Terminal Server Configuration

NOTE: Hardware specifications are subject to change without notice.

DATA SERVER SPECIFICATIONS

NOTE: Virtual Environments are not recommended for data server or terminal servers.

Server	Minimum Required
Operating System	Windows 2016 Server 64 bit or Windows 2019 Server 64 bit
Remote Access (for support)	Remote Desktop connection directly into server strongly recommended. Firewall exceptions should be made to allow outbound ports 5500, 5900, and 5901 for Nextech Technical Support to connect to workstations.
SQL Server	SQL Server 2016 64 bit (Standard Edition or higher highly recommended for 15+ Nextech Licenses or NexEMR. Not provided by Nextech.) **Ensure you work with your SQL License Provider to buy the appropriate SQL license to match the required hardware below.
CPU	Quad Core
RAM*	8GB + 256MB times per workstation/user
Hard Disk	1TB or more [Digital imaging greatly increases hard drive needs]
External Backup	Office is responsible for daily automatic backups of entire server with offsite backups weekly
Local Area Network (LAN)	1 gigabit minimum
Wide Area Network (WAN)	Requires 100 kb of network and internet bandwidth per user to function. If you are using other applications such as VOIP, payroll, accounting, video, email services you need to ensure you have reserved at least 100 kb per user for Nextech’s application use. Must use RDS from remote locations.

*Due to memory usage issues, running an Exchange Server on the same server as the Nextech SQL Server is NOT recommended.

TERMINAL SERVER SPECIFICATIONS

Server	Minimum Required
Operating System (*1)	Windows 2016 Server 64 bit or Windows 2019 Server 64 bit, with Terminal Services Client Access Licenses
Remote Access (for support)	Remote Desktop connection directly into server strongly recommended. Firewall exceptions should be made to allow outbound ports 5500, 5900, and 5901 for Nextech Technical Support to connect to workstations.
Antivirus Software	Symantec Antivirus, or comparable AV software
MS Office	MS Office 2010/2013/2016/2019 32 bit version [click‐to‐run version and 64 bit version not supported]. Keep in mind that, in order to mass email, Word and Outlook must be the same version and an email address/account must be set up in Outlook
CPU	2GHz + Quad Core
RAM (*2)	16GB or more
Number of Users	Nextech recommends that you do not exceed 25 users per Terminal Server
Power Supply	Uninterruptible Power Supply

*1: In order to properly run Terminal Services, Microsoft requires users to purchase CALs (Client Access Licensing) for Terminal Services and basic Windows server connectivity. Number of CALs needed depends on number of terminals/workstations on user’s local network. For questions regarding CALs, refer to Microsoft website or contact local computer consultant.

*2: Due to memory usage issues, running an Exchange Server on the same server as the Nextech SQL Server is NOT recommended.

THIN CLIENTS

Server	Minimum Required
Operating System	Any OS that can connect (ex. using remote desktop) to a Windows Server. [User responsible for remote desktop setup. Nextech will handle program setup once user remotes in]
Tablet PCs	Hybrid Tablet with attached keyboard, with minimum 1024 X 768 resolution. Use over Terminal Services may impede Tablet PC writing ability
CPU	350MHz or more
RAM	128MB or more
Hard Disk	1GB or more
Display	1024 X 768 resolution or better [DPI and text larger than 125% not supported]

NOTE: Please check compatibility with Terminal Services BEFORE installing peripherals. Nextech is not responsible for TS compatibility issues with hardware.

PERIPHERALS & OTHER OPTIONAL HARDWARE

WiFi	802.11ac wireless router with accurate number of access points for each user and location
Printers	Most dot matrix or inkjet printers will not work for insurance HCFA forms. Windows compatible LaserJet printers are recommended
Barcode Scanners	Nextech supports Serial Emulation USB barcode scanners. Tested models include Metrologic MK9520‐72A38 or MK9520‐32A38, & Honeywell Voyager 1200g (wired) or 1202g (wireless). [Keyboard wedge scanners are not supported]
Document/Image Scanners	Nextech is compatible with TWAIN scanners and WIA camera/printer drivers. [TWAIN drivers are NOT remote desktop compatible. All remote peripheral setup is the responsibility of user IT personnel]
Voice Dictation	Dragon Naturally Speaking Medical Edition required for voice dictation on the PC [the NexSpeak iPad voice dictation software, sold separately by Nextech, does not require Dragon Naturally Speaking]
Magnetic Strip Readers/Cash Drawers/ Receipt Printers	Cash drawers and MSR readers must have OPOS Drivers (64 bit compatible). Installation of OPOS drivers is responsibility of user. Tested models: MSR – ID Tech Mini Mag model Number IDMB‐355133B (64 bit compatible)
Topaz Signature Pads	Model T‐LBK462‐BSB‐R is only compatible model. Performs work over Terminal services
Credit Card Readers	Credit Card readers for Integrated Credit Card Processing must be purchased at https://iccp.nextech.com/ (Compatible with Windows 7+ only)

Supported OSs/Applications

Nextech supports the following Operating Systems: Windows 7 SP1, Windows 8.1, Windows 10, Server 2008r2, Server 2012, Server 2012r2 and higher.
Nextech supports the latest iPad app version
Nextech supports Patient Portal version 4.2.1 (or newer)

Internationalization Support

Nextech automatically supports the necessary internationalization elements, including but not limited to the following:

Date/Time formatting: Nextech will detect the default date format for the workstation’s operating system and region
Currency formatting: Nextech will detect the region in which the workstation is present and adjust its currency settings accordingly ($/USD, €/Euro, ¥/Yen, )

Third Party Compatibility

The following table displays newly supported third party devices for this release.

Vendor	Product	Version
Ingenico	Credit Card Terminal	iPP 320
Ingenico	Credit Card Terminal	iSC Touch 250

Removals

SQL 2005 will not be supported in future Nextech releases, and support by Microsoft ends as of April 2016

Windows Vista is not supported

Windows 7 is not supported without Service Pack 1

Windows 8.0 is not supported without the 8.1 service pack

Windows Server 2008 is not supported. The minimum server version is Server 2008 R2

iOS 10 and below is not supported

Terminal Server Configuration

NOTE: Hardware specifications are subject to change without notice.

DATA SERVER SPECIFICATIONS

NOTE: Virtual Environments are not recommended for data server or terminal servers.

TERMINAL SERVER SPECIFICATIONS

THIN CLIENTS

PERIPHERALS & OTHER OPTIONAL HARDWARE

Supported OSs/Applications

Internationalization Support

Third Party Compatibility

Removals

Solutions

Services

Company

Resources

Compliance