Web Dominator Registration Form / SVC-000233-C

¡ Form required to activate Web Dominator

Contents

1 Contact Information 1

2 Workstation Configuration Details 2

3 Minimum Requirements Checklist 3

4 Monitor Guidelines and Calibration 4

5 Agreement and Signatures 5

6 Faxing Instructions 5

1  Contact Information

1.1  Physician to use Web Dominator

Name:
Phone number:
Email:

1.2  System Administrator

Name:
Phone number:
Email:

1.3  Site Information

Reading site ID:
Reading site name:

2  Workstation Configuration Details

Configuration Questions / Answers / Notes /
Workstation physical address (also called “MAC” address)? / To view the physical address:
1  Click Start > Programs > Accessories > Command Prompt
2  In the Command Prompt window, type ipconfig /all and press Enter.
Example of physical address:
Physical Address. . . 00-08-X5-X5-3X-A4
Number of monitors?
Does the PC have a removable drive? / Yes No / If Yes, drive letter (such as D):
Include the Web dictation option
(for dictation and reporting)? / Yes No / Note: For Web dictation, the site must have the Instant Reporter option.

2.1  Web Ambassador information

·  If Web Ambassador is not running on the workstation, skip to the next step.

·  If the workstation is currently running Web Ambassador, email the local configuration file and send it to DR Systems Service to be used for the Web Dominator configuration. See the Web Dominator Installation Guide for details.

Web Ambassador
Release Number

2.2  Products / features not supported

Web Dominator does not support:

·  Mammography

2.3  About Internet Connections

The DR Systems PACS LAN (local area network) runs at 100 Mbps or higher. Connections to the public Internet are typically slower than this. While DR Systems has added enhancements to the software to help address lower bandwidth networks, there is a limit to how much the system can compensate for a slow connection. Exam downloads are faster with higher bandwidth Internet connections.

3  Minimum Requirements Checklist

Item / Requirements / Meets Requirements? / If no, please explain /
Processor / 2.8 GHz or higher. Dual core recommended / Yes No
RAM / 2 GB (minimum) / Yes No
Operating system / ·  Windows XP Professional, 32-bit ,SP2
·  Windows XP Professional, 64-bit, SP2
·  Windows Vista, 64-bit
·  Windows 7, 64-bit / Yes No
Available hard disk space / 80 GB, for program files and to copy exams to local drive. / Yes No
Audio / Required for playback of audio conclusion. / Yes No
Microphone / Types include:
Standard:
For playing or recording an audio conclusion.
For Web Dictation:
Philips SpeechMikePro Plus 5276, USB / Yes No
Monitor / Follow ACR Guidelines (see below).
Standard:
Single and multiple monitor systems are supported. Minimum requirements:
17” - 1280x1024 resolution
20” - 1600x1200 resolution
24” - 1920x1200 resolution.
For Web Dictation:
Recommended: dual monitors. / Yes No
Ports / USB port required for microphone if web dictation (Instant Reporter) option is used. / Yes No
Internet
connection speed / 500 Kbps or higher via high-speed connection such as DSL, cable modem, or T1. / Yes No

3.1  Additional Requirements for Reporting option: Web Dictation

Item / Requirements / Meets Requirements? / If no, please explain /
Report Creation Software / Microsoft© Word 2003, 2007, or 2010 / Yes No
Medical Spellchecker (optional) / Stedman’s Plus Medical/Pharmaceutical Spellchecker Premium Edition, 2010 version / Yes No

3.2  Recommendations for Personal Computer

We recommend the following items:

Item / Description / Meets Recommendation? / If no, please explain
Virus protection software / Protects against attack by a computer virus. Performance may be adversely affected by some virus protection software.
Recommended: Trend Micro / Yes No
PC firewall / Designed to prevent unauthorized Internet users from accessing private networks connected to the Internet.
Recommended: a hardware-based router like those produced by Linksys® or Netgear™. / Yes No

3.3  About Internet Connections

The DR Systems PACS LAN (local area network) runs at 100 Mbps or higher. Connections to the public Internet are typically slower than this. While DR Systems has added enhancements to the software to help address lower bandwidth networks, compensating for a slow connection has its limits. Exam downloads are faster with higher bandwidth Internet connections.

4  Monitor Guidelines and Calibration

4.1  Disclaimer

DR Systems does not make any specific requirements or recommendations regarding the monitor beyond the minimum stated in the "Minimum Requirements Checklist" on page3. We recommend that the customer consult the ACR guidelines (see the following section).

4.2  American College of Radiology (ACR) standards

For recommended guidelines, see American College of Radiology web site, in their published standards related to Teleradiology and Digital Imaging. For details, see the ACR Web site: http://www.acr.org

Search for standards, including “ACR Technical Standard for Electronic Practice of Medical Imaging.”

4.3  Calibration Requirements

DR Systems produces images for display on GSDF calibrated devices. All monochrome monitors must be DICOM GSDF calibrated. You must calibrate your monitors for optimal image display.

5  Agreement and Signatures

5.1  Monitor Agreement

I have read and understand the DR Systems Monitor Disclaimer. I agree to the terms outlined above. I have consulted the ACR guidelines to confirm that the hardware meets or exceeds the specifications of the Minimum Requirements.

Type or print your name
Signature / Date

5.2  Registration Agreement

I have read and understand the DR Systems Web Dominator Registration Form. I agree to the terms outlined above. I have verified that the minimum requirements specified in this document have been fulfilled and the information that I have provided is accurate.

Type or print your name
Signature / Date

6  Faxing Instructions

After you complete this form and sign the agreements, fax this completed form to:

Service Coordinator / DR Systems, Inc.
Fax: (858) 625-3337

After you fax this form, DR Systems Customer Support will send you the files required to activate Web Dominator.

Copyright © 2014 DRSystems, Inc. and its licensors. All rights reserved.
Protected by U.S. Patents: http://www.drsys.com/legal/ / Web Dominator Registration Form
Document ID: SVC-000233-C / Page 5 of 5