FujiFilm Synapse

Deployment Guide

UPDATED: 19 September 2022

FujiFilm Synapse

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FujiFilm Synapse

Table of Contents
1 Introduction 4

1.1 Document Purpose 4

1.2 Intended Audience 4

2 Template 5

3 Enable Subnet Originating Requests Globally 6

4 Synapse Virtual Services Configuration 7

4.1 Create Fujifilm Synapse Virtual Services 7

4.1.1 Configure the Synapse HTTP Virtual Service 7

4.1.2 Configure the Synapse DICOM Virtual Service 9

4.1.3 Configure the Synapse External Virtual Service 10

5 Adaptive Agent Configuration 13

6 Health Checking 14

7 Additional Features 15

References 16

Last Updated Date 17

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FujiFilm Synapse
1 Introduction

1 Introduction
Synapse is Fujifilm’s Picture Archiving and Communication System (PACS). It allows filmless
diagnosis with high quality image processing. Synapse allows the archiving and distribution of vast
amounts of image information from all modalities, managing it with a single system.

Such a powerful tool requires reliable and powerful support. The Kemp LoadMaster delivers an
exceptional, cost-effective and easy to use solution which, by employing Adaptive Load Balancing,
balances requests across Synapse. Synapse consists of the following servers:

Database Server

Windows Internet Information Server (IIS)

Storage Server

Digital Imaging and Communications in Medicine (DICOM) Server

Hospital Information System (HIS) Server

When deployed as a pair, two LoadMasters give the security of High Availability (HA). HA allows two
physical or virtual machines to become one logical device. Only one of these units is ever handling
traffic at any particular moment. One unit is active and the other is a hot standby (passive). This
provides redundancy and resiliency, meaning if one LoadMaster goes down for any reason, the hot
standby can become active, therefore avoiding any downtime.

1.1 Document Purpose

This document is intended to provide guidance on how to deploy Synapse with a Kemp LoadMaster.
The Kemp Support Team is available to provide solutions for scenarios not explicitly defined.

1.2 Intended Audience

This document is intended to be used by anyone deploying Synapse with a Kemp LoadMaster.

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FujiFilm Synapse
2 Template

2 Template
Kemp has developed a template containing our recommended settings for this workload. You can
install this template to help create Virtual Services (VSs) because it automatically populates the
settings. You can use the template to easily create the required VSs with the recommended settings.
For some workloads, additional manual steps may be required such as assigning a certificate or
applying port following. These steps are covered in the document, if needed.

You can remove templates after use and this will not affect deployed services. If needed, you can
make changes to any of the VS settings after using the template.

Download released templates from the following page: LoadMaster Templates.

For more information and steps on how to import and use templates, refer to the Virtual Services
and Templates, Feature Description on the Kemp Documentation page.

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FujiFilm Synapse
3 Enable Subnet Originating Requests Globally

3 Enable Subnet Originating

Requests Globally
It is best practice to enable the Subnet Originating Requests option globally.

In a one-armed setup (where the Virtual Service and Real Servers are on the same network/subnet)
Subnet Originating Requests is usually not needed. However, enabling Subnet Originating
Requests should not affect the routing in a one-armed setup.

In a two-armed setup where the Virtual Service is on network/subnet A, for example, and the Real
Servers are on network B, Subnet Originating Requests should be enabled on LoadMasters with
firmware version 7.1-16 and above.

When Subnet Originating Requests is enabled, the Real Server sees traffic originating from
10.20.20.21 (LoadMaster eth1 address) and responds correctly in most scenarios.

With Subnet Originating Requests disabled, the Real Server sees traffic originating from 10.0.0.15
(LoadMaster Virtual Service address on eth0) and responds to eth0 which could cause asymmetric
routing.

When Subnet Originating Requests is enabled globally, it is automatically enabled on all Virtual
Services. If the Subnet Originating Requests option is disabled globally, you can choose whether
to enable Subnet Originating Requests on a per-Virtual Service basis.

To enable Subnet Originating Requests globally, follow the steps below:

1. In the main menu of the LoadMaster User Interface (UI), go to System Configuration >
Miscellaneous Options > Network Options.

2. Select the Subnet Originating Requests check box.

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

4 Synapse Virtual Services

Configuration
The Kemp LoadMaster uses Adaptive Agent Load Balancing to
distribute the various requests received. The LoadMaster
recognizes that requests received on different ports are
different types of requests.

Refer to the following sections for step-by-step instructions on creating and configuring Fujifilm
Synapse Virtual Services.

4.1 Create Fujifilm Synapse Virtual Services

When deploying Fujifilm Synapse, three Virtual Services must be configured.

4.1.1 Configure the Synapse HTTP Virtual Service

The following are the steps involved and the values required to set up the first of the Fujifilm
Synapse Virtual Services:

1. In the main menu of the LoadMaster Web User Interface (WUI), go to Virtual Services >
Add New.

2. Enter a valid IP address in the Virtual Address text box.

3. Enter 80 in the Port text box.

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

HTTP requests received on Port 80 and external (HTTPS)

requests on Port 443 are distributed to their most available
server in the same adaptive manner.

4. Enter a recognizable Service Name, for example Synapse HTTP.

5. Ensure tcp is selected as the Protocol.

6. Click Add this Virtual Service.

7. Configure the settings as recommended in the following table:

Section Option Value

Standard Options Transparency Disabled

Subnet Originating Requests Enabled

Persistence Mode Source IP Address

Timeout 1 Hour

Scheduling Method resource based (adaptive)

Advanced Properties Add HTTP Headers None

Real Servers Real Server Check Method HTTP Protocol

8. Add the Real Servers:

a) Click the Add New button.

b) Enter the Real Server Address.

This is the address of the backend server.

c) Enter 80 as the Port.

The Real Server Port should match the Virtual Service Port.

The Forwarding method and Weight values are set by default.

These can be changed by an administrator.

d) Click Add this Real Server. Click OK to the pop-up message.

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

e) Repeat the steps above to add more Real Servers as needed, based on the
environment.

4.1.2 Configure the Synapse DICOM Virtual Service

1. The following are the steps involved and the values required to set up the second of the
Fujifilm Synapse Virtual Services:

2. In the LoadMaster Web User Interface (WUI) main menu, go to Virtual Services > Add
New.

3. Enter the same IP address in the Virtual Address text box as you did when setting up the
Synapse HTTP Virtual Service in the Configure the Synapse HTTP Virtual Service section.

4. Enter 104 in the Port text box.

TCP connections on port 104 are recognized as DICOM

requests and are forwarded to the DICOM server which the
LoadMaster determines is the most available based on
processor and memory utilization.

5. Enter a recognizable Service Name, for example Synapse DICOM.

6. Ensure TCP is selected as the Protocol.

7. Click Add this Virtual Service.

8. Configure the settings as recommended in the following table:

Section Option Value

Basic Properties Service Name HTTP/HTTPS

Standard Options Transparency Disabled

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

Section Option Value

Subnet Originating Requests Enabled

Persistence Mode Source IP Address

Timeout 1 Hour

Scheduling Method resource based (adaptive)

Advanced Properties Added HTTP Headers None

Real Servers Real Server Check Method TCP Connection Only

9. Add the Real Servers:

a) Click the Add New button.

b) Enter the Real Server Address.

This is the address of the backend server.

c) Enter 104 as the Port.

The Real Server Port should match the Virtual Service Port.

The Forwarding method and Weight values are set by default.

These can be changed by an administrator.

d) Click Add this Real Server. Click OK to the pop-up message.

e) Repeat the steps above to add more Real Servers as needed, based on the
environment.

4.1.3 Configure the Synapse External Virtual Service

1. The following are the steps involved and the values required to set up the third Fujifilm
Synapse Virtual Service:

2. In the LoadMaster Web User Interface (WUI) main menu, go to Virtual Services > Add
New.

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

3. Enter the same IP address in the Virtual Address text box as you did when setting up the
Synapse HTTP and Synapse DICOM Virtual Services.

4. Enter 443 in the Port text box.

HTTP requests received on Port 80 and external (HTTPS)

requests on Port 443 are distributed to their most available
server in the same adaptive manner.

5. Enter a recognizable Service Name, for example Synapse External.

6. Ensure TCP is selected as the Protocol.

7. Click Add this Virtual Service.

8. Configure the settings as recommended in the following table:

Section Option Value Comments

SSL SSL
Enabled Click OK to the pop-up that appears.
Properties Accelerationt

Reencrypt Enabled

Supported TLS1.0; TLS1.1; While this workload may not support TLS1.3 yet,
Protocols TLS1.2; TLS1.3 Kemp recommend enabling it for future proofing.

Require SNI
Disabled
hostname

No Client
Client
Certificates
Certificates
Required

Standard Subnet Enabled

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FujiFilm Synapse
4 Synapse Virtual Services Configuration

Section Option Value Comments

Originating
Options
Requests

Persistence Source IP
Mode Address

Timeout 1 Hour

Scheduling resource based

Method (adaptive)

Advanced Added HTTP

None
Properties Headers

Real Real Server HTTPS

Servers Check Method Protocol

9. Add the Real Servers:

a) Click the Add New button.

b) Enter the Real Server Address.

This is the address of the backend server.

c) Enter 443 as the Port.

The Real Server Port should match the Virtual Service Port.

The Forwarding method and Weight values are set by default.

These can be changed by an administrator.

d) Click Add this Real Server. Click OK to the pop-up message.

e) Repeat the steps above to add more Real Servers as needed, based on the
environment.

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FujiFilm Synapse
5 Adaptive Agent Configuration

5 Adaptive Agent Configuration

The configuration of Adaptive Agent is based on the requirements of the actual hardware and
Operating System on which Synapse is running.

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FujiFilm Synapse
6 Health Checking

6 Health Checking
By sending Kemp heartbeat checks, the LoadMaster periodically ensures that each of the servers in a
deployment is still running.  As part of the Kemp heartbeat checks, on port 104 the LoadMaster
opens a TCP connection to determine if the DICOM server on the Synapse server is still responding.

The LoadMaster does not currently support DICOM Echo health

checking.

The LoadMaster can also be configured to test the IIS service. The LoadMaster performs a check over
HTTP to the web server. A particular URL to be reached is identified and a value (for example, DB-
OK) set for LoadMaster to find. The LoadMaster calls the URL to determine if the database server is
running successfully. If it is, the webpage returns a message containing the value.  If not, an error
message is returned. The LoadMaster can recognize this and looks for this value in every health
check it performs.

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FujiFilm Synapse
7 Additional Features

7 Additional Features
Additional Kemp LoadMaster security and optimization features can be enabled for the deployment
of SAP. The deployment steps and configuration settings of these features can be found in the
documents which are listed in the References section of this document. These documents can be
found on the Kemp documentation web page: http://kemptechnologies.com/loadmaster-
documentation/

Edge Security Pack (ESP) - A solution that provides edge security, SSO application integration
and flexible authentication options is critical for optimal user experience and information
security policy compliance.

Web Application Firewall (WAF) - This enables secure deployment of web applications,
preventing Layer 7 attacks while maintaining core load balancing services which ensures
superior application delivery and security.

Content Caching - The LoadMaster can cache static content that fits certain criteria (file
extension, query string, caching headers, size, and so on). As long as the file meets these criteria
it can be stored locally in the LoadMaster to avoid unnecessary requests to the Real Server to
retrieve the file.

Intrusion Detection – The LoadMaster’s implementation of Intrusion Detection leverages Snort.

Snort is an open source network intrusion prevention and detection system (IDS/IPS). Snort
rules can be imported to the LoadMaster and applied to HTTP/HTTPS connections.

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FujiFilm Synapse
References

References
Unless otherwise specified, the following documents can be found at
http://kemptechnologies.com/documentation.

Virtual Services and Templates, Feature Description

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FujiFilm Synapse
Last Updated Date

Last Updated Date

This document was last updated on 19 September 2022.

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