HARDWARE SPECIFICATIONS

© eClinicalWorks, 2017. All rights reserved

HARDWARE SPECIFICATIONS Updated November 2017

Documentation. Pursuant to this Agreement, Customer may receive copies of or access to certain written technical support or explanatory documents regarding eClinicalWorks’s software; eClinicalWorks’s services; and/or eClinicalWorks’s internal policies and procedures (collectively, “ocumentation”). Customer acknowledges and agrees that all such Documentation is and will remain the sole property of eClinicalWorks and that eClinicalWorks shall retain all intellectual property rights in all Documentation, including but not limited to patents, copyrights, or trademarks. Customer agrees that it will treat Documentation as highly confidential information and that Customer will not share Documentation with any third party, post any Documentation on the internet, or otherwise externally publish any Documentation. Customer may disclose Documentation to its employees or independent contractors for the purposes of utilizing eClinicalWorks’s software or services, provided that Customer (i) obtains reasonable assurances prior to making any such disclosure that Documentation will not be used in violation of this Agreement and (ii) such disclosure will not result in Documentation becoming generally accessible to the public at large. Notwithstanding any other provision in this Agreement to the contrary, Customer agrees that it will never negligently, willfully, or knowingly allow any person or entity that competes with eClinicalWorks to access Documentation. Customer agrees to promptly inform eClinicalWorks in writing of any violation of this provision by Customer or one of Customer’s employees or agents of which it becomes aware. Upon termination of this Agreement, Customer agrees to return all Documentation and all copies of Documentation to eClinicalWorks and, if such return is not feasible, to destroy all Documentation and all copies of Documentation. Customer agrees that its obligations under this provision will survive termination of this Agreement. Customer agrees to certify its compliance with this provision in writing

eClinicalWorks Hardware Specifications Document Change Log – November 2017 ▪ 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 10e.

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.

Revision Date: November 2017

Author Page Number & Title Change

eCW Support/EA 02-17 Page 4

Removed: 1. Workstation for Each Front Office Staff 2. Workstation or Tablet PC for Each Nurse 3. Workstation, Laptop, or Tablet PC for Each Physician Replaced: Recommended Vendor text with See Compatible Device List

eCW Support/EA 02-17 Pages 7-13 and 15-19 Replaced: Microsoft Windows 2008 R2/2012 Standard R2 with Microsoft Windows

Server 2012 R2/Windows Server 2016 (Standard)

eCW Support/EA 02-17 Pages 9-13 and 15-19 Replaced: Requires separate drives for the database, backups, and logs drives. with

Separate drives for the database, backups, and logs drives.in the Notes section

eCW Support/EA 02-17 Pages 14 and 20

Removed: 1-eBO Rep row text Removed: 2eBO repository is required for practices with over 100 FTE on MySQL InnoDB.

eCW Support/EA 02-17 Pages 23-24

Changed: Text in the Digital Fax Options row Added: Client Hosted Digital Fax set up can support firmware version 6.5.0 or below to Notes for the Brook Trout board. Added: UFG Fax gateway needs to be installed on the same that has SR140 SDK / Drivers to Notes for the Brook Trout board. Changed: Windows 7, Windows 8, Windows 8.1 Enterprise, Professional, Ultimate, Microsoft ® Windows Server 2008 R2 (Foundation/Standard/Enterprise), Microsoft ® Windows 2012 (All Editions)

eClinicalWorks Hardware Specifications Document Change Log – November 2017 ▪ 3

Author Page Number & Title Change


Added: Microsoft SQL 2016 2 supported versions Added: Internet Explorer version 11 to supported versions Added: Recommended for locally hosted clients greater than 50 FTEs

eCW Support/EA 11-2017 Page 4 Changed: Doubled workstation and tablet memory requirements.

eCW Support/EA 11-2017 Page 5 Added: Client Less: Google Chrome to the alternative connectivity methods section


Changed: An SSL Security certificate for FTP and APP is required if using the eClinicalWorks client or with Google Chrome over unsecured network to An SSL Security certificate is required if using the eClinicalWorks client or with Google Chrome over unsecured networks

eCW Support/EA 11-2017 Pages 7-20 Added: Datacenter to OS versions

eCW Support/EA 11-2017 Page 21 Added: SSL Client Less: Google Chrome to the connectivity methods section

eCW Support/EA 11-2017 Page 22 and 23

Removed: Windows Server 2008 R2 Added: Windows Server 2016

eCW Support/EA 11-2017 Page 23 Added: Dialogic Brooktrout SR140

eCW Support/EA 11-2017 Page 22 and 23

Removed: Windows Server 2008 R2 Added: Windows 10 and Windows Server 2016

eClinicalWorks Hardware Specifications Workstation Hardware – November 2017 ▪ 4

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

4GB for eCW installed with Microsoft® Office. 8GB 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 purchased separately for those providers wishing to use Dragon or other voice-to-text functionality.

Hard Drive 10GB of free space.

Display Resolution: 1366 x 768, or higher

Operating System*

Windows 7 Pro, Enterprise, or Ultimate (32/64-Bit) Windows 8 and 8.1 Pro and Enterprise (32/64-bit) Windows 10 Pro or Enterprise (32/64-Bit)

Network 100MB.

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

Memory

4GB required for eCW installed along with Microsoft Office. 8GB required for eCW installed along with Microsoft Office and Nuance Dragon Speech Recognition. *See previous note on Microsoft Office and Dragon in the WORKSTATIONS section.

Hard Drive 10GB of free space.

Display Resolution: 1366 x 768

Operating System Windows 7 Pro, Enterprise, or Ultimate (32/64-Bit) Windows 8 and 8.1 Pro and Enterprise (32/64-bit) Windows 10 Pro or Enterprise (32/64-Bit)

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® v1.5 compatible drivers required.

Access Point 802.11G Compatible or higher

Card Scanner Optical Character Recognition (OCR) technology supported for scanning insurance cards and drivers’ licenses. See Compatible Device List

Local Network (LAN)

Switched network must support 100 mbps or higher.

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

Workstation Hardware Hardware Recommendations

eClinicalWorks Hardware Specifications Cloud Hardware – November 2017 ▪ 5

FAX SERVER RECOMMENDATIONS

Analog Fax Refer to the Analog Fax Server Solutions page.

Digital Fax Refer to the Digital Fax Server Solutions page.

CONNECTIVITY

Alternative Connectivity Methods

SSL Client: eClinicalWorks Web-based secure encrypted client. Clientless: Google® Chrome™

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

We recommended that all practices have redundant ISP Internet connectivity, 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 depending on the number of users per location Contact your Sales Coordinator for details.

Cloud Hardware Hardware Recommendations

eClinicalWorks Hardware Specifications Install Notes – November 2017 ▪ 6

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

EHR. § An eClinicalWorks Technical Architect will provide hardware recommendations for clients with multiple tenant architectures. § An SSL Security certificate is required if using the eClinicalWorks client or with Google® Chrome® over unsecured networks. § The eBO Application server supports up to 20 concurrent eBO users per instance. For 20+ 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 15k or faster spindles or SSD Drives. § For virtual servers from 1 – 9 FTEs please contact an eCW Technical Architect. § Hardware load balancer is required for two (2) or more application or eBO application servers – check with an eCW Technical Architect for details. § RDP V6.0 is the minimum recommended for terminal services. § For practices larger than 25 providers, it is recommended to purchase a commercial FTP server; eCW recommends Serv-U.

Install Notes

eClinicalWorks Hardware Specifications 1-2 Providers/3-8 Users – November 2017 ▪ 7

SERVER RECOMMENDATIONS

Component Name No. of

Servers No. of Cores CPU Speed Memory Total Disk

Space OS

Application/Database/FTP/eBO/Interface/Job

1 (Combined) 4 Intel® Xeon 2.4Ghz or

Higher 8GB OS: 60GB *Data: 120GB

Microsoft® Windows® Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

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

1-2 Providers/3-8 Users Physical Hardware Recommendations





Space OS

Application/Database/FTP/eBO/Interface/Job

1 (Combined) 4 Intel® Xeon 2.4Ghz

or Higher 16GB OS: 60GB *Data: 250GB


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





Servers No. of Cores CPU Speed Memory Total Disk Space OS

Application/FTP/ Interface/Job

1 (Combined) 4 Intel® Xeon 2.4Ghz

or Higher 8GB OS: 60GB Data: 120GB FTP Drive: 300GB3


Database 1 4 Intel Xeon 2.4Ghz or Higher 16GB OS: 60GB

Data1, 2 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

eBO Application 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB

Data: 120GB Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

NOTES 1Separate drives for the database, backups, and logs drives. 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.






Space OS

Application 2

(Load Balanced) 4 Intel® Xeon 2.4Ghz or Higher 8GB OS: 60GB

Data: 120GB Microsoft® Windows® Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

Database1 2 8 Intel Xeon 2.4Ghz or Higher 32GB4 OS: 60GB

Data:2, 3 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

FTP1 2 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB

Data:5

Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter) with Serv-U FTP Software MFT Edition

Interface/Job 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB


eBO Application 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB

Data:120GB Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

Test 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB


NOTES 1 (2) Node OS clustering for high availability recommended. 2 Separate drives for the database, backups, and logs drives. 3 Database server averages 5GB each per FTE over three (3) years. 4 It is recommended that customers purchase a DB server that is easily upgradable from 32 to 64GB of RAM. 5 FTP average 11GB per FTE over three (3) years.





Component Names No. of

Tomcats No. of


Space OS

Application1 2 per server

(Load Balanced) 2 8 Intel® Xeon 2.4Ghz or Higher 16GB OS: 60GB


Database2 N/A 2 12 Intel Xeon 2.4Ghz or Higher 64GB5 OS: 60GB


FTP2 N/A 2 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB

Data6


Interface/Job N/A 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB


eBO Application1 2 per server

(Load balanced) 2 8 Intel Xeon 2.4Ghz or Higher 16GB OS: 60GB


Test N/A 1 4 Intel Xeon 2.4Ghz or Higher 8GB OS: 60GB


NOTES 1 Hardware load balancer required for (2) or more Tomcat® servers/instances – eCW Enterprise Architect Infrastructure review is required. 2 (2) Node OS clustering for high availability (recommended). 3 Separate drives for the database, backups, and logs drives. 4 Database server averages 5GB each per FTE over three (3) years. 5 eCW recommends that customers purchase a DB server that is easily upgradable from 64GB to 128GB RAM. 6 FTP averages 11GB per FTE over three (3) years. Serv-U MFT software is recommended.






Tomcats No. of


Space OS

Application1 3 per server

(Load Balanced) 2 8 Intel® Xeon 2.4Ghz or Higher 32GB OS: 60GB





Data6





(Load Balanced) 2 8 Intel Xeon 2.4Ghz or Higher 24GB OS: 60GB

Data5 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)



NOTES 1 Hardware load balancer required for (2) or more Tomcat® servers/instances – eCW Enterprise Architect Infrastructure review is required. 2 (2) Node OS clustering for high availability (recommended). 3 Separate drives for the database, backups, and logs drives. 4 Database server averages 5GB each per FTE over three (3) years. 5 eBO server averages 3GB each per FTE over three (3) years. 6 FTP averages 11GB per FTE over three (3) years. 7 eCW recommends that customers purchase a DB server that is easily upgradable from 64GB to 128GB RAM.



eClinicalWorks Hardware Specifications 151+ Providers/601+ Users – November 2017 ▪ 13



Tomcats No. of


Space OS

Application1 4+ per server (Load balanced) 2 12 Intel® Xeon 2.4Ghz

or Higher 64GB OS: 60GB Data: 120GB

Microsoft® Windows® Server 2012 R2/Windows Server 2016 (Standard)


Data:3, 4 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)


Data:7

Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard) with Serv-U FTP Server Software MFT Edition


Data: 120GB Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)


(Load balanced) 2 12 Intel Xeon 2.4Ghz or Higher 32GB OS: 60GB

Data: 120GB6 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)


Data: 120GB Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)

NOTES 1 Hardware load balancer required for (2) or more Tomcat® servers/instances – eCW Enterprise Architect Infrastructure review is required. 2 (2) Node OS Clustering for high availability (recommended). 3 Database server averages 5GB each per FTE over three (3) years. 4 Separate drives for the database, backups, and logs drives. 5 eCW recommends that customers purchase a DB server that is easily upgradable from 128GB to 256GB RAM. 6 eBO server averages 3GB each per FTE over three (3) years. 7 FTP averages 11GB per FTE over three (3) years. Serv-U MFT server is required.


151+ Providers/601+ Users Physical Hardware Recommendations

eClinicalWorks Hardware Specifications Optional Items: Physical Hardware – November 2017 ▪ 14

Optional Components

No. of Users No. of Servers No. of

Cores CPU Speed Memory Total Disk Space OS

eBO 1 – 20 1 4 Intel® Xeon 1.6Ghz



20 – 40 22 (Load Balanced) 4 Intel Xeon 1.6Ghz

or Higher 8GB OS: 60GB Data:1

Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

40+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 40 users.

Lab Hub N/A 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB


Notes 1 eBO database growth averages 3GB per FTE over a three-year period. 2 Hardware load balancer required for (2) or more Tomcat® servers/instances – eCW Enterprise Architect Infrastructure review is required.

An eClinicalWorks Technical Architect will design custom interface architecture for practices with more than 40 users.

Optional Items: Physical Hardware

eClinicalWorks Hardware Specifications VMWare 10-25 Providers/30-100 Users – November 2017 ▪ 15

sMINIMUM HOST SERVER RECOMMENDATIONS Component Name No. of Cores CPU Speeds Memory NIC Drive Configuration

ESX Server #1* 16 Intel® Xeon 1.6GHz Higher

64GB 4 Port GB RAID1 for ESX OS

*Add 1 additional ESX server for High Availability (HA) / Redundancy in the architecture.

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

Application/FTP 2 8GB OS: 60 GB APP Data: 120GB FTP Data: 300GB3

Microsoft® Windows® Server 2012 R2/Windows Server 2016 (Standard or Datacenter) with Serv-U FTP Software MFT Edition

Database 2 16GB OS: 60 GB Data1, 2


eBO Application 2 8GB OS: 60 GB Data: 120GB


Interface/Job 2 4GB OS: 60 GB Data: 120GB


NOTES 1 Separate physical drives for the database, backups and logs drives 2 Database server averages 5GB each per FTE over three (3) years. 3 FTP averages 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.


10-25 Providers/30-100 Users VMWare Hardware Recommendations


VMWARE ESX RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory NIC Drive Configuration

ESX Server 2 8 Intel® Xeon 1.6GHz or Higher 64GB 4 port 1GB+ RAID1 for ESX OS

GUEST SERVER REQUIREMENTS

Component Name No. of Virtual

Machines No. of Virtual

CPUs Memory Total Disk Space OS

Application 2

(Load Balanced) 2 8GB OS: 60GB Data: 120GB


FTP 1 2 8GB OS: 60GB Data: 1


Interface/Job2 1 2 8GB OS: 60GB Data: 120GB


eBO Application3 1 2 8GB OS: 60GB Data: 120GB


Test 1 2 8GB OS: 60GB Data: 120GB


PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)


Servers No. of Cores CPU Speed Memory Total Disk Space

OS

Database 2 8 Intel Xeon 2.4GHz or Higher 32GB4 OS: 60GB


NOTES 1 Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. 2 Total number of interfaces may increase the number of required servers. 3 eBO Application server supports up to 20 concurrent eBO users. For 20+ concurrent eBO users, refer to Optional Items Recommendations page. 4 eCW recommends that customers purchase a server that is easily upgradable from 32GB to 64GB RAM. 5 Separate drives for the database, backups, and logs drives.

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.





ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 4 port 1GB+ RAID1 for ESX OS





Application 4














OS



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 20 concurrent eBO users. For 20+ concurrent eBO users, refer to Optional Items Recommendations page. 4eCW recommends that customers purchase a server that is easily upgradable from 64GB to 128GB RAM. 5Separate drives for the database, backups, and logs drives.

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.





ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 4 port 1GB+) RAID1 for ESX OS





Application 5


Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)


Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard) with Serv-U FTP Software MFT Edition










OS


Data:1, 5 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard)

NOTES 1 Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. 2 Total number of interfaces may increase the number of required servers. 3 eBO Report server supports up to 20 concurrent eBO users. For 20+ concurrent eBO users, refer to Optional Items Recommendations page. 4 eCW recommends that customers purchase a server that is easily upgradable from 64GB to 128GB RAM. 5 Separate drives for the database, backups, and logs drives.




eClinicalWorks Hardware Specifications VMWare 151+ Providers/601+ Users – November 2017 ▪ 19


ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 4 port 1GB+ RAID1 for ESX OS





Application 6+














OS


Data:1,5 Microsoft Windows Server 2012 R2/Windows Server 2016 (Standard or Datacenter)

NOTES 1 Database server averages 5GB each per FTE over three (3) years. FTP averages 11GB per FTE over three (3) years. 2 Total number of interfaces may increase the number of required servers. 3 eBO Report server supports up to 20 concurrent eBO users. For 20+ concurrent eBO users, refer to Optional Items Recommendations page. 4 eCW recommends that customers purchase a server that is easily upgradable from 128GB to 256GB RAM. 5 Separate drives for the database, backups, and logs drives.



151+ Providers/601+ Users VMWare Hardware Recommendations

eClinicalWorks Hardware Specifications Optional Items: Virtual Hardware – November 2017 ▪ 20

Optional Components

No. of Users No. of Servers VCPUs CPU Speed Memory Total Disk Space OS

eBO 1 – 20 1 2 Intel Xeon 1.6Ghz



20 – 40 22 (Load Balanced) 2 Intel Xeon 1.6Ghz

or Higher 8GB OS: 60GB Data:1


40+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 40 users.

Lab Hub N/A 1 2 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB


Notes 1 eBO database growth averages 3GB per FTE over a three-year period. 2 Hardware load balancer required for (2) or more Tomcat servers/instances – eCW Enterprise Architect Infrastructure review is required. 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 custom interface architecture for practices with more than 40 users.

s

Optional Items: Virtual Hardware

eClinicalWorks Hardware Specifications Bandwidth Requirements – November 2017 ▪ 21

BANDWIDTH REQUIREMENTS No. 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 to 1MB 768 Kb/s to 1 MB

21- 60 concurrent users Greater than 1MB* Greater than 1MB*

*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

§ SSL Clientless: Google Chrome § 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.

Bandwidth Requirements Hardware Recommendations

eClinicalWorks Hardware Specifications Analog Fax Solutions – November 2017 ▪ 22

ANALOG FAX SERVER RECOMMENDATIONS

Analog Fax 1 Port

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

1 2

Core i3/i5/i7, Dual Core, Core2 Duo, Intel Xeon

4GB 100GB Windows 7 Pro, Enterprise, Ultimate (32/64-Bit), Windows 8/8.1 Pro, Enterprise, Windows 10 Pro, Enterprise

Analog Fax 2/4 Port

1 4 Core i3/i5/i7, Intel Xeon 4GB 120GB

Windows Server 2012 R2, Windows Server 2016 (all editions)

Analog Fax 8 Port

1 4/8 Core i3/i5/i7, Intel Xeon 8GB 160GB

Windows Server 2012 R2, Windows Server 2016 (all editions)

NOTES § It is required that the fax server be a dedicated standalone machine. § Analog Fax recommendations (above) are applicable only to standard 1/2/4/8 Port Mainpine™ IQ Express™ (www.mainpine.com) PCI-E slot required. § Fax servers require a separate modem and separate dedicated analog phone line. § No VOIP or DSL lines. § No splitter or filter. § Analog Fax Server software is not supported on any version of Windows® Vista®, Windows XP, and Windows Server 2003. § Analog Fax Server cannot be installed on a virtual machine. § Analog Fax Server is not to be installed with any other services on the machine, such as Active Directory, DHCP, FTP, etc.

Analog Fax Solutions Hardware Recommendations

eClinicalWorks Hardware Specifications Physical Digital Fax Server Solutions – November 2017 ▪ 23

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® Server 2008 SP2 (32 bit), Microsoft ® Windows Server 2012 R2 (All Editions) CPU: Dual processor - dual core – 8MB cache RAM: 4 GB memory DISK: RAID 5 – 140GB DISK: RAID 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 Cores: 2-8 | RAM: 4-6GB | Disk Space: 150GB OS: Windows 7, Windows 8, Windows 8.1, Windows 10 (Enterprise/Professional), Microsoft ® Windows Server 2012 R2 (All Editions), Microsoft ® Windows Server 2016 (All Editions)

Recommendations would vary depending on the fax volume

$1,000 - $1,500

Digital Fax Board

Dialogic Brooktrout TR1034+P24H-T1-1N-R $15,000 (approx.)

Notes: § Client-hosted digital fax setup can support firmware version 6.1 or higher § eClinicalWorks recommends keeping support contract with fax board vendor

active to engage them for issues relating to the fax board

Physical Digital Fax Server Solutions Hardware Recommendations

Network Architecture if Hosted by Client

eClinicalWorks Hardware Specifications Software Digital Fax Server Solutions – November 2017 ▪ 24

Practice to Host the Digital Fax Solution

Component Specifications / Models Estimated

Cost

Signaling and control

H.323 (version 4); SIP (RFC 3261); IPv4; IPv6 $50 - $150 per Month

Fax Server

OS: Microsoft ® Windows Server 2008 R2 (All Editions), Windows Server 2012 R2 (All Editions), Windows Server 2016 (All Editions) CPU: i3/i5/i7, Dual Core, Core 2 Duo, Intel® Xeon Cores: 4/8 RAM: 4/8 GB memory Disk Space: OS: 40GB, Data: 150GB

$5,000 - $6,000

Digital Fax Software

Dialogic SR140 or SR140L $600 per channel (approx.)

Notes: § Recommendations would vary depending on the fax volume § UFG gateway needs to be installed on the server that has SR140 SDK/Drivers § eClinicalWorks recommends keeping support contract with virtual fax software

vendor active to engage them for issues relating to the virtual fax software

Software Digital Fax Server Solutions Hardware Recommendations

Network Architecture if Hosted by Client

eClinicalWorks Hardware Specifications Client-Hosted Digital Fax Gateway – November 2017 ▪ 25

Client-Hosted Digital Fax Gateway

Local Fax Gateway Specifications/Models

Fax Gateway®

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

Core i3/i5/i7, Dual Core, Core 2 Duo, Intel® Xeon Cores: 2-4 | RAM: 4-8GB | Disk Space: 150GB OS: Windows 7, Windows 8, Windows 8.1 Enterprise, Professional, Ultimate, Microsoft ® Windows Server 2008 R2 (Standard / Enterprise), Microsoft ® Windows Server 2012 (All Editions), Microsoft Windows Foundation 2008 R2, and Windows Server 2016 (All Editions) eClinicalWorks will charge a one-time fee of $750 for configuration of one fax gateway Recommendations would vary depending on the fax volume

*Other eClinicalWorks hosted Digital Fax Solutions are available. Contact sales for details and pricing.

Client-Hosted Digital Fax Gateway Hardware Recommendations

eClinicalWorks Hardware Specifications Software Recommendations – November 2017 ▪ 26

REQUIREMENTS Software Versions eCW Recommended Function

Google Chrome™ 47-60 60 10e access

Microsoft® Word® for MAC® 2011/2013/2016/3651 2016 MAC users ONLY: to run letters

Operation System 10e Plugin Medical Devices Plugin Comments

Windows 7, 8, 8.1, or 10 Required Optional See device list for supported scanners

OS X v10.7 or higher Required Optional Scanner support: HPP

®P and EpsonP

®P

ONLY

SOFTWARE RECOMMENDATIONS Software Minimum Requirements eCW Supported Versions Function

Microsoft® SQL Server®2 2012 2012/2014/2016 (Standard/Enterprise) Database

Serv-U®2 Serv-U MFT Server Serv-U MFT Server FTP server

Internet Explorer® Apple® Safari®

V9 V4

V10 and V11 V5

Browser

WORKSTATION / TABLET / LAPTOP OPERATING SYSTEM RECOMMENDATIONS Software Minimum Requirements eCW Supported Versions Function

Microsoft® Windows 7 Pro Windows 8.1 or Windows 10 Pro+ Operating system

Microsoft Word® and Excel® Office 2011 Office 2011/2013/2016/3651 Word processor and spreadsheet

NOTES 1Local workstation installation of Office 365 only. 2Not required if using eCW Cloud Solution. Recommended for locally hosted clients greater than 50 FTEs. 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. Required eClinicalWorks plugins must be installed when using 10e for the first time. Optional device plugins are also available.

Software Recommendations Hardware Recommendations

eClinicalWorks Hardware Specifications Notices – November 2017 ▪ 27

APPENDIX A: 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.

* CPT copyright 2016 American Medical Association. All rights reserved.

Apple® Safari®

Apple Safari is a trademark of Apple Inc., registered in the U.S. and other countries.

For all other Apple service marks, refer to http://www.apple.com/legal/trademark/appletmlist.html

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.

eClinicalWorks Hardware Specifications Notices – November 2017 ▪ 28

Fujitsu®

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

Google Chrome™

Google Chrome is a trademark of Google, Inc.

Intel®

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

Internet Explorer®

Internet Explorer is a registered trademark of Microsoft Corporation in the United States and other countries.

Java®

Java 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

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

Mozilla® FireFox®

Firefox®, Firefox logo, Mozilla®, and Mozilla logo are registered trademarks of the Mozilla foundation.

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.

VMWare®

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

Copyright CPT Copyright Notice

CPT copyright 2016 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

HARDWARE SPECIFICATIONS