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© eClinicalWorks, 2016. All rights reserved
HARDWARE SPECIFICATIONS Updated March 2016
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 –March 2016 ▪ 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: March 2016
Author Page Number & Title Change eCW ITSS/EA 02-2015
Multiple pages Removed: eCW v10 from all pages
eCW ITSS/EA 02-2015
Multiple pages Changed: Recommendations typos
eCW ITSS/EA 02-2015
Pages 25 Changed: Internet Explorer Version to V9
eCW Support/EA 06-2015
Multiple pages
Changed: Add one application server for every additional 100 users. Hardware load balancer for two (2) or more servers – check with an eCW Technical Architect. to Hardware load balancer required for (2) or more Tomcat instances – eCW Enterprise Architect Infrastructure review is required.
eCW Support/EA 06-2015
Pages 10-13 Added: Column “No of Tomcats”
eCW Support/EA 06-2015
Multiple pages Changed: Table format
eCW Support/EA 06-2015
Page 22 Changed: Core i3\i5\i7, Intel® Xeon 2.4 or Higher to 1.6Ghz or Higher
eCW Support/EA 07-2015
Multiple pages Prefixed: All CPU Speed with “Intel Xeon”
eClinicalWorks Hardware Specifications Document Change Log –March 2016 ▪ 3
Author Page Number & Title Change eCW Support/EA 12-2015
All pages Changed: Document date and page numbers
eCW Support/EA 12-2015
Pages 7-19 and 25 Added: “10e Ready” to the header
eCW Support/EA 12-2015
Page 26 Added: 10e Recommendations table
eCW Support/EA 3 -2016
Page 4 Added: Windows 10 Pro or Enterprise
eCW Support/EA 3-2016 Page 4 Added: Change the wording in the notes
eCW Support/EA 3-2016
Page 22 Changed: Changed Core amounts, CPU types, and Memory amounts
eClinicalWorks Hardware Specifications Workstation Hardware – March 2016 ▪ 4
1. Workstation for Each Front Office Staff 2. Workstation or Tablet PC for Each Nurse 3. Workstation, Laptop, or Tablet PC for Each Physician
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
2GB for eCW installed with Microsoft® Office. 4GB 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.
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
2GB required for eCW installed along with Microsoft Office. 4GB 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.
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 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. Recommended Vendor: MedicScan®. MedicScan Models: ScanShell® 800R, ScanShell 800DX, ScanShell 3000D Visit the Partners page on www.eclinicalworks.com for more information.
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 – March 2016 ▪ 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.
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 – March 2016 ▪ 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 for FTP and APP is required if using the eClinicalWorks SSL client. The eBO Application server supports up to 20 concurrent eBO users. 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 one (1) to nine (9) providers 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 – March 2016 ▪ 7
SERVER RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory Total Disk Space OS
eClinicalWorks EMR 1 (Application, Database, FTP, eBO, Interface/Job)
4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB *Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES *Refer to the Install Notes page for additional information.
1-2 Providers/3-8 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 3-9 Providers/12-36 Users – March 2016 ▪ 8
SERVER RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory Total Disk Space OS
eClinicalWorks EMR 1 (Application, Database, FTP, eBO, Interface/Job)
4 Intel Xeon 1.6Ghz or Higher
16GB OS: 60GB *Data: 250GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES *Refer to the Install Notes page for additional information.
3-9 Providers/12-36 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 10-25 Providers/30-100 Users – March 2016 ▪ 9
SERVER RECOMMENDATIONS
Component Name No. of Servers No. of Cores CPU Speed Memory Total Disk Space OS
Application/FTP/ Interface/Job
1 (Combined) 4 Intel Xeon 1.6Ghz
or Higher 8GB OS: 60GB Data: 120GB FTP Drive: 300GB3
Microsoft Windows 2008 R2/2012 Standard R2
Database 1 4 Intel Xeon 1.6Ghz or Higher 16GB OS: 60GB
Data1, 2 Microsoft Windows 2008 R2/2012 Standard R2
eBO Application 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data: 120GB Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1eCW recommends a separate physical drive (RAID strongly recommended for the backups and logs). RAID 10 is recommended. 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.
10-25 Providers/30-100 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 26-50 Providers/101-200 Users – March 2016 ▪ 10
SERVER RECOMMENDATIONS
Component Name No. of Servers No. of Cores CPU Speed Memory Total Disk Space OS
Application 2 (Load Balanced) 4 Intel Xeon 1.6Ghz
or Higher 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Database1 2 8 Intel Xeon 1.6Ghz or Higher 32GB4 OS: 60GB
Data:2, 3 Microsoft Windows 2008 R2/2012 Standard R2
FTP1 2 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data:5 Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data: 120GB Microsoft Windows 2008 R2/2012 Standard R2
eBO Application 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data:120GB Microsoft Windows 2008 R2/2012 Standard R2
Test 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data: 120GB Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1 2 Node OS clustering for high availability recommended. 2 A separate physical drive is recommended (RAID strongly recommended for the backups and logs). 3 Database server averages 5GB each per FTE over three (3) years. 4 It is recommended that customers purchase a server that is easily upgradable from 32 to 64GB of RAM. 5 FTP average 11GB per FTE over three (3) years.
*Refer to the Install Notes page for additional information.
26-50 Providers/101-200 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 51-100 Providers/201-400 Users – March 2016 ▪ 11
SERVER RECOMMENDATIONS
Component Names No. of Tomcats
No. of Servers No. of Cores CPU Speed Memory Total Disk
Space OS
Application1
1-2 per server (Load Balanced)
2 8 Intel Xeon 1.6Ghz or Higher
16GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Database2 N/A 2 12 Intel Xeon 2.4Ghz or Higher
64GB5 OS: 60GB Data3, 4
Microsoft Windows 2008 R2/2012 Standard R2
FTP2 N/A 2 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data6
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application 2-3 per server (Load balanced)
2 8 Intel Xeon 1.6Ghz or Higher
16GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Test N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1 Hardware load balancer required for (2) or more Tomcat instances – eCW Enterprise Architect Infrastructure review is required. 22 Node OS clustering for high availability (recommended). 3Requires a separate physical drive (RAID strongly recommended for the backups and logs). 4Database server averages 5GB each per FTE over three (3) years. 5eCW recommends that customers purchase a server that is easily upgradable from 64GB to 128GB RAM. 6FTP averages 11GB per FTE over three (3) years. Serv-U MFT software is recommended.
*Refer to the Install Notes page for additional information.
51-100 Providers/201-400 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 101-150 Providers/401-600 Users – March 2016 ▪ 12
SERVER RECOMMENDATIONS
Component Names No. of Tomcats
No. of Servers No. of Cores CPU Speed Memory Total Disk
Space OS
Application1
2-3 Per server (Load Balanced)
2 12 Intel Xeon 1.6Ghz or Higher
32GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Database2 N/A 2 16 Intel Xeon 2.4Ghz or Higher
64GB7 OS: 60GB Data3, 4
Microsoft Windows 2008 R2/2012 Standard R2
FTP2 N/A 2 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data6
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application
3-4 Per server (Load Balanced)
2 12 Intel Xeon 1.6Ghz or Higher
32GB OS: 60GB Data5
Microsoft Windows 2008 R2/2012 Standard R2
Test N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1 Hardware load balancer required for (2) or more Tomcat instances – eCW Enterprise Architect Infrastructure review is required. 22 Node OS clustering for high availability (recommended). 3Requires a separate physical drive (RAID strongly recommended for the backups and logs). 4Database server averages 5GB each per FTE over three (3) years. 5eBO server averages 3GB each per FTE over three (3) years. 6FTP averages 11GB per FTE over three (3) years. 7eCW recommends that customers purchase a server that is easily upgradable from 64GB to 128GB RAM.
*Refer to the Install Notes page for additional information.
101-150 Providers/401-600 Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications 151+ Providers/601+ Users – March 2016 ▪ 13
SERVER RECOMMENDATIONS
Component Names No. of Tomcats
No. of Servers No. of Cores CPU Speed Memory Total Disk
Space OS
Application1 4+ Per server (Load balanced)
2 16 Intel Xeon 1.6Ghz or Higher
64GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Database2 N/A 2 24 Intel Xeon 2.4Ghz or Higher
128GB5 OS: 60GB Data:3, 4
Microsoft Windows 2008 R2/2012 Standard R2
FTP2 N/A 2 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data:7
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Server Software MFT Edition
Interface/Job N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application 5+ Per server (Load balanced)
2 16 Intel Xeon 1.6Ghz or Higher
64GB OS: 60GB Data: 120GB6
Microsoft Windows 2008 R2/2012 Standard R2
Test N/A 1 4 Intel Xeon 1.6Ghz or Higher
8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1Hardware load balancer required for (2) or more Tomcat instances – eCW Enterprise Architect Infrastructure review is required. 22 Node OS Clustering for high availability (recommended). 3Database server averages 5GB each per FTE over three (3) years. 4A separate physical drive is recommended (RAID strongly recommended for the backups and logs). 5eCW recommends that customers purchase a server that is easily upgradable from 128GB to 256GB RAM. 6eBO server averages 3GB each per FTE over three (3) years. 7FTP averages 11GB per FTE over three (3) years. Serv-U MFT server is required.
*Refer to the Install Notes page for additional information.
151+ Providers/601+ Users Physical Hardware Recommendations
eClinicalWorks Hardware Specifications Optional Items: Physical Hardware – March 2016 ▪ 14
Optional Components
No. of Users
No. of Servers No. of Cores CPU Speed Memory Total Disk Space OS
eBO
1 – 10 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data: 120GB Microsoft Windows 2008 R2/2012 Standard R2
10 – 20
2 eBO Application (Load Balanced)
4 Intel Xeon 1.6Ghz or Higher 8GB
OS: 60GB Data:1
Microsoft Windows 2008 R2/2012 Standard R2
1 – eBO Rep2 4 Intel Xeon 1.6Ghz or Higher 16GB
20+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 20 users.
Lab Hub N/A 1 4 Intel Xeon 1.6Ghz or Higher 8GB OS: 60GB
Data: 120GB Microsoft Windows 2008 R2/2012 Standard R2
Notes 1eBO database growth averages 3GB per FTE over a three-year period. 2eBO repository is required for practices with over 100 FTE on MySQL InnoDB.
An eClinicalWorks Technical Architect will design custom interface architecture for practices with more than 20 users.
Optional Items: Physical Hardware
eClinicalWorks Hardware Specifications VMWare 10-25 Providers/30-100 Users – March 2016 ▪ 15
MINIMUM 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 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Database 2 16GB OS: 60 GB Data1, 2
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application 2 8GB OS: 60 GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Interface/Job 2 4GB OS: 60 GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1eCW recommends a separate physical drive (RAID strongly recommended for the backups and logs). RAID 10 is recommended. 2Database server averages 5GB each per FTE over three (3) years. 3FTP 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.
*Refer to the Install Notes page for additional information.
10-25 Providers/30-100 Users VMWare Hardware Recommendations
eClinicalWorks Hardware Specifications VMWare 26-50 Providers/101-200 Users – March 2016 ▪ 16
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
Microsoft Windows 2008 R2/2012 Standard R2
FTP 1 2 8GB OS: 60GB Data: 1
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job2 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application3 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Test 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)
Component Name No. of
Servers No. of Cores CPU Speed Memory Total Disk Space
OS
Database 2 8 Intel Xeon 2.4GHz or Higher 32GB4 OS: 60GB
Data:1 Microsoft Windows 2008 R2/2012 Standard R2
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 Application 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 32GB to 64GB RAM.
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.
*Refer to the Install Notes page for additional information.
26-50 Providers/101-200 Users VMWare Hardware Recommendations
eClinicalWorks Hardware Specifications VMWare 51-100 Providers/201-400 Users – March 2016 ▪ 17
VMWARE ESX RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory NIC Drive Configuration
ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 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 4
(Load Balanced) 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
FTP 1 2 8GB OS: 60GB Data: 1
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job2 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application3 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Test 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)
Component Name No. of
Servers No. of Cores CPU Speed Memory Total Disk Space OS
Database 2 12 Intel Xeon 2.4GHz or Higher 64GB4 OS: 60GB
Data:1 Microsoft Windows 2008 R2/2012 Standard R2
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 10 concurrent eBO users. For 10+ 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.
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.
*Refer to the Install Notes page for additional information.
51-100 Providers/201-400 Users VMWare Hardware Recommendations
eClinicalWorks Hardware Specifications VMWare 101-150 Providers/401-600 Users – March 2016 ▪ 18
VMWARE ESX RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory NIC Drive Configuration
ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 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 5
(Load Balanced) 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
FTP 1 2 8GB OS: 60GB Data: 1
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job2 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application3 2 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Test 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)
Component Name No. of
Servers No. of Cores CPU Speed Memory Total Disk Space OS
Database 2 16 Intel Xeon 2.4GHz or Higher 64GB4 OS: 60GB
Data:1 Microsoft Windows 2008 R2/2012 Standard R2
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 10 concurrent eBO users. For 10+ 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.
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.
*Refer to the Install Notes page for additional information.
101-150 Providers/401-600 Users VMWare Hardware Recommendations
eClinicalWorks Hardware Specifications VMWare 151+ Providers/601+ Users – March 2016 ▪ 19
VMWARE ESX RECOMMENDATIONS Component Name No. of Servers No. of Cores CPU Speed Memory NIC Drive Configuration
ESX Server 2 16 Intel Xeon 1.6GHz or Higher 96GB 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 6+
(Load Balanced) 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
FTP 1 2 8GB OS: 60GB Data: 1
Microsoft Windows 2008 R2/2012 Standard R2 with Serv-U FTP Software MFT Edition
Interface/Job2 2 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
eBO Application3 2 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
Test 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
PHYSICAL SERVER REQUIREMENTS (CLUSTER RECOMMENDED FOR HA)
Component Name No. of
Servers No. of Cores CPU Speed Memory Total Disk Space OS
Database 2 24 Intel Xeon 2.4GHz or Higher 128GB4 OS: 60GB
Data:1 Microsoft Windows 2008 R2/2012 Standard R2
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 10 concurrent eBO users. For 10+ concurrent eBO users, refer to Optional Items Recommendations page. 4eCW recommends that customers purchase a server that is easily upgradable from 128GB to 256GB RAM.
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.
*Refer to the Install Notes page for additional information.
151+ Providers/601+ Users VMWare Hardware Recommendations
eClinicalWorks Hardware Specifications Optional Items: Virtual Hardware – March 2016 ▪ 20
OPTIONAL COMPONENTS
No. of Users No. of Servers Virtual CPU Memory Available Disk Space OS
eBO (MySQL)
1 – 10 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
10 – 20
2 eBO Application (Load Balanced) 2 8GB
OS: 60GB Data:1
Microsoft Windows 2008 R2/2012 Standard R2
1 – eBO Rep2 2 16GB
20+ An eClinicalWorks Technical Architect will design a custom architecture for practices with more than 20 users.
Lab Hub N/A 1 2 8GB OS: 60GB Data: 120GB
Microsoft Windows 2008 R2/2012 Standard R2
NOTES 1eBO database growth averages 5GB per FTE over a three (3) year period. 2eBO repository is required for practices with over 100FTE on MySQL® InnoDB.
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 a custom interface architecture for practices with more than 20 users.
Optional Items: Virtual Hardware Hardware Recommendations
eClinicalWorks Hardware Specifications Bandwidth Requirements – March 2016 ▪ 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 Fractional T1 to T1 768 Kb/s Fractional T1 to T1
21- 60 concurrent users Full T1 or equivalent* Full T1 or equivalent*
*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
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 – March 2016 ▪ 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, Windows10 Pro, Enterprise
Analog Fax 2/4 Port
1 4 Core i3/i5/i7, Intel Xeon 4GB 50GB
Windows Server 2008 (32/64-Bit) Foundation/Standard/Enterprise, Windows 2012 (all editions)
Analog Fax 8 Port
1 4/8 Core i3/i5/i7, Intel Xeon 8GB 80GB
Windows Server 2008 R2(64-Bit) Enterprise, Windows 2012 (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®. 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 Digital Fax Server Solutions – March 2016 ▪ 23
Option 1: 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® 2008 SP2 (32 bit) 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 OS: Windows 7 Professional SP2 (32-Bit/64-bit), Windows Server 2008 (32-bit/64-Bit) RAM: 4GB Disk Space: Minimum: 20GB | Recommended: 40GB eClinicalWorks will charge a one-time fee of $750 for configuration of one fax gateway
$1,000 - $1,500
Digital Fax Board Dialogic Brooktrout TR1034+P24H-T1-1N-R Requires Microsoft Windows 2008 Server, 32-Bit
$15,000 (approx.)
Digital Fax Server Solutions Hardware Recommendations
Network Architecture if Hosted by Client
eClinicalWorks Hardware Specifications Digital Fax Server Solutions – March 2016 ▪ 24
Option 2: eClinicalWorks to Host the Digital Fax Solution Practice Hosts Gateway
Cost is $40 per month for one outgoing line, which includes 1,000 pages.
Each additional page beyond that is $.04 per page. Assigned fax number will be local to Andover, MA. However, long distance faxes will not be charged extra.
No charge for incoming faxes assigned to this outgoing line.
eClinicalWorks will charge a one-time fee of $750 for configuration for one Fax Gateway.
A Fax Gateway is required for every inbox.
Local Fax Gateway Specifications / Models
Fax Gateway
Core i3/i5/i7, Dual Core, Core 2 Duo, Intel Xeon or 2VCPU OS: Windows 7 Professional SP2 (32-Bit/64-bit), Windows Server 2008 (32-bit/64-bit) RAM: 4GB memory Available Disk Space: Minimum: 20GB | Recommended: 40GB
Option 3: eClinicalWorks to Host the Digital Fax Solution AND Hosts Gateway (Cloud Clients Only)
Cost is $40 per month for one outgoing line, which includes 1,000 pages.
Each additional page beyond that is $.04 per page. Assigned fax number will be local to Andover, MA. However, long distance faxes will not be charged extra.
Additional $10 per month for eClinicalWorks Cloud-Hosted Fax Gateway.
No charge for incoming faxes assigned to this outgoing line.
Digital Fax Server Solutions Hardware Recommendations
eClinicalWorks Hardware Specifications Software Recommendations – March 2016 ▪ 25
10e BROSWER RECOMMENDATIONS Software Version eCW Recommended Function
Google Chrome™ 47.0.2526.73 m 47.0.2526.73 m Full 10e access
Internet Explorer® Note: eCW is developing and testing optional plugins that are required use of peripheral with these browsers. Mozilla® FireFox®
Microsoft® Edge®
SOFTWARE RECOMMENDATIONS Software Minimum Requirements eCW Recommended Function
Apache® Tomcat® V6 V6.0.36 Web server software
Java® Development Kit (JDK) 1.6 1.6 Set of programming tools
MySQL® V5 V5 (64-Bit) Database
Microsoft® SQL Server® 2008 2008 R2/2012/2014 Standard/Enterprise Database
Serv-U® Serv-U MFT Server Serv-U MFT Server FTP server
Internet Explorer® Apple® Safari®
V9 V4
V9 V5
Browser
WORKSTATION / TABLET / LAPTOP OPERATING SYSTEM RECOMMENDATIONS Software Minimum Requirements eCW Recommended Function
Microsoft® Windows 7 Pro Windows 7 and Windows 8/8.1 Pro+ Operating system
Microsoft Word® and Excel® Office 2007 Office 2007/2010/2011/365/2013 Word processor and spreadsheet
NOTES 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 – March 2016 ▪ 26
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 2014 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 – March 2016 ▪ 27
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 2014 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.