MIDMARK ECG, SPIRO & HOLTER

Transcription

1 MIDMARK ECG, SPIRO & HOLTER The PCM/Midmark interface supports Midmark IQmark Digital ECG, Midmark IQmark Digital Spirometer and Midmark IQmark Digital Holter Setup Requirements Midmark Controls.msi set up must be installed prior to using this interface If using RDP connection (for ECG and SPIRO ) there is an additional Midmark RDP Client software requirement which must be purchased from Midmark o If you do not wish to purchase the RDP Client software from Midmark; PCM full networked client or full VPN Client is required For Holter users, until Midmark changes this requirement, PCM full networked client or full VPN Client is required. o The Holter security key (dongle) must be installed on the local workstation o Analyzing and Editing of Holters must be done from the workstations where the Holter security key (dongle) is installed PCM TS Client is no longer supported for use with this interface Important Information a. The Midmark Interface can be launched from the desktop using the PCM Midmark shortcut or from within PCM. We recommend launching the interface while logged into PCM with a chart open. b. For each test performed, Spiro, ECG or Holter; the chart will contain two entries, a digital file and a PDF file. o The Digital Reports will have a comment of Digital Report The PDF file for Holter will have a comment of Full Report The PDF file for ECG and SPIRO will have a comment of Summary Report c. The digital (.car) files are necessary to allow for editing and reediting d. The digital files can be edited by the signer on the same day the file was created, even if the PDF Report was already signed. o If any changes are made to the digital file, you will have the option to print the PDF Report once again on exiting the Midmark screen, the new PDF will overwrite the existing PDF to reflect any changes that were made. e. The digital files can be deleted by the signer at any time f. Auto-signing for the PDF Reports is currently not an option; Updated Page 1 of 16

2 o o manually clicking on the PDF where you want the signature to appear is recommended You may also enable the option to automatically place the signature on the last page, bottom right corner, but this may cover data on the PDF document. Using Midmark ECG Interface 1. Log into to PCM, open the patient s chart and click on the Midmark ECG, Spiro, Holter button, 2. The patient s Race and Vitals (if the data exist in the Pt. Data Editor and Vitals table) are imported into the ECG acquisition screen, but may be manually entered if missing. 3. Select the Requesting Physician and enter any Medications or History, if necessary 4. Click on the button; Perform ECG, Start Spirometer or Capture Holter Data Updated Page 2 of 16

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4 ECG 1. Click on Analyze button 2. Click on the Review button Simulated ECG 3. Close the ECG Acquisition Screen 4. A Digital Report will be created in the ECG MM Chart Tab Updated Page 4 of 16

5 5. Double click on the ECG file to open 6. Review the ECG, Edit as necessary 7. Click on Exit(Save Comments if necessary, on exiting) ECG Digital Report 8. If you are finished, click OK to create a PDF Summary Report 9. The Summary Report will be filed in the chart under the ECG MM tab 10. When the PDF Report file is created, it is sent to the signer s mailbox for signing, at the same time, the digital report.car file will be removed from the signer s mailbox 11. The signer can sign the PDF Summary report from the open chart or mailbox Updated Page 5 of 16

6 Additional ECG Screen Shots Digital ECG Details ECG PDF Summary Report Updated Page 6 of 16

7 Spirometry 1. Enter the Smoking History 2. Click on Close 3. Click on Start a New Test Simulated Spirometry Test Updated Page 7 of 16

8 Simulated Spirometry Test 4. Click on Yes to perform another test or No to accept the current test Updated Page 8 of 16

9 5. Review and make any necessary changes 6. When finished, click on Save Review and Close the Spirometry for Holter screen 7. A Digital Report will be created in the SPIRO MM Chart Tab 8. Double click on the SPIRO file to open 9. Review the SPIRO, Edit as necessary 10. Click on Exit (Save Comments if necessary, on exiting) Spirometry Digital Report Updated Page 9 of 16

10 11. If you are finished, click OK to create a PDF Summary Report 12. The Summary Report will be filed in the chart under the SPIRO MM Chart tab 13. When the PDF Report file is created, it is sent to the signer s mailbox for signing, at the same time, the digital report.car file will be removed from the signer s mailbox Holter 14. The signer can sign the PDF Summary report from the open chart or mailbox 1. Click on Analyze button 2. Click Acquire & Analyze button Updated Page 10 of 16

11 3. Edit the Interpretation or many any other changes as necessary 4. Click on Exit (Save Comments if necessary, on exiting) 5. If you are finished, Click OK to create a PDF Full Report Updated Page 11 of 16

12 6. The Full PDF Report will be filed in the chart under the Holter Chart Tab. a. Note: if the Holter s raw data (.zip) file is missing from the chart, the PDF will be generated, but with a comment of 'Summary Report' instead of the Full Report. 7. When the PDF Report file is created, it is sent to the signer s mailbox for signing, at the same time, the digital report.car file will be removed from the signer s mailbox 8. The signer can sign the PDF Summary report from the open chart or mailbox Editing Holter Files Editing of digital Holter files can only be done by the signer on the same date the file was created, and only if the Holter s raw data (.zip) file exists inside the patient s chart. Remember, this must be done on the full networked workstation or via a VPN connection where the Holter security key (dongle) is installed. Editing of digital Holter files is not allowed after the date created, the following message comes up: 1. Logged in as the signer 2. Double click on the Holter file (that was created today) from the patient s chart 3. Click on the option Open the selected holter file for further review 4. The Holter digital file will be open in edit mode Updated Page 12 of 16

13 If any changes are made to the digital file, you will have the option to print the PDF Report once again on exiting the Midmark screen, the new PDF will overwrite the existing PDF to reflect any changes that were made. Note: Only editing of the 'Full Report' is supported, there are no more summary reports, as those will not have all the pages needed; except in the situation where the Holter s raw.zip file is missing. Holter Full Report Updated Page 13 of 16

14 Additional Holter Screen Shots Holter Data Review Holter ST Trend Updated Page 14 of 16

15 Additional Information Exporting Chart or documents When using the Copy to file or Chart Export options; if the PDF Report file if found, that will be copied/exported. If a PDF Report file is not found, a summary is extracted and copied from the digital.car file Note: the list of documents Doc Date must be left in descending order, otherwise two copies of the PDF Report may be generated per digital file. Convert to Tif option Use the right click Convert to Tif option to create a Tif copy of the digital or PDF Holter, ECG, or SPIRO Printing Holter Files These files will only print to the computer's default printer; and cannot be set to print to the PCM document printer. Audit Trail The Audit Trail logs whenever a raw Holter file has been either viewed or annotated Auto-hide the Task Bar Auto hide your task bar to allow full ECG Screen; on your desktop; rt. click on your task bar, select properties, check Auto-hide the task bar other wise some buttons at the bottom of the screen will be hidden while the report screen is open in full screen mode. Updated Page 15 of 16

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