ict basis of design ngha - engineering-2

53NATIONAL GUARD HEALTH AFFAIRS SPECIALIZED HOSPITALS IN REGIONSRIYADH JEDDAH TAIF QASSIM

Basis of Design (BOD) Part 1: Design Narrative February 2012 PS11791

Information &CommunicationTechnology ICT

5.0


Basis of Design (BOD) Part 1: Design Narrative February 2012 PS11791-RPT-PM-01-Rev. 0

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5.1 TYPICAL REQUIREMENTS ALL SITES

5.1.1 introDuCtionToday, Information Technology has become one of the most critical support functions in Hospitals. Information technology systems permeate every aspect of a hospital from communications to operations. Technology systems provide reliable infrastructure that reduce costs and provide enhanced services to patients and doctors. Cost containment, increased operational efficiency and enhanced safety and security are among the key benefits that nformation Technology offers.

A total of five (5) new National Guard Health Affairs (NGHA) hospital facilities are envisioned:

Maternity Hospital, KAMC-CR, to be located on the existing campus of Riyadh.

King Abdullah Specialized Children Hospital, KAMC-WR, to be located on the existing campus of Jeddah.

Neuroscience and Trauma Care Center, KAMC-WR, to be located on the existing campus of Jeddah.

Taif Specialized Hospital to be located on a new medical campus in Taif.

Qassim Specialized Hospital to be located on a new medical campus in Qassim. This hospital will be essentially identical in programming and layout to the proposed Taif facility.

Each NGHA hospital will be built based on the objective of creating a modern medical center. As such, Information and Communication Technology (ICT) Systems will be at the forefront of the design effort in regards to providing best practices for continuity of services, supporting the NGHAs mission, creating and maintaining a strong image and brand, and providing state-of-the-art operations.

For the Taif and Qassim facilities, the proposed hospitals will be constructed along with associated support facilities including housing, utility, administration buildings, mosques, commercial and learning centers within new campus sites. All of the required support facilities will be constructed as part of this project and will include a Main Distribution Facility room in the hospital to house ICT equipment serving the campus network.

The Maternity Hospital, KAMC-CR, as well as utility and structured car parking buildings, being constructed within the existing Riyadh

campus will take advantage of the existing local Campus Data Center for various ICT system redundancies and expansions as well as overall network connectivity.

A new data center will be provided as part of this project at the Jeddah campus to serve the two new hospitals as well as utility buildings, culverts and structured car parking buildings and to act as a redundant data center for the existing hospital.

At the Riyadh and Jeddah campuses, each of the new hospital facilities will include a Main Distribution Facility (MDF), (i.e., Main Equipment Room). It will act as a connection point for each hospital to the network core located at the existing / new Data Centers as well as to the various Technology Rooms in the hospitals. At the Taif and Qassim facilities, the Disaster Recovery Center / MDF will house the network core as well as act as a connection point to the various Technology Rooms in the hospitals.

The Hospital technology systems will be designed in a configuration that will be adaptable to the ever-changing requirements of future healthcare operations and systems. The intent is to create information technologies capable of adapting to change with minimal disruption to the operating facilities.

The overall concept is to standardize the equipment to the greatest extent possible to simplify long term maintenance and operations. The infrastructure will provide fiber optic cabling throughout the campus, hospital facilities, and to all structures to allow for day one connectivity as well as providing sufficient extra capacity fiber for future implementation and expansion.

One of the primary purposes for the infrastructure is to provide a highly redundant, highly available, and highly expandable communication backbone, both active and passive. The Hospital Local Area Networks (General/Clinical Systems Network and Nurse Call Network) will utilize the backbone. These networks will be connected to each site-specific Campus Data Center Core equipment, using multiples of 10 Gbps speed with near zero latency, high QoS, and sufficient redundancy to prevent outages of service to the Hospital. Wireless LAN in the form of highly adaptive, mobility enabled WiFi will be provided in each Hospital to allow for internet and data network connectivity.

The Hospitals will contain numerous security and safety systems to provide a high level of safety and security for patients, staff, and

visitors.

The Safety Systems include the Fire Alarm System and the associated Voice Evacuation.

The Security Systems include an Access Control and Identity Management that is compatible with the overall campus security system to provide secured facilities as well as segregation and tracking of people and a Digital Video Management System to provide surveillance of the public areas of the hospital.

For all hospitals except the Neuroscience Center, an Infant Protection System will be provided to ensure that all infants within the Labor and Delivery Department, Neonatal Intensive Care Unit (NICU), and Post-Partum Patient Room areas are not separated from their mothers/care providers or removed without authorization from the premises. All of these systems will utilize the active and passive infrastructure to the greatest extent possible and as allowed by code.

A Storage Area Network (SAN) will be utilized for the storage of security surveillance video. For Riyadh facilities, the existing Campus IT Storage Area Network (SAN) will be expanded with the components associated with the hospital SAN. For the Jeddah facilities, a single overall SAN will be provided in the new campus data center. For all other facilities, a SAN will be provided within the hospitals MDF. The SAN may also act as the central repository for all general and medical data files required as noted within the medical equipment narrative.

Each hospital facility will also contain numerous Low Current and Communication Systems for the enhancement of medical care.

A Voice over IP (VoIP) telephone system will provide voice communication and telephone devices to all applicable spaces within the hospital as well as a Public Address function to provide specific zone paging, and overall pages.

A Master Clock System will be provided to act as the Network Timing Protocol (NTP) Server for the Hospital systems as well as provide the analog and digital master clock displays in all facilities noted in this contract.

A master distributed Television system will be implemented over the network using IPTV technology to provide general TV programs from satellite or other program sources as well as



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Video on Demand and Patient Education and Entertainment. Infrastructure will be provided to support future interactive systems such as dynamic information and way finding. Middleware servers and software will be provided for IPTV, Patient Education and Entertainment, interactivity, control, management, scheduling, mapping, way finding, visual paging, messaging, education, and entertainment. Patient Education and Entertainment will be provided only in public/common areas.

Audio Visual systems will be provided in the various conference rooms, operation rooms, and other locations within the hospital. The systems will include all display, input, and control equipment for each local space.

A Nurse Call System will be utilized for patient safety while streamlining nurse call station communications.

Space in communications rooms will be provided for a Distributed Antenna System provided by others to assure reception of GSM mobile telephone signals in the Hospital.

Lastly, in order to support green initiatives as well as LEED certification requirements where applicable, all Technology equipment will be Energy Star 4.0 certified products, as applicable. All products will bear the Restriction of Hazardous Substances Directive (ROHS), as applicable. All servers, desktop computers, and storage equipment will be virtualized to maximize the use of available assets without wasting energy. Likewise, monitors will utilize LED backlit technology instead of cold-cathode fluorescent to reduce energy consumption, as applicable.

The Technology systems included in the contractor scope of work are further defined in the following narratives.

5.1.2 oVerall iCt Design goals:

5.1.2.1 Flexibility

The design of the technology systems will be made with a clear understanding of the future of each technology. Infrastructure (pathways and spaces) will be designed for the latest technology in fiber optic and copper media with consideration for future technology additions. Systems will be scalable and ready for anticipated growth and interface with disparate systems.

5.1.2.2 Serviceability

Only technologies that make sense, based on the typical hospital staff knowledge, will be considered for deployment. For example, systems that run under operating systems that differ from the expected levels of staff knowledge will not be deployed.

5.1.2.3 Infection Control

Infection control policies will be considered during the design phase of the project. One goal of a hospital IT department should be to mitigate the reasons to open and enter the above ceiling space. Networks will be scaled to mitigate that requirement. Wireless networks will be collapsed as much as makes sense to decrease the amount of infrastructure above ceiling spaces which will inherently decrease the number of times those spaces need to be accessed.

5.1.2.4 Reliability

Topologies and infrastructure components within a healthcare facility must be reliable. Careful consideration will be given to the redundancies and expected end of life cycles of all technology components.

5.1.2.5 ICT Design Criteria

Optimize process workflow Provide instant and convenient access to patient information Provide effective integration of disparate clinical and facility

information systems throughout the hospital and throughout the National Guard Health Affairs services

Enhance the patient and family experience Continue the culture of patient-centered care Maintain high levels of patient/family satisfaction Reduce the incidence of medical errors Design systems and infrastructure for ease of expansion Design systems and infrastructure for high-availability and

for ease of maintenance and operation

5.1.3 iCt system DesCriptions:

5.1.3.1 Systems that are described in more detail herein include the following:

Wide Area Network (WAN) / Campus Area Network (CAN) / Local Area Network (LAN) / Wireless Local Area Network (WLAN)

Technology Infrastructure

Outside Plant Cabling

Disaster Recovery Data Center(s) / Main Equipment Room(s)

Structured Cabling for Voice, Data, Video, and Networked Clinical Devices

Communications Equipment Spaces

Voice Communication Systems - Telephone

Wireless Voice

Nurse Call System

Computers, Printers, and Peripherals

IPTV/Patient Education and Entertainment

Infrastructure for dynamic patient and way finding information

Audio-Visual & Teleconferencing Systems

Master Clock System

Security Systems

Access Control System

Video Surveillance (CCTV) System

Infant Protection System

Threat Detection System

Public Address System

Sound Masking System

Medical Dictation System



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5.1.4 CoDes anD stanDarDs

5.1.4.1

The systems described herein will be designed to conform to the following applicable codes and standards, and authorities having jurisdiction. The code or standard with the more stringent requirement will be followed:

AIA Guidelines for Design & Construction of Health Care Facilities 2006

American Society for Testing and Materials (ASTM) ASTM E 814 - Fire Tests of Through-Penetration Fire stops

ANSI American National Standards Institute

BICSI-TDMM: Building Industry Consulting Services International, Telecommunications Distribution Methods Manual

BICSI-COOSPDM: Building Industry Consulting Services International, Customer-Owned Outside Plant Design Manual

BICSI-ITSIM: Building Industry Consulting Services International, Information Technology Systems Installation Methods Manual

Institute of Electrical & Electronics Engineers (IEEE).

802.1 LAN/MAN Bridging and Management

802.3 CSMA/CD Access Methods (Ethernet)

802.3ae 10 Gigabit Specification

802.3z 1000 Base-S specification

802.3ab 1000 Base-T specification

802.3af/at Power over Ethernet

802.3u 100 Base-T spcification

802.1Q VLAN

802.1P Prioritization

802.11 a/b/g/n CSMA/CA Access Methods (Wireless LANs)

International Telecommunications UnionTelecommunications (ITU-T), ITU-T FG IPTV.

ISO: International Organization for Standardization including:

International Standards Organization/International Electromechanical Commission (ISO/IEC) DIS11801, January 6, 1994;

ISO 9001; Quality Assurance in Design/Development, Production, Installations, and Servicing;

ISO 9003; Quality Assurance in Final Inspection and Test;

ISO 9004; Quality Management and Quality System Elements Guidelines;

ISO/IEC JTC 1/SC 25/WG 3 N655 (Nov. 2001)

Class D ISO/IEC 11801, 2nd Ed., Information Technology Generic Cabling for Customer Premises, 2002;

Class E ISO/IEC 11801, 2nd Ed., Information Technology Generic Cabling for Customer Premises;

Class EA Amendment 1 to ISO/IEC 11801, 2nd Ed., Information Technology Generic Cabling for Customer Premises, pending publication; Class F ISO/IEC 11801, 2nd Ed., Information Technology Generic Cabling for Customer Premises, 2002;

Class FA Amendment 1 to ISO/IEC 11801, 2nd Ed.

ISO 9003 Model for Quality Assurance in Final Inspection and Test

ISO 10012-1 Quality Assurance Requirements for Measuring Equipment.

ISO 18000-6C EPC Gen2 UHF RFID Tags

Joint Commission of Hospitals - Nurse Call Requirements

NEMA: National Electrical Manufacturers Association

NFPA 72 National Fire Alarm and Signaling Code

NFPA 101 Life Safety Code

NFPA 99 Health Care Facilities Code

NFPA 70 - National Electrical Code

TIA-1179: Healthcare Facility Telecommunications Infrastructure Standard

TIA/EIA-568-B.2: Commercial Building Telecommunications Cabling Standard

TIA/EIA-568-B.3: Optical Fiber Cabling Components Standard

TIA/EIA-569-B: Commercial Building Standard for Telecommunications Pathways and Spaces

TIA/EIA-569-B-1 Addendum 1: Temperature and Humidity Requirements for Telecommunications Spaces

TIA/EIA-570: Residential Building and Light Commercial Telecommunications Wiring Standard

TIA/EIA-606: Administrative Standard for the Telecommunications Infrastructure of Commercial Buildings

TIA/EIA-607: Commercial Building Grounding and Bonding Requirements for Telecommunications

TIA/EIA-758: Customer-owned Outside Plant Telecommunications Cabling

TIA/EIA-942: Telecommunications Infrastructure Standard for Data Center.

TIA/EIA-TSB67: Transmission Performance Specifications for Field Testing of Unshielded Twisted Pair Cabling Systems

TIA/EIA-TSB72: Centralize Optical Fiber Cabling

ANSI/TIA-1179: Healthcare Infrastructure Standard

TIA 569-B, Addendum 1: Temperature and Humidity Requirements for Telecommunications Spaces

Underwriters Laboratories UL 1479 - Fire Tests of Through-Penetration Fire stops

Underwriters Laboratories UL-1069 Hospital Signaling and Nurse Call Equipment

UL 294 - Access Control Systems.



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UL 1076 - Proprietary Burglar Alarm Units and Systems.

Saudi Arabia Standard Organization, SASO

All local and national codes.

NGHA Network Standard document.

5.1.5 teChnology systems speCiFiCations

5.1.5.1 The following is a list of technology systems specifications included in the project documents:

16701 General Requirements for Communication Systems

16703 Common Work Results for Communications 16725 Nurse Call System 16726 Public Address System 16727 Sound Masking System 16740 Communication Horizontal Cabling 16741 Communication Backbone Cabling 16742 Communication System Identification 16743 Grounding and Bonding for Communication

Systems 16744 Pathways for Communications Systems 16745 Communication Equipment Room Fittings 16750 Voice Communication Systems 16760 Data Network Systems 16761 Radio and Wireless Systems 16762 Computing and Storage System 16770 Master Clock System 16790 Medical Dictation System 16810 Access Control and Alarm Monitoring System 16820 Video Surveillance System 16830 Infant Protection System 16840 Security Screening Devices 16960 Audio Visual System

16970 IPTV Systems

5.1.6 iCt projeCt DesCription

5.1.6.1The following generally depicts the physical location of proposed ICT systems.

5.1.6.2

Support from the existing campus Data Center and the expansion/extension of various campus-wide IT/Security systems is assumed in the Tender Documents for the Maternity Hospital, KAMC-CR in Riyadh.

5.1.6.3At Riyadh the Utility building IT/security system shall be connected to the new hospital while structured parking buildings shall be connected to campus Data center.

5.1.6.4At the Jeddah campus, the Tender Documents will include a new data center that will be provided to serve both new hospitals as well as the existing hospital on the campus.

5.1.6.5At Riyadh the Utility buildings & Mosque IT/security system shall be connected to the new hospital while structured parking buildings shall be connected to campus Data center.

5.1.6.6New Main Distribution Facilities are proposed for all five hospitals.

5.1.6.7NGHA Hospital technology systems will be configured in an attempt to adapt to the ever-changing requirements of healthcare's future. The intent is to create systems capable of adapting to change with minimal disruption to the operating facility. A Main Equipment Room (MER), also known as the Main Distribution Facility (MDF), will be located in each hospital with expected growth, redundancies, maintenance, and accessibility in mind.

5.1.6.8The vertical communications infrastructure consists of stacked Telecommunication Rooms (TRs), also known as Intermediate Distribution Frame (IDFs), on each level of the facility. IDFs will be provided in stacks on each level for riser pathway continuity.

5.1.6.9 Communications Infrastructure:

Communications infrastructure will enter the proposed hospital at the ground level. Two Building Entrance Rooms (BERs), one primary and one secondary, will be provided.

An entrance room for Saudi Telecom cables and equipment will be provided at the new Jeddah data center and as noted in each hospital. See Sections 5.2, 5.3, and 5.4 for site specific requirements.

Communication rooms for mobile phone providers, or Global System for Mobile Communication (GSM) rooms, will be provided in each hospital.

Communications infrastructure will consist of optical fiber and copper communications cabling from other Employer facilities and/or connections to outside service providers.

Fiber optic cables will be provided for redundant connections to the Employers existing network.

The MER/MDF will be sized as the main building distribution point for all primary low current services.

The Penthouse (Mechanical) Level will require space for communications equipment rooms and roof penetrations for roof mounted equipment.

5.1.7 wiDe area network (wan) / Campus area network (Can) / loCal area network (lan)

5.1.7.1

Each NGHA hospital facility will consist or will be part of a Wide Area Network (WAN), Campus Area Network (CAN), and Local Area Network (LAN).

The Maternity Hospital, KAMC-CR on the Riyadh campus



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will utilize the existing CAN, which will be extended as part of this project. Refer to Section 5.2 for additional information.

5.1.7.2

The WAN may consist of other medical facilities to which the Hospital is connected, such as the interconnectivity between medical campuses or the capability for connectivity to a central NGHA facility.

5.1.7.3

The CAN consists of each facility (inter-building) located within the campus such as operation centers, security operations centers, and other hospital/medical facilities located on-site. The MDFs of the proposed NGHA Hospitals will be considered a branch of the hierarchical star network topology. The CAN infrastructure will include single mode (9-micron) optical fiber cables routed in a redundant fashion to two distribution facilities on campus. This will include two points of entry into the hospital. Redundant CAN connections will be designed to minimize single points of failure between the NGHA Hospital and campus data center. CAN hardware located within each MDF will consist of Distribution Switches connected to redundant infrastructures for fiber and electrical power.

5.1.7.4

The LAN will consist of the IP-voice and data network, infrastructure, and connections within each of the proposed NGHA Hospitals. LAN infrastructures include backbone and horizontal copper and fiber media installations and supporting hardware (conduit, racks, and equipment). All IP-based devices will share the common physical LAN infrastructure and may include voice and data services, wireless networks, security, building automation, overhead paging, intercom, employee timekeeping, and some elements of nurse call and medical telemetry. Virtual LANs (VLANS) will be created to segregate network traffic for each system. The new facility will feature a redundant backbone topology with each IDF connected to the MDF by two sets of fiber optic cable. Distribution Layer routing and switching will be provided by communications devices located within each MDF. Access Layer switching will be provided by 48-port power-over-Ethernet (POE) switches, configured in a stack-topology with two connections to the MDF distribution layer via the redundant backbone topology.

5.1.7.5

The LAN will support the various medical-based protocols such as Picture Archive Communication System (PACS) protocol. The Connected Imaging Medical Image Infrastructure solution will address scalability, applications, disaster recovery, and storage performance with advanced networking, image routing, and storage technologies.

5.1.7.6

The LAN will support 802.1x security and Network administration control.

5.1.7.7

The LAN will provide full coverage for all required IP data connectivity inside the hospital. 100% of day one operational data outlets requirements with at least 50% of the passive data outlets will be fully activated by being fully patched to the appropriate network, the rest of the data outlets will be provided only as spares and only terminated at the IDF patch panel. Likewise, each network switch will only be utilized at 75% of the total ports capacity (e.g. 36 ports from a 48-port switch); the other 25% of the ports will be reserved as spares for future use. Similar reserved capacity will be provided in the Distribution and Core levels of the network, with a minimum of 25% capacity left in the form of available ports on the provided modules.

5.1.7.8

The network over subscription ration general rule will be as follows:

Access to Distribution 20:1

Distribution to Core 4:1

5.1.7.9All Access Switches will be Layer 3 / Layer 2 switches. All LAN equipment will be provided with redundant power supplies and redundant fans. For the chassis based Distribution, Core, the power supplies, and the processing cards will be fully redundant to provide a fully fault tolerant unit.

5.1.7.10A separate UL Listed Network Passive and Active devices will be provided for Nurse Call system within the hospital. The network will meet all performance criteria required for the main network.

5.1.8 teleCommuniCations rooms (trs)

5.1.8.1 Hospital Data Center/MDF

An MDF will be located in each Hospital building. It will contain the primary distribution layer of the LAN topology and will connect each Hospital building to its campus LAN core located in the campus Data Center(s) or redundant MDF. The MDF will house head-end equipment such as Nurse Call, IPTV, security, patient education and entertainment networks, and LAN/CAN communications hardware. Each IDF within the Hospital buildings will connect to the MDF with fiber optic and copper backbone cables. The building power feed to the MDF will be backed up by emergency standby power. UPS units will be required to manage transitions to emergency power. It is recommended that a central UPS system is used to provide standby power to MDF equipment rather than individual rack-mounted UPS devices. A central UPS system will be used to provide standby power to MDF equipment rather than individual rack-mounted UPS devices.

5.1.8.2 Service Entrance Rooms

Each Hospital building will contain two Service Entrance Rooms, or Building Entrance Rooms (BERs), on the ground level or lower level. These rooms should be located at the perimeter of the building and have direct access to the telecommunications duct banks. The Service Entrance rooms contain Building Entrance Terminals for outside plant communications cables and provide connectivity to building communications cables. Each Service Entrance room will be 20 square meters minimum, and may be co-located with the MDF room provided that the room size takes into account requirements for both functions.



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5.1.8.3 Telco Utility Room

Where required, Saudi Telecom Rooms (STC Rooms) will be located on the ground level or lower level. The STC Room contains the termination point for the Telcos service cables and houses equipment. Saudi Telecom requirements include the following:

Each STC Room shall be 20 square meters (4.0m x 5.0m), and must be separate from the MDF and Service Entrance rooms. The room must be accessible from the building exterior or from a building lobby.

Door shall be solid (no glass) that is aluminum or steel and shall have access control

A 300 mm raised floor is required. The floor shall be rated for 1500 kg/SM. The raised floor should be accomplished via a depressed slab to avoid access ramps.

Ceiling height shall be a minimum of 2.8 meters, with 3.4 meters preferred.

Provide a minimum of two (2) 4 (100 mm) conduits from the room to nearest STC communication manhole

The room shall not be located near electrical distribution equipment or transformers to prevent EMI/RFI.

5.1.8.4 GSM Rooms

Saudi Arabia has three service providers for mobile phones (Global System for Mobile Communications, or GSM). Space shall be provided to allow for these service providers to house equipment.

Each space shall be a minimum of 3.0m x 3.0m, three spaces total. The spaces may be co-located within one room so long as there is physical separation within the room.

These spaces do not require exterior entries but should be on the ground floor or in the basement.

These spaces may require a shaft to the roof for antennas, to be confirmed with the GSM service providers.

GSM & Tetra service within hospital shall be provided by the service provides, however contractor shall provide

necessary containment system for the GSM & Tetra.

5.1.8.5 IDFs

Each Hospital building will contain multiple IDFs located in a direct riser topology, with at least one IDF per floor. The quantity of IDFs per floor will be determined by the floor size and geometry, and spaced so that work area outlets will be within approximately 60 meters of an IDF. Maximum Horizontal cable length shall not exceed 90 meters between the telecom outlet and the IDF patch panel port. Horizontal cabling for voice, data, wireless, IPTV, Nurse Call, A/V elements, security systems, and other low voltage technologies will terminate in IDFs. Equipment room space on the penthouse level will be designated as the Point of Presence (POP) for roof-top antenna system services.

Communications backbone cables will connect the IDFs to the MDF. The building power feed to the MDF will be backed up by emergency standby power. UPS units will be required to manage transitions to emergency power. Central UPS system shall be used to provide standby power to IDF equipment rather than individual rack-mounted UPS devices. Each IDF will be approximately 20 square meters (4.0m x 5.0m). The minimum size will be 17.76 square meters (3.7m x 4.8m) unless specifically noted in the Tender Documents. IDF closets may be used for housing & utility building only.

IDFs will be designed and coordinated to accommodate systems and equipment that include but are not limited to:

Termination and patching facilities for the horizontal cabling.

Termination and patching facilities for the fiber optic backbone cabling.

Termination and patching facilities for the copper backbone cabling.

Hardware and racking for Network Access devices.

Converged/Common Network Access devices.

AV equipment.

Wireless LAN networking equipment.

Building Management Systems.

Security Systems.

Fire Alarm panel.

Distributed Antenna System (DAS) provided by a GSM and public safety radio provider.

Vertical riser pathways

5.1.8.6 The following are the minimum requirements for all Telecommunication Rooms in each NGHA hospital facility:

Full-wall, 2-hour fire rated partitions between structural floor and ceiling for physical security and fire protection.

All penetrations of fire rated walls shall be fire stopped in an approved manner to prevent the passage of flames, smoke, and fumes.

Dry-pipe building sprinklers or appropriate fire protection as required by code. Larger rooms may be provided with clean agent automatic fire suppression systems.

Rooms shall be fitted with smoke detection and fire alarm system for detection and alarm notification to the BMS and fire management systems.

The walls, floor and ceiling shall be sealed, cured and painted to eliminate dust.

Finishes in these spaces will be light in color to enhance lighting and will be applied before room fit out.

Walls will be fitted with AC grade 20mm (3/4") Fire treated Plywood. No infrastructure or element will be mounted directly to any wall.

Telecommunication Rooms will be stacked vertically floor-to-floor with connecting sleeves for backbone distribution where applicable.

No suspended ceiling will be installed in Telecommunication Rooms; however, when required for plenum to channel return hot air, acoustical ceiling will be provided such as the case with Main Equipment Room.

A lockable outward-opening door will be provided, along



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with access control card readers for restricted access.

Lighting requirements will be at a minimum of 500 Lux maintained at 1 meter above finished floor. In addition to emergency lighting served by the building emergency power system, self contained emergency lighting fixtures with battery packs shall be provided in each telecommunications room.

High temperature and access alarms that report to the security and Building Management System panels.

Adequate emergency power to maintain network operations during occupancy; building or facility dependent.

Lighting fixtures, motors, air conditioning, etc shall not be powered from the same electrical distribution panel as the technology equipment in the room.

Rack and ladder layouts (final layouts to be determined).

Wall-mounted telephone will be provided inside the spaces.

24/7 cooling via a separate HVAC unit, powered by the building emergency power system, and controlled by a thermostat within the room or remotely via the BMS network, will be planned for the spaces. The recommended environmental limits for these spaces are as follows:

Main Distribution Facility rooms, service provider spaces:

Temperature: 18-27 C

Maximum Relative Humidity: 60%

Telecommunications Rooms:

Temperature: 5-35 C

Relative Humidity: 8-80%

5.1.9 outsiDe plant osp anD BaCkBone CaBling

5.1.9.1The campus-wide backbone and intra-building backbone cabling infrastructures will consist of high strand count Single Mode fiber

optic cabling. Overall, the fiber infrastructure will be provided with a minimum of 100% spare capacity in all runs after the IT systems are implemented, but not less than the quantities indicated in the Bill of Quantities. All fiber will be run in a manner to minimize fiber splices, and no run from end to end will contain more than two (2) fusion splices unless noted otherwise.

5.1.9.2 Horizontal Structured Cabling

Voice, data, and networked video requirements will be supported using Cat 6a Unshielded Twisted Pair (UTP) cables, at a minimum, extending from each IDF to each Work Area Outlet (WAO). Outlets will be configured with a quantity of cables appropriate for the location, and will conform to ANSI/TIA-1179 recommended WAO densities. Rooms designated with low density will contain 2 to 6 outlets, medium density will contain 6 to 14 outlets, and high density will contain more than 14 outlets. The cabling will be planned to accommodate future equipment needs, diverse and increasing user applications, ongoing maintenance, relocation, sustainability, flexibility, and service changes. Redundant copper cable connections to each Nurse Station and other critical areas will be included to provide analog telephone communications for use as a backup from the main telephone system. In the IDF, all cables will be terminated on rack mounted modular terminating patch panels according to ANSI/TIA 568-A or B.

The maximum horizontal cable length is 90 meters for Cat 6a cables. The additional length of patch cords shall not cause the total channel length to be more than 100 meters. As a rule, horizontal WAO connections will start and finish on the same floor with no cross-floor connections. Occasionally, in areas where critical redundancy to the WAO is required, cross-floor connections will be employed.

Cable Infrastructure in IDF/MDF Rooms: Horizontal cabling will be supported within each IDF by cable ladder rack, ladder rack supports, waterfalls, and Velcro straps (not cable ties). No infrastructure attachment will be permitted to attach directly to the IDF wall. All attachments must be placed on fire-retardant painted AC

grade plywood. Cabling will be placed in wall mounted slack-loop supported by D-rings after entering room and prior to terminating on equipment rack.

Cable Infrastructure in Main Corridors: Horizontal cabling will be supported in main corridors, according to the Tender Documents.

5.1.10 teChnology inFrastruCture

5.1.10.1The technology infrastructure will consist of cable tray, ladder rack, conduit, back boxes, and spaces that carry, house, and transport voice and data traffic from the point of origin to the point of use. This infrastructure will be designed to support secure and reliable wired and wireless communications for clinical, facility, and information systems applications throughout each NGHA Hospital. Systems will be properly sized, taking into account potential for future expansion and limits on spaces above ceilings.

5.1.10.2

Outlets: Work area outlet components consist of the faceplate or housing, cable terminations, and patch cords for connecting the end user devices to the horizontal cable link from the local TR. Outlets will be built into headwalls and furniture, as appropriate.

5.1.10.3

Grounding and Bonding: The structured cabling infrastructure design will be provided with a reference signal grounding and bonding system, designed and installed in accordance with the TIA/EIA 607-A Grounding & Bonding and/or local codes and standards documents. The primary purpose of the equipment grounding system is to ensure personnel safety and reduce the likelihood of a fire hazard by facilitating the operation of over current within devices.

5.1.10.4

Identification: An effective administration and labeling system is crucial for the efficient operation and maintenance of the converged network infrastructure and connectivity system and all its components, particularly within a multiple building, large campus environment such as the various NGHA campuses. The existing campus identification standards for Maternity Hospital, KAMC-



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CR Riyadh, King Abdullah Specialized Children Hospital, KAMC-WR Jeddah, and Neuroscience Center Jeddah will be utilized to uniquely identify each pathway segment, technology space, cabinet or rack, patch panel, cable, and network device installed within the campus technology system. It is assumed that similar identification standards will be employed for the new Taif and Qassim campus facilities.

5.1.10.5

Cabinets/Racks: All active and associated equipment will be housed in equipment cabinets within the MDF, Service Entrances, and IDFs. Equipment cabinets will be lockable, 483 mm (19) rack mount width conforming to TIA standards, and will be oriented with front to back ventilation to establish hot aisles and cold aisles in the rooms, coordinated with HVAC equipment. All equipment cabinets will be equipped with vertical and horizontal cable management and dual power distribution strips.

5.1.11 VoiCe CommuniCation systems - telephone

5.1.11.1

Telephone service will be provided based on VoIP solution. Telephone service to the desktop work areas will be provided by Voice over Internet Protocol (VoIP) technology, enabling a data information sharing platform over the telephone. This is the recommended method of phone service. Wireless VoIP phones will enhance care by providing a convenient method of communications. Future caregiver phones will provide physicians and staff with convenient access to patient information and aid in the reduction of medical errors by interfacing and integrating with electronic medical records. Phone handsets located within patient rooms will be normally be analog unless otherwise advised by NGHA.

The Maternity hospital, utility and structured parking buildings on the Riyadh campus will utilize the existing Telephony system, which will be extended as part of this project. Refer to Section 5.2 for additional information.

If a call processor unit is required for the proposed new

hospitals in lieu of an extension of an existing campus system, the equipment will be located in the campus Data Center or the Hospital Disaster Recovery Center / MDF.

5.1.11.2

The system will interface with various audio video conference systems. Subject to final calculations for each hospital, the system will be provided to serve approximately 1,500 to 3,000 endpoints initially, depending on each specific hospital, and will be capable of serving ultimate 5,000 endpoints. The system will allow initial endpoints installed with Direct Dial Inwards (DDI) telephone numbers as needed.

5.1.11.3Gateways to serve a trunk line capacity of 300 trunk lines initially using shall be provided E1 digital trunk technology or SIP protocol as coordinated with each campus and Local Service provider. The external lines will be distributed between the primary and secondary service providers entrances at the campus data centers for redundancy.

5.1.11.4As a minimum, but not limited to, the VoIP devices/server, software and handsets will be required to support the following industry based, standard protocols, and specifications:

10/100/1000Mbps Ethernet.

802.1p QoS prioritization.

802.1Q VLAN configuration.

G.711, G.729, G.729a codec/compression methods.

Voice encryption using industry standard AES encryption.

Session Initiation Protocol (SIP) signaling.

H.323 suite of signaling specifications.

Q.SIG suite of specifications, including Q.931 for call connection and control for ISDN services.

Dual Tone Multifrequency (DTMF) capabilities.

Network Time Protocol (NTP).

Lightweight Directory Access Protocol (LDAP).

Media Gateway Control Protocol (MGCP).

Real-time Transport Protocol (RTP).

Real-time Transport Control Protocol (RTCP).

Resource Reservation Protocol (RSVP).

Video Conferencing (ITU-T.120).

Computer Telephony Integration (CTI).

5.1.11.5Interactive Voice Response (IVR) with speech recognition capabilities will be provided to provide callers the ability to navigate to destinations after being presented audible menu options. Voice Mail & Unified Messaging will be part of the system. All lines, subject to activation of service, will be provided with Voice Mail capability.

5.1.11.6A Healthcare productivity System shall be included as part of the Voice Communication Systems. This system shall utilize wireless Personal Digital Assistant (PDA) devices to enhance medical care productivity.

5.1.12 wlan/ wireless VoiCe

5.1.12.1

A building wireless LAN system will accommodate real-time point of care/activity information retrieval. In addition, this system could allow for building wide uninterrupted paging, and PDA. It is recommended that the system use discrete access points. Access points will be considered "light weight and will be controlled via a backend engine. Wireless networks will be designed to carry wireless traffic for voice and data systems including, but not limited to, Nurse Call, Physician Portal, Patient Monitoring, Alarm/Alert Notification and Management, and future capabilities for PACS, Patient Registration, Patient Location, and other Personal Area Network (PAN) capabilities.

5.1.12.2

Medical Telemetry Note: this system will be provided by the Medical Equipment Planner. This system may run on a dedicated wireless



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network or on the hospital wireless network system that is to be built for voice/data.

5.1.12.3

The WLAN will be based on IEEE 802.11n. The WLAN will be certified WiFi 802.11 a/b/g/n - dual-radio 2.4 & 5 GHz, 3x3 MIMO with two spatial streams, Auto 20/40 MHz channels, Data rates up to 600 Mbps, PoE enabled, detachable antennas of which the 802.11b mode will be disabled in all Access Points.

5.1.12.4

The WLAN will utilize Lightweight Access Points with Wireless Controllers in the campus data centers. The WLAN Minimum Guaranteed Rx Signal will be -65 dbm and the Minimum Guaranteed Data Rate will be 24 Mbps. The WLAN Radio Management will be automatically adjustable in 0.5 dBm increments to maximum 20 dBm. The WLAN will provide multiple Service Set Identifier (SSID) to support public and private operations. The WLAN Roaming will be provide seamless transfer without re-authentication within the same facility; thus allowing continuous tracking for the RTLS. The WLAN will provide Quality of Service using 802.11e and Wi-Fi Multimedia (WMM) and will support IPv4/IPv6, 802.1Q VLAN, VPN enabled and Multicast to Unicast. Lastly, the WLAN will be provided with a full graphical planning, configuration, auto sensing, and monitoring suite including graphical maps and real time visualization.WLAN shall be utilized in all hospitals as well as structured parking, learning center, administration and housing buildings.

5.1.12.5

WLAN shall be utilized in all hospitals as well as structured parking, learning center, administration and housing buildings.

5.1.13 DistriButeD antenna system

5.1.13.1Space in telecommunications rooms to serve future distributed antennas will be reserved for future Distributed Antenna Systems provided by a GSM and public safety radio provider.

5.1.14 nurse Call

5.1.14.1Each of the NGHA hospitals will require a nurse call system to enable communication between patient rooms and staff, allow staff to call for assistance in treatment/diagnostic rooms, and provide emergency call stations in areas patients could be unattended by staff, A code blue system with buttons in patient rooms, treatment rooms, and diagnostic rooms will also be provided.

5.1.14.2

The system is comprised of nurse consoles, staff stations, patient stations, emergency call stations, corridor lights, auxiliary input stations, bed interface devices, pull cords, and tracking sensors. The system will be network-based and consist of a distributed architecture based on an UL listed IP network.

5.1.14.3Locations of nurse call system devices per 2010 AIA Guidelines & NGHA requirements for Design and Construction of Health Care Facilities include, but are not limited to:

Nursing Units

Inpatient Bed Location

Patient Toilets, Showers and Baths

Nurse/Control Station

Clean Workroom

Clean Supply Room

Soiled Workroom

Soiled Holding Room

Medication Preparation Room

Examination/Treatment Room

Staff Lounge

Clean Linen Storage

Nourishment Area or Room

Equipment Storage Room

Multipurpose Room

Other Clinical Areas

Operating Rooms

Procedure Rooms

LDR/LDRP Rooms

Recovery PACU Rooms

Emergency Exam Rooms

Emergency Treatment Rooms

Emergency Triage Rooms

Patient Preparation and Holding Rooms

Critical Care Bed Locations, including NICU

Newborn and Special Care Nurseries

Cardiac Catheterization

Interventional Radiology

MRI Suites

CT Rooms

5.1.14.4The system will provide a means of communication between patients and clinical staff utilizing the VoIP and wireless communicators to enable staff members to communicate with patients regardless of the staffs location within the facility. It shall be capable of interfacing various third party wired and wireless network devices (pagers, Vocera phones, or similar) with the system to facilitate communication between patients and staff to improve efficiency of patient care.

5.1.14.5The code blue system will alert staff of life threatening conditions that need immediate response.



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5.1.15 meDiCal/CliniCal system ConneCtiVity

5.1.15.1Clinical Systems including imaging, patient monitoring system, operation room, etc. will be provided by the medical equipment planner.

5.1.15.2

A standalone Clinical systems network will not be provided unless required by the system provider; based upon the Medical Planners recommendation, a common network for clinical and non-clinical information systems will be provided in accordance with NGHA practices. Medical equipment will utilize the Storage Area Network (new or expansion) provided at each hospital as part of this contract.

5.1.16 iptV/patient eDuCation anD entertainment

5.1.16.1

IPTV system will be utilized to feed each of the proposed NGHA Hospitals with television service. Set top boxes will be employed for each TV location to receive IPTV signals over the network from the campus TV streaming servers. Standard Cat 6a outlets will be utilized for horizontal cabling connectivity.

5.1.16.2

Separate TV signal modulators, streaming servers, and middleware servers will be provided to establish a standalone IPTV system for the facility. Television sets will be hospital-grade where required.

5.1.16.3Patient Education and Entertainment content will be provided at public and common areas. These features will not be required in patient rooms. Provided content will be at the sole discretion of the Employer.

5.1.16.4IPTV shall extend to service housing, administration, housing adminstration buildings as well as recreational, commercial and

learning centers

5.1.17 interaCtiVe patient inFormation / way FinDing systems inFrastruCture

5.1.17.1These systems provide dynamic maps of the facility, scheduling of future appointments, information portals, and customer satisfaction surveys. Areas will be identified as points of visitor access into the system (includes both virtual and physical contact points). It is assumed that minimal digital signage will be employed near hospital entrances and public gathering spaces. Digital signage capabilities will be specified as a part of the IPTV system.

5.1.17.2

Network connectivity for wayfinding systems, information kiosks, or other interactive patient information will be provided by the common network and associated infrastructure. Specific software, field devices, and system design will be provided by the signage consultant as required.

5.1.18 auDio/Visual & teleConFerenCing

5.1.18.1Each NGHA Hospital as well as administration & housing administration buildings as well as children learning and staff recreational will contain spaces dedicated for conference, training, and education rooms as well as patient entertainment spaces (clinical and non-clinical). All of these areas may be used for presentations. A/V requirements will be customized to the spaces that house them, depending on use, room size, and ancillary requirements. Design consideration for each space will be defined based on best practices to provide users with needed features and flexibility. Typical small departmental conference rooms could consist of a wall mounted flat panel display screen. More complex systems found in large conference rooms and board rooms could include motorized screens, projectors, and speakers, sound reinforcement, discrete microphone placement, overhead document readers, and smart boards with integrated video conference capabilities. Mosques shall sound system in Jeddah, Taif & Qassim sites.

5.1.18.2 A/V systems and devices will include:

Motorized Projector Screens

Electrically Operated Front Projection Screens

Ceiling Mounted Video/Data Projectors

Electronic Cinema Film Projectors

A/V Floor Box Input Plates

A/V Wall Mount Input Plates

Teaching Table AV and Laptop Connections

Podium A/V and Laptop Connections

Multi-Format DVD Blue Ray Player

Video Teleconferencing System

Audio Teleconferencing

Audio Teleconferencing through IP Phone

Program Sound System

Voice Reinforcement System

Flat Panel Display

Flat Panel Display With Speakers

Audio Volume Control

Wireless Keyboard/Mouse

Wall Mounted Program Speakers

Ceiling Mounted Speakers

Document Cameras

Resident Computers

Microphones In Tables

Wireless Microphones

Wired Microphones

Handheld Microphones

Digital Audio Players

IPTV Set Top Box

Audio Monitoring System

Large Touch Panels



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Wireless Touch Panel

PTZ Cameras

Joystick Camera Control

Room Reservation Display Outside Room

Room Scheduling and Management Software

A/V Central Systems Management and Software, Servers and Workstations

5.1.18.3Preliminary Room types and examples of A/V equipment in each type follows. See the A/V Schedule for a complete listing of rooms and recommended A/V equipment.

Large Conference Rooms will support the senior level administration of the Hospital. It is expected that these spaces will vary in architectural fit and finish but will incorporate similar technologies. A/V equipment will include front projection display, integrated supplemental flat panel displays in custom furniture, video teleconferencing, DVD, IPTV, robotic cameras, low profile table microphones, integrated control touch screen, etc.

Multipurpose rooms are typically large spaces that can be subdivided into smaller rooms for different uses. Due to the nature of these environments, the audio systems and front projection systems are typically the only components permanently installed into the space. When divided, the segments' audiovisual systems are fully self-contained and function independently. When combined, the segments' audiovisual systems combine to function as a single entity. Laptop, video, audio, power and network connections will be provided in floor boxes throughout. Furniture will be furnished with table-top flip-up panels containing power, network, laptop, and A/V connections or as coordinated with Architect. Control over the rooms will be via wall-mounted control in each segment and a wireless touch screen for use either at the lectern or table top. The control system programming will feature automated setup macros for different room

configurations via single button presses.

Staff meeting rooms and small conference rooms will have technologies present to allow for presentations and curriculum development. Typically, they will have a wall mounted flat panel display and a resident PC along with a laptop plug-in point at the table. Program audio will come from the flat panels internal speakers and a conference phone is typically available on the table. Control is handled via the flat panel infrared handheld remote. In addition to audiovisual equipment supporting computer display, staff meeting rooms are typically outfitted with whiteboards and tack surfaces.

Large classrooms typically are laid out for the Instructional model of education, with the students arranged in rows facing the instructor at the front of the room. A front projection screen with ceiling mounted projector is typical with display sources including an instructor PC and other media such as DVD and IPTV. Medium classrooms are suitable for the Instructional model as described under the Large Classroom system, along with the Collaborative model where students sit in small groups and utilize localized display systems and individual laptop connections to support smaller group collaboration. A larger display for instructor presentations is also a key element in the Collaborative classroom though an expanded audiovisual switching system is needed to provide the flexibility required to adjust to the different dynamics in Collaborative Learning.

Hospital Operating Room Systems Integration the OR integration system will route video signals from headlight cameras, surgical light HD cameras, through an A/V control system to viewing monitors from control touch panel. Video images will be capable of being sent to and from conference rooms, consultation rooms, another OR, video recording systems, both within and outside the facility. The operating room integration system may include these devices: Control touch panel, room cameras, surgical light cameras, viewing monitors, iPod/iPad/Tablet, MP3 or CD player, speakers, lighting control. The video control software will be included to control these devices from the control touch panel in an intuitive user interface. The system will also be able to

route PACS images and surgical data or check lists to the viewing monitors. Physicians and nurses in the operating room will have control of various A/V digital devices including routing images from source devices to various destinations, start and stop digital image capture, control of phone systems for real time consultation with other professionals in the facility, conduct video conferencing for teaching purposes, control surgical lighting, and listen to music during a procedure. The OR video integration system will be provided by the medical/clinical system contractor; the IT contractor will be responsible for overall network connectivity as required and any additional A/V devices required within the ORs and other medical facility rooms such as cameras for off-site education/medical diagnosis. See both the Medical/Clinical System and A/V Schedules for additional information.

Mosques sound system shall include speakers, digital line arrays, outdoor horns, input sources, microphones, etc.

5.1.18.4The Central Systems Management and Software system will be a client/server network based system to provide network based remote room control, resource management, monitoring, and scheduling capabilities in support of audiovisual systems that have integrated networked control systems across the campus. It will also serve as the core system for audio visual help desk support across the campus. Touch screen controllers will be provided outside of each audiovisual enabled space where room schedule information can be displayed and edited.

5.1.19 master CloCk

5.1.19.1A Master Clock System will be deployed consisting of clocks, transmitters, and receivers using global positioning system (GPS) wireless technology to synchronize time without the need to reset clocks for time changes or power outages. The GPS time signal will be synchronized to the data network to keep all system clocks and computers on the same time. This will keep documentation consistent.



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5.1.19.2

Clocks will be located in patient care rooms, clinical spaces, and public areas. They will have a wired data connection. Wall-powered clocks will be provided in lieu of battery-powered clocks. Clock shall also be located in utility buildings, mosques as well as administration, housing adminstration buildings, recreational, commercial & learning centers in public areas and main corridors.

5.1.20 seCurity aCCess Control

5.1.20.1

The Access Control System (ACS) will be designed to provide positive control of the hospital building. This will include control of the main facility entrances, loading dock areas, staff entrances, control of public access into various areas of the facility including treatment areas and patient areas, and will include all vertical circulation within the facility including elevators and stairways. The Access Control System will allow for time schedules for the unlocking of perimeter doors based on operational hours and public access hours such as visiting hours. The Access Control System will also allow for the locking down of the building perimeter or internal zones during a security event.

The Maternity Hospital, KAMC-CR on the Riyadh campus will utilize the existing ACS system, which will be expanded as part of this project. Refer to Section 5.2 for additional information.

5.1.20.2

The access control system will use a combination of access media such as smart cards, card readers, door hardware, door position monitoring equipment, and access control components to fully monitor and control access throughout the facility. The ACS will control access and provide tracking of all access and attempted access event as well as log and enunciate all alarms on the system at the alarm monitoring workstation. The ACS will be used to segregate employees and visitors to specific areas or zones, allowing or denying access based upon user rights, time schedules, programmed rules, or any combination of the above.

5.1.20.3

All Cards will be contactless Smart cards with 32Kbit of memory. All card readers will be contactless type readers and will have be equipped with a Light Emitting Diode (LED) display and an audible device to provide visual and audible feedback to the user for access granted and denied. All Card readers used for critical areas will be provided with keypads to allow for the reader to be able to read contactless smart cards in addition to requiring the use of a Personal Identification Number (PIN) for heightened security. All Card Readers used for High critical areas such as Pharmaceuticals and Narcotics Storage Areas and other sensitive and critical areas of the hospital will be equipped with biometric readers as well as card readers with keypads that are able to read biometric templates, from contactless Smart Cards. The biometric solution will not require physical contact with the user for hygienic reasons.

5.1.20.4

The ACS will consist of IP based, redundant, real-time host processors/servers, multiple workstations and terminals, and a hierarchy of IP based intelligent field panels that connect specified readers, portal input devices, portal output devices, monitor and control devices. The system will be capable of routing individual alarms to specific workstations.

5.1.20.5

The ACS will be interfaced with the Video Surveillance System (VSS) to provide nearby cameras call-up upon ACS alarm. The ACS will be interfaced with the Fire Alarm System to provide release of doors in the path of egress as required to provide egress.

5.1.20.6

The ACS will include an Identity Management sub-system, which allows for the enrollment of personnel, storage of information, capture of biometric templates, and the production of Identification Badges for use by the staff for access to and within the facility. The ACS will provide high security printing capabilities including security overlays and holograms. The system will include a minimum of four (4) Identity Management Workstations per facility with full data entry, photo capture capability, and card printing. The card printers will be capable of printing cards on both sides and will be able to produce a double sided, full color card in less than 60 seconds.

5.1.20.7

The ACS will include a minimum of 5,000 smart cards per Hospital along with sufficient printer supplies such as printing ribbons and holographic overlays to print all of the cards in a double sided printing configuration. Location of Identity Management Workstations and access to the public will be determined during subsequent design.

5.1.20.8

The ACS shall include a Visitor Management System (VMS) to allow for the creation of temporary, non-access badges. These badges shall be for personnel or people that will be in the facility after hours or for a longer duration than a typical visitor. This population would include visiting doctors, medical personnel not permanently assigned to the facility, or other people such as VIP visitors, pharmaceutical and medical equipment representatives, technicians, etc. The VMS shall allow for the entry of data manually and the manual capture of a picture as well as allowing for the scanning of media such as drivers licenses and passports. The VMS will allow for the printing of a self-adhesive visitor badge with the persons name, picture (if desired), and access areas. These may be used in conjunction with assigning visitor badges that allow access via the ACS.

5.1.20.9

The ACS may be used for time and attendance and attendance purposes. Thus, all staff entrances will be equipped with Card Readers for IN/Out Registration. Telecommunication rooms, Critical Stores, Research Labs, Control rooms, and biomedical areas doors will be access controlled with proximity card readers.

5.1.20.10

Electrical and Mechanical room doors and emergency building exits will be monitored by Door position switches to report entries and door status.

5.1.20.11

Within the Hospital, certain doors within the staff circulation areas will be able to open automatically when the certain staff is approaching the door so that personnel will not have to access a card reader and show their card.



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5.1.20.12

The ACS and the Fire Alarm/Mass Notification System shall be integrated so that buildings or areas within buildings can be locked down or to allow the overall security level requirements to pass through a portal to be raised based on an event. For example, upon a security event, the perimeter of a facility may be locked down for standard users and only first responders or law enforcement will be allowed access.

5.1.20.13

The ACS control system shall cover all buildings included in this tender

5.1.21 ViDeo surVeillanCe system

5.1.21.1

The Video Surveillance System (VSS) will be designed to provide video surveillance of the hospital facility that will include coverage of public entrances and exits, staff entry and exits, exterior perimeter areas, loading dock areas, interior lobbies, elevator lobbies, elevators and public areas on the various hospital floors. The intent is to provide identification and recognition level video in these areas to allow for the tracking of people within the facility. In addition, the VSS will support the ACS system by providing coverage of all Access Controlled portals to allow for assessment of alarms from a central monitoring point.

The Maternity Hospital, KAMC-CR on the Riyadh campus will utilize the existing VSS/CCTV system, including the associated Storage Area Network (SAN) which will be expanded as part of this project. Refer to Section 5.2 for additional information.

5.1.21.2

The Video Surveillance System (VSS) system will be comprised of IP type Closed Circuit Television (CCTV) type cameras, the transport of digital video signals over the LAN to the digital video management system, the display of live camera video, and the archiving of all camera video onto long term enterprise-class storage facilities.

5.1.21.3

The cameras will be IP based cameras, both fixed, and Pan-Tilt-Zoom types, will include standard 4-CIF resolution as well as megapixel. All cameras will be viewable and recordable at full resolution, full color, and 30 frames per second.

5.1.21.4

The VSS will be based on IT standards to allow for the use of non-proprietary equipment for video transport, processing, and storage. The VSS will be a software based system that will allow for the simultaneous viewing, recording, and review of recorded video. The Graphical User Interface (GUI) will include a map based interface to allow for the selection of a camera based on location. The system will also include a video surround feature that will allow for the cameras that are adjacent to the current camera being viewed to be viewed and selected to allow for the following of a person. Upon selecting a new camera as the primary view, that camera will move to the center panel and the adjacent cameras will be repopulated around the primary camera automatically.

5.1.21.5

Dome fixed and Pan-Tilt-Zoom (PTZ) cameras with Dynamic wide range capabilities will be placed in the Hospital entrances and elevator lobbies. Dome Fixed and PTZ cameras will be placed in corridors near highly restricted areas, such as labs, communication rooms, main equipment room to identify person accessing these spaces. Fixed cameras will be places in all elevators to allow for the continuous monitoring and recording of all elevators. PTZ cameras will be provided in all loading dock areas to allow for situational awareness and record all incoming and outgoing supplies, equipment, etc. Dome fixed and PTZ cameras will also be placed in public areas such as lobbies, waiting areas, and in strategic areas as required to support the ACS system and provide assessment of ACS alarms. Outdoor Megapixel cameras will be provided at all outdoor areas to provide general surveillance.

5.1.21.6

The communication between the cameras and the system head-end and storage will be via the general Local Area Network (LAN).

5.1.21.7

The VSS will be fully redundant such that the loss of any individual system component (excluding actual camera loss) will not degrade video performance or prevent recording to or retrieval of video from the Data Centers SAN

5.1.21.8

All video will be stored on the Storage Area Network expansion provided as part of this project. The SAN capacity will be provided to allow all cameras to be stored at their native resolution, full color, at 15 fps during motion in the camera field of view or based upon alarms and at 7.5 fps during periods of inactivity. All video will be stored for a minimum of thirty (30) days. It is anticipated that cameras will view motion for 50% of the time in a typical 24 hour period.

5.1.21.9

The system will also include video analytics, at the camera and server levels, as required to provide perimeter detection of the facility and in remote areas of the facility.

5.1.21.10

The system will be interfaced and integrated with the Access Control System to provide assessment capabilities and documentation of all alarms. The system will automatically call up fixed cameras or call PTZ cameras presets and view the video based on alarms.

5.1.21.11

The VSS control system shall cover all buildings included in this tender.

5.1.22 inFant proteCtion system

5.1.22.1

The Infant Protection System will assure that all infants within the Labor and Delivery Department, Neonatal Intensive Care Unit (NICU), and Post-Partum Patient Room areas are not to be separated from their mothers/care providers or removed without authorization from the premises. The Infant Protection system utilizes coded wrist and ankle hospital type bracelets on infants



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and parents/mothers to prevent the unauthorized removal of an infant from specific areas of the hospital and to assure a positive match between infant and parent/mother. The system will monitor all egress or vertical transport areas of the protected area and sound an alarm if an attempt is made to remove an infant without authorization from a designated area or without the presence of the mother of the child. The system will interface via the main campus LAN to the VSS system to provide camera call-up upon alarm and also with the Access Control System, elevators systems, and other conveyance to automatically shut down and to prevent the removal of an infant from the specified area.

5.1.22.2

The system will be comprised of sensors at egress or vertical transportation areas to detect any infants brought to the area. Upon detection of an infant passing through a portal in an unauthorized manner, the system will alarm and provide notification of the alarms at the local workstation and at the Hospital Security Office. The system will monitor door status such that an infant passing by a secured door will not cause an alarm. The system will monitor all tag heartbeats and alarm if a tag is tampered with, does not respond to routine poling, or if the band is cut or damaged.

5.1.22.3

This system will be provided in all areas of the hospital where newly born infants are present such as, but not limited to, the Labor and Delivery Areas, the Nursery, Patient Rooms for new mothers, and all NICU areas.

5.1.22.4

The system will support multiple birth capability (e.g. twins, triplets...etc) and will be able to assign an infant to more than one parent tag to allow both mother and father to be able to be positively matched to the infant or infants.

5.1.22.5

Tender Pricing will include a minimum number of infant tags and parent tags per Hospital. See the specifications and Bill of Quantities for specific quantities required at each Hospital.

5.1.22.6

The system shall be integrated to the VSS system to allow for camera call-up upon the detection of an infant passing through a protected portal or area in an unauthorized manner. Upon alarm detection, fixed cameras at the portal shall be called up on the VSS workstation, PTZ cameras in the area shall be called up and preset positions called to provide coverage of the area in alarm on both the more and less secure side of the portal. If the alarm is for a stair or elevator, call-up shall include cameras on the interior of the elevator or any cameras on egress doors for the stairs at ground level.

5.1.22.7

The system shall be integrated to the ACS to allow for an authorized user on the access control system that is authorized to take an infant through a portal to access a portal and take an infant through the portal without setting off the Infant Protection Alarm. The ACS shall provide the user information to the Infant Protection System to document who took the infant through the portal.

5.1.22.8

Infant Protection Systems will be provided in all hospitals included in this Tender Package except for the Neuroscience and Trauma Care Center, KAMC-WR facility.

5.1.23 seCurity sCreening equipment - BuilDing

5.1.23.1

Each Hospital will be provided with screening equipment to allow for screening of people entering the facility for weapons, explosives, and other contraband. The screening equipment shall include Walk Through Metal Detectors (WTMD), Hand Held Metal Detectors (HHMD), and Explosive Trace Detection (ETD) Equipment. Each facility shall be designed to allow the implementation of screening for all people accessing the facility during periods of heightened security. This shall include staff, patients, and the visiting public. These facilities may be temporary in nature or may also be used on a full-time basis dependent upon the facility.

5.1.23.2

Walk Through Metal Detectors (WTMD) shall be provided to screen all people entering the facility for metal objects. The WTMDshall be wide enough to allow for the passage of a wheelchair and shall be programmable for sensitivity by zone. Walk Through Metal Detectors shall be used for administration buildings and recreational, commercial & learning centers.

5.1.23.3

Hand Held Metal Detectors (HHMD) shall be provided to allow for secondary screening of any person that alarms on the WTMD.

5.1.23.4

Explosive Trace Detection (ETD) equipment shall be provided to allow for screening of bags and people for explosives. The ETD shall operate by using a swab or pad to take a sample from a bag or a person and then detect if any explosives or other substances are present. If any set compounds are detected, the unit will alert, indicating the compound found.

5.1.24 puBliC aDDress system (oVerheaD paging)

5.1.24.1

The Public Address (PA) System will provide the ability to distribute intelligible, loud, and uniform audio signals to set groups of speakers or zones in corridors and waiting rooms. The PA system will include field equipment including speakers, cabling, and paging microphones as well as the head-end equipment including the overall paging control system, digital signal processor, and amplifiers.

5.1.24.2

The PA system will be an IP based system that utilizes the network for distribution of audio programming from the head-end to the distributed PA amplifiers and field equipment. The ability to page



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from individual microphones/paging stations or the delivery of automated messages to specific zones will be fully programmable. The system will provide for the ability to page from the phone system by authorized users as required

5.1.24.3

The system will provide zoned and all call paging as required. Amplifiers will be distributed throughout the IDFs. This system will allow for pre-programmed messages, integration into the Building Automation System, Fire Alarm System, Nurse Call System, Infant Abduction System, and Building Security System. The system will have the capability of playing background music in selected areas.

5.1.24.4

The Public Address system will be zoned and programmable to distribute specific messages to specific zones while excluding other specific areas.

5.1.24.5

PA Zoning will be defined according to functional space. Zones will be organized so that a department area is contained in a zone and zones will not generally cover more than one department area. All buildings will be equipped with at least one general announcement zone that may be comprised of smaller sub-zones as required by the functional operation of the Hospital.

5.1.24.6

IP based Paging stations will be provided in all Operations/Security Centers, and main reception desks.

5.1.24.7

In large voids that have acoustically challenging environment, such as building entrances and venues, digital directivity array speakers will be utilized to achieve the required level of intelligibility and loudness. The contractor will be required to validate the speakers layout design with appropriate electro acoustical study.

5.1.24.8

PA system shall be provided for hospitals, administration, housing administration buildings and commercial center.

5.1.25 sounD masking system

5.1.25.1

This system will be provided in selected areas of each proposed NGHA Hospital. The Sound Masking Systems purpose is to reduce the propagation of sound to maintain privacy and improve the clinical environment for patients. Typical locations for this equipment will include nurse workstations and other clinical planning areas adjacent to patient rooms.

5.1.25.2

Masking frequency generators, control units, and amplifiers will be rack mounted in IDFs. Speakers will be located above the ceilings in covered areas.

5.1.26 Data storage

5.1.26.1

A new Storage Area Network (SAN), or an expansion of the existing campus SAN, dependent upon location, will be implemented as a central repository of Hospital data. The SAN will utilize Fiber Channel or Fiber Channel over Ethernet (FCOE). FCOE is the preferred option.

5.1.26.2

The Storage Area Network (SAN) will provide storage for, but not limited to, digital video storage for the Video Surveillance System (VSSS), storage to multimedia systems, storage for Audio/Visual. The SAN will be comprised of modular storage arrays, will be expandable, and will have sufficient size and speed to assure consistent storage.

5.1.26.3

The SAN can be expanded to serve all hospital healthcare records, medical imaging, personal storage, server storage, databases to support the medical systems, general storage, and special systems

storage.

5.1.26.4

The SAN will be sized to accommodate all of the storage provided under this contract, with overall size requirements per facility being noted in Sections 5.2, 5.3, and 5.4. The SAN will be fully redundant and the storage arrays will be configured in a RAID 6 configuration with hot standby drives ready in case of a failure. The SAN will be of sufficient speed to be able to rebuild the failed disk while still providing full operation without degradation in the overall performance of the SAN. The SAN will also be capable of performing all diagnostics and utilities required for Preventative Maintenance without degrading performance of the system. The SAN will be tied back to a Central facility for information sharing, backup, and redundancy.

5.1.26.5

The SAN will be capable of being expanded to a size noted in Sections 5.2, 5.3, and 5.4 per facility. All SAN controllers provided will be fully redundant and capable of accepting the expansion noted above without requiring any changes or upgrades.

5.1.26.6

SAN on-line storage (i.e. high speed Fiber Channel or SAS drives) will be at least 50% of total capacity to support low latency transactional applications. Near-line storage (i.e. Lower speed SATA II drives) will be used for higher latency applications such as reference applications, archival and backup data.

5.1.26.7

The SAN will provide automatic backup by taking periodic snapshots of active data in order to provide a method of recovering records that have been deleted or destroyed.

5.1.26.8

An automatic tape library will be provided to provide media archive for portion of the SAN capacity for critical data that are required to be kept off-site due to regulatory or disaster recovery requirements.

5.1.26.9

Off-site data protection and storage will be provided as part of the



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Hospital Operation and Maintenance of the Data Center.

5.1.26.10

The SAN shall be utilized for all other buildings under this tender.

5.1.27 meDiCal DiCtation system

5.1.27.1

A server/client based networked system utilizing medical dictation workstations with dictation USB based microphones will be located in various physician and clinical offices. Software shall include speech recognition technology to include multiple languages and user interface tools common to the health care environment.

5.1.28 utility anD non-meDiCal BuilDingsFor utility and non-medical buildings, ICT/LC systems shall follow the normal practices applicable for NGHA campuses, including provision CCTV surveillance for all entrances, Lobbies, fire escapes and exteriors, access control is provided for control and utility rooms, door monitoring for fire escapes and store rooms, public address and audio visual/sound systems shall be provided in some buildings, ICT (Telephone, Data & IPTV) outlets are distributed in all buildings to cover all technical and ID requirements in accordance with NGHA campus practices.

5.1.29 site speCiFiC issues

5.1.29.1

Specific issues regarding each site are detailed in the following narrative sections. Unless noted otherwise, all required ICT systems and associated materials specifications shall remain common to all hospital facilities at all sites.

5.2 RIYADH SITE

5.2.1 iCt projeCt DesCription

5.2.1.1

The Scope of work shall include provision of ICT & Low current systems for the below new buildings:

Maternity Hospital, Plaza Structure parking for Maternity Hospital Riyadh neurosciences Car park Hospital utility building

5.2.1.2

The ICT/Low current systems of the above buildings shall be provided by an expansion and/or upgrade of campus existing ICT/Low current systems head-ends serving the rest of the existing campus. Contractor shall provide all necessary hardware & software to expand system head-ends to cover for the new buildings including upgrades, licenses fees, extra.

5.2.1.3

Space shall be provided by the Employer at the Campus Data Center for this expansion/upgrade.

For redundant systems the primary server will be located at the Data Center & the redundant/backup shall be located in the Maternity Hospital MDF.

5.2.1.4

LAN connectivity between the existing data center and the hospital BERs shall be part of this tender package, including any required fiber optic cabling and associated civil infrastructure. Any works associated with Telecom provider service expansion to accommodate the new buildings shall be provided by the contractor.

Outside plant infrastructure shall be provided to facilitate connection of new buildings and the existing campus network in accordance with campus ICT network requirements.

5.2.1.5

Campus-wide systems to be expanded to cover new buildings includes:

Structured Cabling Network

IP Telephony System

LAN/WLAN

IPTV (Hospital only)

Security Access Control System

Video Surveillance System/CCTVOther systems including nurse call, infant protection, public address, A/V, master clock, etc shall be provided as new stand-alone systems fully integrated with the campus network systems.

5.2.1.6

Head-end servers and associated equipment for systems listed under 5.2.1.5 shall be available for utilization/expansion as part of this scope of work.

Any manufacturers listed within each system description are for informational purposes only. The

ict basis of design ngha - engineering-2

Documents

existing hospital

new hospital facilities

taif specialized hospital

qassim specialized hospital

existing campus of jeddah

maternity hospital

new medical campus

new campus sites