Nuance CDE Clinical Documentation Excellence

System Requirements Guide

Release 2.0 Client Support

Phone: 800.892.5049 Fax: 877.238.2776 Web Portal: http://www.nuance.com/support/index.htm

Proprietary Statement This material constitutes proprietary and trade secret information and shall not be disclosed to any third party, nor used by the recipient except under the terms and conditions prescribed by Nuance Communications, Inc.

Copyright Statement ©2019 Nuance Communications, Inc. All rights reserved. Revision History

The following table describes the revision history of the Nuance CDE system requirements.

Table 1: System Requirements Revision History

Date Release Description September 2019 Release 1.9 No changes for this release. July 2019 Release 1.8 No changes for this release. June 2019 Release 1.7 Added supported document format information. March 2019 Release 1.6 No changes for this release. December 2018 Release 1.5 Removed CIE system requirements. September 2018 Release 1.4 No changes for this release. July 2018 Release 1.3 No changes for this release. June 2018 Release 1.2 No changes for this release. February 2018 Release 1.1 No changes for this release. November 2017 Release 1.0 First release of Nuance CDE system requirements. Introduction

About Nuance CDE Nuance CDE is a cloud based Clinical Documentation Excellence system that assists a CDI program in improving productivity and accuracy. Nuance CDE leverages the prioritizing logic from CDE Triage to arrange the encounters by their rank of priority.

About CDE Triage CDE Triage module is a tool that prioritizes the Clinical Documentation Specialist’s (CDS) daily worklist to focus on encounters with the highest opportunity for documentation improvement. With targeted focus on improving diagnosis specificity, capturing quality indicators, and at a glance clarification status, CDE Triage helps to improve both productivity and clinical documentation.

About CDE One CDE One provides clarification management, code search, MS/APR-DRG capabilities and program analytics that create the core foundation of a successful CDI program. Chapter 1

System Requirements

Topics:

• Nuance CDE Considerations • Browser Configuration • Nuance CDE Workstation Requirements Nuance CDE | System Requirements | 6

Nuance CDE Considerations

The following considerations need to be addressed and reviewed, when you are using Nuance CDE: • It is your facility’s responsibility to ensure that any hardware or software which is required to run the application must meet the minimum system requirements detailed in this document. • Remote users require a broadband connection to connect to Nuance CDE servers. • Customer supplied and maintained Anti-virus software is recommended. There are no known exclusions. • The system requirements may change after installation. It is your facility’s responsibility to upgrade the system configuration to meet, or exceed, these requirements. • The system can process the non-image based RTF and the base64 encoded RTF documents.

Browser Configuration

Nuance CDE uses Microsoft Internet Explorer as its web browser. For Nuance CDE to function properly, you need to configure your browser to display the correct font size, use the proper settings, and get updated pages every time it connects to the server.

Trusted Sites for Nuance CDE In the Internet Explorer, all websites that you visit are classified into one of four security zones either Internet, Local intranet, Trusted sites, or Restricted sites. Each security zone provides a different level of security. By adding a website to a specific zone, you can control the level of security used on that site. Some websites that you visit may have issue running in a higher security zone as the security settings can block the site’s functionality. To correct this, you can add a website as a trusted site. Add the following URLs to the trusted site list: • https://app.powerbi.com/: used for accessing the CDE Analytics • https://dc.services.visualstudio.com/: used for accessing the application insight • https://az416426.vo.msecnd.net/: used for accessing the CDE Analytics • https://*.analysis.windows.net/: used for accessing the CDE Analytics • https://nuancehdp.auth0.com: used for the central authentication For more information about the browser configuration, refer Chapter: 3 of the Nuance CDE User Guide.

Nuance CDE Workstation Requirements

Nuance CDE Software Requirements This section describes the minimum software requirements that are needed for the smooth operation of Nuance CDE.

Table 2: Nuance CDE Software Requirements

Software Version Web Browser Microsoft Internet Explorer 11.0 Note: If you want to access Nuance CDE with two browsers, then you must open a new IE session.

PDF Reader Adobe Reader, to view PDF documents. Nuance CDE | System Requirements | 7

Software Version Operating System Windows 10

Nuance CDE Hardware Requirements This section describes the minimum hardware requirements that are needed for the smooth operation of Nuance CDE.

Table 3: Nuance CDE Hardware Requirements

Item Workstation Requirements Estimated Database Space Not applicable Internet Connectivity Required. (Broadband speed or better.) Monitor A 17", 19", or larger monitor with screen resolution of 1280 x 768 (or higher) pixels. Note: Dual monitor setup is recommended.

Processor Intel Core i3, i5, or higher for best performance. Hard Drive Speed 7,200 RPM recommended or faster Network Card 1 gigabyte ethernet network card or better

Citrix Support

Nuance CDE supports a Citrix environment with the following configurations: • Version of XenApp v6.5 installed on a minimum of Windows Server 2008 R2 SP1 • Version of Receiver: v4.4, v4.5 • Browser: Internet Explorer IE11 Note: Application behavior and performance in Citrix environments may vary, and is dependent on configuration, environment, and interdependencies outside of the Nuance CDE application. These factors may limit Nuance’s ability to resolve issues in Citrix environments. Application issues encountered in a Citrix environment will be investigated and resolved to the best of Nuance’s ability, and may require collaboration with client-provided technical resources. Nuance is unable to provide direct support for Citrix applications at this time.