Philips Holter 2010 Plus / 1810 Series INSTALLATION AND CONFIGURATION GUIDE

Transcription

1 Philips Holter 2010 Plus / 1810 Series INSTALLATION AND CONFIGURATION GUIDE

2 Notices About this Edition Edition 2 March 2008 Publication number Edition History Edition 1 January 2008 Edition 2 March 2008 Printed in the USA Applicable to Philips Holter 2010 Plus / 1810 Series, version Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. This information is subject to change without notice. Copyright Copyright 2008 Philips Electronics North America Corp. Philips Medical Systems 3000 Minuteman Rd. Andover, MA USA TEL: (978) CAUTION THIS PRODUCT IS NOT INTENDED FOR HOME USE. IN THE U.S., FEDERAL LAW RESTRICTS THIS DEVICE TO SALE ON OR BY THE ORDER OF A PHYSICIAN. Unpacking and Storage The equipment is packed in its own reusable shipping container. When unpacking the equipment, inspect the carton for physical damage. Any damage should be reported immediately to the shipping company. Open the shipping container and compare the contents to the packing list. There is only one packing list per shipment. If there are several parcels, the shipping list is normally attached to the largest container. If the packing list does not agree with the items received, contact a Philips Response Center. The shipping container should be saved to permit reshipment. Medical Device Directive Philips Holter 2010 Plus /1810 Series complies with the requirements of the Medical Device Directive 93/42/EEC and carries the 0123 mark accordingly. Authorized EU-representative: Philips Medizin Systeme Böblingen GmbH Hewlett Packard Str Böblingen Germany SFDA Holter 2010 Plus / 1810 Series SFDA registration number SFDA product standard number YZB/USA-337 Trademarks Windows is a registered trademark of Microsoft Corporation. DigiTrak Plus is a trademark of Philips Medical Systems. All other brand and product names are trademarks or registered trademarks of their respective companies. Global Medical Device Nomenclature (GMDN) The 5-digit GMDN code adjacent to the symbol is defined in the EN ISO GMDN 41651

3 Table of Contents Installing Holter v2.9.1 Software Overview Before You Begin System Requirements Minimum System Requirements Recommended System Requirements Running Holter 2.9.1, 2.8.1, and/or 2.7 Concurrently in a Link Network Installing the Holter Software Connecting the Docking Station and Recorder Before you Begin Upgrading Or Reinstalling Holter Configuring Holter for User Level Access Windows XP Windows 2000, 2003, and XP Windows Vista Configuring Holter and IntelliVue Communication System Requirements IntelliVue Requirements Holter Requirements Configuring Network and Sharing Settings on Holter System Retrieving the Computer Name Adding the IntelliVue User ID to the Holter System Configuring File Sharing on the Holter Computer Exporting to HL About the HL7.ini Configuration File Collect Information Customize the HL7 Configuration File About the HL7.ini Configuration File Test HL7 Export Exporting to TraceMasterVue Configuring Network and Sharing Settings on Holter System Retrieving the Computer Name Adding the TraceMasterVue User ID to the Holter System Configuring File Sharing on the Holter Computer Philips Holter Installation and Configuration Guide iii

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5 1Installing Holter v2.9.1 Software NOTE NOTE This guide is intended for system administrators who must install the Holter application in a Windows environment. This guide describes features that may not be available in all Philips Holter software versions. Refer to the Philips Holter Instructions for Use for details about which features are available with each Holter model. This document describes how to install Holter version software and access the features of the Philips Holter Software and Documentation CD. The CD contains the software and documentation you need to upgrade or install the software on Holter scanners. In addition to Holter 1810/2010 for Windows software and a firmware updater for DigiTrak Plus recorders, the CD contains product documentation in PDF format. New features for this release of Holter are described in the New Features section of the Release Notes, as well as the first chapter of the Holter Instructions for Use. Be sure to review these features before using the product. For minimum and recommended system requirements, see System Requirements on page 2. At any time you can use the menu on the Philips Holter Software and Documentation CD to access product documentation in PDF format or to install the DigiTrak Plus Firmware Updater. Overview NOTE All required Holter software is provided on the Philips Holter Software and Documentation CD. Installation wizard screens are shown in English only. Installation comprises the following steps: Ensuring your system meets minimum requirements Installing the Holter software Initializing the DigiTrak XT and DigiTrak Plus recorders If purchased, configuring the system for use with the Philips IntelliVue Information Center (IIC) If purchased, configuring HL7 export If purchased, configuring TraceMasterVue export If purchased, configure the Central and Remote link 1

6 Installing Holter v2.9.1 Software NOTE After successful installation of the software, you can use the Windows Start button to access all installed applications, release notes, documentation, and online help. Before You Begin Before installing Holter software, confirm that the Holter software hardlock is connected to the Holter system s parallel or USB port, depending on the model of the hardlock key. If you are upgrading a system that uses the parallel model, and the parallel port is connected to a printer, unplug the printer cable, plug the hardlock (male connector) into the parallel port, and plug the printer cable into the back (female connector) of the hardlock. NOTE The Holter software hardlock is the key to your system s functionality. Be sure to safeguard the hardlock to ensure it is not lost or stolen. System Requirements The Holter software requires the following minimum system configuration. For optimal performance, refer to the recommended system requirements listed below. Minimum System Requirements Processor: Intel Pentium III, 500 MHz Memory: 256 MB Hard disk: 10 GB Video: 1024 x 768 x 16K color USB: 1.2 or greater Operating system: Windows Vista Business, Windows Vista Utlimate, Windows XP Professional (Service Pack 2), or Windows 2003 Server Standard Edition (Service Pack 1). Only the listed editions are supported. Other versions of these operating systems (for example, Windows XP Home or Windows Vista Home edition) are NOT supported. Recommended System Requirements Processor: Intel Pentium 4, 1.8 GHz Memory: 512 MB or greater Hard disk: 20 GB (7200 RPM or faster) Video: 1024 x 768 x 16K color USB: Philips Holter Installation and Configuration Guide

7 Security Features and Recommendations CAUTION When Philips Holter software is installed, the system is checked to see that it meets minimum requirements for processing Holter data accurately. If the system does not meet requirements, the following message is displayed each time Holter is run: This computer does not meet the requirements to run Holter. Analyzed data may not be accurate. CAUTION The new Philips DigiTrak XT recorder allows for multi day scans, up to 168 hours (7 days). While a system meeting the minimum requirements can handle a scan of this length, performance is severely impacted. If you intend to process multi day scans, we strongly recommend using a higher performance system, with faster processor, more memory, and a larger hard drive; for example: Processor: Intel Xeon multi-core processors 1.8GHz or higher Memory: 2 GB Hard disk: 100 GB or larger (7200 RPM or faster) Security Features and Recommendations As more patient health information is collected, stored, and transmitted electronically, on a global basis, the concern for patient privacy grows. We consider the security and confidentiality of patient data to be of paramount importance. We adhere to the highest professional standards focused on providing you with resources aimed at your regulatory compliance needs and allowing you to fully manage the safety, effectiveness, and security risks of medical devices, including your Holter system and Philips recorders. Security Enhancements Added to Holter To this end, we have included the following security enhancements in Holter 2.9.1: Added an audit/tracking feature to record activities performed in the Holter application. This information is presented on a new page, Change History, in the Holter report. This page is shared between the Glossary and audit/tracking entries. An entry is added to this report every time any of the following occurs, identifying the logged in user, date, action (described below), and in some cases, a user-specified comment. Created (when you load a new scan) Edited (when you change data in a report) Scan Saved (when you save changes to a scan) Scan Printed (when you print a scan) Implemented a configurable login requirement to access the Holter application. The user must provide their Windows password to log into Holter, when enabled. Philips Holter Installation and Configuration Guide 3

8 Installing Holter v2.9.1 Software Enabled the ability to run the Holter application, including downloading data from the new DigiTrak XT recorder, under a user-level (non-administrator) account. This enables your site to prevent users from modifying applications or other operating system files, thereby enhancing the security of your Holter system. Previous versions of Holter, and the current version of Holter when downloading data from a DigiTrak Plus recorder, require the use of an administrator-level account. On these systems, we recommend limiting the amount of data exposed to the user, as well as the number and type of applications on the system. Added the ability to encrypt PDF files and require a password to unlock the file. While encryption is not required, we recommend that you encrypt and password protect PDF reports prior to ing them. Added soft encryption to the patient data on the DigiTrak XT recorder. Security Recommendations To further strengthen the security and confidentiality of your patient records and system in general, we recommend that you implement additional safety measures, including: Remind your patients that the recorder contains confidential patient data and they should safeguard the recorder while it is in their possession. Store the recorders in a secure location when not in use. Implement best practices Windows security measures to minimize unauthorized system access. These measures include short screen saver intervals, short auto logout intervals when the system is idle, and training your users to lock the desktop when they leave the computer. Use a privacy filter on the Holter system monitor that shields the visibility of the screen contents from angled viewing. Install virus protection software, such as Norton AntiVirus or McAfee VirusScan. Visit the Philips security website at for the latest security updates from Philips Medical Systems. 4 Philips Holter Installation and Configuration Guide

9 Running Holter 2.9.1, 2.8.1, and/or 2.7 Concurrently in a Link Network Running Holter 2.9.1, 2.8.1, and/or 2.7 Concurrently in a Link Network It is possible to run the Holter versions 2.7, 2.8.1, and/or 2.9.1, concurrently on the same Link network. These versions are interoperable with the following limitations: Holter 2.9.1, 2.8.1, and 2.7 support both DigiTrak Plus and DigiTrak XT recorders. Versions 2.7 and require you to install a software update to support the DigiTrak XT recorder. See the DigiTrak XT Compatibility Software Installation Instructions that came with your DigiTrak XT recorder for more information. Any systems on the Link network running versions and will support only DigiTrak Plus and DigiTrak XT recorders. Additional media, such as flash cards, and cassette tapes are not supported. Remote links running version 2.7 support additional media. Any features that are specific to are not available on the 2.7 system. Similarly, features that are specific to are not available on a or 2.7 system. If you are running systems in different languages in the network, be aware that the report will be displayed in the language in which it was scanned, and the editing tools will be in the language configured for the application. For example, if the report is scanned on a Holter system in French, and then the report is sent to a remote system that is configured for Italian, the report will be displayed in French, but the editing tools on the remote link will be in Italian. NOTE It is possible that text on the reports may not be displayed properly if you do not have the appropriate language packs installed on the system. The Swedish interface is available only in versions and later. For additional details about running multiple Holter versions in a Link network, refer to the Remote Central Link Instructions for Use. Philips Holter Installation and Configuration Guide 5

10 Installing Holter v2.9.1 Software Installing the Holter Software If you have a previous version of Holter installed, upgrade your system as described in Upgrading Or Reinstalling Holter on page 13. You must first uninstall any previous version of the software, then reboot the system before proceeding with version installation. If you are installing Holter for the first time, use the instructions provided next. NOTE The default temporary file directory structure created during your Holter software installation has been optimized for maximum system performance and reliability. Modifying this default configuration can result in sluggish and/or unpredictable system performance and is not recommended. To install Holter software 1 Log into the target system as the system administrator or as a user with administrative privileges. NOTE It is recommended that you exit all Windows programs before running the Holter Installation Wizard. 2 Insert the Philips Holter Software and Documentation CD in the CD drive. The installer is configured to automatically start. If the installation program does not start automatically, using Windows Explorer, navigate to the CD and double-click the file, Launcher.exe. The Holter Installation window appears. 6 Philips Holter Installation and Configuration Guide

11 Installing the Holter Software To install the Holter family of products, proceed to the next step. You can also install the following additional components at any time: The DigiTrak Plus Firmware Updater installs the software used to update the DigiTrak Plus recorder firmware.(see the DigiTrak Plus Firmware Updater Instruction Sheet on your Holter CD for instructions.) Adobe Acrobat Reader allows you to read PDF files on the system. The documentation provided with Holter is in PDF. 3 Before proceeding, verify that your system meets the application requirements by clicking the Check System Requirements entry. The installer verifies that your system meets requirements. 4 Click Install Holter Family of Products. The Installation Wizard appears. 5 Click Next on the next two screens to proceed. The License Agreement screen appears. 6 Select the I accept radio button, then click Next. The Release Notes screen appears. 7 Review the contents of the release notes, then click Next. The Choose Destination Location screen appears. 8 To install Holter applications in their default locations, click Next. To change the installation directory, click Browse and navigate to the directory in which to install files. The Setup screen appears. By default, the screen is left blank, that is, nothing is selected. 9 Select the check boxes for the components to install. Click the + to expand a section. In addition to the Holter, Central or Remote Link, and Report Viewer applications, and all the documentation options, you can also install additional components, if desired. The Remote Link component is used if you will be transmitting ECGs from remote sites to a central system for processing. You can install additional components or documentation at a later time, if desired. Philips Holter Installation and Configuration Guide 7

12 Installing Holter v2.9.1 Software 10 Select the components to install, then click Next. The Confirm Installation screen appears, listing the components selected for installation. 11 Click Next. The Holter software is installed. NOTES Should the installation fail at any time, reboot the PC and start again from the beginning. During the installation process, a warning dialog box appears stating that this application has not passed logo testing by Microsoft. Click Continue Anyway. When installation is complete, the Successful Installation screen appears. 12 Click Finish to end the process and remove the CD from the drive. 8 Philips Holter Installation and Configuration Guide

13 Connecting the Docking Station and Recorder Connecting the Docking Station and Recorder You connect the recorder to the docking station to enter patient information and to download data collected in the DigiTrak Plus and DigiTrak XT recorders to the Holter application. The data is transferred to and from the Holter system through a USB docking station; you place the recorder in the docking station to transfer the data. After the docking station is connected to the PC and you place the recorder in the docking station, the operating system detects that new hardware is in place and configures the appropriate device driver. There are two types of docking stations: (When the term docking station is used, it refers to both types.) Dual dock - accommodates both the DigiTrak XT and DigiTrak Plus recorders DigiTrak Plus Dock - accommodates the DigiTrak Plus only Before you Begin After the docking station is connected to the PC, the first time you insert the recorder, the operating system detects that new hardware is in place and configures the appropriate device driver. If an error messages appears stating the device driver cannot be found, enter the file location of the driver when prompted. The file location is C:\Windows\System32\Drivers. CAUTION Connect the docking station after installing the Holter software as described in Installing the Holter Software on page 6. Never dock a recorder while software installation is in progress. CAUTION Do not disconnect the recorder whenever the Preloading message is flashing. To cancel the preloading sequence, double-click the Preloading message and select Abort. If you accidentally unplug the recorder during a preload sequence, restart the system to clear the DigiTrak XT device. If the recorder is unplugged prematurely, the ECG is corrupted. CAUTION Do not insert the recorder at a high angle or with the pins facing out. Inserting the recorder from a high angle will result in bent pins. Philips Holter Installation and Configuration Guide 9

14 Installing Holter v2.9.1 Software Dual Dock DigiTrak Plus Dock Ensure the docking station is connected to the Holter computer before proceeding. To connect the docking station to the Holter computer Plug the USB connector from the docking station into an available USB port on the computer. 10 Philips Holter Installation and Configuration Guide

15 Connecting the Docking Station and Recorder To connect the DigiTrak XT to the dual dock 1 Remove the battery from the recorder. 2 Remove the belt clip and pouch from the recorder, if attached. 3 Gently slide the left side of the recorder straight into the dual dock (at the angle shown) with the pins facing the left side (under the flap). 4 Gently press down on the right side of the recorder to lock it into the dual dock. There should be light resistance. The recorder snaps into place. CAUTION Do not force the recorder into the dual dock. If it does not easily snap into place, remove the recorder and try installing it again. The operating system detects that new hardware is connected, and automatically configures the appropriate device driver. USB connected appears on the recorder display and the Preloading message appears in the bottom right of the Holter application window (if there is data on the recorder). The dual dock is now operational. Philips Holter Installation and Configuration Guide 11

16 Installing Holter v2.9.1 Software To connect the DigiTrak Plus to the dual dock: 1 Remove the battery from the recorder. 2 Gently slide the recorder straight into the dual dock (at the angle shown) with the pins facing the back (under the flap). 3 Gently push down on the product label. The recorder snaps into place. The operating system detects that new hardware is connected, and automatically configures the appropriate device driver. DigiTrak Plus-Philips appears on the recorder display when the recorder is properly connected, and the Preloading message appears in the bottom right of the Holter application window (if there is data on the recorder). The dual dock is now operational. 12 Philips Holter Installation and Configuration Guide

17 Upgrading Or Reinstalling Holter To connect the DigiTrak Plus to the DigiTrak Plus dock 1 Remove the battery from the recorder. 2 Gently slide the recorder straight into the DigiTrak Plus dock (at the angle shown) with the pins facing the back (under the flap). 3 Gently push down on the product label, as shown below. The recorder snaps into place. DigiTrak Plus-Philips appears on the recorder display when the recorder is properly connected, and the Preloading message appears in the bottom right of the Holter application window (if there is data on the recorder).the docking station is now operational. Upgrading Or Reinstalling Holter NOTE Before installing Holter version from the Philips Holter Software and Documentation CD, you must remove any previously installed versions of the software. If you are running the DigiTrak XT Compatibility software, you must remove this before removing the Holter application. Philips Holter Installation and Configuration Guide 13

18 Installing Holter v2.9.1 Software You can also use the following procedure to reinstall or remove the application, if necessary. To upgrade to Holter version If you are running the DigiTrak XT Compatibility software, remove it as follows: a b c d e Click Start > Settings > Control Panel > Add/Remove Programs. Locate the DigiTrak XT Compatibility software entry and click Remove. Select the Remove option and click Next. Continue clicking Next until the application is removed. When prompted, click Finish to close the Wizard. 2 Remove the previous version of Holter from the system, as follows: a b c Click Start > Settings > Control Panel > Add/Remove Programs. Locate a Holter-related entry, labeled Philips Zymed Holter <application name>, and click Remove. The Application Maintenance screen appears. Select the Remove option, then click Next. The Modify option allows you to select other Holter options to install (for example, adding Holter Central Station) from a selected list of features. You will need the installation CD for this option. The Repair option reinstalls necessary files if any are missing or corrupt. In addition, system defaults are reset to their factory values. The Remove option uninstalls the selected Holter application and related files from the system. 3 Continue clicking Next until the application is upgraded, repaired, or removed. 4 When prompted, click Finish to close the Wizard. 14 Philips Holter Installation and Configuration Guide

19 Configuring Holter for User Level Access 5 Reboot the system. 6 Follow steps 1 through 10 of Installing the Holter Software, starting on page 6. Configuring Holter for User Level Access Holter provides the ability to run the Holter application, including downloading data from the new DigiTrak XT recorder, under a user-level (non-administrator) account. This enables your site to prevent users from modifying applications or other operating system files, thereby enhancing the security of your Holter system. Refer to the appropriate section for your operating system and perform the procedures to set up a user account for all DigiTrak XT users. Use the same procedures for user and power user accounts. NOTE DigiTrak Plus users still need an administrator account to run the Holter application and download data. Use caution when setting up administrator accounts as there may be information technology security issues to consider. Windows XP You must disable simple file sharing in order to access the Security tab from the Properties dialog box. To disable simple file sharing 1 From Windows Explorer, click Tools>Folder Options. The Folder Options dialog box appears. 2 Click the View tab. 3 Scroll to the bottom of the list and clear the check box next to Use simple file sharing. 4 Click OK. Philips Holter Installation and Configuration Guide 15

20 Installing Holter v2.9.1 Software Windows 2000, 2003, and XP To configure Holter for user level access 1 Browse to C:\Documents and Settings\All Users\Application Data\Holter. (Holter is a hidden folder. Use the Windows Explorer Folder Options dialog box under the Tools menu to show hidden folders). 2 Right-click the Holter folder and click Properties. The Properties dialog box appears. 3 Click the Security tab. If the following Microsoft security message appears, click OK. NOTE Microsoft offers a patch to correct this situation. Contact Microsoft Corporation for further details. 4 Highlight Users and check the Allow check box next to Full Control. 5 Click OK. 6 Browse to C:\Program Files\Holter. 7 Right-click the Temp folder and click Properties. The Properties dialog box appears. 8 Click the Security tab. The Microsoft security message may appear. See page16 for more information. 16 Philips Holter Installation and Configuration Guide

21 Configuring Holter for User Level Access 9 Highlight Users and check the Allow check box next to Full Control. 10 Click OK. Philips Holter Installation and Configuration Guide 17

22 Installing Holter v2.9.1 Software Windows Vista To configure Holter for user level access 1 Browse to C:\ProgramData\Holter. (Holter is a hidden folder. Use the Windows Explorer Folder Options dialog box under the Tools menu to show hidden folders). 2 Right-click the Holter folder and click Properties. The Properties dialog box appears. 3 Click the Security tab. 4 Click the Edit button. The Permissions dialog box appears. 5 Highlight Users and check the Allow check box next to Full Control. 18 Philips Holter Installation and Configuration Guide

23 Configuring Holter for User Level Access 6 Click OK. 7 Browse to C:\Program Files\Holter. 8 Right-click the Temp folder and click Properties. The Properties dialog box appears. 9 Click the Security tab. 10 Click the Edit button. The Permissions dialog box appears. 11 Highlight Users and check the Allow check box next to Full Control. 12 Click OK. Philips Holter Installation and Configuration Guide 19

24 Installing Holter v2.9.1 Software Configuring Holter and IntelliVue Communication NOTE For the Holter system to receive data exported from a Philips IntelliVue system, the Holter computer must be accessible to the IntelliVue local area network. Before you start, verify that the Holter system has a network interface card and an IP address (either static or DHCP). System Requirements You must have the following options installed and enabled at your site to allow ECG transmission and viewing between the IntelliVue and Holter systems. For details on ordering options, contact your Philips representative. IntelliVue Requirements IntelliVue IIC version G.0 or later Application Server option IntelliVue Patient Monitor Portal Technology option IntelliVue IIC connectivity option Holter Requirements Holter version 2.7 or later Configuring Network and Sharing Settings on Holter System Network and file sharing comprises the following steps: Retrieve the Holter computer name. This will be used by the IntelliVue system to identify the system to which to transfer files. Create a user ID for the IntelliVue system on the Holter computer (page21) Create a shared folder on the Holter computer (page 22) 20 Philips Holter Installation and Configuration Guide

25 Configuring Holter and IntelliVue Communication Retrieving the Computer Name To display the Holter computer name 1 Log in to the Holter system as Administrator. 2 Right-click the My Computer icon on the Holter PC desktop, and select Properties. 3 Click the Computer Name tab, and make a note of the name specified in the Full computer name field. You will use this name during IntelliVue installation and configuration as the Host Name to identify the Holter computer on the network. 4 Click OK. Adding the IntelliVue User ID to the Holter System You must create a user ID specifically for the IntelliVue system to be able to transfer files across systems. To create the IntelliVue user ID 1 Right-click the My Computer icon on the Holter system desktop and select Manage from the popup menu. The Computer Management console appears. 2 In the left pane, under Computer Management (Local), expand the System Tools entry, then Local Users and Groups. 3 Right-click Users and select New User from the popup menu. The New User dialog box appears. Philips Holter Installation and Configuration Guide 21

26 Installing Holter v2.9.1 Software 4 Fill in the fields, as desired. You can specify any user name and password. However, you must ensure that this user ID, with the same password, also exists on the IIC system. User name Password <user configurable> <user configurable> 5 Set the check boxes as follows (as shown above): Clear the User must change password check box. Select the User cannot change password check box. Select the Password never expires check box. 6 Click Create. 7 Close the Computer Management console. Configuring File Sharing on the Holter Computer Setting up file sharing with the IntelliVue system comprises two steps: Disable simple file sharing on the system Create a shared folder for the IntelliVue system to access To disable simple file sharing 1 In the Windows Explorer menu bar, select Tools > Folder Options. 2 In the Folder Options dialog box, click the View tab. 3 Scroll down to the bottom of the list and clear the Use simple file sharing check box. 22 Philips Holter Installation and Configuration Guide

27 Configuring Holter and IntelliVue Communication Clear this check box 4 Click OK. To create a new shared folder The IntelliVue system is configured to export ECG files to this specific shared folder on the Holter computer. 1 On the C: drive of the Holter computer, create a new folder labeled PMDExport. 2 Right-click the new PMDExport folder and select Properties from the popup menu. 3 In the Properties dialog box, click the Sharing tab. Philips Holter Installation and Configuration Guide 23

28 Installing Holter v2.9.1 Software 4 Set the options as follows (as shown above): a b Select the Share this folder radio button. In the Share name field, ensure the text is PMDExport. 5 Click Permissions. 6 In the Permissions dialog box, click Add. 7 Locate the IntelliVue user ID you added (page 21), and add this ID to the permissions list, with full control 8 Click OK as needed to close out the dialog boxes. The shared folder is now configured on the system. Exporting to HL7 NOTE HL7 is an ANSI standard for the exchange of health care-specific data computer applications. The name comes from Health Level 7, which refers to the top layer (Level 7) of the Open Systems Interconnection (OSI) layer protocol for the health environment. This guide assumes you are familiar with the HL7 protocol. There are many resources on the World Wide Web that provide detailed information about HL7, the standards, components of a message and the like. Holter s HL7 interface provides you with one-way standard HL7 text result output and an optional pointer to a PDF version of the report. You can also customize the configuration file (HL7.ini). If you choose the PDF option, exporting to HL7 generates a PDF file and includes a pointer to that PDF file in the HL7 text result. For details on the configuration file, HL7.ini, see About the HL7.ini Configuration File, below. HL7 export is supported in Holter, Remote Link, and the Report Viewer applications. The HL7 export functionality requires a hardlock on the main Holter PC. About the HL7.ini Configuration File Before you can export to HL7, you must configure Holter to enable export and to set the appropriate transmission data. Defining export parameters is generally performed as part of system installation and set up HL7 Export configuration is described in detail in the following section. The HL7.ini file must reside in the same directory as the Holter application (.exe) file. If you have a central station with one or more remote links, you can customize the HL7.ini file for each remote system. At a high level, you can customize the following parameters in the configuration file: Whether your installation is running in test, production, or debug mode Which version of HL7 is used to generate the output 24 Philips Holter Installation and Configuration Guide

29 Exporting to HL7 Which HL7 message delimiters are in use at your site The directory to which to export the HL7 text output If you are using the PDF option, you specify the directory in which to save the generated PDF files, as well as the URL (or UNC location) of these files, so that you can access the PDF files directly within your hospital information system If you are using the PDF option, you specify the resolution of waveform data in samplesper-inch Cleanup function, which determines at what time intervals old HL7 and PDF files are removed from your system Detailed information about customizing your HL7 export by changing the configuration file is provided in the following sections. Follow the steps below to configure your system for HL7 export: 1 Collect transmission data, including server name, delimiters, HL7 version, and export paths. 2 Customize the HL7.ini file. 3 Test HL7 export within the application and review the output. 1. Collect Information Decide on the delimiters you are using for HL7, the version, and how to configure communication between your HIS (or other system that will use the HL7 results) and the Holter HL7 files. You can customize the HL7 configuration file with your own delimiters. Determine whether a link to a PDF file will be included with the HL7 output. Determine the export paths for the HL7 and if applicable, PDF output. Philips Holter Installation and Configuration Guide 25

30 Installing Holter v2.9.1 Software 2. Customize the HL7 Configuration File Use any text editor (such as Windows Notepad) to edit the HL7.ini file in C:\Program Files\Holter. The HL7 defaults and structure of the file are described in the following section. About the HL7.ini Configuration File Before you can export to HL7, you must configure Holter to enable export and to set the appropriate transmission data. Defining export parameters is generally performed as part of system installation and set up. Note that you will most likely have this file customized when you install the Holter application, and will then not often modify this configuration file. The HL7.ini file must reside in the same directory as the Holter application (.exe) file. If you have a central station with one or more remote links, you can customize the HL7.ini file for each system. The default HL7.ini file is included below. A semicolon; at the beginning of a line indicates a comment; that is, a line that is informational and is not interpreted by the Holter application as a command. All lines except for the actual parameter definition must be commented, as shown below. [HL7Config] ; P=Production, D=Debug ProcessingID=P ; HL7 version info to place into generated HL7 documents Version=2.3 ; HL7 delimiters Delimiters= ^~\& ; Path to export HL7 files to. HL7Path=C:\Program Files\Holter\Temp\HL7 ; If this path is present a PDF will also be exported and placed in this folder. If empty, ; no PDF is exported when HL7 message is created. PDFPath=C:\Program Files\Holter\Temp\PDF ; The path to the PDF as written into the HL7 file, can be UNC or URL format. PDF file title ; is appended directly, so be sure to include any trailing slashes or backslashes. ; Not used if PDFPath is empty. PDFLink=\\servername\sharename\ ; The resolution of waveform data in samples-per-inch. Higher values indicate higher quality ; but may dramatically increase PDF file size. Best=300, High=200, Normal=100, Draft=75 PDFWaveformQuality= Philips Holter Installation and Configuration Guide

31 Exporting to HL7 ; If any files are found in HL7Path or PDFPath this many days or older, they will deleted. ; A value of zero disables directory cleaning. RemoveOld=45 The exported HL7 file name is in the form: zh_patientid[hookuptime]patientname.hl7 Note that all file names begin with zh_. For example, the following file name shows patient ID 004, hookup time Aug 18, :00 pm, and patient name, John Q Smith. zh_004[ ]john_q_smith.hl7 The HL7.ini configuration file defines the following export parameters: Table 1-1 HL7.ini parameters Parameter Default Description ProcessingID P Whether your installation is in production (P), or debug mode (D). Version 2.3 The HL7 version the exported result is using. Delimiters ^~\& The HL7 delimiters used in the exported result. Other valid delimiters include semicolon (;) and colon (:). HL7Path C:\Program Files\Holter\Temp\HL7 Where to save the exported HL7 output. You will most likely change this directory setting. This path can be on the Holter PC or the network. This directory must provide read and write permissions for Holter users, so that users can export HL7 output to this location. It must also be shared over the network with read permission to allows users/applications to access the HL7 files stored herein. Philips Holter Installation and Configuration Guide 27

32 Table 1-1 HL7.ini parameters (continued) Parameter Default Description PDFPath C:\Program Files\Holter\Temp\PDF Whether a link to a PDF file is included with the HL7 output. If defined, specifies where to save the PDF file. If left empty, no PDF file is generated. You will most likely change this directory setting. This path can be on the Holter PC or the network. This directory must provide read and write permissions for Holter users, so that users can export PDF files to this location. It must also be shared over the network with read permission to allows users/applications to access the PDF files stored herein. You will define a share name for this directory, and reference that name in the PDFLink parameter (next).

33 Exporting to HL7 Table 1-1 HL7.ini parameters (continued) Parameter Default Description PDFLink \\servername\ sharename Used in conjunction with the PDFPath parameter (above) and the PDF file name, specifies the URL (or UNC location) to a shared directory on a shared server where the PDF file is available. The HL7 text output includes a pointer to this location. You must customize this parameter if you are using the PDF option with HL7 export. NOTE You must ensure that the location you specify in this parameter provides the appropriate permissions so that applications can retrieve the PDF file stored here. For example, if you specify the following definitions: IP address of Holter system = NOTE The IP address you specify must be a static IP address. Otherwise, use the server name. PDFPath = C:\Holter\HL7_PDF Share name of C:\Holter\HL7_PDF = Holter_HL7PDF You would define PDFLink as follows: PDFLink = \\ \Holter_HL7PDF PDFWaveformQuality 200 samples per inch Used to determine the resolution of waveform data in samples per inch. Higher values will improve the quality of the waveform but increase the PDF file size. Use the following values as a guideline: Best quality = 300 High quality = 200 Normal quality = 100 Draft quality = 75 Philips Holter Installation and Configuration Guide 29

34 Installing Holter v2.9.1 Software Table 1-1 HL7.ini parameters (continued) Parameter Default Description RemoveOld 45days Age of files to automatically delete from the directories specified in HL7Path and/or PDFPath. This operation is performed only once per day to maximize export performance. To disable automatic file removal, set this parameter to 0. NOTE If multiple Holter PCs will be sharing the HL7 and PDF export folders, only one PC should be configured for removing old files. Otherwise, file conflict issues can occur. 3. Test HL7 Export Reports (.zpt files) are exported as defined in the HL7.ini configuration file. An HL7 text output of the report is saved in the HL7 export directory, and, if specified, a PDF file is saved in the PDF export directory, and a link to that PDF file is included in the HL7 text file. Once the Holter application is installed and you have customized the HL7.ini file, test the HL7 export and review the output. To test HL7 export 1 With the report (.zpt) selected in Holter, select File > Export > to HL7. The report is exported as HL7 text output to the location defined in the HL7.ini file HL7Path parameter. If you also specified PDFPath, that is, a location in which to save PDF output, Holter also generates a PDF file and saves it in the specified location, and includes a pointer to the PDF file in the HL7 output. 2 Open the resulting file using Notepad or a text editor of your choice and review the contents. The exported HL7 file name is in the form: zh_patientid[hookuptime]patientname.hl7 3 Ensure your specified delimiters are in use, and verify that the version number and processing ID are correct. In general, you will configure another application to poll the HL7 and PDF export folders on a regular basis to pick up HL7 messages to transmit to your HIS. 30 Philips Holter Installation and Configuration Guide

35 Exporting to TraceMasterVue Exporting to TraceMasterVue With the Holter Multimodality option, you can now export PDFs for import into the Philips TraceMasterVue ECG Management System (version C.01 and later) for storage and archiving. In TraceMasterVue, you can review the PDF report, as well as store it in the database. You cannot, however, edit the imported PDF file. For details about working with the imported PDF report, refer to the TraceMasterVue documentation. For details on Holter models and options, see the Philips Holter Instructions for Use. Holter exports an enhanced PDF file for import into TraceMasterVue. For details about the information embedded in the PDF file, see the Philips Holter Instructions for Use. Configuring Network and Sharing Settings on Holter System NOTE Both the Holter application and the TraceMasterVue system must be configured in order for the export functionality to work. You can set up the shared folder and user ID on either the TraceMasterVue or the Holter PC. Work with your IT department to determine which method is best for your institution. The instructions in this section document how to set up the shared folder and user ID on the Holter system. The instructions for setting up these items on the TraceMasterVue system are similar. However, it is recommended that you refer to the TraceMasterVue documentation for specific instructions. Work with the TraceMasterVue system administrator to define the information needed, as follows: Retrieve the Holter computer name. This will be used by the TraceMasterVue system to identify the system from which to transfer files. Create a user ID for the TraceMasterVue system on the Holter computer. Create a shared folder on the Holter computer and set access and user permissions, as appropriate. Inform the Holter users of the shared folder name so that they export the report to the correct location. See the TraceMasterVue documentation for TraceMasterVue configuration information. Retrieving the Computer Name To display the Holter computer name 1 Log in to the Holter system as Administrator. 2 Right-click the My Computer icon on the Holter PC desktop, and select Properties. 3 Click the Computer Name tab, and make a note of the name specified in the Full computer name field. You will use this name during TraceMasterVue installation and configuration as the Host Name to identify the Holter computer on the network. 4 Click OK. Philips Holter Installation and Configuration Guide 31

36 Installing Holter v2.9.1 Software Adding the TraceMasterVue User ID to the Holter System You must create a user ID specifically for the TraceMasterVue system to be able to transfer files across systems. To create the TraceMasterVue user ID 1 Right-click the My Computer icon on the Holter system desktop and select Manage from the popup menu. The Computer Management console appears. 2 In the left pane, under Computer Management (Local), expand the System Tools entry, then Local Users and Groups. 3 Right-click Users and select New User from the popup menu. The New User dialog box appears. 32 Philips Holter Installation and Configuration Guide

37 Exporting to TraceMasterVue 4 Fill in the fields, as desired. You can specify any user name and password. However, you must ensure that this user ID, with the same password, also exists on the TraceMasterVue system. User name Password <user configurable> <user configurable> 5 Set the check boxes as follows (as shown above): Clear the User must change password check box. Select the User cannot change password check box. Select the Password never expires check box. 6 Click Create. 7 Close the Computer Management console. Configuring File Sharing on the Holter Computer Setting up file sharing with the TraceMasterVue system comprises two steps: Disable simple file sharing on the system Create a shared folder for the TraceMasterVue system to access To disable simple file sharing 1 In the Windows Explorer menu bar, select Tools > Folder Options. 2 In the Folder Options dialog box, click the View tab. 3 Scroll down to the bottom of the list and clear the Use simple file sharing check box. Clear this check box 4 Click OK. Philips Holter Installation and Configuration Guide 33

38 To create a new shared folder 1 On the C: drive of the Holter computer, create a new folder. 2 Right-click the new folder and select Properties from the popup menu. 3 In the Properties dialog box, click the Sharing tab. NOTE 4 Set the options as follows (as shown above): a Select the Share this folder radio button. b In the Share name field, ensure the folder you created is listed. In this example, the folder name is TMVue Export. 5 Click Permissions. 6 In the Permissions dialog box, click Add. 7 Locate the TraceMasterVue user ID you added (32), and add this ID to the permissions list, with full control 8 Click OK as needed to close out the dialog boxes. The shared folder is now configured on the system. Once configured, the TraceMasterVue system regularly polls one or more export directories for files to import. When found, these reports are imported into the TraceMasterVue database. On the TraceMasterVue system, you use the ECGVue viewer/editor to retrieve and review ECGs. For details, refer to the TraceMasterVue documentation.

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40 Copyright 2008 Koninklijke Philips Electronics N.V. All rights are reserved. Printed in the U.S.A. March 2008 Edition * * *2*