ELI Link Administrator Manual Rev C1

Copyright © 2009 by Mortara Instrument, Inc. 7865 N. 86th Street Milwaukee, Wisconsin 53224

This document contains confidential information that belongs to Mortara Instrument, Inc. No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc. Mortara is a registered trademark of Mortara Instrument, Inc. ELI, E-Scribe, Surveyor, and VERITAS are trademarks of Mortara Instrument, Inc. Microsoft and Windows are trademarks or registered trademarks of Microsoft Corporation. Adobe and Acrobat Reader are trademarks or registered trademarks of Adobe Systems Incorporated. DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information. V3.0

Technical Support and Service Headquarters Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 U.S.A. Tel: 414.354.1600 Tel: 800.231.7437 Fax: 414.354.4760 Internet: http://www.mortara.com

European Union Representative Mortara Rangoni Europe, Srl (European Headquarters) Via Cimarosa 103/105 40033 Casalecchio di Reno (BO) Italy Tel: +39.051.298.7811 Fax: +39.051.613.3582

Service/Technical Support Group Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 U.S.A. Tel: 414.354.1600 Service: 888.MORTARA (888.667.8272) Fax: 414.354.4760 E-mail: [email protected]

Sales Support/ Supplies & Accessories Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 U.S.A. Tel: 414.354.1600 Fax: 414.354.4760 E-mail: [email protected] Mortara Instrument Germany Kaninenberghöhe 50 45136 Essen Germany Tel: +49.201.18 55 69 70 Fax: +49.201.18 55 69 77 Mortara Instrument Netherlands Postbus 324 5680 AH Best Randweg 4 5683 CL Best Netherlands Tel: +31.499.377310 Fax: +31.499.377908 Mortara Instrument Australia PO Box 7568 Unit 11, 7 Inglewood Place Baulkham Hills NSW 2153 Australia Tel: +61 2 8824 5499 Fax: +61 2 8814 5399

24-hour Technical Support Same-day Shipment of Replacement Parts Biomedical Training Classes Extended Warranties/Service Contracts

i

Notices

Manufacturer’s Responsibility Mortara Instrument, Inc. is responsible for the effects on safety and performance only if: •

Assembly operations, extensions, readjustments, modifications, or repairs are carried out only by persons authorized by Mortara Instrument, Inc.

•

The device is used in accordance with the instructions for use.

Responsibility of the Customer The user of this device is responsible for ensuring the implementation of a satisfactory maintenance schedule. Failure to do so may cause undue failure and possible health hazards. Equipment Identification Mortara Instrument, Inc. equipment is identified by a serial and reference number on the back of the device. Care should be taken so that these numbers are not defaced. Copyright and Trademark Notices This document contains information that is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced, or translated to another language without prior written consent of Mortara Instrument, Inc. Other Important Information The information in this document is subject to change without notice. Mortara Instrument, Inc. makes no warranty of any kind with regard to this material including, but not limited to, implied warranties of merchantability and fitness for a particular purpose. Mortara Instrument, Inc. assumes no responsibility for any errors or omissions that may appear in this document. Mortara Instrument, Inc. makes no commitment to update or to keep current the information contained in this document.

ii

Warranty Information Your Mortara Warranty MORTARA INSTRUMENT, INC. (hereinafter referred to as “Mortara”) hereby warrants that Mortara products (hereinafter referred to as “Product/s”) shall be free from defects in material and workmanship under normal use, service, and maintenance for the warranty period of such Product/s from Mortara or an authorized distributor or representative of Mortara. The warranty period is defined as twelve (12) months following the date of shipment from Mortara. Normal use, service, and maintenance means operation and maintenance in accordance with appropriate instructions and/or information guides. This warranty does not apply to damage to the Product/s caused by any or all of the following circumstances or conditions: a)

Freight damage;

b) Parts and/or accessories of the Product/s not obtained from or approved by Mortara; c)

Misapplication, misuse, abuse, and/or failure to follow the Product/s instruction sheets and/or information guides;

d) Accident; a disaster affecting the Product/s; e)

Alterations and/or modifications to the Product/s not authorized by Mortara;

f)

Other events outside of Mortara’s reasonable control or not arising under normal operating conditions.

THE REMEDY UNDER THIS WARRANTY IS LIMITED TO THE REPAIR OR REPLACEMENT WITHOUT CHARGE FOR LABOR OR MATERIALS, OR ANY PRODUCT/S FOUND UPON EXAMINATION BY MORTARA TO HAVE BEEN DEFECTIVE. This remedy shall be conditioned upon receipt of notice by Mortara of any alleged defects promptly after discovery thereof within the warranty period. Mortara’s obligations under the foregoing warranty will further be conditioned upon the assumption by the purchaser of the Product/s (i) of all carrier charges with respect to any Product/s returned to Mortara’s principal place or any other place as specifically designated by Mortara or an authorized distributor or representative of Mortara, and (ii) all risk of loss in transit. It is expressly agreed that the liability of Mortara is limited and that Mortara does not function as an insurer. A purchaser of a Product/s, by its acceptance and purchase thereof, acknowledges and agrees that Mortara is not liable for loss, harm, or damage due directly or indirectly to an occurrence or consequence therefrom relating to the Product/s. If Mortara should be found liable to anyone under any theory (except the expressed warranty set forth herein) for loss, harm, or damage, the liability of Mortara shall be limited to the lesser of the actual loss, harm, or damage, or the original purchase price of the Product/s when sold. EXCLUDED FROM THE LIMITED WARRANTY SET FORTH ABOVE ARE CONSUMABLE ITEMS SUCH AS PAPER, BATTERIES, ELECTRODES, PATIENT CABLES, LEAD WIRES, AND MAGNETIC STORAGE MEDIUMS. EXCEPT AS SET FORTH HEREIN WITH RESPECT TO REIMBURSEMENT OF LABOR CHARGES, A PURCHASER’S SOLE EXCLUSIVE REMEDY AGAINST MORTARA FOR CLAIMS RELATING TO THE PRODUCT/S FOR ANY AND ALL LOSSES AND DAMAGES RESULTING FROM ANY CAUSE SHALL BE THE REPAIR OR REPLACEMENT OF DEFECTIVE PRODUCT/S TO THE EXTENT THAT THE DEFECT IS NOTICED AND MORTARA IS NOTIFIED WITHIN THE WARRANTY PERIOD. IN NO EVENT, INCLUDING THE CLAIM FOR NEGLIGENCE, SHALL MORTARA BE LIABLE FOR INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES, OR FOR ANY OTHER LOSS, DAMAGE, OR EXPENSE OF ANY KIND, INCLUDING LOSS OF PROFITS, WHETHER UNDER TORT, NEGLIGENCE OR STRICT LIABILITY THEORIES OF LAW, OR OTHERWISE. THIS WARRANTY IS EXPRESSLY IN LIEU OF ANY OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTY OF MERCHANTABILITY AND THE WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE.

iii

User Safety Information

Warning:

Means there is the possibility of personal injury to you or others.

Caution:

Means there is the possibility of damage to the device.

Note:

Provides information to further assist in the use of the device.

Warning(s) •

Reference ELI™ electrocardiograph user manuals for all warnings.

•

Device captures and presents data reflecting a patient’s physiological condition that when reviewed by a trained physician or clinician can be useful in determining a diagnosis; however, the data should not be used as a sole means for determining a patient’s diagnosis.

•

To maintain designed operator and patient safety, peripheral equipment and accessories used that can come in direct patient contact, must be in compliance with UL 60601-1, IEC 60601-1 and IEC 60601-2-25. Only use parts and accessories supplied with the device and available through Mortara Instrument, Inc.

•

To avoid the possibility of serious injury or death during patient defibrillation, do not come into contact with device or patient cables. Additionally, proper placement of defibrillator paddles in relation to the electrodes is required to minimize harm to the patient.

•

A possible explosion hazard exists. Do not use the device in the presence of flammable anesthetics mixture.

•

Users are expected to be licensed clinical professionals knowledgeable about medical procedures and patient care, and adequately trained in the use of this device. Before attempting to use this device for clinical applications, the operator must read and understand the contents of the user manual and other accompanying documents. Inadequate knowledge or training could result in increased risk of harm to users, patients and bystanders, or damage to the device.

•

Device is designed to operate under Microsoft® Windows™ XP Professional, Microsoft Windows Server 2003, and Microsoft Vista Business.

•

Possible malfunction risks could be associated when installing 3rd party software. Mortara Instrument, Inc. cannot verify the compatibility of all possible hardware/software combinations.

•

Device is often used to exchange data with 3rd party ECG management systems. It is not possible to assure complete compatibility with all possible 3rd party ECG management systems and configurations. It is recommended to contact the 3rd party vendor to ensure device has been verified as compatible with a particular installation of their system.

iv

Caution(s) •

Reference ELI electrocardiograph user manuals for all cautions.

Note(s) •

Reference ELI electrocardiograph user manuals for all notes.

Equipment Symbols and Markings Symbol Delineation

Attention, consult accompanying documents

Do not dispose as unsorted municipal waste. Per EC Directive 2002/96, requires separate handling for waste disposal according to national requirements

v

TABLE OF CONTENTS INTRODUCTION SECTION 1 1.1 Introduction ... 1 1.2 Installation ... 1

CONFIGURATION SECTION 2 2.1 Export Folders... 3 2.1.1 ELI ... 3 2.1.2 PDF... 3 2.1.3 XML-MI ... 3 2.1.4 XML-FDA... 3 2.1.5 DICOM... 4 2.1.6 XML-ALT ... 4 2.2 Filename Formats ... 4 2.3 Communications Options ... 5 2.4 PDF Settings ... 5 2.4.1 Layout... 5 2.4.2 Gain ... 6 2.4.3 Filter... 6 2.4.4 Grid ... 6 2.4.5 Hide Interpretation ... 6 2.4.6 Language... 6 2.4.7 Trace Thickness ... 6 2.4.8 Date Format... 6 2.4.9 Time Format ... 6 2.4.10 Avg RR, QTcB, QTcF ... 7 2.4.11 Weight and Height Units... 7 2.4.12 A4 or Standard Paper... 7 2.5 Custom ID ... 7 2.5.1 Creating the Custom ID ... 7 2.5.2 Available Demographic Fields... 8 2.6 DICOM Configuration... 10 2.7 MWL Configuration ... 10 2.8 Managing Sites and Query Codes ... 12 2.9 Orders from Siemens/Dräger MegaCare ... 13 2.10 Orders from XML Files ... 13 2.10.1 Orders IMPORT Folder, Sites, and Query Codes... 13 2.10.2 EXPORT Folder... 14 2.10.3 XML Order Refresh ... 14 2.10.4 XML Purge Days ... 14 2.11 Other Settings ... 14 2.11.1 500s/s ... 14 2.11.2 Codepage ... 14 2.12 Electrocardiograph Configuration Settings ... 15 2.13 Installation Checklist ... 15

vi

TROUBLESHOOTING SECTION 3 3.1 ELI Link Log Files... 18 3.2 Merge Configuration and Logging... 18

ERROR MESSAGES APPENDIX A Error Messages... 19

MORTARA XML FORMAT DESCRIPTION APPENDIX B Mortara XML Format Description ... 25

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viii

INTRODUCTION SECTION 1

This administrator’s manual contains information about the installation and configuration of ELI Link gateway software. While this manual does provide some information on configuring an ELI electrocardiograph for use with ELI Link, the user should refer to the ELI product manual for specific details.

1.1 Introduction ELI Link is a Microsoft Windows service that acts as a data exchange gateway for Mortara Instrument’s line of ELI electrocardiographs. ELI Link supports all modes of electrocardiograph communications including direct RS-232 serial connection, analog modem, LAN, WLAN, GSM, and GPRS. ELI Link has been tested to run on Microsoft Windows XP Professional, Microsoft Windows Server 2003, and Microsoft Vista Business.

ECG Management System

ELI Link

Mortara ELI Electrocardiograph

1.2 Installation ELI Link can be installed in three different configurations: 1) File-based data export + XML orders 2) File-based data export + Dräger MegaCare orders interface 3) File-based data export + DICOM® Modality Worklist + DICOM Storage The basic “file-based data export + XML orders” configuration can be installed without having an installation password; however, the MegaCare and DICOM configurations require an installation password. Please contact Mortara’s service department to obtain a password for every MegaCare and DICOM installation. ELI Link is installed using a traditional Microsoft Windows installer. 1. Uninstall any previous versions of ELI Link and/or M-Gate using Add/Remove Programs in the Windows control panel. 2. Run Setup.exe. 3. Follow the prompts in the installation wizard; install ELI Link in the default location when possible. 4. If you have an installation password for enabling the MegaCare orders interface or the DICOM interface, enter it when prompted. 5. Complete the installation wizard. 6. Reboot Windows.

1

SECTION 1

2

CONFIGURATION SECTION 2

There are several groups of settings that must be configured. Each group is described below.

2.1 Export Folders ELI Link can export ECGs in a variety of file formats. Define a full path to a folder where each file type should be stored. If a path is not defined for a format, ELI Link will not export that file type. The same folder can be used for all file types if necessary. Use the Browse button next to each folder path to get a Windows-style folder selection dialog. Otherwise, type the folder path directly into the text box. Example path: D:ELI Link ExportsPDF 2.1.1 ELI (UNIPRO, ELI electrocardiograph native format) Also known as UNIPRO files, ELI files are primarily for importing into a Mortara E-Scribe™ data management system. These files are in the raw format generated by an ELI electrocardiograph. Save ECGs in this format if there is a future chance that these files will be imported by an E-Scribe. These files are also useful to Mortara’s Technical Support department when troubleshooting certain kinds of issues. Default filename format: R^ECG^<Site>^<ID>^<LName>_<TestDate><TestTime>_<RepDate><RepTime>.eli 2.1.2 PDF (Portable Document Format) PDF files can be displayed in a variety of PDF viewers including Acrobat Reader™ from Adobe®. The PDF files draw the ECG waveforms with vector drawing commands. The waveforms are not stored as a bitmap (pixels) in the PDF files. This means the waveforms remain sharp even at extreme zoom factors. The ECG images are generated according to the PDF settings described elsewhere in this manual. The default filename format is compatible with Mortara’s Athena product. Default filename format: R<ID>[<TestDate><TestTime>]<FName>_<MName>_<LName>.pdf 2.1.3 XML-MI (Mortara Instrument XML) The Mortara XML format provides all the discrete data from the ECG including patient demographics, ECG acquisition information, automatic interpretation results, and all the waveform sample values. Mortara does not provide a viewer for this file format; it is intended to be imported by 3rd party information systems. The technical details of this format are described in Appendix B. Default filename format: R^ECG^M^<Site>^<ID>^<LName>_<TestDate><TestTime>_<RepDate><RepTime>.xml 2.1.4 XML-FDA (HL7 Annotated ECG) The HL7 Annotated ECG (aECG, FDA XML) format is primarily used for research and drug trials. These files include the basic demographic values, waveforms, and annotations for the key fiducial markers on the global median beat. Default filename format: R^ECG^F^<Site>^<ID>^<LName>_<TestDate><TestTime>_<RepDate><RepTime>.xml 3

SECTION 2

2.1.5 DICOM (Digital Imaging and COmunications in Medicine) A widely-adopted standard, DICOM 12-lead ECG Waveform objects can be used by a growing number of information systems. These files contain discrete data for demographics, ECG acquisition, rhythm and median beat waveform samples, automatic interpretation, automatic measurements, and key fiducial markers on the median beat. For technical details, please reference Mortara’s DICOM Conformance Statement for Mortara’s ELI electrocardiographs. Default filename format: R^ECG^<Site>^<ID>^<LName>_<TestDate><TestTime>_<RepDate><RepTime>.dcm 2.1.6 XML-ALT (Alternate XML Format) The alternate XML format is primarily used to support McKesson Horizon Cardiology installations prior to version 12. Default filename format: R^ECG^A^<Site>^<ID>^<LName>_<TestDate><TestTime>_<RepDate><RepTime>.xml

2.2 Filename Formats Names of the exported files can be customized. The file ELI_Link_Config.cfg in the ELI Link installation folder contains the filename format specifications, and can be edited with a text editor like Notepad. Before making any changes to this file, STOP the ELI Link service and the ELILinkConfig.exe process. Changes can then be made to the filename format specifications at the end of the file. No other data must be changed in the file, and the structure of the file must not be altered. Restart the service and configuration application after the changes have been saved to the file. The following variables can be used to build the filename format specifications: Variable <Group> <Site> <ID> <AdmissionID> <AccessionNumber> <LName> <FName> <MName> <DOB>

<Sex>

<TestDate> <TestTime> <RepDate> <RepTime>

4

Description ECG group number. ECG site number. Patient ID. Admission ID. DICOM accession number. Patient last name. Patient first name. Patient middle name. Patient birth date in yyyyMMdd format. Patient sex: Default If from DICOM MWL Male M = Male Female F = Female Unknown O = Other ECG acquisition date in yyyyMMdd format. ECG acquisition time in HHmmss format. File export date in yyyyMMdd format. File export time in HHmmss format.

SECTION 2

2.3 Communications Options ELI Link accepts connections from a Mortara electrocardiograph via direct RS-232 serial connection, network, and analog modem. When a direct RS-232 serial connection will be used, check the Enable Direct Serial Comm box and select the Windows COM port (COM01 – COM14 supported). When a network connection via LAN, WLAN, or GPRS will be used, check the Enable Network Comm box and select an unused TCP/IP port. When an analog modem or GSM will be used, check the Enable Modem Comm box and configure the port, initialization string, and hang-up string. The default modem strings are for a US Robotics Sportster modem. When using a network connection, verify all networking software and hardware between the electrocardiograph(s) and ELI Link is configured to allow TCP/IP traffic between them. NOTE: If firewall software is running on the ELI Link computer, it must be configured to allow connections on the configured port. The user may need to add the TCP/IP port to the list of firewall exceptions. If UNIPRO files from another Mortara device, such as a Surveyor™ system, will be processed by ELI Link, define a full path to a folder where the UNIPRO files will be dropped. Files are automatically deleted by ELI Link as they are processed. If any files fail to be processed, they will be copied into a subfolder named “failed”.

2.4 PDF Settings These settings specify how the ECG waveforms will be formatted in the PDF files. These settings do not affect the waveforms and data values exported in the XML and DICOM formats. There are separate settings for 12-lead and 15-lead ECGs. 2.4.1 Layout This option specifies the waveform plot format in the PDF files. The available formats are the single-page formats from a full page Mortara ELI electrocardiograph. Since these are all single-page formats, the paper speed is always 25 mm/second. 3+1

2.5 seconds of 12 leads in a 3-channel format and the fourth channel is a 10-second rhythm strip of the first rhythm lead.

3+3

2.5 seconds of 12 leads in a 3-channel format plus a 10-second rhythm strip of the three specified rhythm leads.

6 ch

5 seconds of 12 leads in a 6-channel format.

12 ch

10 seconds of 12 leads in a 12-channel format.

Per Cart

Uses the plot format specified on the electrocardiograph when the ECG was acquired. This setting only applies for the newer UNIPRO32 format. The layout will default to 3+1 when 12-lead UNIPRO files are received.

5

SECTION 2

2.4.2 Gain The gain setting defines the plotted waveform amplitude in millimeters per millivolt in the PDF files. 10 mm/mV is the usual setting for gain. The height of the calibration pulse at the beginning of each waveform indicates the scale for 1 millivolt. 2.4.3 Filter The waveform filter (also known as print filter, noise filter, display filter, low pass, or plot filter) can be set to 300 Hz, 150 Hz, or 40 Hz. 300 Hz will not filter the waveforms because this is the native frequency content of the waveforms from the ELI electrocardiograph. The 150 Hz filter will attenuate high-frequency noise above 150 Hz. The 40Hz filter will attenuate high-frequency noise above 40 Hz. The 40 Hz filter will attenuate the most noise in the plotted waveforms. 2.4.4 Grid The grid settings define the type and color of the grid in the PDF files. The grid may be excluded by selecting NONE, or it may be included as 1mm or 5mm. The default grid color is light pink, but may be changed by clicking Select Color. Clicking Default Color resets the grid color back to the default. 2.4.5 Hide Interpretation ELI electrocardiographs have the option to automatically analyze the ECG waveforms and print global measurements and interpretation statements. The automatic interpretation is normally included in the PDF files. Checking the option to hide the interpretation will prevent the interpretation from being included in the PDF files. This is sometimes done so the over-reading cardiologist is not biased by the automatically-generated interpretation. 2.4.6 Language When the electrocardiograph is set to use a short, standard, or long ID format, this setting specifies the language to use for the field labels. The Per Cart setting only applies to the newer UNIPRO32 format files. If Per Cart is specified, UNIPRO ECGs will default to English labels. 2.4.7 Trace Thickness Values from 1 (very thin) to 100 (very thick) may be selected for the waveform trace thickness in the PDF files. The values are in units of 100th’s of a millimeter. 20 is the default thickness. 2.4.8 Date Format Specifies the format used for the acquisition date and DOB. Examples: DD-Mon-YYYY = 17-Feb-2009 DD.MM.YYYY = 17.02.2009 MM/DD/YYYY = 02/17/2009 2.4.9 Time Format Specifies the format used for the acquisition time. Examples: 12 Hour = 2:35:09 PM 24 Hour = 14:35:09

6

SECTION 2

2.4.10 Avg RR, QTcB, QTcF When checked, the optional measurement is included with the rest of the global measurements. Avg RR = average RR interval QT [ s] QTcB = QT corrected using the Bazett formula QTcB[ s] =

QTcF

=

1

( RR[ s]) 2 QT corrected using the Fredericia formula QTcF = QT 1 RR 3

2.4.11 Weight and Height Units Specifies use of English or metric units for height and weight values. If Per Cart is selected, ECGs in UNIPRO32 format will use the same units that were used on the cart. UNIPRO files will default to pounds and inches if Per Cart is specified. 2.4.12 A4 or Standard Paper When exporting to PDF, ELI Link supports both A4 and letter size paper. ELI Link draws only in the overlapping area common to both paper sizes when formatting the PDF page; therefore, no configuration option for choosing paper size is necessary. NOTE: When printing in Adobe Acrobat or Acrobat Reader, do not scale the page.

2.5 Custom ID A Custom ID is a user-definable set of demographic fields. A Custom ID is required if the electrocardiographs will be receiving ECG orders. If orders will never be used, a Custom ID is optional and any of the electrocardiographs’ built-in ID formats can be used. ELI Link can define only one Custom ID for all the electrocardiographs communicating with it. Sites cannot have different Custom IDs as they can in E-Scribe. All electrocardiographs that will communicate with ELI Link must download their Custom ID from that same ELI Link. ECGs acquired with a Custom ID obtained from a different ELI Link, M-Gate, or E-Scribe cannot be fully decoded by ELI Link. ELI Link remembers one previous Custom ID definition so it can still decode the untransmitted ECGs; however, when the Custom ID is updated, all previously acquired ECGs should be transmitted before the Custom ID is updated again. If ELI Link receives ECGs acquired with an unknown Custom ID, it will be able to transfer the primary demographic fields (last name, patient ID, gender, and age); other fields may not be transferred. 2.5.1 Creating the Custom ID It is recommended to plan how the Custom ID will look before creating it. Use graph paper to layout the field labels and values in a grid. The demographic region on a 10-second landscape printout contains 8 rows and 34 columns. Number the rows and columns starting with 0. Always start with CustomID Print. The Print configuration defines the demographic fields to be used, how they will print on a 10-second landscape ECG, and in which order the user is prompted. Add demographic fields in the desired order by clicking Add Field. This affects the order the fields will display on the LCD and the tab order on a large-screen electrocardiograph. Define the Print configuration before defining the LCD configuration.

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SECTION 2

For each field, specify the following: Item

Description

Select Field Type

The Mortara electrocardiograph field.

Custom Field Label

The label for this field. Always define a label even if it will not display. Maximum length is 16 characters.

Label Position Row

Row where label will begin. 0 is the first row.

Label Position Column

Column where label will begin. 0 is the first column.

Data Position Row

Row where value will begin.

Data Position Column

Column where value will begin.

Data Length

Maximum length of value.

After configuring the Print format, click on CustomID LCD. It will already list the fields, labels, and positions as defined in the Print configuration. Keep the LCD settings the same, or edit the fields to change the label or positioning on the LCD screen. NOTE: The LCD format is reset whenever the Print format is changed. 2.5.2 Available Demographic Fields Custom IDs may use up to 16 of the fields listed below. Four of the fields must be: • Patient ID Number • Patient Last Name • Patient Age • Patient Gender Num/ Alpha

Max Len

XML Field ID

DICOM Tag

Patient ID Number

A

23

2

(0010,0020)

Yes

Primary patient identifier.

Patient First Name

A

20

7

(0010,0010)

Yes

A.k.a. given name.

Patient Middle Name

A

23

13

(0010,0010)

No

A.k.a. second name.

Patient Last Name

A

20

1

(0010,0010)

Yes

A.k.a. family name.

Patient Age

N

3

3

(0010,1010)

No

Length must be 3. Current electrocardiographs only support units of years.

Patient Gender

-

7

4

(0010,0040)

Yes

(blank), male, female, unknown.

Patient Race

-

17

5

(0010,2160)

No

(blank), Caucasian, Black, Oriental, Hispanic, American Indian, Aleut, Hawaiian, Pacific Islander, Mongolian, Asian.

Medication 1

-

20

6

(0040,A043) =G-02D0

No

(blank), digitalis, beta blocker, Quinidine/Norpace, diuretic, calcium antagonist, Proc/Lido/Tocainide, other antiarrhythmic, psychotropic, unknown.

Medication 2

-

20

6

(0040,A043) =G-02D0

No

(blank), digitalis, beta blocker, Quinidine/Norpace, diuretic, calcium antagonist, Proc/Lido/Tocainide, other antiarrhythmic, psychotropic, unknown.

Patient Height

N

3

9

(0010,1020)

Yes

Length must be 3.

Patient Weight

N

3

10

(0010,1030)

Yes

Length must be 3.

Field Name

8

From MegaCare Orders?

Description

SECTION 2

Num/ Alpha

Max Len

XML Field ID

DICOM Tag

Soc. Sec. Number

A

11

11

(1455,1003)

No

Patient Second ID

A

23

12

(0010,1000)

No

Patient Location

A

23

14

(0038,0300)

No

Patient’s room, bed, or department.

Patient Room

A

23

15

(0038,0400)

No

Patient’s room or bed.

Patient Birth Date

-

10

16

(0010,0030)

No

Comment

A

23

17

(0038,4000)

No

Reason For Procedure

A

23

18

(0040,1002)

No

Reason for ordering ECG.

Referring Physician

A

23

19

(0008,0090)

No

Physician referring patient for the ECG.

Attending Physician

A

23

20

(1455,1004)

No

Physician caring for patient.

Overreading Physician

A

23

21

(0008,1060)

No

Physician over reading (confirming) the ECG. Upon confirmation, confirming physician name will copy into the field overwriting anything entered by the electrocardiograph operator. Name, initials, or ID of person acquiring the ECG.

Field Name

From MegaCare Orders?

Description U.S. social security number.

Technician

A

23

22

(0008,1070)

No

Diagnosis

A

23

23

(0032,1030)

No

Note 1

A

23

24

(1455,1006)

No

Note 2

A

23

25

(1455,1007)

No

Order Number

A

23

26

(1455,1008)

No

Systolic Blood Pressure

N

3

27

(0040,A043) =F-008EC

No

Length must be 3. Units of mmHg.

Diastolic Blood Pressure

N

3

28

(0040,A043) =F-008ED

No

Length must be 3. Units of mmHg.

LCD Request

A

23

8

No

DO NOT USE; no longer supported by electrocardiographs

Requesting Physician

A

23

29

(0032,1032)

No

Physician requesting (ordering) the ECG.

Accession Number

A

16

30

(0008,0050)

No

Sequential number assigned by ordering system. Primarily used in DICOM.

Admission ID

A

23

31

(0038,0010)

No

Encounter number, visit number, account number, billing number, etc.

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SECTION 2

2.6 DICOM Configuration The DICOM Config button is available if ELI Link was installed with the DICOM password; click to configure the DICOM communications settings. The left half of the window contains the C_STORE settings for communicating with the Storage Service Class Provider (SCP). The right half contains Modality Worklist (MWL) settings for communicating with a MWL SCP. Item

Description

C_STORE Remote Host Name

The network name or TCP/IP address of the Storage SCP server.

Local AE

Application Entity (AE) Title given to ELI Link.

Remote Port Number

The TCP/IP port number used by the Storage SCP.

Remote AE

AE Title of Storage SCP.

Station Name

DICOM Station Name (0008,1010) value put into the DICOM ECGs. Can be any combination of fixed text and the variables <SITE> and <CART>. ELI Link will substitute the site number for <SITE> and the cart number for <CART>. Example: if Station Name is configured to be “Dept_<SITE>_Cart_<CART>”, and an ECG is acquired by cart 34 in site 6, the Station Name will be “Dept_6_Cart_34” in the stored DICOM ECG.

MWL Remote Host Name

The network name or TCP/IP address of the MWL SCP server.

Local AE

Application Entity (AE) Title given to ELI Link. It can be different than the AE Title used for storage.

Remote Port Number

The TCP/IP port number used by the MWL SCP.

Remote AE

AE Title of MWL SCP.

Clicking on Echo will test the DICOM communications connection by sending a DICOM Echo message to the corresponding SCP. The results of the Echo will be displayed in the adjacent text box. The message will say “Echo Passed” when the settings are correct and ELI Link is able to communicate with the SCP.

2.7 MWL Configuration The MWL Config button is available if ELI Link was installed with the DICOM password; click to configure the MWL query filters. Each site number has a default filter (query code = blank). Site numbers can also have additional filters that are named with 8-character (max) query codes. These query codes are sent with the Custom ID to electrocardiographs programmed with the site number. When the MWL is refreshed on the electrocardiograph, the technician will pick from the list of query codes. The powerful combination of site numbers and query codes supports complex installations and workflows. Planning a site number and query code scheme requires knowing how the electrocardiographs will be used. Site numbers are programmed into the electrocardiographs and are not intended to change; as such, assign site numbers based on the electrocardiographs’ domains of operation. Example: assign electrocardiographs intended for Hospital A’s Emergency Department a site number for “Hospital A’s Emergency Department”; assign electrocardiographs that will roam between ICU and CCU on Hospital B’s 3rd floor a site number for “Hospital B’s 3rd Floor”; assign electrocardiographs that will roam throughout Hospital C a site number for “Hospital C”.

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