ICT Systems Design for National Guard Health Affairs Specialized Hospitals

5.
Information &
Communication
Technology ICT
NATIONAL GUARD HEALTH AFFAIRS SPECIALIZED HOSPITALS IN REGIONS

RIYADH JEDDAH TAIF QASSIM
Basis of Design (BOD) Part 1: Design Narrative
February 2012
PS11791
53
5.1
TYPICAL REQUIREMENTS ALL

SITES
5.1.1 Introduction
Today, 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

5.1 Typical Requirements - All Sites

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.
54
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.
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.
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 Maternity Hospital, KAMC-CR, as well as utility and structured

car parking buildings, being constructed within the existing Riyadh
The Hospitals will contain numerous security and safety systems

to provide a high level of safety and security for patients, staff, and


February 2012
PS11791-RPT-PM-01-Rev. 0
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
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.
5.1.3 ICT System Descriptions:
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
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
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.
Voice Communication Systems - Telephone
5.1.2.5
IPTV/Patient Education and Entertainment
ICT Design Criteria
Optimize process workflow
Wireless Voice
Nurse Call System
Computers, Printers, and Peripherals
Provide instant and convenient access to patient information
Infrastructure for dynamic patient and way finding

information
Provide effective integration of disparate clinical and facility
Audio-Visual & Teleconferencing Systems
information systems throughout the hospital and throughout

the National Guard Health Affairs services
Master Clock System
Enhance the patient and family experience
Security Systems
Continue the culture of patient-centered care
Access Control System
Maintain high levels of patient/family satisfaction
Video Surveillance (CCTV) System
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
Infant Protection System

Threat Detection System
Public Address System
Sound Masking System
Medical Dictation System
Audio Visual systems will be provided in the various
5.1.2.2
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.

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55
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:
International
Telecommunications
Telecommunications (ITU-T), ITU-T FG IPTV.
ISO: International Organization for Standardization

including:

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


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;
BICSI-TDMM: Building Industry Consulting Services

International, Telecommunications Distribution Methods
Manual
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;
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
56
Union
Institute of Electrical & Electronics Engineers (IEEE).
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;
802.1 LAN/MAN Bridging and Management
Class FA Amendment 1 to ISO/IEC 11801, 2nd Ed.
802.3 CSMA/CD Access Methods (Ethernet)
802.3ae 10 Gigabit Specification
ISO 9003 Model for Quality Assurance in Final

Inspection and Test
802.3z 1000 Base-S specification
802.3ab 1000 Base-T specification
802.3af/at Power over Ethernet
Joint Commission of Hospitals - Nurse Call Requirements
802.3u 100 Base-T spcification
NEMA: National Electrical Manufacturers Association
802.1Q VLAN
NFPA 72 National Fire Alarm and Signaling Code
802.1P Prioritization
NFPA 101 Life Safety Code
802.11 a/b/g/n CSMA/CA Access Methods (Wireless

LANs)
NFPA 99 Health Care Facilities Code
ISO 10012-1 Quality Assurance Requirements for

Measuring Equipment.
ISO 18000-6C EPC Gen2 UHF RFID Tags
NFPA 70 - National Electrical Code


February 2012
TIA-1179: Healthcare
Infrastructure Standard
Facility
Telecommunications
TIA/EIA-568-B.2:
Commercial
Telecommunications Cabling Standard
Building
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
Telecommunications Cabling
TIA/EIA-942:
Telecommunications
Standard for Data Center.
Outside
Plant
Infrastructure
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.
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
Systems
Requirements
for
Communication
The following generally depicts the physical location of proposed

ICT systems.
The 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.
5.1.6.2
5.1.6.9
5.1.6.1
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.
16703 Common Work Results for Communications
5.1.6.3
16725 Nurse Call System
At 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.
16726 Public Address System
5.1.6.8
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.
5.1.6.4
Communication rooms for mobile phone providers, or

Global System for Mobile Communication (GSM) rooms,
will be provided in each hospital.
At 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.
Communications infrastructure will consist of optical fiber

and copper communications cabling from other Employer
facilities and/or connections to outside service providers.
16744 Pathways for Communications Systems
5.1.6.5
16745 Communication Equipment Room Fittings
At 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.
Fiber optic cables will be provided for redundant

connections to the Employers existing network.
16727 Sound Masking System

16740 Communication Horizontal Cabling
16741 Communication Backbone Cabling
16742 Communication System Identification
16743 Grounding and Bonding for Communication
Systems
16750 Voice Communication Systems

16760 Data Network Systems
16761 Radio and Wireless Systems
16762 Computing and Storage System
5.1.6.6
16770 Master Clock System
New Main Distribution Facilities are proposed for all five hospitals.
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
5.1.6.7
NGHA 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.
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

February 2012
Saudi Arabia Standard Organization, SASO
5.1.6 ICT Project Description
UL 1076 - Proprietary Burglar Alarm Units and Systems.
57
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 48port power-over-Ethernet (POE) switches, configured in a stacktopology with two connections to the MDF distribution layer via the
redundant backbone topology.
58
5.1.7.5
5.1.7.10
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.
A 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.
5.1.7.6
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.
The network over subscription ration general rule will be as follows:

Access to Distribution 20:1
Distribution to Core 4:1
5.1.7.9
All 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.

February 2012
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 rackmounted UPS devices. A central UPS system will be
used to provide standby power to MDF equipment
rather than individual rack-mounted UPS devices.
5.1.7.8


5.1.8 Telecommunications Rooms (TRs)
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.
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.

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 rackmounted 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:
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.
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.
Termination and patching facilities for the horizontal

cabling.
Termination and patching facilities for the fiber optic

backbone cabling.
These spaces do not require exterior entries but should

be on the ground floor or in the basement.
Termination and patching facilities for the copper

backbone cabling.
These spaces may require a shaft to the roof for antennas,

to be confirmed with the GSM service providers.
Hardware and racking for Network Access devices.
Converged/Common Network Access devices.
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.
AV equipment.
A lockable outward-opening door will be provided, along
GSM & Tetra service within hospital shall be provided by

the service provides, however contractor shall provide
Telecommunication Rooms will be stacked vertically

floor-to-floor with connecting sleeves for backbone
distribution where applicable.

February 2012
Telco Utility Room
5.1.8.3
59
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
5.1.9.1
The campus-wide backbone and intra-building backbone cabling
infrastructures will consist of high strand count Single Mode fiber
60
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 crossfloor 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


February 2012
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

5.1.10.1
The 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-
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
Telephone
Systems
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
Lightweight Directory Access Protocol (LDAP).

Media Gateway Control Protocol (MGCP).
Real-time Transport Protocol (RTP).
Real-time Transport Control Protocol (RTCP).
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.
5.1.11.3
Gateways 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.
5.1.11.4
As 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.
Resource Reservation Protocol (RSVP).

Video Conferencing (ITU-T.120).
Computer Telephony Integration (CTI).
5.1.11.5
Interactive 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.
5.1.11.6
A 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.
Dual Tone Multifrequency (DTMF) capabilities.
5.1.12.2
Network Time Protocol (NTP).
Medical Telemetry Note: this system will be provided by the Medical

Equipment Planner. This system may run on a dedicated wireless
February 2012
5.1.10.5
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.
CR Riyadh, King Abdullah Specialized Children Hospital, KAMCWR 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.
61
network or on the hospital wireless network system that is to be built

for voice/data.
5.1.14.1
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.
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
5.1.14.3
Interventional Radiology
Locations 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:
MRI Suites
CT Rooms
Each 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.
5.1.12.4
5.1.14.2
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.
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.
Nursing Units
5.1.14.4
The 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.
Inpatient Bed Location
Patient Toilets, Showers and Baths
Nurse/Control Station
5.1.12.5
Clean Workroom
WLAN shall be utilized in all hospitals as well as structured parking,

learning center, administration and housing buildings.
Clean Supply Room
Soiled Workroom
5.1.13
Soiled Holding Room
5.1.14.5
Medication Preparation Room
5.1.13.1
Examination/Treatment Room
The code blue system will alert staff of life threatening conditions
that need immediate response.
Space 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.
Staff Lounge
Clean Linen Storage
Nourishment Area or Room
Equipment Storage Room


62
5.1.14 Nurse Call
Distributed Antenna System


February 2012
5.1.15 Medical/Clinical System Connectivity
learning centers
5.1.15.1
5.1.17 Interactive Patient Information / Way

finding systems Infrastructure
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
Entertainment
Education
and
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.
5.1.16.3
Patient 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.
5.1.16.4
IPTV shall extend to service housing, administration, housing
adminstration buildings as well as recreational, commercial and
These 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.
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
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
Audio Teleconferencing
Audio Teleconferencing through IP Phone
Program Sound System
Voice Reinforcement System
Flat Panel Display
Flat Panel Display With Speakers
Audio Volume Control
5.1.18.1
Each 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.
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
5.1.15.2
5.1.17.1
A/V systems and devices will include:
Clinical Systems including imaging, patient monitoring system,

operation room, etc. will be provided by the medical equipment
planner.
5.1.18.2
Large Touch Panels

February 2012
63
Wireless Touch Panel
configurations via single button presses.
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
5.1.18.3
Preliminary 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.
64
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 flipup 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
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


February 2012
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.
5.1.18.4
The 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

5.1.19.1
A 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.
5.1.19.2
5.1.20.3
5.1.20.7
Clocks will be located in patient care rooms, clinical spaces, and

public areas. They will have a wired data connection. Wallpowered 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.
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.
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.
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.
5.1.20.4
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.
5.1.20.9
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
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.
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.

February 2012
5.1.20.1
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 Security Access Control
5.1.20.8
65
5.1.20.12
5.1.21.3
5.1.21.7
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.
The cameras will be IP based cameras, both fixed, and Pan-TiltZoom 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.
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
5.1.21.4
5.1.21.8
The VSS will be based on IT standards to allow for the use of nonproprietary 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.
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.
5.1.20.13
The ACS control system shall cover all buildings included in this
tender
5.1.21
Video Surveillance System
5.1.21.1

5.1
Typical Requirements - All Sites

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.
66
5.1.21.5
5.1.21.10
5.1.21.6
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
The communication between the cameras and the system headend and storage will be via the general Local Area Network (LAN).

February 2012
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.
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.


5.1.21.9
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 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.
5.1.23.2
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.
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.
5.1.22.7
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
Building
Screening
Equipment
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.
5.1.23.3
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
5.1.22.2
5.1.22.6
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.

February 2012
67
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
storage.
PA system shall be provided for hospitals, administration, housing

administration buildings and commercial center.
5.1.26.4
5.1.25 Sound Masking System
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

5.1
Typical Requirements - All Sites

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.
68
5.1.24.8
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


February 2012
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
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 Buildings

For 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.
RIYADH SITE
5.2.1.5
Campus-wide systems to be expanded to cover new buildings

includes:
Structured Cabling Network
5.2.1.1
The Scope of work shall include provision of ICT & Low current
systems for the below new buildings:
IP Telephony System
LAN/WLAN
Maternity Hospital,
IPTV (Hospital only)
Plaza Structure parking for Maternity Hospital
Security Access Control System
Riyadh neurosciences Car park
Video Surveillance System/CCTV
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.
Other 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 Contractor shall
be responsible to verify existing campus systems by the
time of Notice to Proceed for this project and shall verify
manufacturers and models/versions of equipment with
the Employer prior to the start of construction.
All equipment modules and cabinets, hardware, software,
licenses, version upgrades or patches, and peripheral
devices required to integrate with or expand provided
head-end equipment for each system shall be included
in the Tender Pricing for this project.
If it is determined that expansion of existing head-end
servers is not possible or feasible for any of the systems
listed under 5.2.1.5, the Contractor shall provide
equivalent new integrated systems for the new hospital
in order to provide a fully functional system.
Where there are conflicts between the performance
specifications provided for this Tender Package and
existing system manufacturer expansion/integration

February 2012
5.1.26.10
5.2
5.2 Riyadh Site
Hospital Operation and Maintenance of the Data Center.
69
requirements, the more stringent requirement shall apply.
5.2.2 Structured Cabling Network

5.2.2.1
The existing system cabling and associated accessories are by
Systimax.
5.2.2.2
Campus systems to be integrated with or expanded under this
scope of work shall be assumed to utilize a common backbone
infrastructure.
5.2.2.3
The Contractor shall coordinate the incorporation of as-built
information within the existing Cable Management System as
required.
5.2.3
Voice Communication
Telephone
Systems
5.2.3.1
Telephone service will be provided based on a PBX/VoIP solution.
Tender pricing shall be based upon an extension of the existing
campus system; new equipment will be located in the existing
Campus Data Center and the Hospital MDF. Existing adjunct
systems shall be utilized as available meet general specification
requirements (Unified Messaging, Interactive Voice Recognition,
Digital Audio Recording, Trunk Interfaces, Shared Tenant Services).
5.2.3.2

5.2 Riyadh Site

All telephone servers shall be located in the campus data center.

The Contractor shall provide all phone end devices within the
hospital and new media gateways within the Hospital MDF for analog
phones. Make/models of all equipment and software provided shall
be compatible with the existing system for seamless integration.
70
5.2.4 LAN/WLAN
5.2.7
5.2.4.1
5.2.7.1
Network services will be provided based on utilizing a new LAN

in conjunction with the existing campus and wide area network.
Tender pricing for the Maternity Hospital shall be based upon an
extension of the existing CAN and WAN services; new head end
equipment will be located in the existing Campus Data Center and
the Hospital MDF as required.
Tender pricing shall be based upon an expansion of the existing

Video Surveillance System; new equipment will be located in the
Campus Data Center and MDF facility as required.
5.2.4.2
Refer to the NGHA Standard Network Document, latest version,
for information regarding specific network switch manufacturer
and model requirements, as well as WLAN controllers, WAPs, and
Wireless Control System.
5.2.5 IPTV/Patient
Entertainment
The existing IPTV system shall be utilized. Tender pricing for the
Maternity Hospital shall be based upon an extension of the existing
system; new equipment will be located in the existing Campus Data
Center and the Hospital MDF as required.
5.2.5.2
It shall be assumed that the antenna farm will be provided as part of
the existing campus IPTV system and does not require expansion
for this project.
5.2.6 Security Access Control System

5.2.6.1
The existing Security Access Control System shall be utilized. Tender
pricing for the Maternity Hospital shall be based upon the extension
of the existing Security Access Control system; new equipment will
be located in the Campus Data Center and the Hospital MDF as
required.

February 2012
and
5.2.5.1


Education
5.2.7.2
Support devices, including cameras, hospital local security room
equipment must meet project specifications and must be able to
integrate with existing system.
5.2.7.3
It is assumed that remote video viewing will be required at an
existing campus security center. Provide remote video feed as part
of this scope of work; campus security center shall be upgraded/
expanded to accommodate the new buildings as necessary.
5.2.8 Master Clock

5.2.8.1
Tender pricing shall be based upon the installation of a new, standalone
master clock system for both network time synchronization and
clock synchronization at the new Hospital. Head-end equipment
shall be located in the Maternity Hospital MDF.

5.2.9.1
This system shall be included in the Tender Pricing for this Hospital.
Tender Pricing shall be based upon the installation of a new,
standalone system. Head-end equipment shall be located in the
Maternity Hospital MDF.
5.2.10
Data Storage
5.2.10.1
The expansion of the existing SAN at the campus data center will
be provided as part of this project. The size of the SAN expansion
JEDDAH SITE

A new Children Hospital and a new Neuroscience Center will be
located on the existing campus in Jeddah. These facilities will rely
on new ICT systems provided at the new campus data center.
5.3.1.2
A new data center will be provided to serve the two new hospitals
and to act as a redundant data center for the existing hospital.
The new data center shall have a Tier 2+ rating and be
approximately 2,000 SM, including the cabinet room
and support, infrastructure, office and loading dock
space. Refer to architectural drawings and narrative for
additional information.
5.3.1.3
New Mosque, structured parking & Utility buildings including Chiller
Plants, Generator Plants, Boilers Building, Structure parking
buildings, Utility Culverts will be provided to serve the two new
hospitals, the ICT systems shall extend to cover those buildings.
5.3.1.4
Network services and tender pricing will be based on a new
Campus LAN in conjunction with a new Hospital LAN located at
each Hospital.
5.3.2
5.3.5.1
LAN/WLAN
Voice Communication Systems - Telephone
IPTV/Patient Education and Entertainment (Hospitals
only)
Master Clock System (except for structured parking
buildings)
Access Control System
Video Surveillance (CCTV) System
5.3.1.1
Combined ICT Systems
5.3.2.1
5.3.2.2
For redundant head-end servers and equipment, primary head-end
equipment shall be located in the new campus data center. The
secondary servers shall be located at the concerned hospital MDF.
5.3.3
5.3.3.1
It is assumed that remote video viewing will be required at an
existing campus security center. Provide remote video feed as part
of this scope of work; campus security center shall be upgraded/
expanded to accommodate the new buildings as necessary. CCTV
cameras shall be provided to cover external perimeter fens in
accordance with campus requirements.
5.3.4 Security Screening Equipment Site

Entrances
5.3.4.1
For the Childrens Hospital, the vehicle entrances shall be provided
with screening and traffic control equipment .
This system shall be included in the Tender Pricing for the Children
Hospital, but not for the Neuroscience Center.
5.3.6
Data Storage
5.3.6.1
Tender pricing shall be based upon a standalone SAN that serves
both new hospitals, to be located in the new Campus Data Center.
The size of the SAN within the Campus Data Center shall be
calculated based on the campus NGHA requirements and criteria
for CCTV storage as specified in 5.1.21.8 above in addition to other
systems requirements, this is estimated to be not less than 500
Terabytes (TB) with the capability to expand up to a total size of no
less than 1 Petabyte (PB), contractor shall provide in accordance
with NGHA requirements.
5.3.7
Campus Data Center
5.3.7.1
As part of the Five Hospitals Project, a new campus data center
shall be provided to serve the two new hospitals in Jeddah and
to act as a redundant data center for the existing hospital. The
proposed Data Center shall be designed in accordance with TIA942 Telecommunications Infrastructure Standard for Data Centers,
defined data center Tier levels within TIA-942, and standard
practices applicable for similar buildings within the overall project.
The overall capacity of 280 cabinets shall be provided.
Outside plant & associated infrastructure shall be provided to
provide connectivity from Data Center to the new hospitals and
buildings, existing hospital as well as campus existing ICT network.
5.3.7.2
For the new Jeddah campus data center, a Tier II+ design will be
followed. The majority of design elements and support infrastructure
shall be Tier II, with specific enhanced requirements being provided
at Tier III as indicated in the table at the end of this section.
5.3
Hospital and the Neuroscience Center as well as the mosque,

structured parking & utility buildings:
5.3 Jeddahh Site
for this hospital shall be calculated based on the campus NGHA

requirements and criteria for CCTV storage as specified in 5.1.21.8
above in addition to other systems requirements, this is estimated
to be not less than 250 Terabytes (TB) with the capability to expand
up to a total size of no less than 500 TB , contractor to provide
assessment in accordance with NGHA requirements.
The following new system head-end servers and associated

equipment shall be sized and provided to serve both the Children
February 2012
71
5.3.7.3
The preliminary quantity of cabinets shown in the conceptual layout
is approximately 280, broken down as follows:
New Network Equipment, Infrastructure: 40 cabinets
New Storage Area Network: 60 cabinets
New System Servers, Misc. Equipment: 60 cabinets
Existing Hospital System Backup, Spares, Other
Systems: 40 cabinets
Future expansion space: 80 cabinets
5.3.7.4
The data center layout accounts for approximately 25% additional
space for either future IT requirements or to serve future medical
buildings that may be located on the Jeddah campus. All support
infrastructure (cooling, power, UPS, batteries, cabinet room,
ICT cabling) associated with the data center shall be sized to
accommodate the overall layout with (future) expansion capability.
5.3.7.5
Outside Plant cabling and associated infrastructure shall be
included in this project to provide connectivity from the new data
center to the two new hospitals and the existing hospital.
5.3.7.6

5.3 Jeddah Site

Jeddah Campus Data Center Required Tier Levels for various

systems and subsystems are as follows:
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5.3 Jeddah Site

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5.3 Jeddah Site

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5.3 Jeddah Site

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5.3 Jeddah Site

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February 2012

5.4.1.1
A Specialized Hospital will be located on a new medical campus
in Taif.
5.4.1.2
A Specialized Hospital will be located on a new medical campus
in Qassim.
5.4.1.3
Other building shall be located on the new medical campuses in
Taif & Qassim including but not limited to utility buildings, villas,
apartments, mosques, administration, housing administration,
Commercial Center, Child Learning Center, gates, fire station,
ambulance stations, Staff Recreation Center and utility culvert.
5.4.1.4
5.4.1.7
5.4.3.3
One STC entry room/building will be located at the campus

gatehouse, and another STC entry room will be located in the utility
building.
For the Taif and Qassim campuses, CCTV cameras shall be

provided along the campus perimeter to provide overlapping
coverage of the entire perimeter. These cameras shall be intergrated
with an Intelligent Video Analytics System (IVAS) to provide motion
detection capabilities as defined in the Video Surveillance System
(VSS) specification.
These two campus rooms will connect to the hospital. A second

BER will be provided in the hospital to provide connectivity to the
housing areas and non-medical buildings.
The two BERs shall be provided with access floors with
a depth of 300mm, typical of STC rooms being provided
at other facilities and campuses.
5.4.1.8
Unless noted or revised herein, all systems listed in Section 5.1 of
this narrative shall be considered to be required and will be installed
as complete, standalone systems for each campus.
5.4.2 Security Access Control
The two hospitals will be essentially identical in regards to ICT

system planning.
Tender pricing shall be based upon a standalone access control

systems for the each hospital, including fully redundant head-end
servers.
5.4.1.5
5.4.2.2
For the Taif and Qassim facilities, the proposed hospitals as well
as the other buildings will be constructed along with associated
support facilities within new campus sites. All of the required
support facilities related to ICT systems will be constructed as part
of this project. An MDF/Disaster Recovery Center will be located
in each general hospital. This MDF shall act as a Data Center for
the whole campus, intermediate distribution room located in the
housing administration building is intended for housing and utility
buildings network connection.
For the redundant head-end, the primary and secondary (backup)

servers shall be located in the hospital MDF.
5.4.1.6
Network services and tender pricing will be based on a new
Hospital LAN located at each Hospital Hospital as well as LAN for
other buildings on the campus. Outside plant infrastructure shall
be included to provide ICT network connectivity for all campus
buildings
The IVAS shall be integrated with the VSS. Dedicated pan-tilt-zoom

(PTZ) cameras and fixed cameras shall be installed around the
perimeter and connected to the VSS for control and recording.
IVAS shall be integrated with the Access Control System for alarm
monitoring purposes.
5.4.4 Security Screening Equipment Site

Entrances
5.4.4.1
5.4.2.1
5.4.3
5.4.3.4
5.4.3.1
Tender pricing shall be based upon a standalone video surveillance
system for the new hospitals, including fully redundant head-end
servers and video feeds.
5.4.3.2
For the redundant head-end, the primary and secondary (backup)
servers shall be located in the hospital MDF/DRC. The secondary
servers shall be able to be relocated at a later date if a campus data
center is developed as part of a future project.
For the Taif and Qassim campus settings, the site entry points shall
be provided with screening and traffic control equipment that may
include gate arms, vehicle loops, directional traffic control flow
plates, and associated signage.

5.4.5.1
This system shall be included in the Tender Pricing for both general
hospitals.
5.4.6
Data Storage
5.4.6.1
The size of the SAN for each hospital shall be calculated based on
the campus NGHA requirements and criteria for CCTV storage as
specified in 5.1.21.8 above in addition to other systems requirements,
this is estimated to be not less than 300 Terabytes (TB) with the
capability to expand up to a total size of no less than 600 TB,
contractor shall provide in accordance with NGHA requirements.
QASSIM & TAIF SITES

5.4 Qassim & Taif Sites
5.4
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77
5.4.7 Utility and Non-Medical Buildings

5.4.7.1

5.4 Qassim & Taif Sites

For 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 (i.e. mosques, children learning centers, staff
recreational, administration and alike), ICT (Telephone, Data &
IPTV) outlets are distributed in all buildings to cover all technical
and ID requirements in accordance with NGHA campus practices
78


February 2012

ICT Systems Design for National Guard Health Affairs Specialized Hospitals

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ICT Systems Design for National Guard Health Affairs Specialized Hospitals

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5.

NATIONAL GUARD HEALTH AFFAIRS SPECIALIZED HOSPITALS IN REGIONS

TYPICAL REQUIREMENTS ALL

be located on the existing campus of Jeddah.

located on the existing campus of Jeddah.

campus in Qassim. This hospital will be essentially identical

campus will take advantage of the existing local Campus Data

One of the primary purposes for the infrastructure is to provide

The Maternity Hospital, KAMC-CR, as well as utility and structured

The Hospitals will contain numerous security and safety systems

NATIONAL GUARD HEALTH AFFAIRS SPECIALIZED HOSPITALS IN REGIONS

associated Voice Evacuation.

Identity Management that is compatible with the overall

Protection System will be provided to ensure that all infants

security surveillance video. For Riyadh facilities, the existing

and Communication Systems for the enhancement of medical

communication and telephone devices to all applicable

Timing Protocol (NTP) Server for the Hospital systems as

over the network using IPTV technology to provide general TV

conference rooms, operation rooms, and other locations

streamlining nurse call station communications.

Distributed Antenna System provided by others to assure

5.1.2 Overall ICT Design Goals:

The design of the technology systems will be made with a clear

5.1.3 ICT System Descriptions:

Only technologies that make sense, based on the typical hospital

Infection control policies will be considered during the design phase

Systems that are described in more detail

Wide Area Network (WAN) / Campus Area Network

Outside Plant Cabling

Disaster Recovery Data Center(s) / Main Equipment

Structured Cabling for Voice, Data, Video, and Networked

Communications Equipment Spaces

Topologies and infrastructure components within a healthcare

Voice Communication Systems - Telephone

IPTV/Patient Education and Entertainment

ICT Design Criteria

Optimize process workflow

Provide instant and convenient access to patient information

Infrastructure for dynamic patient and way finding

Provide effective integration of disparate clinical and facility

Audio-Visual & Teleconferencing Systems

information systems throughout the hospital and throughout

Master Clock System

Enhance the patient and family experience

Continue the culture of patient-centered care

Access Control System

Maintain high levels of patient/family satisfaction

Video Surveillance (CCTV) System

Reduce the incidence of medical errors

for ease of maintenance and operation

Infant Protection System

Audio Visual systems will be provided in the various

5.1 Typical Requirements - All Sites

Video on Demand and Patient Education and Entertainment.

NATIONAL GUARD HEALTH AFFAIRS SPECIALIZED HOSPITALS IN REGIONS

Codes and Standards

ISO: International Organization for Standardization

AIA Guidelines for Design & Construction of Health Care

American Society for Testing and Materials (ASTM)

ANSI American National Standards Institute

BICSI-TDMM: Building Industry Consulting Services

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