ARDWARE SPECIFICATIONS - Squarespace · eClinicalWorks Hardware Specifications ... Dragon licenses can be purchased separately for those providers

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HARDWARE SPECIFICATIONS

Updated August 2013

eClinicalWorks Hardware Specifications Document Change Log ‐ Updated 07‐2013 ▪ 2

HARDWARE SPECIFICATION CHANGE LOG The following document provides the most recent hardware specifications for the eClinicalWorks Electronic Medical Record and Practice Management software application, Version 9.

An eClinicalWorks Technical Architect (TA) will review the practice’s inventory of planned hardware—whether new or existing—to ensure that the hardware being used for the eClinicalWorks EMR/PM application will provide a positive user experience and be adequate to meet future growth requirements as anticipated by the practice/group.

For those practices that are purchasing or upgrading hardware, eClinicalWorks recommends 64‐Bit hardware, as 32‐Bit hardware will soon be out of date. However, pilot testing with eClinicalWorks V9 on 32‐Bit machines has been performed with no negative impact on performance for five (5) or less providers.

Revision Date: August 2013

Author Page Number & Title Change eCW Doc/KAD 07‐2013

Document‐wide change Formatted

eCW IT/RE 04‐2013

Page 3 Office Work Station Hardware Recommendations

Memory: Removed Office versions Note: Removed Note regarding separate line for billing Operating Systems: Added Windows 8, removed Vista Scanner: Added fi‐6140z model Analog Modem: Removed this section, users should refer to Analog Fax section

eCW IT/RE 04‐2013

Page 4 SaaS Hardware Recommendations

Changed SaaS to Cloud Digital Fax: Refer to Digital Fax Section

eCW IT/RE 04‐2013

Page 5 New: New page was added for Install Notes

eCW IT/RE 04‐2013

Pages 6 ‐ 19 Added: Windows Server 2012 Please refer to Install Notes Page for additional information Removed: Windows 2003 Server(s) for eClinicalWorks software are not recommended for use in any other role, such as Active Directory, RAS, and/or Terminal server. An eCW Technical Architect will provide hardware recommendations for clients with multiple tenant architectures. An SSL Security certificate is required for FTP and APP if using the eClinicalWorks SSL client.

eClinicalWorks Hardware Specifications Document Change Log ‐ Updated 08‐2013 ▪ 2

Author Page Number & Title Change eCW IT/RE 04‐2013

Page 7 Changed RAM to 16GB

eCW IT/RE 04‐2013

Page 9 Changed Memory to 32GB Changed Note to be upgradeable from 32 to 64GB.

eCW IT/RE 04‐2013

Page 15, 16,17

Changed OS for DB to Enterprise (for clustering purposes)

eCW IT/RE 04‐2013

Page 16,17, 18

Changed FTP Server to 2VCPU and 8GB RAM

eCW IT/RE 04‐2013

Page 20 Bandwidth Requirements

Removed: Notes section VPN (B2B): SonicWALL® TZ Series, Cisco® ASA , Netscreen™ firewalls, Linksys® RV series or any business class 3DES compatible device capable of creating site‐to‐site hardware VPN tunnels

eCW IT/RE 04‐2013

Page 21 Analog Fax Server Solutions

Removed: Added Mainpine Web address to Notes

eCW IT/RE 04‐2013

Page 22‐23 Digital Fax Solution

Added: Brooktrout Model TR1034+P24H‐T1‐1N‐R. New section Option 3 Changed: SUN changed to Oracle Removed: Software Requirements

eCW IT/RE 04‐2013

Page 24 Software Recommendations

Added: Serv‐U for FTP Office 365® and Office 2013® Removed: Windows 2003 OS Server Recommendations

eCW Doc/KAD 12‐06‐2012

Document‐wide change Formatting, GUMS corrections, and conversion to PDF.

eClinicalWorks Hardware Specifications Workstation Hardware ‐ Updated 08‐2013 ▪ 3

1. Workstation for Each Front Office Staff 2. Workstation or Tablet PC for Each Nurse 3. Workstation, Laptop, or Tablet PC for Each Physician

WORKSTATIONS Processor Intel® P4 (2.6 GHz), Intel Xeon Dual‐Core™ (1.6GHz) or higher configuration, Intel Core™ 2 Duo; Core i processor (i3, i5, i7)

Memory

1GB for eCW installed with Microsoft® Office. 2GB for eCW installed with Microsoft Office and Nuance Dragon® Speech Recognition. *Note: Microsoft Office and Dragon are not required for general use. MS Word® is necessary for workstations utilizing the MS Word Mail Merge functionality for certain custom letters. MS Excel® is necessary for workstations wishing to import or export files to/from CSV/Excel or view in Excel. Dragon licenses can be purchased separately for those providers wishing to use Dragon or other voice‐to‐text functionality.

Hard Drive 10GB of free space.

Operating System

Windows XP® Pro SP3(32/64‐bit), Enterprise (32/64‐Bit), Ultimate (32/64‐Bit), Windows® 7 Enterprise (32/64‐Bit), Ultimate (32/64‐Bit), Professional (32/64‐Bit). Windows 8 Pro and Enterprise (32/64‐bit) (Peripherals, such as medical devices and Mainpine® modems, are currently not compatible with Windows 8, please see Appendix for IE10 support).

Network 100MB.

TABLETS/LAPTOPS Processor Intel Core 2 Duo; Core i processor (i3, i5, i7).

Memory 1GB required for eCW installed along with Microsoft Office.2GB required for eCW installed along with Microsoft Office and Nuance Dragon Speech Recognition. *See note on Microsoft Office and Dragon in WORKSTATIONS above.

Hard Drive 10GB of free space.

Operating System

Windows XP Tablet Edition 2005 SP3/Windows XP Pro SP3(32/64‐Bit), Enterprise (32/64‐Bit), Ultimate (32/64‐Bit), Windows 7 Enterprise (32/64‐Bit), Ultimate (3/64‐Bit), Professional (32/64‐Bit). Windows 8 Pro and Enterprise (32/64‐bit) (Peripherals such as Medical Devices and Mainpine® Modems are currently not compatible with Windows 8, please see Appendix for IE10 support).

Network 802.11 G or N Wireless.

PERIPHERALS Printers Laser Printer must support PCL5 or higher (all‐in‐one devices are not recommended for use as scanners due to their limited functionality with eCW). Scanner TWAIN® v1.2 compatible drivers required. Recommended Models: Fujitsu® fi‐6130z/fi‐6140z or fi‐6230z, Panasonic® KVS10xxx. Router Secure encrypted connectivity for communication between facilities is required using SSL.Access Point 802.11G Compatible or higher.

Card Scanner Optical Character Recognition (OCR) technology supported for scanning insurance cards and driver’s licenses. Recommended Vendor: MedicScan®. MedicScan Models: ScanShell® 800R, ScanShell 800DX, ScanShell 3000D Visit the Partners page on www.eclinicalworks.com for more information.

Local Network (LAN) Switched network must support 100 mbps or higher.

NOTES Certain devices, e.g., EKG, spirometers, etc., are not compatible with 64‐Bit client operating systems. Contact the device vendor to verify 64‐Bit compatibility.

eCW V9 Office Workstation Hardware Recommendations

eClinicalWorks Hardware Specifications Cloud Hardware ‐ Updated 08‐2013 ▪ 4

FAX SERVER RECOMMENDATIONS

Analog Fax Refer to the Analog Fax Server Solutions page.

Digital Fax Refer to Digital Fax Server Solutions page.

CONNECTIVITY

Alternative Connectivity Methods

SSL Client: eClinicalWorks Web‐based secure encrypted client.

Remote Desktop ‐ used for remote anywhere access outside of the office.

It is recommended that all practices have redundant ISP Internet due to the risks involved in single point of failure on Internet connection to the data centers.

Minimum Network Performance Recommendations

eClinicalWorks evaluates minimum network recommendations based on the following parameters: Latency: Maximum 50MS latency round trip on a standard ping packet Packet Loss: Less than 1% packet loss Bandwidth: Bandwidth recommendations will vary on number of users per location Contact your Sales Coordinator for details.

eCW V9 Cloud Hardware Recommendations

eClinicalWorks Hardware Specifications Install Notes ‐ Updated 08‐2013 ▪ 5

SERVER INSTALL NOTES It is recommended that servers for eClinicalWorks software are not used in any other role, i.e., Active Directory, RAS, DHCP, IIS, and/or Terminal server,

another HER. An eClinicalWorks Technical Architect will provide hardware recommendations for clients with multiple tenant architectures. An SSL Security certificate for FTP and APP is required if using the eClinicalWorks SSL client. eBO Reports server supports up to 10 concurrent eBO users. For 10+ concurrent eBO users, refer to Optional Items Recommendations page. FTP and DB data size estimates do not take into consideration initial migration footprint from another system.

PERFORMANCE AND SCALING NOTES eCW recommends a separate physical drive for the data partitions (RAID strongly recommended for the backups and logs).

Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. eCW recommends that OS drives be on separately configured RAID 1 sets. For the best performance, eCW recommends that the DATA drive be on a RAID 10 partition with 10k or faster spindles. For virtual servers from one (1) to nine (9) providers please contact an eCW Technical Architect. Hardware load balancer is required for two (2) or more application or eBO servers – check with an eCW Technical Architect for details. RDP V6.0 is the minimum recommended for terminal services.

eCW V9 Install Notes

eClinicalWorks Hardware Specifications 1‐2 Providers ‐ Updated 08‐2013 ▪ 6

SERVER RECOMMENDATIONS

No. of Servers No. of

Processors CPU Memory Total Disk Space OS

eClinicalWorks EMR

1 running: Application, Database, FTP, eBO, Interface

1 Intel® Xeon Quad Core 1.6Ghz

8GB OS: Recommended: 40GB *Data: Recommended: 120GB

Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

NOTES *Refer to the Install Notes page for additional information.

eCW V9 1‐2 Providers/3‐8 Users Physical Hardware Recommendations



No. of Servers No. of

Processors CPU Memory Total Disk Space OS

eClinicalWorks EMR

1 running: Application, Database, FTP, eBO, Interface


16GB OS: Recommended: 40GB *Data: Recommended: 250GB


NOTES *Refer to the Install Notes page for additional information.




No. of Servers

No. of Processors CPU Memory Total Disk Space OS

Application 1 Server Combined with FTP


8GB OS: Recommended: 40GB Data: Recommended: 120GB FTP F Drive: 300GB3


Database 1 1 Intel Xeon Quad Core 1.6Ghz

16GB OS: Recommended: 40GB Data1, 2

Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit), Red Hat® Enterprise® 5

eBO Reports 1 1 Intel Xeon Quad Core 1.6Ghz

8GB OS: Recommended: 40GB Data: 120GB

Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

NOTES 1eCW recommends a separate physical drive (RAID strongly recommended for the backups and logs). RAID 10 is recommended. 2Database server averages 5GB each per FTE over three (3) years. 3FTP averages 11GB per FTE over three (3) years.

*Refer to the Install Notes page for additional information.




No. of Servers


Application 2 1 Intel® Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB

Data: Recommended: 120GBMicrosoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

Test 1 1 Intel Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB

Data: Recommended: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

Database 21 2 Intel Xeon Quad Core 1.6Ghz 32GB4 OS: Recommended: 40GB

Data:2, 3

Microsoft Windows 2008/2008 R2/2012 Standard/Enterprise/DataCenter (64‐Bit), Red Hat® Enterprise® 5

FTP 21 1 Intel Xeon Quad Core 1.6Ghz 4GB OS: Recommended: 40GB

Data:5 Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

Interfaces 1 1 Intel Xeon Quad Core 1.6Ghz 4GB OS: Recommended: 40GB

Data: Recommended: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

eBO Reports 1 1 Intel Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB

Data:120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

NOTES 1 2 Node OS clustering for high availability recommended. 2 A separate physical drive is recommended (RAID strongly recommended for the backups and logs). 3 Database server averages 5GB each per FTE over three (3) years. 4 It is recommended that customers purchase a server that is easily upgradable from 32 to 64GB of RAM. 5 FTP average 11GB per FTE over three (3) years. *Refer to the Install Notes page for additional information.

eCW V9 26‐50 Providers / 101‐200 Users Physical Hardware Recommendations



No. of Servers


Application1 4 1 Intel® Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB





Data3, 4

Microsoft® Windows® 2008/2008 R2/2012 Standard/Enterprise/DataCenter (64‐Bit), Red Hat® Enterprise® 5


Data6Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

Interfaces 1 1 Intel Xeon Quad Core 1.6Ghz 4GB

OS: Recommended: 40GB Data: Recommended: 120GB



Data: 120GB Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

NOTES 1Add one application server for every additional 100 users. Hardware load balancer for two (2) or more servers – check with an eCW Technical Architect. 22 Node OS clustering for high availability (recommended). 3Requires a separate physical drive (RAID strongly recommended for the backups and logs). 4Database server averages 5GB each per FTE over three (3) years. 5eCW recommends that customers purchase a server that is easily upgradable from 64GB to 128GB RAM. 6FTP averages 11GB per FTE over three (3) years. *Refer to the Install Notes page for additional information.




No. of Servers


Application1 5 1 Intel® Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB



Data: Recommended: 120GBMicrosoft Windows 2008/2008 R2/2012 Standard (64‐Bit)


Data3, 4 Microsoft Windows 2008/2008 R2/2012 Enterprise/DataCenter (64‐Bit), Red Hat® Enterprise® 5


Data6Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

Interfaces 1 1 Intel Xeon Quad Core 1.6Ghz 4GB OS: Recommended: 40GB

Data: Recommended: 120GBMicrosoft Windows 2008/2008 R2/2012 Standard (64‐Bit)


Data5Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

NOTES 1Add one application server for every additional 100 users. Hardware load balancer for two (2) or more servers – check with an eCW Technical Architect.22 Node OS clustering for high availability (recommended). 3Requires a separate physical drive (RAID strongly recommended for the backups and logs). 4Database server averages 5GB each per FTE over three (3) years. 5eBO server averages 3GB each per FTE over three (3) years. 6FTP averages 11GB per FTE over three (3) years. 7It is recommended that customers purchase a server that is easily upgradable from 64 GB RAM to 128 GB RAM.*Refer to the Install Notes page for additional information.


eClinicalWorks Hardware Specifications 151+ Providers ‐ Updated 08‐2013 ▪ 12

SERVER RECOMMENDATIONS No. of Servers No. of Processors CPU Memory Total Disk Space OS

Application1 6+ 1 Intel® Xeon Quad Core 1.6Ghz

8GB



Test 1 1 Intel Xeon Quad Core 1.6Ghz

8GB



Database 22 2 Intel Xeon Quad Core 1.6Ghz

128GB5 OS: Recommended: 40GB Data:3, 4

Microsoft Windows 2008/2008 R2/2012 Enterprise (64‐Bit), Red Hat® Enterprise® 5

FTP 22 1 Intel Xeon Quad Core 1.6Ghz

4GB

OS: Min: 40GB Recommended: 40GB Data:7


Interfaces 1 1 Intel Xeon Quad Core 1.6Ghz

4GB OS: Recommended: 40GB Data: 120GB


eBO Reports 2 1 Intel Xeon Quad Core 1.6Ghz

8GB OS: Recommended: 40GB Data: 120GB6


NOTES 1Hardware load balancer for two (2) or more application servers – check with an eCW Technical Architect for larger deployment options. 22 Node OS Clustering for high availability (recommended). 3Database server averages 5GB each per FTE over three (3) years. 4A separate physical drive is recommended (RAID strongly recommended for the backups and logs). 5It is recommended that customers purchase a server that is easily upgradable from 128GB to 256GB RAM. 6eBO server averages 3GB each per FTE over three (3) years. 7FTP averages 11GB per FTE over three (3) years. *Refer to the Install Notes page for additional information.

eCW V9 151+ Providers/601+ Users Physical Hardware Recommendations

eClinicalWorks Hardware Specifications Optional Items: Virtual Hardware ‐ Updated 08‐2013 ▪ 13

OPTIONAL COMPONENTS

No. of Users No. of Servers No. of Processors CPU Memory Total Disk Space OS

eBO

1 – 10 1 1 Intel Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB

Data: Recommended: 80GB Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

10 – 20 2 – eBO App 1 Intel Xeon Quad Core

1.6Ghz 8GB OS: Recommended: 40GB Data:1


1 – eBO Rep2 1 Intel Xeon Quad Core 1.6Ghz 16GB

20+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 20 users. 1eBO database growth averages 3GB per FTE over a three‐year period. 2eBO repository is required for practices with over 100 FTE on MySQL InnoDB.

Lab Hub N/A 1 1 Intel Xeon Quad Core 1.6Ghz 8GB OS: Recommended: 40GB

Data: Recommended: 60GB Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

An eClinicalWorks Technical Architect will design custom interface architecture for practices with more than 20 users.

eCW V9 Optional Items: Virtual Hardware Hardware Recommendations

eClinicalWorks Hardware Specifications VMWare 10‐25 Providers ‐ Updated 08‐2013 ▪ 14

MINIMUM HOST SERVER RECOMMENDATIONS

No. of CPUs CPU Memory NIC Drive Configuration

ESX Server #1* 2 2 Intel® Xeon Quad Core 1.6GHz 64GB 4 Port GB RAID1 for ESX OS *Add 1 additional ESX server for High Availability (HA) / Redundancy in the architecture.

GUEST SERVER REQUIREMENTS No. of Virtual CPUs Memory Total Disk Space OS

Application/FTP 2 8GB OS: Recommended: 40 GB Application Data:120GB FTP Data: 300GB‐835GB2


Database 2 16GB OS: Recommended: 40 GB Data: Recommended:1

Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit), Red Hat® Enterprise® 5

eBO Reports 2 8GB OS: Recommended: 40 GB Data: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

Interface 2 4GB OS: Recommended: 40 GB Data: Recommended: 80GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

NOTES 1Database server averages 5GB each per FTE over three (3) years. 2FTP average 11GB per FTE over three (3) years. Hyper‐V® and Citrix® XenServer are supported for practices of 25 providers or fewer. VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions. eClinicalWorks does not support the over subscription of any of the physical machine's resources.*Refer to the Install Notes page for additional information.

eCW V9 10‐25 Providers/30‐100 Users VMWare Hardware Recommendations


MINIMUM HOST SERVER RECOMMENDATIONS

ESX Server # 1 No. of CPUs CPU Memory NIC Drive Configuration2 Intel Xeon Quad Core 1.6GHz 64GB 4 port GB RAID1 for ESX OS

GUEST SERVER REQUIREMENTS

Application

No. of Servers

No. of Virtual CPUs Memory Total Disk Space OS

2 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

Test 1 2 8GB OS: Recommended: 40GB Data: Recommended:120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

FTP 1 1 4GB OS: Recommended: 40GB Data: Recommended:300GB‐835GB2 Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

ESX Server # 2 No. of CPUs CPU Memory NIC Drive Configuration2 Intel Xeon Quad Core 1.6GHz 64GB 4 port GB RAID1 for ESX OS

Virtual Servers GUEST SERVER REQUIREMENTS

Interface

No. of Servers

No. of Virtual CPUs Memory Total Disk Space OS

1 2 8GB OS: Recommended: 40GB Data:5 80GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

eBO Report3 1 2 8GB OS: Recommended: 40GB Data: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)

Database

No. of Servers


2 2 Intel Xeon Quad Core 32GB4

OS: Recommended: 40GB Data:1

Microsoft Windows 2008/2008 R2/2012 Enterprise (64‐Bit), Red Hat® Enterprise® 5

NOTES 1Database server averages 5GB each per FTE over three (3) years. 2FTP averages 11GB per FTE over three (3) years. 3eBO Report server supports up to 10 concurrent eBO users; for 10+ concurrent eBO users, refer to the Optional Items Recommendations page. 4It is recommended that customers purchase a server that is easily upgradable from 32GB to 64GB RAM. 5This depends on the number of interfaces deployed by the practice. Hyper‐V and Citrix XenServer are supported for practices of 25 providers or fewer | VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions | eClinicalWorks does not support the over‐subscription of any of the physical machine’s resources.

*Refer to the Install Notes page for additional information.



VMWARE ESX RECOMMENDATIONS

ESX Server # 1 No. of CPUs CPU Memory NIC Drive Configuration

2 Intel® Xeon Quad Core 1.6GHz 96GB 4 port GB (plus dual‐port motherboard) RAID1 for ESX OS


Application

No. of Virtual Machines

No. of Virtual CPUs Memory Available Disk Space OS

4 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB Microsoft® Windows® 2008/2008 R2/2012 Standard (64‐Bit)

Test 1 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

FTP 1 2 8GB OS: Recommended: 40GB Data: 1 Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

VMWARE ESX REQUIREMENTS


2 Intel Xeon Quad Core 1.6GHz 96GB 4 port GB (plus dual‐port motherboard) RAID1 for ESX OS

VIRTUAL SERVERS GUEST SERVER REQUIREMENTS

Interface2

No. of Virtual Machines

No. Of Virtual CPUs Memory Available Disk Space OS

1 2 8GB OS: Recommended 40GB Data: Recommended: 120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)

eBO Report3 1 2 8GB OS: Recommended 40GB Data:120GB Microsoft Windows 2008/2008 R2/2012 Standard (64‐Bit)


Database No. of Servers No. of

Processors CPU Memory Disk Space OS

2 2 Intel Xeon Quad Core 64GB4 OS: Recommended: 40GB

Data:1 Microsoft Windows 2008/2008 R2/2012 Enterprise/DataCenter (64‐Bit), Red Hat® Enterprise® 5

NOTES 1Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. 2Total number of interfaces may increase the number of required servers. 3eBO Report server supports up to 10 concurrent eBO users. For 10+ concurrent eBO users, refer to Optional Items Recommendations page. 4It is recommended that practices purchase a server that is upgradeable from 64GB to 128GB RAM.Hyper‐V® and Citrix® XenServer are supported for practices of 25 providers or fewer | VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions | eClinicalWorks does not support the over subscription of any of the physical machine's resources.*Refer to the Install Notes page for additional information.



VMWARE ESX RECOMMENDATIONS


2 Intel® Xeon Quad Core 1.6GHz

96GB 4 port GB (plus dual‐port motherboard)

RAID1 for ESX OS


Application No. of Virtual Machines No. of Virtual CPUs Memory Available Disk Space OS

5 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB


Test 1 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB


FTP 1 2 8GB OS: Recommended: 40GB Data:1


VMWARE ESX REQUIREMENTS


2 Intel Xeon Quad Core 1.6GHz

96GB 4 port GB (plus dual‐port motherboard)

RAID1 for ESX OS

VIRTUAL SERVERS GUEST SERVER REQUIREMENTS

Interface2 No. of Virtual Machines No. of Virtual CPUs Memory Available Disk Space OS

1 2 8GB OS: Recommended: 40GB Data: 120GB


eBO Report3 2 2 8GB OS: Recommended: 40GB Data: 120GB



Database

No. Of Servers No. of Processors CPU Memory Disk Space OS

2 2 Intel Xeon Quad Core 64GB4 OS: Recommended: 40GB Data:1

Microsoft Windows 2008/2008 R2/2012 (64Bit) Enterprise/DataCenter, Red Hat® Enterprise® 5

NOTES 1Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. 2Total number of interfaces may increase this number. 3eBO Report server supports up to 10 concurrent eBO users. For 10+ concurrent eBO users, refer to the Optional Items Recommendations page. 4It is recommended that practices with less than 100 providers have 64GB RAM on the DB server; practices with 150 providers are recommended to have 128GB RAM on the DB server. Hyper‐V® and Citrix® XenServer are supported for practices of 25 providers or fewer | VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions | eClinicalWorks does not support the over subscription of any of the physical machine's resources. *Refer to the Install Notes page for additional information.


eClinicalWorks Hardware Specifications VMWare 150+ Providers ‐ Updated 08‐2013 ▪ 18

VMWARE ESX RECOMMENDATIONS No. of CPUs CPU Memory NIC Drive Configuration ESX Server # 1 2 Intel® Xeon Quad Core 1.6GHz 96GB 4 port GB (plus dual‐port motherboard) RAID1 for ESX OS

GUEST SERVER REQUIREMENTS No. of Virtual Machines No. of Virtual CPUs Memory Available Disk Space OS

Application 6+ 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB


Test 1 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB


FTP 1 2 8GB OS: Recommended: 40GB Data:2


eBO Repository 1 2 16GB OS: Recommended: 40GB Data:5


VMWARE ESX REQUIREMENTS No. of CPUs CPU Memory NIC Drive Configuration ESX Server # 2 2 Intel Xeon Quad Core 1.6GHz 96GB 4 port GB (plus dual‐port motherboard) RAID1 for ESX OS

VIRTUAL SERVERS GUEST SERVER REQUIREMENTS No. of Virtual Machines No. of Virtual CPUs Memory Available Disk Space OS

Interface3 2 2 8GB OS: Recommended: 40GB Data: Recommended: 120GB


eBO Report4 2 2 8GB OS: Recommended: 40GB Data: 120GB


PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA) No. Of Servers No. of Processors CPU Memory Disk Space OS

Database 2 2 Intel Xeon Quad Core

128‐256GB OS: Recommended: 40GB Data:1

Microsoft® Windows® 2008/2008 R2/2012 Enterprise/DataCenter (64‐Bit), Red Hat® Enterprise® 5

NOTES 1Database server averages 5GB each per FTE over three (3) years. 2FTP averages 11GB per FTE over three (3) years. 3Total number of interfaces may increase this number. 4eBO Report server supports up to 10 concurrent eBO users. For 10+ concurrent eBO users, refer to the Optional Items Recommendations page. 5eBO database server average 5GB per FTE over three (3) years. Hyper‐V® and Citrix® XenServer are supported for practices of 25 providers or fewer | VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions | eClinicalWorks does not support the over subscription of any of the physical machine's resources. *Refer to the Install Notes page for additional information.

eCW V9 150+ Providers/600+ Users VMWare Hardware Recommendations

eClinicalWorks Hardware Specifications Optional Items: Virtual Hardware ‐ Updated 08‐2013 ▪ 19

OPTIONAL COMPONENT VIRTUAL SERVER HARDWARE RECOMMENDATIONS

No. of Users No. of Servers Virtual CPU Memory Available Disk Space OS

eBO

1 – 10 1 2 8GB OS: Recommended: 40GB Data: 80GB

Microsoft® Windows® 2003/2008/2008 R2/2012 Standard (64‐Bit)

10 – 20 2 – eBO App 2 8GB OS: Recommended: 40GB

Data:1

Microsoft Windows 2003/2008/2008 R2/2012 Standard (64‐Bit) 1 – eBO Rep2 2 16GB

20+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 20 users.

1eBO database growth averages 5GB per FTE over a three (3) year period.2eBO repository is required for practices with over 100FTE on MySQL® InnoDB.

Lab Hub N/A 1 2 8GB OS: Recommended: 40GB Data: Recommended: 60GB

Microsoft Windows 2003/2008/2008 R2/2012 Standard (64‐Bit)

NOTES

Hyper‐V® and Citrix® XenServer are supported for practices of 25 providers or fewer.VMWare®, Hyper‐V, and Citrix XenServer are currently the only recommended virtualization solutions. An eClinicalWorks Technical Architect will design a custom interface architecture for practices with more than 20 users.

eCW V9 Optional Items: Virtual Hardware Hardware Recommendations

eClinicalWorks Hardware Specifications Bandwidth Requirements ‐ Updated 8‐2013 ▪ 20

BANDWIDTH REQUIREMENTSNo. of Concurrent Users Sharing this connection

Recommended Download Speed

Recommended Upload Speed

1 – 10 concurrent users 768 Kb/s 768 Kb/s

11‐20 concurrent users 768 Kb/s Fractional T1 to T1

768 Kb/s Fractional T1 to T1

21‐ 60 concurrent users Full T1 or equivalent* Full T1 or equivalent*

*Bandwidth rates can vary considerably at higher user counts per location based on type of usage, type of user, and type of specialty.

The client’s Internet Service Provider (ISP) can provide details on the connection speeds.

Note: Depending on the type of practice and type of user staff, the recommended speeds may vary. These numbers are based on best practices implemented in eCW data centers.

Contact eClinicalWorks for recommendations for more than 60 concurrent users.

CONNECTIVITY

Connectivity Methods

SSL Client: eClinicalWorks Web‐based secure encrypted client

Remote Desktop ‐ used for remote anywhere access outside of the office.

Redundant Internet Access

It is recommended that all have redundant ISP Internet access due to the risks involved in single point of failure on Internet connection to the data centers.

Minimum Network Performance Recommendations

eClinicalWorks evaluates minimum network recommendations based on the following parameters: Latency: Maximum 50MS latency round

trip on a standard ping packet Packet Loss: Less than 1% packet loss Bandwidth: Bandwidth recommendations

will vary based on number of users per location.

Contact your Sales Coordinator for details.

eCW V9 Bandwidth Requirements Hardware Recommendations

eClinicalWorks Hardware Specifications Analog Fax Solutions ‐ Updated 08‐2013 ▪ 21

ANALOG FAX SERVER RECOMMENDATIONS

Analog Fax 1 Port

No. of Servers No. of Processors CPU Memory Total Disk Space OS

1 A workstation‐class machine is sufficient

1

Core i3\i5\i7, Dual Core, Core 2 Duo, Intel® Xeon

Minimum 1GB Recommended: 2GB

Recommended: 50GB

Microsoft® Windows® XP® Pro SP3 (32/64‐Bit), MS Windows 7 Enterprise (32/64‐Bit), Professional (32/64‐Bit), Ultimate (32/64‐Bit), MS Windows Foundation 2008

Analog Fax 2/4 Port 1 1

Core i3\i5\i7,Dual Core, Core 2 Duo, Intel Xeon

4GB Recommended: 50GB

MS Windows Server 2003,2008 (32/64‐Bit) Standard/Enterprise, MS Windows SBS 2011, MS Windows Foundation 2008

Analog Fax 8 Port 1 1

Core i3\i5\i7,Dual Core, Core 2 Duo, Intel Xeon

4GB Recommended: 80GB

MS Windows Server 2003 – 2008 32/64‐Bit Enterprise Only

NOTES It is required that the fax server be a dedicated standalone machine. Analog Fax recommendations (above) are only applicable to standard 2/4/8 Port Mainpine™ IQ Express™ (www.mainpine.com) PCI‐E slot required. Fax servers require a separate modem and separate dedicated analog or digital phone line based on the solution type. No VOIP or DSL lines. No splitter or filter. Analog Fax Server software is not supported on any version of Windows Vista®. Analog Fax Server is not to be installed on a virtual machine. Analog Fax Server is not be installed with any other services on the machine, such as Active Directory, DHCP, FTP, etc.

eCW V9 Analog Fax Solutions Hardware Recommendations

eClinicalWorks Hardware Specifications Digital Fax Server Solutions ‐ Updated 08‐2013 ▪ 22

Option 1: Practice to Host the Digital Fax Solution

Component Specifications / Models Estimated Cost

T1 Line E1 ISDN PRI/ ISDN BRI/T1 ISDN PRI only/E1 R2/ T1 Robbed‐Bit—Brooktrout® TR1034+P24H‐T1‐1N‐R.

$300 ‐ $400 per Month

Fax Server

OS: Microsoft® Windows® 2003/2008 SP2 (32 bit) CPU: Dual processor ‐ dual core – 8MB cache RAM: 4 GB memory DISK: RADI 5 – 140GB DISK: RADI 5 – (OS: 40GB, Data: 100GB)

$5,000 ‐ $6,000

Fax Gateway®

(Required for practices with multiple inboxes and/or on different

networks)

Core i3/i5/i7, Dual Core, Core 2 Duo, Intel® Xeon OS: Windows XP®, Windows 7 Professional SP2 (32‐Bit/64‐bit), Windows Server 2003/2008 (32‐bit/64‐Bit) RAM: 2GB Disk Space: Minimum: 20GB | Recommended: 40GB eClinicalWorks will charge a one‐time fee of $750 for configuration for one fax gateway

$1,000 ‐ $1,500

Digital Fax Board Dialogic Brooktrout TR1034+P24H‐T1‐1N‐RRequires Microsoft Windows 2003/2008 Server, 32‐Bit

$15,000 (approx.)

eCW V9 Digital Fax Server Solutions Hardware Recommendations

Network Architecture if Hosted by Client

eClinicalWorks Hardware Specifications Digital Fax Server Solutions ‐ Updated 08‐2013 ▪ 23

Option 2: eClinicalWorks to Host the Digital Fax Solution Practice Hosts Gateway

Cost is $40 per month for one outgoing line, which includes 1,000 pages. Each additional page beyond that is $.04 per page. Assigned fax number will be local to Andover, MA. However, long distance faxes will not be charged

extra. Additional $10 per month for eClinicalWorks Cloud Hosted Fax Gateway. No charge for incoming faxes assigned to this outgoing line. eClinicalWorks will charge a one‐time fee of $750 for configuration for one Fax Gateway. A Fax Gateway is required for every inbox.

Local Fax Gateway Specifications / Models

Fax Gateway

Core i3/i5/i7, Dual Core, Core 2 Duo, Intel Xeon OS: Windows XP/ Windows 7 Professional SP2 (32‐Bit/64‐bit), Windows Server 2003/2008 (32‐bit/64‐bit) RAM: 2GB memory Available Disk Space: Minimum: 20GB | Recommended: 40GB

Option 3: eClinicalWorks to Host the Digital Fax Solution AND Hosts Gateway

Cost is $40 per month for one outgoing line, which includes 1,000 pages. Each additional page beyond that is $.04 per page. Assigned fax number will be local to Andover, MA. However, long distance faxes will not be charged

extra. Additional $10 per month for eClinicalWorks Cloud‐Hosted Fax Gateway. No charge for incoming faxes assigned to this outgoing line.

eCW V9 Digital Fax Server Solutions Hardware Recommendations

eClinicalWorks Hardware Specifications Software Recommendations ‐ Updated 08‐2013 ▪ 24

SOFTWARE RECOMMENDATIONS Software Minimum Requirements eCW Recommended FunctionApache® Tomcat® V6 V6.0.36 Web server softwareJava® Development Kit (JDK) 1.6 1.6 Set of programming toolsMySQL® V5 V5 (64‐Bit) DatabaseMicrosoft® SQL Server® 2008 2008/2008R2/2012 Standard/Enterprise DatabaseServ‐U® Serv‐U FT Server Serv‐U MFT Server FTP serverInternet Explorer™ Apple® Safari®

V8 V4

V8V5 Browser

WORKSTATION / TABLET / LAPTOP OPERATING SYSTEM RECOMMENDATIONS Software Minimum Requirements eCW Recommended FunctionMicrosoft® Windows XP® Pro Windows 7 (Pro/Ultimate/Business) Operating systemMicrosoft Office Office 2003® Office 2007/2011/365/2013 Word processor and spreadsheet

OPTIONAL SOFTWARE PRODUCTS Software Minimum Requirements eCW Recommended FunctionDragon® Medical Practice Edition V10.1 V11 Voice recognitionCodeCorrect® V3 V3 Claims scrubbingKnowledgeSource Pro® 2011 Medical coding knowledgebaseA.D.A.M.® 2011 Patient educationHealthwise® 2011 Patient educationKrames ExitWriter™ 2011 Patient educationUpToDate® 2011 Decision supportSkyscape® 2011 Decision support

NOTES Microsoft Office is not required for general use. Microsoft Word® is required for workstations using the Microsoft Mail Merge functionality for certain

custom letters. Microsoft Excel® is required for workstations that import or export files to/from CSV/Excel or view in Excel. eClinicalWorks will facilitate the interface/integration of optional software products as chosen by the client. KnowledgeSource Pro licenses can be purchased for individual staff members. eClinicalMessenger requires Apache Tomcat V6 and Internet Explorer™ V8.

eCW V9 Software Recommendations Hardware Recommendations

eClinicalWorks Hardware Specifications Appendix A: Viewing eBO Reports in IE 10 ‐ Updated 08‐2013 ▪ 25

APPENDIX A: VIEWING EBO REPORTS IN IE 10 This document describes a temporary fix that enables eClinicalWorks users to run and view eBO reports on Internet Explorer™ 10 in Internet Explorer 10 Compatibility View.

IMPORTANT! eClinicalWorks can only run reports in Internet Explorer 10. Users cannot create new reports in IE 10.

To configure IE 10 to view eBO reports:

1. Open the Internet Explorer browser. 2. Click the Settings icon:

3. From the drop‐down menu, click the F12 Developer Tools option:

The Developer Tools panel displays:

eClinicalWorks Hardware Specifications Appendix A: Viewing eBO Reports in IE 10 ‐ Updated 08‐2013 ▪ 26

4. Click the Browser Mode: IE10 button. 5. From the drop‐down list, select the Internet Explorer 10 Compatibility View option:

Internet Explorer 10 is now configured to run eBO reports.

eClinicalWorks Hardware Specifications Appendix B: Notices ‐ Updated 08‐2013 ▪ 27

APPENDIX B: NOTICES

Trademarks eClinicalWorks®

eEHX®

eClinicalMobile®

eClinicalMessenger®

eClinicalWeb®

eClinicalWorks P2P®

eBO®

eClinicalCare™

eClinicalWorks Scribe™

eClinicalTouch™

eClinicalWorks Improving Healthcare Together™

eClinicalWorks Improving Healthcare Together, eClinicalCare, eClinicalWorks Scribe, and eClinicalTouch are trademarks of eClinicalWorks, LLC.

eClinicalWorks, eBO, eClinicalMobile, eClinicalMessenger, eClinicalWeb, eClinicalWorks P2P, and eEHX, are registered trademarks of eClinicalWorks, LLC.

All other trademarks or service marks contained herein are the property of their respective owners.

A.D.A.M.®

A.D.A.M. is a registered trademark of A.D.A.M. Software, Inc.

AHA Coding Clinic™

AHA Coding Clinic® is a registered trademark of the American Hospital Association for its coding products.

Apache® Tomcat®

Apache and Tomcat are registered trademarks of the Apache Software Foundation.

Brooktrout®

Brooktrout, Inc, Brooktrout Technology, and TruFax are registered trademarks of Brooktrout inc.

Citrix®

Citrix, ICA (Independent Computing Architecture), and Program Neighborhood are registered trademarks of Citrix Systems, Inc. in the United States and other countries.

Current Procedural Terminology (CPT®*)

CPT is a registered trademark of the American Medical Association.

Dragon® Medical

Dragon a registered trademark of Nuance Communications.

*CPT © 2012 American Medical Association. All rights reserved.

eClinicalWorks Hardware Specifications Appendix B: Notices ‐ Updated 08‐2013 ▪ 28

Fujitsu®

Fujitsu is a registered trademark of Fujitsu Limited in the United States and other countries.

Intel®

Intel is a registered trademark of Intel Corporation in the United States and other countries.

Mainpine™ IQ Express™

Mainpine is a registered trademark of Mainpine, Inc.

MedicScan® ScanShell®

MedicScan and ScanShell are registered trademarks of Card Scanning Solutions.

Microsoft®

Microsoft, .NET, and ActiveX, Access®, Excel, JScript, Visual Basic, the Visual Basic logo, SharePoint, Active Accessibility, Word®, Outlook®, Quickbooks®, the Windows logo, Windows® Live, 7, 2000®,98SE®, ME®, ActiveSync®, Home Premium®, Mobile®, Vista®and XP Professional® are registered trademarks of Microsoft Corporation in the United States and/or other countries.

For more information about Microsoft service marks, refer to: http://www.microsoft.com/en‐us/ legal/IntellectualProperty/Trademarks/EN‐US.aspx

MySQL®

MySQL is a registered trademark of Oracle Corporation.

For more information about Oracle Corporation trademarks, refer to http://www.oracle.com/us/ legal/third‐party‐trademarks/index.html#oracle.

Panasonic®

Panasonic is a registered trademark of Panasonic Corporation.

Serv‐U® FTP

Serv‐U FTP is the trademark property of SolarWinds in the United States and other countries.

SonicWALL®

SonicWALL is a registered trademark of SonicWALL Inc.

UpToDate

All of the UpToDate (clinica l information) trademarks are owned by UpToDate, Inc. and may not be used for any purpose without the prior written permission of UpToDate, Inc.

VMWare®

VMware is a registered trademark or trademark of VMware, Inc. in the United States and/or other jurisdictions.

Copyright CPT Copyright Notice

CPT © 2012 American Medical Association. All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Documents

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