speed Optimal 1GB 1GB

Minimal 100MB 100MB

Minimum Display 1024 x 768 1024 x 768
C: Drive (O/S) Size 25GB 25GB
Available Space after install of Client Available Space after install of Client
Browser Internet Explorer 112 Internet Explorer 112

Notes:
1. For PowerScribe 360 | Reporting integrated clients, Nuance recommends verifying the integrated client
specifications with the Client’s PACs or Desktop Integration Vendor.
2. Microsoft has ended support for all IE versions below IE 11.

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3. The PowerScribe 360 | Reporting client natively supports 32bit operating systems, as well as 64bit operating
systems in 32bit emulation.
4. The installer of the PowerScribe 360 client software must use a Local Administrator account and UAC must
be off during installation. After installation, UAC can be re-enabled.
5. The client must be able to update the registry.
a. The following are the keys that the client must be able to access (Read and Write):
i. HKEY_LOCAL_MACHINE\SOFTWARE\Nuance
ii. HKEY_CURRENT_USER\SOFTWARE\Nuance
6. All users must have Full control permissions on the C:\ProgramData\Nuance Folder, as well all subfolders.
7. If using an XML desktop integration, all users must have full control of the specified directory (e.g. C:\Nuance).
8. Nuance PowerScribe 360 | Reporting Client can connect to different PowerScribe 360 | Reporting systems;
however, the systems that are being connected to MUST be at the exact same version, service pack, patch and
publication.
9. In order to view images from the PowerShare network, the client must have a browser installed that supports
Flash Player version 10 or greater. PowerShare uses the Client Outlook – eUnity Viewer to display images.
10. WebDAV communication is used to download and upload Dragon Naturally Speaking user profile.
Communication between the client and server requires port 80 or 443 only to support this communication
11. PS 360 v3.5.2 supports the following Windows 10 versions with the latest KB updates:
Version 1607 (OS build 14393) (Released 8/2/2016), Version 1511 (OS build 10586) (Released 11/10/2015)
12. Windows 10 known issues running PowerScribe 360 | Reporting Client
a. Edge Browser is not supported. Only IE 11.0
a. When starting the PS 360 client using the shortcut on the desktop, the Edge Browser will start up and will
not disappear or shut down, leaving a “Blank” browser page. To fix the issue, the site will need to change
the default browser to from “Edge” to “IE 11”.
Antivirus Exclusions
Ensure the proper antivirus exclusions are configured on each workstation. Disable the antivirus application before
installing the PowerScribe 360 Reporting software and re-enable it after a successful installation.
Nuance recommends that the most effective method for AV protection, while preventing the AV from interfering with
application operations, is to use process exclusions. Process exclusions in antivirus will ignore any file accessed from the
excluded process. This will help prevent latency while allowing the Anti-Virus to monitor file operations initiated by other
processes.
Heuristic / Proactive Threat Detection
Apply the same process exclusions as shown below to the Heuristic / Proactive Threat Detection applications. If you
do not, this function may see the Dragon and PS360 Application behaviors, such as converting audio files, as a
potential threat, and block access to the files.
Malware Detection
Apply the same process exclusions as shown below to the real-time malware detection applications. If you do not, this function
may see the Dragon and PS360 Application behaviors, such as converting audio files, as a potential threat, and block access to
the files.

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Exclude the following processes on the workstations:

Windows 7, Windows 8, and Windows 10
 Natspeak.exe
 Nuance.PowerScribe.exe
If your antivirus application is not capable of excluding processes, you should exclude the following
directories and file types. Be sure to apply the same exclusions to Heuristic and Malware functions within the
anti-virus application or additional applications.
Windows 7, Windows 8, and Windows 10
Exclude the folders:
 C:\Nuance (PACS integration folders for XML integrations)
 C:\ProgramData\Nuance
 C:\Users\<Windows USER_ID>\AppData\Roaming\Nuance\Dragon SDK Client Edition12
 C:\Users\<Windows USER_ID>\AppData\Local\Nuance\PowerScribe360
 C:\Users\<Windows USER_ID>\AppData\Local\Temp
Exclude the following extensions
 BD, BIN, DAT, DRA, ENH, GRM, GRX, INI, NWV, SIG, SVC, USR, VER, XML, DICT, LOG, TXT,
WAV, ini_DGNRenamed, voc_DGNRenamed

The %TEMP% directory is used for the log-in process of Dragon SDK / PS360. If possible exclude
the directory from real-time AV scans for these extensions (tmp, bak).

When logging in, Dragon downloads the speech profile to the TEMP folder, then moves the
required files to the speech profile storage location. Not excluding this may cause latency during
log in and log out.
Rights
The person installing the PowerScribe 360 Reporting software must use a Local Administrator account and User
Account Control (UAC) must be off during installation. After installation, UAC can be re-enabled.
Turn Off Control Panel/Power Options
The Power Options will vary depending on the exact hardware configuration and operating system of the
workstation.
To disable the options, open the Power Options applet in the Control Panel.

Disable the following:

a. Turn off hard disks
b. System standby
c. System hibernate
d. Hibernate (on the Hibernate tab)
e. Any Power Options, on any tab, that may freeze an application or disk drive when the computer is left idle

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Disable USB Root Hub Power Management

Verify that the Power Management is disabled for the USB Root Hubs. This will prevent disconnects in the
application. You can use Device Manager to change the power management settings for the USB Root Hub. To
disable this setting in Device Manager:
1. Expand Universal Serial Bus Controllers.
2. Right-click the USB Root Hub.
3. Click Properties.
4. Click the Power Management tab.
5. Clear the Allow the computer to turn off this device to save power check box.
6. Repeat for all hubs.
Disable NIC Card Power Management
Verify that the Power Management is disabled for the NIC Card. This will prevent disconnects in the application.
You can use Device Manager to change the power management settings for a network adapter. To disable this setting
in Device Manager:
1. Expand Network Adapters.
2. Right-click the adapter.
3. Click Properties.
4. Click the Power Management tab.
5. Clear the Allow the computer to turn off this device to save power check box.
Make Internet Explorer the Default Web Browser
1. Open Internet Explorer.
2. Click Tools > Internet Options > Programs.
3. In the Default web browser area, click the Make default button. If Internet Explorer is already the default web
browser, this button is unavailable (grayed out).
4. Select the Tell me if Internet Explorer is not the default web browser check box.
5. Click Apply.
Internet Explorer Options Settings
Open Links from Other Programs Item:
1. Open Internet Explorer.
2. Click Tools > Internet Options > General.
3. In the Tabs area, click Settings.
4. In the Open links from other programs in area, select the A new window option.
5. Click Apply.

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Trusted Sites
1. Click Tools > Internet Options > Security > Trusted Sites > Sites.
2. Enter the URL of the PowerScribe 360 Reporting server and click Add.
3. Click Close.
4. Recommended: Set the trusted site security level slider to Low.

Disable UAC on Windows Clients

For machines running Microsoft Windows, you should disable the User Account Control (UAC) prior to installing
the PowerScribe 360 Reporting software. After installing the software, you may change the settings back so that the
client workstation is secure.
1. Open the Control Panel and enter UAC in the start menu or search box.
2. Click the Change User Account control settings link.
3. Note the setting. You will change this back after installing the PowerScribe 360 Reporting software.
4. Drag the settings button all the way to the bottom to disable UAC.
5. Reboot the computer.

Disable the Windows Firewall

Nuance recommends that you disable the Windows Firewall on all work stations. Not disabling the firewall could
cause the firewall to block communications to the application server and other integrated applications.

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Install the Client Application

To install the client application on a workstation:
1. Open Internet Explorer and enter the PowerScribe 360| Reporting Client site using the web address shown
below:
http://<servername>/PS360ReportingClient/
where <servername> is the name of your PowerScribe 360 Reporting web server (do not include the
surrounding brackets < > when you type in the server name).
2. Click the Download link.

The Internet Security Warning displays.

3. Click Install.

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The following message appears, the workstation must meet the minimum Microsoft .NET installation
requirements.

a. If the workstation does not meet the .Microsoft .NET software requirements, click OK, and Cancel.
b. Install the required Microsoft .NET software on the workstation.
c. Install the client software.
OR
a. If the workstation meets the requirements, click OK
The Welcome dialog displays.

4. Click Next.

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The installer checks the workstation environment to verify that it meets the minimum system requirements.
The System Configuration Checks dialog displays. (The Available column will vary by workstation.)

5. Scroll down to view all of the configuration checks.

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6. If the following message displays, click No to exit the installation and address the configuration concerns, or
click Yes to continue.

7. On the System Configuration Checks dialog, click Next

The Dragon Naturally Speaking Setup Type dialog displays.

8. Select the appropriate version of Dragon, and click Next.

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The Ready to Install the Program dialog displays.

9. Verify the items that will be installed, and click Install.

The software begins to install the necessary components. Note that this can take several minutes to complete.

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The Launch components failed message displays only if the install detects it is necessary to perform a reboot
of the workstation.

10. Click OK, and reboot the workstations.

Otherwise, the Completed dialog displays.

11. Click Finish.

12. Reboot the workstation if necessary.

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13. Once logged in to the workstation, double-click the Nuance PowerScribe 360 icon on the
desktop.

14. At the Application Run dialog box, click Run.

15. When the application has finished installing, ask the provider to log in and have him/her perform the
microphone wizard and training dictations.

Daily Client Workstation Reboot

Reboot all client workstations on a daily basis. This is a recommendation by Nuance and Microsoft due to the large
amount of memory reads and writes that the applications and PACS systems perform. Rebooting allows the
operating system and applications to run optimally for best performance.

DVD Image Install/Upgrade Procedure

This installation method can be used for remote workstations that cannot easily download the Dragon Components
of the PowerScribe 360 Client software installation, due to internet bandwidth restrictions.
The DVD files are created during the installation of the system and are stored on the Application (IIS) server.
This method installs the Dragon components and the integration components, and places a shortcut on the desktop
for the application. When this shortcut is executed, the .Net components will be updated on the workstation and the
application will launch.

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To install or upgrade the client software from the DVD image:

1. Download the DVD installation folder and burn to a DVD for distribution.
2. Place the DVD into the DVD drive on the workstation.
3. Browse to the DVD and double-click the setup.exe.
The rest of the steps are the same as in the standard installation.

You might find it easier to copy the DVD image directly from the application server to your
workstations over the network. The Data drive on the application server contains a copy of the DVD
image. The image is located in D:\Nuance\DVDImage. Copy the entire contents of the DVDImage
folder to the workstation and run the setup.exe file.

Guidelines for Creating an Automated Installation Package

This process is not supported by Nuance, and is the sole responsibility of the customer to configure
and maintain.

 The source files for the automated installation package are contained in the PowerScribe 360 Client DVD
installer package. This package is created by Field Service using the server application ClientAdmin
during the configuration of the PowerScribe Client Installer on the Application Server.
 The DVD installer is located in x:\Nuance\DVDImage, where x is the data drive of the Application
Server. (Normally this path is D:\Nuance\DVDImage.)
 The automated client installer will need to push all files from the DVD installer except the Dragon
installations that are not required. Most installations will use the DSC_Rad package for Radiology only
[DRAGON_INSTALL=1].
 The following is an example of the command line used for a silent install with the Radiology version of
Dragon NaturallySpeaking:
setup.exe /s/v" /qn+ ISSETUPDRIVEN=1 ALLUSERS=1 DRAGON_INSTALL=1"

There is a space character after the v" item in this command line.

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The table below describes the setup.exe command line switches:

Parameter Description Required

 
/s Indicates that the switch is silent on InstallShield. Yes 

 
/v Passes the switches to the MSI installer. Yes

 
/qn Quiet mode; no user interaction, no user interface. Yes
 
ISSETUPDRIVEN=1 Enable installation using the client installer. Yes
 
ALLUSERS=1 An ALLUSERS property value of 1 specifies the per-machine Yes
installation context.

 
DRAGON_INSTALL Type of Dragon installation:  Yes
0 = Skip 
1 = Radiology 
2 = General medicine 
3 = Transcription

Using the Test Server DVD to Create Clients

If the Production system is not yet upgraded, the site IT department can edit a file on the Test system DVD so that
it can be used to install Production clients pointing to the production system.
1. Copy the files from the Test server DVD to a location on the computer from which you want to create the push
installation.
2. From the root folder of the files you just copied, locate the file called PS360ReportingClientConfig.xml.
3. Open the file in Notepad and edit the last line as follows:
4. Replace the word TESTSERVER:
Location="http://TESTSERVER/PS360ReportingClient/Client/Nuance.PowerScribe360.application" /><!--
other options...--></configuration>
with the name of your production server:
Location="http://PRODUCTIONSERVERNAME/PS360ReportingClient/Client/
Nuance.PowerScribe360.application" /><!--other options...--></configuration>
5. Test the push on several workstations to make sure that it installs the client properly.

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