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Survey Title: YNHH/SRC - pyxis medstation 4000

Previous owner = unknown
ITS app owner = Kunjan Divatia
ITS app/device contact = Kevin Early / Willow Team
ITS Director = Mike Matthews
Business owner = ?
 
 
 
Service line application type:
 
PHARMACY
 
 
 
Your name please:
   
 
 
 
facility / location you are answering for:
 
BH
 
GH
 
SRC
 
YNHH
 
YNHHS
 
other site
 
 
 
Application / Device / Product name (ex. CADD-Solis):
   
 
 
 
Please enter a short description of application/device/product:
   
 
 
 
Application type (ex. syringe pumps), comments:
   
 
 
 
Known location(s) where this product exists. If unsure of a location, please do NOT select it:
 
BH
 
GH
 
SRC
 
YNHH
 
YNHHS
 
other site

 
 
 
Vendor's name:
   
 
 
 
Vendor contact name:
   
 
 
 
Vendor support phone number:
   
 
 
 
(Our) customer account number:
   
 
 
 
Contract expiration date:
   
 
 
 
Contract location (who has the contract and where is it?):
   
 
 
 
Is there a consolidation plan for this product?
 
yes
 
no
 
NA
 
don't know
 
 
 
IF THERE IS A CONSOLIDATION PLAN FOR THIS PRODUCT, estimated date for that consolidation:
   
 
 
 
Sunsetting this product?
 
yes
 
no
 
NA
 
don't know
 
 
 
IF SUNSETTING, estimated date for sunset:
   
 
 
 
IF SUNSETTING, estimated cost to sunset:
   
 
 
 
IF APPLICABLE, name (or IP address) of application server:
   
 
 
 
IF APPLICABLE, location of application server (ex. which data center?, whose office?, etc.):
   
 
 
 
IF APPLICABLE, is the application server VIRTUAL? (i.e. VIRTUAL = NOT a PHYSICAL PC server "box")
 
yes
 
no
 
NA
 
don't know
 
 
 
IF APPLICABLE, can the application server be virtualized?
 
yes
 
no
 
NA
 
don't know
 
 
 
Does the application work under Citrix?
 
yes
 
no
 
NA
 
don't know
 
 
 
Is the application AD (Active Directory) aware? (i.e. does the app REQUIRE you to enter your network credentials to log in?)
 
yes
 
no
 
NA
 
don't know
 
 
 
IF APPLICABLE, hardware platform of server (ex. Xeon processor, 8 GB memory, etc.):
   
 
 
 
IF APPLICABLE, Operating System Configuration (ex. Microsoft Server 2008). Or what OS does the app run under? (ex. Windows XP, Windows 7, etc.)
   
 
 
 
IF APPLICABLE, does the app use a database? If YES, what is the database configuration (ex. Microsoft SQL 2008)?
   
 
 
 
Is this a remote hosted app? (ex. an app that runs in a web browser)
 
yes
 
no
 
NA
 
don't know
 
 
 
Does the app/product have a service account?
 
yes
 
no
 
NA
 
don't know
 
 
 
Does the app use Internet Explorer (IE)?
 
yes
 
no
 
NA
 
don't know
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: What is the current version?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: What is the Maximum version of IE it can run under?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: To understand if the app is backwards compatible, what is the Minimum version of IE it can run under?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: Is the app Internet Explorer version 9 (IE9) compatible?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: Is IE for the app dependent on Java, Silverlite, .NET, etc.?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: Cost to get product compatible with IE9?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: If IE plug-ins are needed, what is the cost?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: How much time will it take to get the product IE9 compatible?
   
 
 
 
IF YOUR APPLICATION USES INTERNET EXPLORER: What type of effort is needed to get the product IE9 compatible?
   
 
 
 
Does the app/product contain PHI?
 
yes
 
no
 
NA
 
don't know
 
 
 
Does the app/product contain PII (Personally identifiable information)?
 
yes
 
no
 
NA
 
don't know
 
 
 
Thank you.
 
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