HARDWARE SPECIFICATIONS UPDATED MAY 2018 1.System Requirements

1.1 Database

Database Server

Component / Number of users 1–10 users 11–25 users 26–50 users 51–99 users 100+ users Quad-core Xeon Two Quad-core Xeon (8 Two Quad-core Xeon (8 Two Quad-core Xeon (8 Four Quad-core Xeon (16 Processor – Recommended (4 cores, 1.6 GHz+) cores, 1.6 GHz+) cores, 2.26 GHz+) cores, 2.26 GHz+) cores, 2.26 GHz+) Dual-core Xeon Quad-core Xeon Quad-Core Xeon Quad-core Xeon Quad-core Xeon Processor – Minimum (2 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+)

Memory / RAM – Recommended 16 GB 32 GB 64 GB 64–128 GB 128–160 GB

Memory / RAM – Minimum 8 GB 16 GB 32 GB 64 GB 128 GB

Disk Configuration Hot Swappable Drive with RAID 1+0 or RAID 54 ​

500 GB SCSI, 15K 1,2,3 1,2,3 2 TB SSD SCSI, 15K 1,2,3 1 TB SCSI, 15K RPM 1.5 TB SCSI, 15K RPM 1,2,3 3 TB SSD SCSI, 15K ​ ​ ​ ​ RPM (Should be RPM (Should be 1,2,3 Hard Drive – Total Storage ​ (Should be capable of (Should be capable of ​ RPM ​ (Should be capable capable of adding more capable of adding more ​ adding more storage) adding more storage) of adding more storage) storage) storage)

5 Windows® Server 2008 or 2012 ​ Standard (along with Terminal Server and Client Access License) ​

Network Card / Ports (1000 Mbps) 2 NIC, 1 port each 2 NIC, 1 port each 2 NIC, 2 ports each 2 NIC, 2 ports each

Backup Solution Backup on external hard disk, tape, or NAS (Online / offsite backup is recommended.) Internet Connectivity Server must be connected to the Internet via high-speed Internet connection. This server should only host IMS database server. Notes

HARDWARE SPECIFICATIONS UPDATED MAY 2018

1.2 Citrix/2X/Terminal ​

Citrix/2X/Terminal Server (for remote locations)

Component / Number of users 1–10 remote users 11–25 remote users 26–50 remote users 51–99 remote users Two Quad-Core Xeon Two Quad-core Xeon Two Quad-core Xeon Two Quad-core Xeon Processor – Recommended (8 cores, 1.6 GHz+) (8 cores, 1.6 GHz+) (8 cores, 2.26 GHz+) (8 cores, 2.26 GHz+) Quad-Core Xeon Quad-Core Xeon Quad-Core Xeon Quad-Core Xeon Processor – Minimum (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) (4 cores, 1.6 GHz+) Memory / RAM – Recommended 16 GB 32 GB 64 GB 128 GB Memory / RAM – Minimum 12 GB 24 GB 48 GB 96 GB Disk Configuration Hot Swappable Drive with RAID 1 or RAID 54 ​ 160 GB SSD* or SCSI 15K 250 GB SSD* or SCSI 15K 250 GB SSD* or SCSI 15K RPM 500 GB SSD* or SCSI 15K RPM Hard Drive – Total Storage (Should be capable of adding RPM (Should be capable of (Should be capable of adding more (Should be capable of adding more more storage) adding more storage) storage) storage)

5 Operating System Windows® Server 2008 or 2012 ​ Standard (along with Terminal Server and Client Access License) ​ Network Card / Ports (1000 Mbps) 2 NIC, 1 port each 2 NIC, 1 port each 2 NIC, 2 ports each 2 NIC, 2 ports each Backup Solution Backup on external hard disk, tape, or NAS (Online / offsite backup is recommended.) Internet Connectivity Business-class broadband Internet connection with 150 Kbps bandwidth per user required for online services.6 ​ If number of remote users exceed 2, then per user TS licenses are required. Terminal Server Licensing

1.3 SSD (Solid-State Drive)

● Using SSD drives boosts up the speed by 500 percent and consumes less energy. An SSD-equipped PC will boot in seconds. It should be in RAID. ● SSD will provide a performance boost over SCSI HDD. ● Drive capacity requirements increase with scanning and imaging storage needs. ● Drives should be partitioned. C partition should hold the OS; D partition should hold IMS database. ● RAID 5 is recommended for maximum redundancy and data protection. ● More recent versions like windows server 2016 is in compatibility testing phase. ● Standard requirement for Internet service: static IP, latency: minimum 50 ms round-trip on a standard ping packet, packet loss: less than 1 percent

1.4 Patient Portal HARDWARE SPECIFICATIONS UPDATED MAY 2018

Patient Portal (optional)

Component Minimum Specifications

Processor Quad-core (4 cores, 1.6 GHz+ or later) Memory / RAM 4 GB

Hard Drive 80 GB Operating System Windows® Server 2008 or 2012 (SMB will work fine) Internet Connectivity Broadband Internet connection with static IP address

Network Card / Ports (1000 Mbps) 2 NIC, 1 port each

Sybase License 1 Sybase license is required to allow Web Server to connect to IMS DB server

1.5 Workstations Workstations High-Usage Workstations Workstations (Desktop / Laptop / Tablet PC) (Provider workstation, critical task workstations) Component Minimum Specifications Recommended Specifications Processor ® i5, 2.70 GHz+ Intel® i7, 2.40 GHz+ Memory / RAM 4 GB 6 GB Hard Drive 120 GB 250 GB+

Operating system Pro / Pro / Windows 10

Network Card 1000 Mbps Wireless Network Card (Wi-Fi)7 802.11G or higher ​ Network Component Minimum Specifications Recommended Specifications Wired Network 1000 Mbps Ethernet or higher 1000 Mbps Ethernet or higher Wireless (Wi-Fi)7 802.11G or higher 802.11N or higher ​ Router / Firewall9 Secure encrypted connectivity for communication between facilities is required using an IPsec VPN enabled router. ​ The following ports are used for sending and receiving claims through IMS. - ENS Professional: 3566 Ports - ENS Institutional: 22 - AVAILITY: 9922 - REALMED: 22

* Optional equipment: HARDWARE SPECIFICATIONS UPDATED MAY 2018

● Scanning, Dragon dictation, word processing workstations are considered high-usage workstations. ● SonicWall, ZyXEL, Juniper, WatchGuard, Fortinet firewalls are recommended.

Note: The following can contribute to system slowness: firewall/antivirus software (even if virus scan is not running, it will scan each file that is downloaded and opened or scanned and saved); ​ insufficient RAM memory; hard drive encryption; multiple network switches; slow network / more traffic on network; low space on system partition or working partition.

Local Hardware Specifications (this document): https://www.imsclientconnect.com/sr/system_requirements.pdf ​ ​ SaaS Hardware Specifications: https://www.imsclientconnect.com/download/Saas_HW_specification.pdf ​ ​ Specifications: https://www.imsclientconnect.com/download/IMS_Peripherals_Specifications.pdf ​

1.6 Hardware Specifications Peripherals Printers

Printer PCL5 (or higher) - compatible network printer (All-in-one devices should not be used as a scanner but can be used for printing.) DymoLabelWriter /450 Turbo {Note: Single ribbon only, double ribbon not supported.} ​ ​

Zebra ZD410

Label Printer1 ​ ● Over the RDP/2x/Citrix session it is mandatory that printer redirects through manufacturer’s driver. ● If it is not using manufacturer's driver then TS Printer is required for proper printer redirection over the remote session.

Windows compliant laser printer. We recommend the OKI MICROLINE® 420 CHDP Printer*1 ​ (This unit can work on multiple drivers. Install IBM Pro printer roman 3 drivers. We recommend this for a busy practice.) ​ ​ Rx Printers*1 Brother laser jet 2170N network printer (to use with non-padded Rx scripts), if you would like to print Rx pads. ​ Scanners and Imaging Any Twain-compatible scanner is compatible with IMS. We recommend the following: Scanner Medium-sized organization or single-department application: Fujitsu models fi-6130 or fi-6230 sheet-fed scanners Larger organizations: Fujitsu models fi-6140, fi-6240 or fi-5530C2 sheet-fed scanners

Docketport DS687 (Duplex) Card scanner Docket Port PS467 (Simplex) *Duplex is preferred.

Barcode scanner*1 Symbol LS Series general-purpose barcode scanner ​ Tested model: Symbol LS2208 HARDWARE SPECIFICATIONS UPDATED MAY 2018

For use with locally hosted server: ● Topaz model: T-LBK755SE-BBSB-R ● Topazmodel: T-LBK755SEBH or T-LBK750SEBH ● Topaz SignatureGem SE 4X5 ● Topaz SignatureGem SE 4X3 ● Topaz SignatureGemSE 4X3 TM-LBK755-BHSB

Signature pad For use with remotely hosted server: ● Topaz model: T-LBK755SE-BBSB-R ● Topazmodel: T-LBK755SEBH and the T-LBK750SEBH ● Requires serial cable kit.Topaz part number A-CSA4-2

Note:If you disconnected the pad from itsUSB power port, reconnect it to the same USB power port.

Web camera Branded Webcam, USB 2.0 or higher Medical devices Welch Allyn – Spot Vital Signs – Lxi Vital Signs Midmark

EKG Midmark

● Immulite 1000 ● Immulite 2000 XPi Immunoassay Analyzer ● Roche Cobas e411 ● Tosoh AIA - 360 ● Tosoh AIA - 900

Midmark Spirometry Morgan Scientific (Spirometer model is the pneumotrac 6800 with ComPAS software ) Koko-nSpire Glucose Meter Interface IDI (Intelligent Diabetic Interface), contact Meditab Sales Ultrasound Machines Any ultrasound machine, able to generate DICOM files and have internet access Fluoroscopic/X-ray devices Any florosopic device, able to generate DICOM files and have internet access

HARDWARE SPECIFICATIONS UPDATED MAY 2018

Peripherals (continued) Fax Server and Check-in Kiosk Meditab provides support on cloud based faxing. IMS Fax Server IMSFaxcloud is the best option for faxing solutions. Any touch screen that can simulate mouse/keyboard input via touch will work fine.

Auto Check-In Kiosk1 ​ Tested models: PT1710MX 17-inch touch-screen monitor, HP Touch Smart series.

Network Discretion of local IT technician Router / Firewall2 ​ For better performance, we recommend Gigabyte switches and routers (10/100/1000) Hardwiring your office to the Internet is always the best solution. However, if you seek the convenience of wireless PCs, you do have the option of using them through a Terminal Services connection to a that is hardwired to the Internet. Setting up a simple remote connection will give you the flexibility of wireless Internet with the dependability of a hardwired Internet connection. Please ask our team for more details about how to set this up.

We recommend the following wireless access points (WAP): Wireless

Cisco Aironet 1041N (GOOD) Cisco Aironet 1041N (BETTER) Cisco Aironet 1262N (BEST) Best Practices for Backup You are responsible for backing up your data. If you lose your data, recovery may be difficult and costly. Keeping backup files is the best thing that you can do to protect your office’s data, your patients’ data, and to preserve your paperless environment. Your understanding of the backup process is crucial to a successful backup.

Although Meditab Customer Support initially sets up the scheduled backup of files on your local server, they are not responsible sustaining it .This is your responsibility. W e strongly encourage that you hire a network professional to handle your backup procedures. Have a qualified IT technician contact Customer Support immediately to create a backup plan. Backing up your data will only take a few minutes of your time, and it’s worth the effort. Remember, it is your responsibility to make sure this is done daily.

* Optional equipment:

● SonicWall, ZyXEL, Juniper, WatchGuard, Fortinet firewalls are recommended.

● Standard requirement for Internet service: static IP, latency: minimum 50ms latency round-trip on a standard ping packet, packet loss: less than 1 Percent.

HARDWARE SPECIFICATIONS UPDATED MAY 2018 Local Hardware Specifications (this document): https://www.imsclientconnect.com/sr/system_requirements.pdf ​ ​ SaaS Hardware Specifications: https://www.imsclientconnect.com/download/Saas_HW_specification.pdf ​ ​ Peripherals Specifications: https://www.imsclientconnect.com/download/IMS_Peripherals_Specifications.pdf ​