Nuance Dragon NaturallySpeaking Medical Version 9.5 (http://nuance.com/dictaphone/naturallyspeaking/) is a speech recognition system that lets physicians navigate any Windows or Citrix based EMR system using voice commands. The Medical Version 9.5 was originally designed as a general Window speech recognition system. In the latest versions, EMR-specific features have been added, which reduces time spent documenting care.