Andrew Appling

Active Directory Structure

For medical-emr.ecpi

CIS256

4/3/2013

CIS256 Individual Project 

General Project description : With increased utilization of computer technology, many medical practices, clinics and doctor’s offices are moving to Electronic Health Records (EHR), Practice Management (PM) software, electronic submission of prescriptions. Additionally many insurance companies require submission of claim forms electronically instead of paper forms. Many pharmacies accept electronic prescriptions. The net effect is that many small practices are grouping together and are moving to electronic records and work flow instead of paper.

A group of 4 offices are merging together into a single entity. The name of the entity is medical-emr.ecpi. Each of the remote office has about hand held computers and desktops to support the electronic records. A central office will house the IT infrastructure to support the company. One standalone server is located in each of the remote office at this time. Additional servers can be purchased if justified. A T-1 line has been added between the central office and each remote office. Digital certificates are needed for authentication purposes for electonic transactions (hand-held or desktop) that a medical staff person uses to access the Medical Software devices.   Servers will be Server2008, desktop systems will be Windows 7.  There is no safe location for the servers site 4; the servers that are added will be in a commons area.

Desktop software requirements: All desktops will have Micorsoft Office 2010 and Goolge Chrome available as the web browser.

Management has the following request:

All software be installed and updated centrally. Computer updates are controlled centrally and are authorized prior to being installed on individual systems

Assignment: You task it to design the Active Directory structure for the proposed organization.

Design the DNS infrastructure to support Active Directory Design AD logical and physical design Design AD group structure Identify the location of the FSMO roles Identify the DC locations Identify the bridgehead servers (if any are used) Design the GPO structure of the organization Design the software \ operating system deployment plan for the organization Design the CA for the organization Disaster recovery plan to include data and Active directory Identify additional servers \ equipment needed Generate a time line

Submission requirements:

 Visio diagramo One sheet for logical diagramo One sheet for physical daigramo One sheet for CA diagramo One sheet for timelineo One sheet for group structure

Excel spreadsheet that shows the specification for additional servers requestedo CPU requirements, hard disk requirements, memory requirements, other requirements; reference for these

requirements Word document

o Identification of technical issueso Plan to address each technical issue including justification for making each design decision

Visio will contain the daigrams, the design decisions are recorded in the Word docuemento Disaster recovery plan

Final Project Active Directory Plan of action

We here at (ServerBuildersRuS) are submitting this plan of action for medical-emr.ecpi.

The Proposed network upgrade will assist in the company’s migration to Electronic Health

Records (EHR). This proposal will assist a group of four offices as they merge into a single

entity. A central office will support the new IT infrastructure and a disaster recovery plan will be

in place for redundancy. One standalone server is located in each of the remote office at this

time. Due to the Sensitivity and importance of these medical files a T-1 line has been added

between the central office and all remote offices for stability. Digital certificates will be used for

medical transactions on the system, so secure authentication is important. The company has also

requested Microsoft office 2010 and Google chrome as default programs on the network

terminals. Due to the constant change of input data all installed software will be installed and

maintained at the central location. The customer has also requested that computer updates will be

administratively controlled and authorized prior to being installed on individual workstations.

The following designs and diagrams will be included in this proposal:

Server specifications – win server 2008 specifications page

Workstation specifications – Please select a computer workstation type for the installation team.

Handheld specifications - ipads

Active Directory Structure both physical and logical structure

Project Timeline

Disaster Recovery Plan

Group Structure

Timeline

Week 1 – Main site prepped by installation team, measurements, orders will be established.

Week 2 – Material delivery, unpack and verify all materials are present

Week 3 – Prep physical area for servers structure, purchase any needed supplies

Week 3 Day2 – Hardware installation begins, all installations will be verified and completed by certified professionals.

Week 3 Days 4 –Software configuration begins, IT staff will be required to troubleshoot and assist as necessary

Week 4 – IT work crews will clean and prep site for incoming construction crew for the facilities new cooling system installation.

Week 5 - medical-emr.ecpi will be open for business

Disaster recovery plan

Upon the event of a Disaster that completely destroys the physical site. We then begin

deployment of our Disaster Recovery Plan. All Damaged servers and hardware with be replaced

by the installation team upon inspection and then re-established and re-populated with the

cloud backup or the redundant blu-ray backup storage files. Blu-ray backup will be used as a

secondary measure should all other means fail. The team leader will lead the DRP recovery

team in a timely manner to recover and repopulate the patient files and databases with the

stored backup.

Minimum Server requirements for Microsoft Server 2008

To use Windows Server 2008 you need:

Component RequirementProcessor • Minimum: 1GHz (x86 processor) or 1.4GHz (x64 processor)

• Recommended: 2GHz or fasterNote: An Intel Itanium 2 processor is required for Windows Server 2008 for Itanium-Based Systems

Memory • Minimum: 512MB RAM• Recommended: 2GB RAM or greater• Maximum (32-bit systems): 4GB (Standard) or 64GB (Enterprise and Datacenter)• Maximum (64-bit systems): 32GB (Standard) or 1TB (Enterprise, Datacenter) and 2TB (Itanium-Based Systems)

Available Disk Space • Minimum: 10GB• Recommended: 40GB or greaterNote: Computers with more than 16GB of RAM will require more disk space for paging, hibernation, and dump files

Drive DVD-ROM driveDisplay and Peripherals • Super VGA (800 x 600) or higher-resolution monitor

• Keyboard• Microsoft Mouse or compatible pointing device

All Servers will meet at least the minimum requirements for Microsoft Server 2008. Site’s 1-4 will have compatible hardware to minimize maintenance and installation issues.

Site Work Station’sDell Precision T7600Chipset

Intel® 5520 chipsetVideo Card

Support for 2 PCI Express x16 Gen 2 graphics cards up to 225 watts :GPU (Graphics Processing Unit for High-Performance Computing)NVIDIA Tesla C2075 – Supports Nvidia Maximus™ technologyNVIDIA Tesla C2050

Drive Controllers Integrated LSI 1068e SAS/SATA 3.0Gb/s controller supports host based RAID 0 or 1

Optional PERC 6/i PCI-e SAS/SATA/SSD hardware RAID card supports RAID 0, 1, 5, 10Single Raid 0 GPT DATA volumes greater than 2TB4 are available as factory installed option with the optional PERC 6/i PCI-e RAID adapterNetwork Controller

Integrated Broadcom® 5761 Gigabit Ethernet controller 2nd Gigabit port is available with the optional PCI-e Broadcom Gigabit controller cardSound Card

Integrated High Definition Audio (Rev 1.0 Specification) implemented with a two-chip audio solution comprised of the ADI 1984a High Definition Audio CODEC and the ICH10's integrated AC97/High Definition digital controller.Chassis

DimensionsWith feet: 8.5" x 22.26" x 22.3" (21.59cm x 56.54cm x 56.6cm) BaysFour internal 3.5" HDD bays Three external 5.25" optical bays, one of which can accommodate a fifth HDD One external 3.5" flex bay for media card readerSlotsAll full length except as noted One PCI-e x16 Gen 2 wired as x4 Two PCI-e x16 Gen 2 slots wired as x8 (one is half length) Two PCI-e x16 Gen 2 graphics slots One PCI-X 64bit/100MHz slot with support for 3.3v or universal cards One PCI 32bit/33Mhz 5V slotStandard I/O Ports(11) USB 2.0 (two on front panel, six on back panel, three internal) (2) IEEE 1394a (one front, one rear) (1) serial (1) parallel 

(2) PS/2 (1) RJ-45 (1) ESATA port on back panel Stereo line-in and headphone line-out on back panel Microphone and headphone connector on front panelStorage Devices

Optional Removable StorageCD-RW/DVD Combo, DVD-ROM, DVD+/-RW, Blu-Ray, USB media card readerOptional ModemDell 56K v.92 Data/Fax PCI modemSecurityPower

1100 watts 88% (80 Plus® Silver Certified) efficient Power Factor Correcting (PFC) power supply

This workstation was chosen because of its scalability and ease of set up. The Installation team will purchase and install all requested workstations upon approval and deployment of this proposal.

Handheld devices

All Staff currently uses Apple Ipad’s as their handheld model of choice. The current Ipad specifications for integration to this proposal fall well within the required established guidelines for deployment in this new plan.

medical-emr.ecpi

Physical Structure

Individual Site Logical Layout with CA deployment

Group Policy Distribution

References

Workstation Specifications

http://www.dell.com/us/business/p/precision-T7500/pd

Server specifications

http://msdn.microsoft.com/en-us/windowsserver/cc196364.aspx