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VA Technical Reference Model v 24.4

Dragon Medical Network Edition (DMNE)
Dragon Medical Network Edition (DMNE) Technology

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Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: Dragon Medical Network Edition (DMNE) is a speech recognition software designed to work with an Electronic Health Record (EHR) in a clinical environment. This technology is intended to centralize user management and enhance dictation performance, while running an EHR in a client/server or virtualized environment. Dictation can be implemented when clinicians conduct reports and progress notes in an EHR. Voice profiles are accessible through any computer in a networked environment provided that each computer uses identical audio hardware and configuration. Additionally, the command input feature allows users to create and issue commands to control programs or functions not built into Dragon Medical.

This technology is hosted on VA premises and stores sensitive data in a Microsoft Structured Query Language (SQL) Server database. This technology also offers Nuance Management Server (NMS) in the Cloud (instead of an on-premise NMS), which stores data objects on the cloud server in the Nuance data center. This allows organizations that have more than one Nuance product to share data across multiple Nuance applications.

Please note that Dragon Medical (360) refers to a number of different client-side products from Nuance. In this case, the Dragon client installed on VA workstations is called Dragon Medical Network Edition (DMNE).

The TRM decisions in this entry only apply to technologies and versions owned, operated, managed, patched, and version-controlled by VA. This includes technologies deployed as software installations on VMs within VA-controlled cloud environments (e.g. VA Enterprise Cloud (VAEC)). Cloud services provided by the VAEC, which are listed in the VAEC Service Catalog, and those controlled and managed by an external Cloud Service Provider (i.e. SaaS) are not in the purview of the TRM. For more information on the use of cloud services and cloud-based products within VA, including VA private clouds, please see the Enterprise Cloud Solutions Office (ECSO) Portal at:
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v23.10
Decision Date: 10/12/2023 at 19:34:50 UTC
Aliases: Dragon Medical 360
Introduced By: TRM Request
Vendor Name: Nuance
- The information contained on this page is accurate as of the Decision Date (10/12/2023 at 19:34:50 UTC).