Pre-Install Survey Form
DICOM Connectivity Type at Customer Site: (Check boxes below, as applicable: Required)
DICOM” Network Store” DICOM” MPPS” DICOM” Printer Only” DICOM” Worklist” No DICOM
Network Setup Parameters
TCP/IP Address acquisition method
Obtain Automatically (DHCP)
Use Specified (IP Address, if fixed)
Gateway IP Address (IP Address, if fixed)
Subnet Mask (IP Address, if fixed)
Ethernet Media Type (Speed/Duplex)
100MB/Full-Duplex 100MB/Half-Duplex
10MB/Full-Duplex 10MB/Half-Duplex
Wireless Bridge (Service-Support)
5. IP Address:
_____________________
6. Username:
_____________________
7. Password:
_____________________
General System / DICOM Setup Parameters
Application (AE) Title – (Zonare System)
Station Name – (Zonare System)
Keep Alive Timeout (sec.)
Selections: (Normal, None, Debug)
Structured Reports – Debug
Printers (DICOM) Setup Parameters (if applicable)
Application (AE) Title – (Printer)