Paceart Optima System 1.4 TECHNICAL REQUIREMENTS

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default configuration that will provide a flexible, robust solution focused on end user performance.

1 Paceart Optima System 1.4 TECHNICAL REQUIREMENTS Paceart System Configuration #1: Distributed Model with HL7 Multiple workstations connecting to a central database Mainspring Data Express installed using HL7 This is the default configuration that will provide a flexible, robust solution focused on end user performance. Separating the Application Server and Integration Server allows users to access system resources without interference from high integration workloads. See Workstation/Client, Application Server, Database Server, and Integration Server for hardware minimum configurations. Size the CPU and memory for the system components to ensure acceptable system performance. The Database Manager will be needed for initial system configuration and upgrades; it is usually installed on the application server, but can be installed on any hardware as needed. Paceart System Configuration #2: Distributed Model (no HL7) Multiple workstations connecting to a central database Mainspring installed not using HL7 This is a simplified configuration that will provide a flexible, cost effective solution focused on end user performance. The simplified integration installed on the same hardware as the Application Server reduces the need for an independent Integration Server. This simplified model is not robust enough to support the HL7 engine that is the core of our in-clinic connectivity framework. Mainspring Report Export functionality that does not leverage the HL7 engine will still be supported in this configuration. See Workstation/Client, Application Server, and Database Server for hardware minimum configurations. Size the CPU and memory for the system components to ensure acceptable system performance. The Database Manager will be needed for initial system configuration and upgrades; it is usually installed on the application server, but can be installed on any hardware as needed. 1

Paceart System Configuration #3: Single User Including Mainspring Report Export (No HL7) This is a simplified configuration that is used in limited situations, intended for use by a single user.

2 Paceart System Configuration #3: Single User Including Mainspring Report Export (No HL7) This is a simplified configuration that is used in limited situations, intended for use by a single user. It is focused on convenience of administration and not end-user performance. There are limited situations where this type of configuration makes sense. See Replicating Client or Standalone Single User System for hardware minimum configurations. Size the CPU and memory for the system components to ensure acceptable system performance. The Database Manager will be needed for initial system configuration and upgrades. Paceart System Configuration #4: Replicating Client This is a simplified configuration that is used in limited situations, intended for use by a single user. It is focused on convenience of administration and portability and not end-user performance. The replicating client configuration is used to support a remote site that does not always have connectivity back to the main Paceart Optima System. These types of clients can be used to visit outreach clinics and then later use SQL Server replication to synchronize the new encounters with the main Paceart Optima System. There are limited situations where this type of configuration makes sense. See Replicating Client or Standalone Single User System for hardware minimum configurations. Size the CPU and memory for the system components to ensure acceptable system performance. The Database Manager will be needed for initial system configuration and upgrades. Workstation/Client Intel Pentium Core i3 CPU 2.40 GHz 8 GB RAM (4 GB RAM if on 32-bit operating system) 15 GB Client Configuration (No ECG Recording) Microsoft Windows 7 Professional Edition SP1 (64-bit) Client Configuration with ECG Recording Microsoft Windows XP Professional Edition SP3 (32-bit) Microsoft Windows Vista Business Edition SP2 (32-bit) Microsoft Windows 7 Professional Edition SP1 (32-bit) Microsoft Windows 8 Professional Edition (32-bit) Microsoft Windows 8.1 Professional Edition (32-bit) Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 2

3 Workstation/Client (continued) Additional items required to use certain features In-Clinic Surface ECGs Programmer Import Isolation Transformer (contact Paceart Technical Support for isolation transformer specifications) Paceart ECG Module Universal Serial Bus (USB) port 3.5 floppy disk drive (contact your device clinic to determine what transport method their device programmers support) TTM Acquisition Paceart ECG Module Analog or PBX phone line Analog fax/voice Modem Application Server Intel Pentium Core i5 CPU 2.80 GHz 8 GB RAM 80 GB* Additional items required to use certain features , Faxing, and Paging Connectivity Server Configuration (Including Medtronic Mainspring Data Express) Microsoft Windows Server 2008 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) Microsoft Windows Server 2012 Standard Edition (64-bit) Microsoft Windows Server 2012 R2 Standard Edition (64-bit) Microsoft.NET Framework 3.5 SP1 Microsoft Core XML Services (MSXML) 4.0 SP2 Windows Installer 4.5 Microsoft Core XML Services (MSXML) 6.0 Microsoft Message Queue component Microsoft IIS as specified in following table: IIS Version Microsoft Windows Server 2008 Standard Edition 7.0 Microsoft Windows Server 2008 R2 Standard Edition 7.5 Microsoft Windows Server 2012 Standard Edition 8.0 Microsoft Windows Server 2012 R2 Standard Edition 8.5 Microsoft Windows 7 Professional Edition 7.5 Microsoft Windows 8 Professional Edition 8.0 Microsoft Windows 8.1 Professional Edition 8.5 Microsoft Windows Fax Services component 56 kbps Fax Modem Connectivity to a Simple Mail Transfer Protocol (SMTP) server Network connectivity to Remote Systems (e.g., Medtronic CareLink Network) Network connectivity to HL7 integrated system * Log file size will vary based on system activity. Configuration of amount of logging information that is retained can help manage disk space usage. 3

4 Database Server Intel Pentium Core i5 CPU 2.80 GHz 8 GB RAM 80 GB* Microsoft Windows Server 2008 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) Microsoft Windows Server 2012 Standard Edition (64-bit) Microsoft Windows Server 2012 R2 Standard Edition (64-bit) Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 (4 GB max database file size) Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 (4 GB max database file size) Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP2 (10 GB max database file size) Microsoft SQL Server 2008 R2 Standard Edition SP2 Microsoft SQL Server 2012 Express Edition SP1 (10 GB max database file size) Microsoft SQL Server 2012 Standard Edition SP1 *The amount of disk space needed will vary based on the amount of data that is kept and how much is added each month. Integration Server Intel Pentium Core i5 CPU 2.80 GHz 8 GB RAM 80 GB* Microsoft Windows Server 2008 Standard Edition SP1 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP2 (64-bit) Microsoft SQL Server from the following list: Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 Microsoft Message Queue component Microsoft Core XML Services (MSXML) 6.0 Microsoft Core XML Services (MSXML) 4.0 SP2 * Log file size will vary based on system activity. Configuration of amount of logging information that is retained can help manage disk space usage. 4

5 Replicating Client or Standalone Single User System Intel Pentium Core i3 CPU 2.40 GHz 16 GB RAM (4 GB RAM if on 32-bit operating system)** 80 GB* Additional items required to use certain features In-Clinic Surface ECGs Programmer Import Client Configuration (No ECG Recording) Client Configuration with ECG Recording Microsoft Windows XP Professional Edition SP3 (32-bit) Microsoft Windows Vista Business Edition SP2 (32-bit) Microsoft Windows 7 Professional Edition SP1 (32-bit) Microsoft Windows 8 Professional Edition (32-bit) Microsoft Windows 8.1 Professional Edition (32-bit) Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 Isolation Transformer (contact Paceart Technical Support for isolation transformer specifications) Paceart ECG Module Universal Serial Bus (USB) port 3.5 floppy disk drive (contact your device clinic to determine what transport method their device programmers support) TTM Acquisition Paceart ECG Module Analog or PBX phone line Analog fax/voice Modem * The amount of disk space needed will vary based on the amount of data that is kept and how much is added each month. Log file size will vary based on system activity. Configuration of amount of logging information that is retained can help manage disk space usage. ** Increased memory will improve the user experience. Data access on large databases will become VERY slow on low memory systems. Database Manager Intel Pentium Core i3 CPU 2.40 GHz 8 GB RAM (4 GB RAM if on 32-bit operating system) 5 GB Microsoft Windows 7 Professional Edition SP1 (32-bit) Microsoft Windows 8 Professional Edition (32-bit) Microsoft Windows 8.1 Professional Edition (32-bit) Microsoft Windows PowerShell 2.0 Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP2 Microsoft SQL Server 2008 R2 Standard Edition SP2 Microsoft SQL Server 2012 Express Edition SP1 Microsoft SQL Server 2012 Standard Edition SP1 Microsoft Windows PowerShell 2.0 MS SQL Server Command Line Utilities MS SQL Server Remote Management Objects MS SQL Server Shared Management Objects MS SQL Server System CLR Types MS SQL Server Native Client 5

6 CardioVoice TTM Workstation/Client Intel Pentium Core i3 CPU 2.40 GHz 4 GB RAM 15 GB Microsoft Windows XP Professional Edition SP3 (32-bit) Microsoft Windows Vista Business Edition SP2 (32-bit) Microsoft Windows 7 Professional Edition SP1 (32-bit) Microsoft Windows 8 Professional Edition (32-bit) Microsoft Windows 8.1 Professional Edition (32-bit) Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 Eurovoice Objects 3.0 Additional items required to use certain features CardioVoice TTM Assistant Hardware Intel Dialogic Voice Board (uses PCI Slot) Analog phone line Paceart Web Access Module Browser Support Microsoft Internet Explorer 7 and above Mozilla Firefox 3.0 and above Adobe Acrobat browser plug-in for report viewing Network Recommendation Replication over Wide Area Network (WAN) Connection Bandwidth of 1 mbps or greater* Paceart Client Local Area Network (LAN) Connection Bandwidth of 100 mbps or greater Paceart Application Server Local Area Network (LAN) Connection Bandwidth of 100 mbps or greater Paceart Database Server Local Area Network (LAN) Connection Bandwidth of 100 mbps or greater Printer Printable Area 7.75 x 10.5 with 0.25 margins Supported Paper Size 8.5 x 11 A4 * Bandwidth and amount of data will affect total replication time. Virtual Environments Workstation/Client, Application Server, Database Server VMware ESX or VMware ESXi versions 4.1 VMware ESX or VMware ESXi versions 4.1 with Citrix Presentation Server version 4.5 or XenApp 6 6

7 Memory Sizing for Application Server Workstation/Client, Application Server, Database Server When deciding on how much memory to configure on the Application Server, 8 GB of RAM is the minimum. Add 1 GB of RAM to the Application Server for each 2 concurrent users of the system. Each Mainspring interface (specifically SessionSync, Remote Monitoring Interfaces, HL7 Inbound, HL7 Outbound, One Stop Scheduling, and Report Export) should be considered a user for this purpose. CPU Sizing for Application Server Workstation/Client, Application Server, Database Server Processing can be broken down into three separate categories: user interaction from clients, Mainspring interaction, and HL7 interactions. If the work of the system is evenly split among all of these categories, get a CPU with 4 or more cores. If the work will mainly be done by a user via UI interaction and very little with the Mainspring, get a CPU with 2 cores, but one that is fast (higher MHz, bigger L1/L2 cache, and fast front side bus speed). Clinic Boundary Web Client Application Server Medtronic Web Browser Web Access Server Client CareLink USB/Media Client Application HTTP Click Once Server USB HTTP Boston Scientif ic Patient Cable ECG Module Application Server Mainspring Data Express In clinic software PSTN OR PBX Client LATITUDE CardioVoice Service Telephone PSTN Dialogic Board Database Manager MLLP over TCP/IP MLLP over TCP/IP St. Jude Medical Database Server (Replicated) Database Server In clinic software Merlin.net PSTN Paceart Database Paceart Database Medtronic CareLink Programmer (SessionSync) EHR Legend: PSTN PSTN Publicly Switched Telephone Network PBX Private Branch Exchange MLLP Minimum Layer Level Protocol HTTP HyperText Transport Protocol HyperText Transport Protocol over Secure Sockets Layer 7

8 Technical Support Access (United States and Canada) Contact Paceart Technical Support at or 1 (800) PACEART Microsoft, Microsoft Windows, Microsoft Vista, and Microsoft Server are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Mozilla Firefox is a trademark or registered trademark of Sun Microsystems, Inc. in the United States and other countries, used under license. Intel and Pentium are trademarks of Intel Corporation in the United States and/or other countries. VMware is a registered trademark or trademark of VMware, Inc. in the United States and/or other jurisdictions. Citrix is a trademark of Citrix Systems, Inc. and/or one or more of its subsidiaries, and may be registered in the United States Patent and Trademark Office and in other countries. LATITUDE is a trademark of Boston Scientific, Inc. Merlin.net is a trademark of St. Jude Medical, Inc. Brief Statement Medtronic Paceart For further information regarding Paceart, please call Medtronic at 1 (800) and/or consult Medtronic s website at Caution: Federal law (USA) restricts the device to sale by or on the order of a physician. World Headquarters Medtronic, Inc. 710 Medtronic Parkway Minneapolis, MN USA Tel: (763) Fax: (763) Medtronic USA, Inc. Toll-free: 1 (800) (24-hour technical support for physicians and medical professionals) Distributor Medtronic of Canada Ltd. 99 Hereford Street Brampton, Ontario L6Y 0R3 Canada Tel: 1 (800) Fax: (905) Medtronic Australasia Pty. Ltd. 97 Waterloo Road, PO Box 945 North Ryde NSW 1670 Australia Tel: (61-2) Fax: (61-2) Medtronic, Inc. Cardiac Rhythm Disease Management 8200 Coral Sea Street NE Mounds View, MN USA 1 (800) PACEART UC EN Medtronic, Inc Minneapolis, MN. All Rights Reserved. Printed in USA. 04/2014

TECHNICAL REQUIREMENTS

TECHNICAL REQUIREMENTS Paceart Optima System 1.8 PACEART SYSTEM CONFIGURATION #1: DISTRIBUTED MODEL WITH HL7 Multiple workstations connecting to a central database Mainspring Data Express installed using