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| Survey Name: GH cadd-solis PCA pump - pharmacy device/app |
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| Service line application type: |
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| facility / location you are answering for: |
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| Application / Device / Product name (ex. CADD-Solis): | | |
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| Please enter a short description of application/device/product: | | |
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| Application type (ex. syringe pumps), comments: | | |
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| Location(s) where this product exists: |
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| Previous owner (ex. Laura Pietrosimone) | | |
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| ITS app owner (ex. Kunjan Divatia): | | |
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| ITS app/device contact (ex. Jim Duffy): | | |
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| ITS Director (ex. Michael Matthews): | | |
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| Business owner (ex. Jim Duffy): | | |
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| (Our) customer account number: | | |
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| Contract expiration date: | | |
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| Contract location (who has the contract and where is it?): | | |
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| Is there a Consolidation Plan for this product? |
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| If applicable, ETA date for consolidation: | | |
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| If applicable, ETA date for sunset: | | |
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| If applicable, cost to sunset: | | |
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| If applicable, name and/or IP of app server: | | |
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| If applicable, location of app server (ex. which data center?, whose office?, etc.): | | |
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| Can the server be virtualized? |
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| Can or does the app work under Citrix? |
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| Is the app AD (Active Directory) aware (i.e. does it require your network credentials to log in)? |
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| If applicable, hardware platform: | | |
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| If applicable, Operating System Configuration: | | |
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| If applicable, database configuration: | | |
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| Is this a remote hosted app? |
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| Does the app/product have a service account? |
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| Does the app use Internet Explorer (IE)? |
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| If your application does use Internet Explorer, what is the current version? | | |
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| If your application does use Internet Explorer, what is the Maximum version of IE it can run under? | | |
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| To understand if the app is backwards compatible, what is the Minimum version of IE it can run under? | | |
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| Is the app Internet Explorer version 9 (IE9) compatible? | | |
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| Is IE for the app dependent on Java, Silverlite, .NET, etc.? | | |
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| Cost to get product compatible with IE9? | | |
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| If IE plug-ins are needed, what is the cost? | | |
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| How much time will it take to get the product IE9 compatible? | | |
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| What type of effort is needed to get the product IE9 compatible? | | |
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| Does the app/product contain PHI? |
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| Does the app/product contain PII (Personally identifiable information)? |
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