Medicor Imaging Picture Archiving and Communication System (MiPACS) Dental Enterprise Viewer

General Information

Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

Website:	Go to site
Description:	MiPACS Dental Enterprise Viewer is a software application that allows clinicians to capture images from most devices currently on the market. This includes seamless integration with sensors, phosphor plate scanners, intraoral cameras, Computed Tomography (CT) devices, digital panoramic devices, image scanners, and video and Digital Video (DV) sources. This technology can be configured with Microsoft Structured Query Language (SQL) Server or versions Office 14.0/2010 and Office 16.0/20106 of Microsoft Access database to store data. The Access database is used as a true local database and is physically stored on each client. The SQL Server database is used as a shared Viewer database that is available to all clients or specific groups of clients within the network. The Viewer database is a type of information cache. It functions as an image repository until images are pushed to the Digital Imaging and Communications in Medicine (DICOM) server and permanently saved. The Viewer database also stores common information and configuration settings needed for each client. Specifically, the viewer license, DICOM server information, and security settings. The Viewer database can also be configured to function as a local cache, holding the saved images locally to increase response times across limited Wide Area Network (WAN) connections. This entry covers the Desktop Edition of this technology and not any mobile versions. Please note that the implementation of mobile technology applications that operate on Mobile Operating Systems must be reviewed and approved by the Mobile Technology and Endpoint Security Engineering Team: http://vaww.eie.va.gov/SysDesign/CS/MT/default.aspx
Technology/Standard Usage Requirements:	Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information:	This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at Section508@va.gov.
Decision:	View Decisions

Decision Source:	TRM Mgmt Group
Decision Process:	One-VA TRM v22.1
Decision Date:	01/21/2022 at 01:19:47 UTC
Aliases:	MiPACS Dental Enterprise Viewer
Introduced By:	TRM Request
Vendor Name:	Medicor Imaging

Vendor Release Information

The Vendor Release table provides the known releases for the TRM Technology, obtained from the vendor (or from the release source).

Version	Release Date	Vendor End of Life Date	Vendor Desupport Date
3.1.x
3.2.x
4.0.x	09/01/2018
4.1.x	06/14/2019
4.2.x	12/10/2020
4.3.x	11/01/2021

Current Decision Matrix (01/14/2022)

Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.

The VA Decision Matrix displays the current and future VA IT position regarding different releases of a TRM entry. These decisions are based upon the best information available as of the most current date. The consumer of this information has the responsibility to consult the organizations responsible for the desktop, testing, and/or production environments to ensure that the target version of the technology will be supported. Any major.minor version that is not listed in the VA Decision Matrix is considered unapproved for use.

Legend:

White	Approved: The technology/standard has been approved for use.
Yellow	Approved w/Constraints: The technology/standard can be used within the specified constraints located below the decision matrix in the footnote[1] and on the General tab.
Gray	Unapproved: This technology or standard can be used only if a POA&M review is conducted and signed by the Authorizing Official Designated Representative (AODR) as designated by the Authorizing Official (AO) or designee and based upon a recommendation from the POA&M Compliance Enforcement, has been granted to the project team or organization that wishes to use the technology.
Orange	Divest: VA has decided to divest itself on the use of the technology/standard. As a result, all projects currently utilizing the technology/standard must plan to eliminate their use of the technology/standard. Additional information on when the entry is projected to become unapproved may be found on the Decision tab for the specific entry.
Black	Prohibited: The technology/standard is not (currently) permitted to be used under any circumstances.
Blue	Planning/Evaluation Constraint:The period of time this technology is currently being evaluated, reviewed, and tested in controlled environments. Use of this technology is strictly controlled and not available for use within the general population. If a customer would like to use this technology, please work with your local or Regional OI&T office and contact the appropriate evaluation office displayed in the notes below the decision matrix. The Local or Regional OI&T office should submit an inquiry to the TRM if they require further assistance or if the evaluating office is not listed in the notes below.

Release/Version Information:

VA decisions for specific versions may include a ‘.x’ wildcard, which denotes a decision that pertains to a range of multiple versions.

For example, a technology approved with a decision for 7.x would cover any version of 7.(Anything) - 7.(Anything). However, a 7.4.x decision would cover any version of 7.4.(Anything), but would not cover any version of 7.5.x or 7.6.x on the TRM.

VA decisions for specific versions may include ‘+’ symbols; which denotes that the decision for the version specified also includes versions greater than what is specified but is not to exceed or affect previous decimal places.

For example, a technology approved with a decision for 12.6.4+ would cover any version that is greater than 12.6.4, but would not exceed the .6 decimal ie: 12.6.401 is ok, 12.6.5 is ok, 12.6.9 is ok, however 12.7.0 or 13.0 is not.

<Past

CY2020

CY2021

CY2022

Future>

Release

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

3.1.x

Divest
[4, 5, 7, 8, 9]

Divest
[4, 5, 7, 8, 10]

Divest
[4, 5, 7, 10, 11]

Divest
[7, 10, 11, 12, 13]

Unapproved

3.2.x

Divest
[4, 5, 7, 8, 9]

Divest
[4, 5, 7, 8, 10]

Divest
[4, 5, 7, 10, 11]

Divest
[7, 10, 11, 12, 13]

Unapproved

4.0.x

Approved w/Constraints
[4, 5, 7, 8, 9]

Divest
[4, 5, 7, 8, 10]

Divest
[4, 5, 7, 10, 11]

Divest
[7, 10, 11, 12, 13]

Unapproved

4.1.x

Unapproved

Approved w/Constraints
[4, 5, 7, 8, 10]

Approved w/Constraints
[4, 5, 7, 10, 11]

Divest
[7, 10, 11, 12, 13]

Unapproved

4.2.x

Unapproved

Approved w/Constraints
[7, 10, 11, 12, 13]

Divest
[7, 10, 11, 12, 13]

4.3.x

Unapproved

Approved w/Constraints
[7, 10, 11, 12, 13]

Decision Constraints


[1]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

[2]	Per the May 5th, 2015 memorandum from the VA Chief Information Security Officer (CISO) FIPS 140-2 Validate Full Disk Encryption (FOE) for Data at Rest in Database Management Systems (DBMS) and in accordance with Federal requirements and VA policy, database management must use Federal Information Processing Standards (FIPS) 140-2 compliant encryption to protect the confidentiality and integrity of VA information at rest at the application level. If FIPS 140-2 encryption at the application level is not technically possible, FIPS 140-2 compliant full disk encryption (FOE) must be implemented on the hard drive where the DBMS resides. Appropriate access enforcement and physical security control must also be implemented. All instances of deployment using this technology should be reviewed to ensure compliance with VA Handbook 6500 and National Institute of Standards and Technology (NIST) standards. It is the responsibility of the system owner to work with the local CIO (or designee) and Information Security Officer (ISO) to ensure that a compliant DBMS technology is selected and that if needed, mitigating controls are in place and documented in a System Security Plan (SSP).

[3]	This product can be configured with Microsoft Access, which currently has TRM constraints for VA sensitive data. If Microsoft Access is selected for use with this product, these factors must be considered. (Refer to Microsoft Access TRM entry for more details)

[4]	Per the May 5th, 2015 memorandum from the VA Chief Information Security Officer (CISO) FIPS 140-2 Validate Full Disk Encryption (FOE) for Data at Rest in Database Management Systems (DBMS) and in accordance with Federal requirements and VA policy, database management must use Federal Information Processing Standards (FIPS) 140-2 compliant encryption to protect the confidentiality and integrity of VA information at rest at the application level. If FIPS 140-2 encryption at the application level is not technically possible, FIPS 140-2 compliant full disk encryption (FOE) must be implemented on the hard drive where the DBMS resides. Appropriate access enforcement and physical security control must also be implemented. All instances of deployment using this technology should be reviewed to ensure compliance with VA Handbook 6500 and National Institute of Standards and Technology (NIST) standards. It is the responsibility of the system owner to work with the local CIO (or designee) and Information Security Officer (ISO) to ensure that a compliant DBMS technology is selected and that if needed, mitigating controls are in place and documented in a System Security Plan (SSP).

[5]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

[6]	This product can be configured with Microsoft Access, which currently has TRM constraints for VA sensitive data and internet usage. If Microsoft Access is selected for use with this product, these factors must be considered. (Refer to Microsoft Access TRM entry for more details.)

[7]	Technology must remain patched and operated in accordance with Federal and Department security policies and guidelines in order to mitigate known and future security vulnerabilities.

[8]	New installations or major expansions of this technology that transmit data over the VA Wide Area Network (WAN) must complete a WAN impact review (contact VA e-mail: [OIT ITOPS SD Engagement Requests]) prior to implementation to ensure proper compliance to VA network design and usage requirements.

[9]	This product can be configured with Microsoft Access, which currently has TRM constraints for VA sensitive data and internet usage. If Microsoft Access is selected for use with this product, these factors must be considered. (Refer to Microsoft Access TRM entry for more details.) Users must ensure that Microsoft .NET Framework, Microsoft Structured Query Language (SQL) Server, and Microsoft Internet Information Services (IIS) are implemented with VA-approved baselines. (refer to the ‘Category’ tab under ‘Runtime Dependencies’)

[10]	This product can be configured with Microsoft Access, which currently has TRM constraints for VA sensitive data and internet usage. If Microsoft Access is selected for use with this product, these factors must be considered. (Refer to Microsoft Access TRM entry for more details.) Users must ensure that Microsoft .NET Framework, Microsoft Structured Query Language (SQL) Server, and Microsoft Internet Information Services (IIS) are implemented with VA-approved baselines.

[11]	New installations or major expansions of this technology that transmit data over the VA Wide Area Network (WAN) must complete a WAN impact review (yourIT Service Portal:[SNOW Service Requests]) prior to implementation to ensure proper compliance to VA network design and usage requirements.

[12]	Per the May 5th, 2015 memorandum from the VA Chief Information Security Officer (CISO) FIPS 140-2 Validate Full Disk Encryption (FOE) for Data at Rest in Database Management Systems (DBMS) and in accordance with Federal requirements and VA policy, database management must use Federal Information Processing Standards (FIPS) 140-2 compliant encryption to protect the confidentiality and integrity of VA information at rest at the application level. If FIPS 140-2 encryption at the application level is not technically possible, FIPS 140-2 compliant full disk encryption (FOE) must be implemented on the hard drive where the DBMS resides. Appropriate access enforcement and physical security control must also be implemented. All instances of deployment using this technology should be reviewed to ensure compliance with VA Handbook 6500 and National Institute of Standards and Technology (NIST) standards. It is the responsibility of the system owner to work with the local CIO (or designee) and Information Security Officer (ISO) to ensure that a compliant DBMS technology is selected and that if needed, mitigating controls are in place and documented in a System Security Plan (SSP).

[13]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

Note:

At the time of writing version 4.3.0.36 is the most recent version.

References

The following reference(s) are associated with this entry:
Type	Name	Description
Vendor Provided*	Release Notes and User Guide	These are the release notes and new features in the latest release (4.1) of the technology.
Vendor Provided*	Recommended System Specifications	This document shows the recommend system specifications for all Medicor Imaging Picture Archiving and Communication System products.
Vendor Provided*	MiPACS Dental Viewer Instructions	This document shows users how to use the Medicor Imaging Picture Archiving and Communication System (MiPACS) Dental Viewer technology.
*NOTE: Vendor provided information is subject to the accuracy of the manufacturer.

Technology Components

Note: This list may not be complete. No component, listed or unlisted, may be used outside of the technology in which it is released. The usage decision for a component is found in the Decision and Decision Constraints.
Name	Description
No components have been identified for this entry.

VA Categories View the VA Categorization Framework

Domain Area	Category	Customer Guidance	Category Locked By ELT Date
Health Care Health Services	Imaging
Health Care Health Services	Specialty Services

Operating Systems Supported by the Technology

Windows Client - Approved w/Constraints
Windows Server - Approved w/Constraints

Technologies/Standards Relationships

Runtime Dependencies:

Comparable Technologies:

Companion Technologies/Supported Standards:

General Analysis

Adoption Benefits

This is a mature technology.
At the time of writing, no National Institute of Standards and Technology (NIST) vulnerabilities had been reported and no VA Cyber Security Operations Center (CSOC) bulletins had been issued for the latest versions of this technology.
This technology generates a log of detailed user actions which may be used for auditing purposes.
This product supports role-based authentication and authorization capabilities.

Adoption Risks

This technology may transmit data over the VA Wide Area Network (WAN).
The potential exists to store Personally Identifiable Information (PII), Protected Health Information (PHI) and/or VA Sensitive data and proper security standards must be followed in these cases.
Due to the rapid release schedule of this technology, the VA may be unable to update to the most recent patch and may require a deployment model requiring the use of specific versions.

Architectural Benefits

This technology can be configured to run in a single or multi-user environment with a centralized database; or it can run with MiPACS Storage Server for scalability and conformance to the DICOM standard.
This technology has seamless integration with clinical/practice management software. The viewer can be launched from another application, immediately displaying the patient`s images and even passing user rights. There is no need to look up the patient a second time and the chance of clerical errors from entering incorrect patient data is removed.
This technology can use a VA-preferred database.

Architectural Risks

This technology is not portable as it runs only on Windows platforms.

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VA Categories View the VA Categorization Framework

Operating Systems Supported by the Technology

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Comparable Technologies:

Companion Technologies/Supported Standards:

General Analysis

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Architectural Benefits

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