Technical Specs for ProVation MD & MultiCaregiver v5.0
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1 Technical Specs for ProVation MD & MultiCaregiver v
2 Hardware and 3 rd Party Software Specifications The following information outlines the recommended hardware and 3 rd party software needed for a typical installation of version 5.0 of the ProVation MD software. Sections denoted as Beta Feature have hardware and/or software components that are subject to change while the feature is being beta tested, defer to the Beta disclaimer below. These specifications will change based on a number of factors including but not limited to: Number of annual procedures Number of concurrent users Number of images stored per procedure Annual growth of procedure volume Features being implemented Tape back-up methodology/strategy Number of scanned pages per procedure Image quality desired Servers Database Server ProVation database resides on this server o Client must work with Wolters Kluwer to size the server appropriately Windows Server 2008 R1 32 bit or 2008 R2 64 bit o Standard or Enterprise Editions Windows Server 2012 R2 o Standard or Datacenter Editions Processors: o Physical Servers: Two Multi-Core Processors o Virtual Servers: Minimum of 4 Virtual CPU s o See Oracle in 3 rd Party Software section below for more information regarding Oracle CPU licensing 4 GB RAM 15K RPM hard drives (SAS recommended) o Refer to Wolters Kluwer for a drive space estimate o RAID controller RAID 1 or RAID fault Tolerance implemented recommended Separate physical drive volume required for backup storage Backup solution for specified directories Unix/Linux can be used to house the Oracle database o Refer to Oracle website for a complete list of supported operating systems o Unix and DBA expertise are to be provided entirely by the client o Refer to ProVation Database Requirements paper Server must be named using Unicode character support [(A-Z) (a-z) (0-9) and hyphens] Antivirus scanning must exclude Oracle database files Application Server ProVation Web Services and application components reside on this server Windows Server 2008 R1 32 bit or 2008 R2 64 bit o Standard or Enterprise Editions Windows Server 2012 R2 o Standard or Datacenter Editions Processors: o Physical Servers: Two Multi-Core Processors o Virtual Servers: Minimum of 4 Virtual CPU s 4 GB RAM Minimum 50 GB primary partition and 50 GB data partition o Some features such as streaming video will require additional space. Wolters Kluwer will help estimate if these features are identified during implementation. Internet Information Services (IIS) Microsoft.NET Framework 3.5 (required for the Oracle client), 4.5 and 4.6 ProVation MD.NET Services can be configured to run under SSL o Client is responsible for obtaining, configuring and maintaining the SSL certificate - 2 -
3 Server cannot be configured as a domain controller Server must be named using Unicode character support [(A-Z) (a-z) (0-9) and hyphens] Streaming Video feature o Microsoft Media Services (MMS) - component only supported on Server 2008 R2 o MMS and video repository may be located on server separate from app server o Windows Server Streaming required for Windows 2012 and supported in ProVation MD version Windows Fax Services (add-on component) o Fax modem is required if faxing from the application server o Dedicated analog phone line is required o For sites with virtual servers wanting to put the faxing components on the server a Digi device can be used to connect the physical modem to the virtual server: Permissions note: o NETWORK SERVICE, IIS_WPG, and IUSR users must have full control of any ProVation software application directories and files in the Inetpub\wwwroot root Check the files themselves and not just the folders o NETWORK_SERVICE account must have full control to C:\WINDOWS\Temp\ Test Server (Required for customers with interfaces and/or MultiCaregiver) Includes all software and applications residing on Database and Application Server Client must work with Wolters Kluwer to size the server appropriately Windows Server 2008 R1 32 bit or 2008 R2 64 bit o Standard or Enterprise Editions Windows Server 2012 R2 o Standard or Datacenter Editions 4 GB RAM Processors: o Physical Servers: Single Multi-Core Processors o Virtual Servers: Minimum of 2 Virtual CPU s Drive space should be similar to production database server THIS SERVER IS NOT SIZED TO BE USED IN A PRODUCTION ENVIRONMENT Workstations/Laptops Still Image Capture Workstations: ProVation MD: Standard Definition Image Capture Workstation Specifications Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit Microsoft.NET Framework 4.6 Intel multi-core processor (within last 2 processor generations) 4 GB RAM 20 GB free hard drive space Video card capable of 1024 x 768 display at 32-bit color Image Capture Card (see Image Capture Cards on page 7 for technical specifications) o dpict Aexeon PCI Express 1 serial port (recommended) OR supported USB to Serial adapter 17 or larger monitor (minimum 1024 x 768 resolution) Internet Explorer 11 Windows Media Player Adobe Acrobat Reader v7.0 or greater ProVation MD: High Definition Still Image Capture Workstation Specifications (No Streaming Video) Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit Microsoft.NET Framework 4.6 Intel multi-core processor (within last 2 processor generations) 4 GB RAM - 3 -
4 80 GB free hard drive space dpict Aexeon HDS card (see Image Capture Cards on page 7 for technical specifications) 1 serial port (recommended) OR supported USB to Serial adapter 20 or larger monitor (minimum1024 x 768 resolution) Internet Explorer 11 Windows Media Player Adobe Acrobat Reader v7.0 or greater A workstation class device is recommended Streaming Video Workstations: ProVation MD: Standard Definition Still Image and Standard Definition Streaming Video Image Capture Workstation Specifications Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit Microsoft.NET Framework 4.6 One or more Quad Core Intel processors (within last 2 processor generations) 4 GB RAM 300 GB hard drive space using a minimum of two 15K SAS drives in RAID 0 configuration OR 250 GB SSD drive with Max Sequential Read/Write Speeds of 500+ MB/sec Beta Feature dpict Aexeon HDS card (see Image Capture Cards on page 7 for technical specifications) 1 serial port (recommended) OR supported USB to Serial adapter 100 Mbps switched Ethernet connection 20 or larger monitor (minimum1024 x 768 resolution) Internet Explorer 11 Windows Media Player Adobe Acrobat Reader v7.0 or greater Windows Expression Encoder 4 (for converting streaming video files) A workstation class device is recommended ProVation MD: High Definition Stills and High Definition Streaming Video Image Capture Workstation Specifications Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit Microsoft.NET Framework 4.6 One or more Quad Core Intel processors (within last 2 processor generations) 4 GB RAM 1 TB hard drive space using a minimum of four 15K SAS drives in RAID 0 configuration OR 1 TB SSD drive with Max Sequential Read/Write Speeds of 500+ MB/sec Beta Feature dpict Aexeon HDS cards (see Image Capture Cards on page 7 for technical specifications) 1 serial port (recommended) OR supported USB to Serial adapter 20 or larger monitor (must support 1024 x 768 resolution) Internet Explorer 11 Windows Media Player Adobe Acrobat Reader v7.0 or greater Windows Expression Encoder 4 (for converting streaming video files) Video clips can be uploaded to a central storage location for permanent storage and access from other PVMD computers. This can be done on the ProVation software application server or on another Windows server with equivalent application server specs. Clips are compressed on the workstation then uploaded to the server. Compressed clip sizes are roughly 10 MB per minute of video when using the compression service available Non-Image Capture Workstations: ProVation MD: Note Documentation Workstation Specifications Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit - 4 -
5 Microsoft.NET Framework 4.6 Intel multi-core processor 4 GB RAM 20 GB free hard drive space Video card capable of 1024 x 768 display at 32-bit color 17 or larger monitor (must support 1024 x 768 resolution) Internet Explorer 11 Adobe Acrobat Reader v7.0 or greater Windows Fax Services (add-on component) o Only required if not faxing from the application server o Remote desktop not supported for Workstation Faxing o Fax modem is required if faxing from a dedicated ProVation MD documentation workstation o Refer to fax modem manufacturer s website for Windows OS support ProVation MultiCaregiver: Desktop/Laptop Specifications (ProVation MD not supported) Windows 7 SP1 Professional/Ultimate/Enterprise 32 or 64 bit Or Windows 8.1 Pro 32 or 64 bit Internet Explorer 11 Microsoft.NET Framework 4.6 Adobe Acrobat Reader v7.0 or greater Windows Journal Viewer cannot be used in conjunction with Acrobat Reader Intel processor (within last 2 processor generations) Minimum of 1 USB Port 1 serial port (used for interface to vitals monitor) 1 GB of RAM Display must support minimum 1024 x 768 resolution Workstations must be able to resolve the application server by name. General Security and Power Setting Configurations ProVation MD Administrative rights needed to install/update software on servers and install software on clients. Power settings disabled (both OS and BIOS) 1 Screen savers (of any kind) disabled 2 Write access to COM1 3 Read/Write/Modify/Delete to C:\ProgramData\ProVation Medical 4 Read/Write/Modify/Delete to the <Install_drive:\Program Files\ProVation Medical\5.0> directory 5 Roaming profiles that would revoke any of the above, disabled 6 UAC disabled or configured to ProVation specifications. For more information on UAC settings please reference the Knowledge Base article: -
6 ProVation MultiCaregiver Internet Explorer 11 settings o Ability to download and run signed ActiveX controls o Check for newer versions of stored pages every visit to the page o No passwords should be saved o Pop-up blockers disabled for ProVation MultiCaregiver website o Enable and store cookies cookies should not be deleted when IE is closed. o MultiCaregiver website may need to be added to your firewall rules o PCs should be enabled to sync time with Application Server o Auto Complete turned off o Compatibility view turned on for Local Intranet sites Read/Write/Modify/Delete to C:\Users\CurrentUser\AppData\Roaming\ProVation Medical 4 The ProVation software application server must be able to resolve nslookup commands of clients For more information on Internet Explorer settings please reference the Knowledge Base article: Printers ProVation MD/MultiCaregiver: Network Printer Specifications For color printing we recommend high resolution/photo quality Capable of collating ProVation MultiCaregiver: Label Printer Specifications Supported Model Dymo LabelWriter 450 o 1 1/8 " x 3 1/2 " Address Labels For Custom Label setup please refer to your Wolters Kluwer technical resource for additional printer options Image Capture Cards Customers must go to the ProVation Customer Portal to obtain the supported driver for the image capture cards: Image Capture Cards are supported in Windows 7 and Windows 8.1 Keeping a spare Image Capture card(s) is recommended dpict Aexeon PCI Express o Requires PCIe x1 slot (board can run in 4, 8, or 16 lane PCI Express slot) o Board size is 5.00"(length) x 4.20" (height) o Standard definition still images only o Supported in ProVation MD version o dpict Aexeon HDS o Requires PCIe x1 slot (board can run in 4, 8, or 16 lane PCI Express slot) o Board size is full height "(length) x 4.20" (height) o Captures standard and high definition stills and video o 3G-SDI cable required for high definition INOGENI 3GSDI to USB 3.0 Converter Beta Feature o No driver installation is necessary o Will work on all motherboards and USB 3.0 chipsets o 3GSDI for HD resolution signals up to 1080p60 o Supported in ProVation MD version Matrox VIO 7 ISA OSA/C9* SD/HD SDI capture card Beta Feature o Capture card only available through Olympus o Manufacturer part number VIO7ISAOSA/C9* - 6 -
7 o Should not be purchased as a new card, use only when replacing Olympus EndoWorks and keeping existing capture pc s and cards o Supported in ProVation MD version Legacy Still Image Capture Cards Blackmagic Design DeckLink HD 4K Extreme, Extreme 3, 3D and 3D+ capture board o Requires PCIe x4 slot (board can run in 4, 8, or 16 lane PCI Express slot) o Board size is full height o Captures standard and high definition stills and video dpict Aexeon PCI o Requires full height PCI slot o Board size is 5.00"(length) x 4.20" (height) o Standard definition still images only DICOM Capable Image Capture Devices Please refer to the ProVation Customer Portal for the DICOM Conformance Statement and the Supported Scopes list 3 rd Party Software Oracle Database Specifications Supported Oracle Database Standard Edition versions : / Legacy Oracle versions : / / / / / Named User licensing (check with your Sales Representative to ensure an accurate count) CPU licensing is available for clients where there are more than 100 named-users or it is not possible to get an accurate count of users Value Based Pricing is available for virtual environments Refer to the ProVation Database Requirements Guide available from Wolters Kluwer for a more detailed outline of database requirements Server snapshots are not a supported type of backup (per Oracle). Two methods of backups are officially supported by Wolters Kluwer: RMAN/DBMaint and the Oracle Export. Databases can only be restored from one of the two supported methods mentioned above. Any changes from our standard backup methods must be fully supported by your facility/dba. Adobe Specifications Acrobat Standard Edition Required for ProVation MD workstation(s) dedicated to printing entire patient chart v9.0 or v10 required Required for Production and Test Environments Orion Symphonia Specifications Version 3.8 HL7 Message Mapper Required for some HL7 Interfaces Must be purchased directly from Wolters Kluwer Lead Technologies Required for DICOM Enabled Image Capture Devices, Outbound DICOM interface and Inbound Echo DICOM SR measurements interface Must be purchased directly from Wolters Kluwer PixTools Scanning software Required for scanning documents into the ProVation Patient Chart Licensed per scanning workstation Must be purchased directly from Wolters Kluwer Orion Health Rhapsody Integration Engine Specifications Version 5.x Required for advanced HL7 message integration (if facility does not have one) Licensed by communication point (2 minimum) Must be purchased directly from Wolters Kluwer - 7 -
8 Minimum Network Performance Recommendations Latency: Maximum 25ms* latency round trip on a standard ping packet Packet Loss: Less than 1% packet loss Bandwidth: Bandwidth recommendations will vary depending upon the number of concurrent users (per location) o The application works best on a 100 Mbps (or better) network, however, if that bandwidth is not available, Wolters Kluwer can provide calculations to estimate needs *Some ProVation MD customers have seen acceptable application performance with network latency up to 40ms. Latency beyond 40ms results in unsatisfactory application performance. Miscellaneous Hardware ProVation Tested USB to Serial Converters US Converters USB Serial Adapter (Ultimate) Part: XS880 Blackbox - USB Solo (USB to Serial) Part: IC199A-R3 Remote Image Capture Foot Pedal Water resistant interior sealed switch 30 cord Required model custom made and available only from Wolters Kluwer Used for signalling computer to capture image Fluoroscopy/Endoscopic Ultrasound Switchbox 2 to 4-way S-Video or Composite switch box Includes composite and/or S-Video cables May include S-Video-Composite Converters Signature Pads ProVation MD physician signature capture o Used for capturing provider electronic bitmap signatures Topaz SignatureGem 4x5 (Z-T-S751-B-R) o Connects via serial port o Not supported with MultiCaregiver o Supported in Windows 7 and 8.1 ProVation MultiCaregiver patient consent forms and ProVation MD physician signature capture o Used for capturing electronic patient signatures for consent forms and provider electronic bitmap signatures o Required Models Topaz SignatureGem 4x5 LCD (T-LBK766SE-BHSB-R) o Connects via USB o Supported in Windows 7 and 8.1 Topaz SignatureGem 1x5 LCD (T-L460-HSB-R) (PVMD ver ) o Connects via USB o Supported in Windows 7 and 8.1 Topaz SignatureGem 1 x 5 (T-LBK-462-BSB-R) (PVMD ver ) o Connects via USB o Supported in Windows 7 and 8.1 Scanning Hardware ISIS certified scanners are supported o Visit for complete list of supported scanning hardware NOTE: Not all scanners listed on the above website come standard with ISIS drivers. Drivers may be purchased by the customer directly from EMC
9 Consult your Wolters Kluwer technical resource for an estimate of drive space that will be needed to store scanned documents. Fax Modem Fax modem is required on the ProVation software application server or a designated ProVation MD documentation workstation Remote Connectivity Requirements Remote Access Options Customer is responsible for providing secure connectivity to servers Access must allow for unattended entry to server consoles Screen sharing programs such as WebEx, Skype, etc., are not acceptable remote access solutions for servers Remote Hosted Practice Management Systems and/or EHRs Applies to customers where these systems may be located off-site and a secure communication tunnel has been established with the facility Remote system must be able to provide secure communication path GoToAssist Users may go to from their browser and follow instructions. This program is initiated by the end user and it allows the ProVation Customer Support Representative to remotely access the end users computer. ProVation Event/Error Report Sending and Get Updates Requirements High Speed Internet Connectivity Ability to resolve DNS The ProVation MD software has the ability to send error message logs and upgrade/update information automatically via http to Wolters Kluwer. Message logs are sent to This aids Wolters Kluwer in proactively identifying and resolving software problems. If users are required to connect to the Internet through a Proxy server, this connection must be established before beginning an upgrade/update on your server(s). The Get Updates feature allows the customer to retrieve available updates for ProVation via the internet. For this to function, access to and are required. notifications success and failures of automated nightly database maintenance jobs can be sent via . Feature requires ability to access on port 25. Referenced Websites: ProVation Customer Portal: Knowledge Base:
10 Approved Clientless ProVation Software Deployment Solutions NOTE: Procurement, setup, licensing, and support of Citrix and Remote Desktop Services Server environments are the sole responsibility of the customer. Citrix Hardware Requirements o Per Citrix hardware requirement o Testing has shown memory usage for each instance of ProVation MD to be 300 MB to 350 MB of RAM Software Requirements o Per Citrix hardware requirement o ProVation MD has been successfully deployed to customer locations using Citrix versions 6.0, 6.5 and 7.6 Configuration Requirements o Per Citrix software requirements o Also requires Windows Remote Desktop Services (see requirements below) Solution Benefits o Full access low bandwidth option o Centralized deployment Not supported for: o MultiCaregiver, image capture, document scanning, electronic signature capture using the Topaz signature pad and vitals monitor interface. Remote Desktop Services (RDS) MISC Hardware Requirements o Per Windows Remote Desktop Services hardware requirements o Requires a separate Windows Remote Desktop Services server o May require additional resources and/or servers based on total number of users accessing the environment. Software Requirements o Software Included w/ Windows 2008 R2 Server o Requires Windows 2008 R2 Remote Desktop licensing per Microsoft licensing requirements. Configuration Requirements o Requires secure access consistent with customer's security policy for remote network access o Full Desktop deployment supported, RemoteApp is not supported. Solution Benefits o Full access low bandwidth option o Centralized deployment Not supported for: o MultiCaregiver, image capture, document scanning, electronic signature capture using the Topaz signature pad and vitals monitor interface. The Tech Spec for ProVation MD & MultiCaregiver is based on current available hardware from common, commercial vendors (e.g. Dell, HP, IBM). If you have existing hardware that you feel may meet the hardware requirements for the deployment of the ProVation software solution please work with the Wolters Kluwer technical resource to discuss options. Refer to your Customer Support Handbook for a more detailed description of the roles and responsibilities of the client for installation, maintenance, and support of hardware and 3 rd party software. For a customized hardware specification please contact your Wolters Kluwer technical resource
11 Appendix A Workstations/Laptops: General Configurations The purpose of this appendix is to provide further information and details related to the Workstations/Laptops: General Configurations recommendations and requirements outlined on page 4 within this document. 1 Power settings disabled (both OS and BIOS) To ensure the PC does not hibernate due to lack of user interaction, which would interrupt the image capture view and processing during a procedure. Applies only to pc s used for image capture. 2 Screen savers (of any kind) disabled To ensure the PC does not introduce a screensaver due to lack of user interaction, which would interrupt the image capture view and processing during a procedure. Applies only to pc s used for image capture. 3 Write access to serial port To enable the image capture cable from the scope image processing device to communicate with the ProVation MD image capture PC; sending the image capture signal from the scope button to the ProVation MD image capture PC. Applies only to pc s used for image capture. 4 Directory specific access (varies by OS) ProVation temporarily writes files to these directories during image capture, vitals capture and note generation. 5 Read/Write/Modify/Delete to the <Install_drive:\Program Files\ProVation Medical\5.0> directory (ProVation MD client) This access enables ProVation MD to run properly and to process the quarterly software maintenance updates. 6 Roaming profiles that would revoke any of the above, disabled This relates to Active Directory whereby roaming files should be disabled to ensure the roaming files would not overwrite settings like disabling the screen saver, etc. Beta Disclaimer: Beta by definition is a pre-release version that is not fully qualified for general available use and continues to undergo testing prior to official release. Beta software is provided on an as-is and as available basis and exclusively at the risk of the user. ProVation Medical, Inc. is not responsible for any errors or bugs associated with the Beta software that may negatively affect users computer systems. ProVation Medical, Inc. makes no representations or warranties of any kind that the Beta software will operate uninterrupted or without error or that it is suitable for use in a live clinical setting. ProVation Medical, Inc. makes no representation, warranty or guarantee, express or implied, about the suitability or usability of the Beta software to or for the purposes intended by the user. Users accept any and all risks by using it. ProVation Medical, Inc. will not be held responsible or liable for any loss or damage, whether such loss or damage is direct, indirect, special or consequential, suffered by any party as a result of its use of the Beta software. By installing the Beta software the user agrees to ProVation Medical, Inc. s foregoing disclaimer provisions. If you do not agree to this disclaimer then do not download or upload, and do not use, the beta software
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