Lytec MD 2011 Technical Requirements Table f Cntents Glssary... 3 Recmmended Cnfiguratins... 4 Required Servers... 4 Optinal Servers... 4 Fax Server... 4 Web View Server... 4 Operating Systems... 5 Recmmended... 5 Applicatin Server... 5 Thin Client Server... 5 Web View Server... 5 Fax Server... 5 Standard Wrkstatin/Laptp/Tablet... 5 Thin Client Wrkstatin/Laptp/Tablet... 5 Supprted... 6 Applicatin Server... 6 Thin Client Server... 6 Web View Server... 6 Fax Server... 6 Standard Wrkstatin/Laptp/Tablet... 6 Third-Party Sftware Cmpatibility... 6 Hardware Requirements... 7 Standard Wrkstatin/Laptp/Tablet... 7 Applicatin Server... 7 Thin Client Server... 7 Web View Server... 8 Thin Client Wrkstatin/Laptp/Tablet... 8 Disk Strage Requirements... 8 Ntes... 8 1
Peripherals... 9 Printers... 9 Recmmended Mdels... 9 Scanners... 9 Recmmended Mdels... 9 Fax Bard... 9 Recmmended Mdels... 9 Lytec MD Best Practices... 10 Special Cnsideratins... 11 Clustering... 11 Virtual Machines... 11 Thin Client Server Limitatins... 11 Midmark ECG... 11 Midmark Spirmeter... 11 Dragn NaturallySpeaking... 11 2 Initials Date
Glssary Thin Client Wrkstatin A thin client wrkstatin refers t a device whse purpse is t cnnect t a thin client server. This can be a wrkstatin, tablet r a purpse-built thin client device such as a Wyse Terminal. The Lytec MD applicatin sftware is installed n a thin client server. Infrmatin that passes acrss the netwrk frm the end-user is keystrkes, muse mvements, and screen images. Applicatin Server All custmers will have an applicatin server. This server is where the Lytec MD applicatin flder and Lytec MD SQL databases reside. The Lytec MD netwrk services are als installed n this server. Thin Client Server A thin client server is a shared resurce that runs applicatins, as ppsed t having the sftware installed lcally n PCs. It prvides advantages in ease f management and ptentially cst savings in sftware licenses and client hardware. Fr large rganizatins, there may be several thin client servers in the netwrk. Thin client servers can use Terminal Services by itself r als run the Citrix sftware. Use f Terminal Servers and/r Citrix is referred t as thin client server technlgy. Thin client servers are used when users are cnnecting frm remte lcatins (thrugh a WAN r bradband) r thrugh a wireless cnnectin. Thin client servers can als be used n a LAN t simplify administratin. Please make nte f the thin client server limitatins at the end f this dcument. Standard Wrkstatin A standard wrkstatin may als be referred t as a fat client, r thick client. The Lytec MD sftware is installed n the cmputer itself. Standard Wrkstatins must be n a LAN t the applicatin server. Applicatin Flder Every Lytec MD installatin has an applicatin flder. This flder cntains (but is nt limited t): cnfiguratin files, client sftware installatin files, interface files, temprary files, and unless specifically cnfigured therwise, image files. 3 Initials Date
Recmmended Cnfiguratins Belw are the Lytec MD infrastructure recmmendatins. These recmmendatins are based n a mix f industry standard technlgies and prven experience f ur custmers. These recmmendatins are als based n the minimum requirements listed in this dcument. Adding additinal resurces t sme equipment may change the recmmended cnfiguratin. These recmmendatins are fr prductin envirnments nly. Additinal infrastructure requirements may be necessary fr reprting, failver, testing r training envirnments. Please nte that recmmendatins are based n a maximum f 5 cncurrent Lytec MD sessins per prvider. Fr custmers with multiple databases, the number f prviders is calculated per database instance. Als nte that these requirements are specific t Lytec MD 2011. Althugh we try t anticipate future hardware and sftware needs and cmpatibilities, recmmended/required cnfiguratins may change with future versins s please be sure t cnsult the dcumentatin apprpriate t the versin yu are installing r upgrading t. Required Servers An applicatin server is required. Thin client server technlgy is required fr users cnnecting remtely (frm hme, ver a WAN, thrugh a VPN, etc.) r thrugh wireless devices. A separate thin client server is required if the ttal number f thin client users exceeds 10. Optinal Servers Fax Server Fr smaller custmers, the fax bard may be installed n ne f the existing servers in the envirnment, typically the applicatin server. Fr larger custmers ding significant vlume f faxing, a separate fax server may be required. This server cannt be virtualized. Web View Server If yu are using the Web View prduct, yu must als have a separate server t run the web services. This must be its wn server and cannt have patient data n it as the server must be cnfigured t reside in the netwrk s DMZ r have an encrypted tunnel t the internet t facilitate web traffic. 4 Initials Date
Operating Systems Micrsft Small Business Server prducts are nt supprted Micrsft Hme perating systems are nt supprted Operating systems nt listed are nt supprted Recmmended Belw are the recmmended perating systems fr use with Lytec MD 2011. Applicatin Server Windws Server 2003 R2 SP2 (32-bit) Windws Server 2008 R2 Database Sftware Micrsft SQL Server 2008 R2 Micrsft SQL Server 2008 R2 will be installed/upgraded as part f the implementatin Thin Client Server Windws Server 2003 R2 SP2 (32-bit) Windws Server 2008 R2 RemteApp feature is nt supprted Citrix MetaFrame 6.0 Web View Server Windws Server 2003 R2 Fax Server Windws Server 2003 R2 Standard Wrkstatin/Laptp/Tablet Windws XP Prfessinal SP3 Windws 7 Prfessinal r Ultimate (32 r 64-bit) EKG and Spirmetry devices are nt supprted n Windws 7 64-bit Thin Client Wrkstatin/Laptp/Tablet Since thin client wrkstatins, laptps and tablets d nt run any Lytec MD sftware, any perating system capable f running the apprpriate thin client sftware is acceptable. Sme thin client devices cme with a limited amunt f n-device strage. Lytec MD has nt been tested t run in this cnfiguratin and there will very likely be prblems. Thin client devices that will be accessing Lytec MD must d s thrugh a thin client server. 5 Initials Date
Supprted Belw are additinal supprted perating systems fr use with Lytec MD 2011. Applicatin Server Windws Server 2003 SP2 (32-bit) Windws Server 2008 (32 r 64-bit) Thin Client Server Windws Server 2003 SP2 (32-bit) Windws Server 2008 (32 r 64-bit) RemteApp feature is nt supprted Citrix MetaFrame 4.5 Web View Server Windws Server 2003 SP2 Fax Server Windws Server 2003 SP2 Standard Wrkstatin/Laptp/Tablet Windws Vista Business Third-Party Sftware Cmpatibility Lytec MD sells several third-party sftware slutins that integrate with the Lytec MD sftware. Custmers may already wn this sftware r can purchase it thrugh ther vendrs. T ensure prper peratin, belw is a list f the specific sftware versins that are cmpatible with Lytec MD 2011. Dragn Naturally Speaking 9.5 and 10.0 ZetaFax 2009 10.1 is required fr Windws 7 Midmark ECG 8.1 Midmark Spirmeter 8.1 ExitCare 7.4.2 (required fr Windws 7) 6 Initials Date
Hardware Requirements The hardware requirements listed belw are designed t allw custmers flexibility in their deplyment f Lytec MD. Fr specific frmulas in determining hw much hard drive space yu need, please see the Disk Strage Requirements sectin. The belw minimum requirements are fr the Lytec MD sftware nly. If yu decide t run additinal services (fr example, DNS r Active Directry n yur applicatin server, r Micrsft Office n yur thin client server) yu will need t add additinal CPUs and/r RAM. Standard Wrkstatin/Laptp/Tablet Cmpnent Minimum Requirement CPU (Prcessr) Intel Cre 2 Du 1.6GHz RAM (Memry) 2GB fr Windws XP, 4GB fr Windws Vista and Windws 7 Netwrk Card (NIC) 100 Mbps Vide Reslutin 1024x768 (1200x800 fr widescreen displays) Fr smaller custmers, the abve specificatins will supprt up t 10 thin client users and the Lytec MD applicatin flder. Applicatin Server Cmpnent CPU (Prcessr) RAM (Memry) Strage Array Type Optical Drive Netwrk Card (NIC) Minimum Requirement Intel Quad Cre Xen 1.6GHz 8GB RAID-1 DVD-ROM 1Gbps Thin Client Server Cmpnent CPU (Prcessr) RAM (Memry) Optical Drive Netwrk Card (NIC) Minimum Requirement Intel Dual Cre Xen 2.5GHz 4GB DVD-ROM 1Gbps Thin client servers are designed t supprt 25 sessins f Lytec MD nly. Fr each additinal 25 sessins f Lytec MD, add 4GB f RAM and 2 mre CPU cres. 7 Initials Date
Web View Server Cmpnent CPU (Prcessr) RAM (Memry) Optical Drive Netwrk Card (NIC) Minimum Requirement Intel Dual Cre 1.6GHz 2GB DVD-ROM 1Gbps Thin Client Wrkstatin/Laptp/Tablet Cmpnent CPU (Prcessr) RAM (Memry) Netwrk Card (NIC) Vide Reslutin Minimum Requirement Intel Dual Cre 1.6GHz (1.0 fr Tablets) 2GB 100Mbps (r 802.11g fr wireless) 1024x768 (1200x800 fr widescreen displays) Disk Strage Requirements Disk Cmpnent Base Lytec MD installatin eprescribing (frmulary files) Black and white imaging Clr imaging Database grwth Recmmended Strage 10GB 150GB* 2GB per prvider per year 5GB per prvider per year 2GB per prvider per year Ntes Fr large multi-prvider/specialty single-database installatins, mre and mre data becmes shared between prviders s the ttal amunt f space is nt linear. Fr 50+ prviders in a single database, please allcate 1GB per prvider per year fr black and white imaging and 1GB per prvider per year fr database grwth. eprescribing frmulary files can be relcated t a less expensive drive cnfiguratin. Please cntact yur implementatin technician r McKessn PPS supprt fr infrmatin regarding this cnfiguratin ptin. N single frmula can accunt fr every circumstance. If yu will be ding an extrardinary amunt f scanning (fr example, full patient charts fr every patient in yur clinic), please discuss yur strage needs with ur supprt team. 8 Initials Date
Peripherals Printers McKessn recmmends TCP/IP-enabled, PCL5-cmpatible printers. Fr custmers using thin client technlgy, use f the Uniprint sftware is recmmended. Mre infrmatin can be fund at http://www.uniprint.net. Recmmended Mdels HP P2035N (fr light duty wrk, such as prescriptins) HP P4515N (fr medium t heavy duty wrk, such as charts and reprting) Scanners McKessn requires TWAIN-cmpatible scanners. Please ensure any scanner that yu purchase includes the necessary TWAIN driver sftware fr use with the scanner. Fr custmers using thin client technlgy, use f the Remte Scan sftware is recmmended. Mre infrmatin can be fund at http://www.remte-scan.cm. Recmmended Mdels HP ScanJet 5000/7000 Fujitsu 6130 Fax Bard Fr small clinics, the fax bard can be installed n the applicatin server r a thin client server. Fr custmers that d a larger amunt f faxing, a dedicated fax server is recmmended. Recmmended Mdels Brktrut TR1034 Series Brktrut TruFax Series 9 Initials Date
Lytec MD Best Practices Required The Lytec MD applicatin flder must be n its wn lgical partitin. The lgical drive n yur applicatin server must be a drive letter that is nt reserved by any wrkstatin (P: is the recmmended drive letter). The drive letter where the applicatin flder resides n the applicatin server must be available t be mapped n each and every Lytec MD cmputer. Backups are nt ptinal, they are required. A tape rtatin with peridic ffsite backups is recmmended. McKessn des nt install, supprt r maintain backup slutins. This is cmpletely the respnsibility f the custmer. McKessn can nt be held respnsible fr data lss incurred due t incmplete r crrupt backups. Anti-virus must be installed with the McKessn recmmended cnfiguratins. The applicatin flder, client flder and SQL database flders must be excluded frm realtime/n-access scanning. Scheduled scans when users are nt in the system are recmmended. Trend Micr and CA etrust are unapprved anti-virus slutins that may cause instability in the Lytec MD applicatin. The use f teamed netwrk interface cards (NICs) is nt supprted at this time. Lytec MD requires a dmain/active Directry infrastructure Thin client server technlgy is required fr wireless users, remte users (including remte clinics and hme users) and any ther nn-lcally netwrked wrkstatin Recmmended The Windws pagefile shuld be n its wn disk cntrller and shuld be tw times the amunt f RAM in the server. DNS shuld be n the same subnet as the Lytec MD cmputers. Hardware frm experienced and trusted vendrs (HP, Dell, IBM) is highly recmmended. Whitebx servers are strngly discuraged. Prvisin enugh space n yur perating system partitin fr grwth. McKessn recmmends 32GB+ fr yur perating system partitin. Custmers shuld have a hardware-level firewall prtecting their netwrk. Fr custmers utilizing thin client technlgy, a separate Active Directry Organizatin Unit is recmmended. McKessn recmmends serial attached SCSI (SAS) hard drives in applicatin servers fr best perfrmance. 10 Initials Date
Special Cnsideratins Clustering Lytec MD currently des nt supprt clustering. The applicatin server cannt be clustered. Virtual Machines McKessn supprts the use f virtual servers t run the Lytec MD applicatin. Virtual servers shuld nly be implemented by IT staff familiar in their implementatin, cnfiguratin and administratin. Hardware resurces allcated t virtual servers shuld be equal t the resurces required fr physical hardware. McKessn recmmends VMWare vsphere 4.0 (r higher) r Micrsft Hyper-V fr hypervisrs. Wrkstatin virtualizatin (such as VMWare View) is currently being evaluated and is nt currently supprted with Lytec MD. Thin Client Server Limitatins Use f a thin client server has certain limitatins. These limitatins are discussed belw. If yu have any questins abut these limitatins, please cntact ur supprt team. Midmark ECG The Midmark ECG is supprted in a stand-alne envirnment meaning that yu create and save results using Midmark s sftware. Yu can then exprt the results frm Midmark and imprt them int Lytec MD s database. By assigning the Patient IDs in the Midmark sftware, Lytec MD will autmatically imprt the reprt int the apprpriate patient chart. In rder fr this cnfiguratin t functin, the wrkstatins must have a serial prt; sme tablet PCs d nt have a serial prt and therefre wuld nt wrk. If the cmputer desn t have a serial prt yu can purchase a Midmark Serial t USB adaptr. Midmark Spirmeter The Midmark Spirmeter is supprted and can be used in real time. T use the Spirmeter in real time yu must have the serial versin f the Spirmeter and the wrkstatins must have a serial prt; sme tablet PCs d nt have a serial prt and therefre wuld nt wrk. If the cmputer desn t have a serial prt yu can purchase a Midmark Serial t USB adaptr. Dragn NaturallySpeaking Yu can use the Dragn speech recgnitin prduct in a thin client envirnment. Yu must install Dragn lcally. Using the shw dictatin bx feature in Dragn, yu can dictate directly int Lytec MD running n the thin client server. Nte that certain integratin features are nt cmpatible and d nt functin, but this methd des allw fr speech recgnitin capabilities within Lytec MD. Wrkstatins running Dragn NaturallySpeaking must have a minimum f 4GB f RAM. 11 Initials Date
Physician Practice Slutins 1145 1-20-2011 Sanctuary Parkway, Suite 200 Alpharetta, Cpyright Gergia 2011 McKessn 30009 Infrmatin Slutins LLC. All rights reserved. 800.333.4747 Lytec is a registered trademark f McKessn Infrmatin Slutins LLC. All rights reserved. This publicatin, r any part theref, may nt be reprduced r transmitted in any frm r by any means, electrnic r mechanical, including phtcpying, recrding, strage in an infrmatin retrieval system, r therwise, withut the prir written permissin f McKessn Infrmatin Slutins LLC. The infrmatin in this guide has been carefully checked and is believed t be accurate. McKessn assumes n respnsibility fr any inaccuracies, errrs, r missins in this guide. McKessn reserves the right t revise this publicatin and t change its cntent withut bligatin t ntify any persn f the revisin r changes. Micrsft and Windws are registered trademarks f Micrsft Crpratin. Other brands and their prducts may be registered r unregistered trademarks f their respective wners. 12 Initials Date