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Terminal Server Configuration

NOTE: Hardware specifications are subject to change without notice.

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

DATA SERVER SPECIFICATIONS

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 iPad app version 1.43 (or newer)
  • 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 9 is not supported