Mortara Instrument, Inc.
ELI LINK Service Training
Author
Date
E. Roider
March 2010
ELI Link- What is it?
•
What is ELI Link?
ELI Link is a FREE product from Mortara Instrument that allows Electrocardiograph
users to transmit their ECG’s to an EMR system/Standalone computer for
reviewing/storage.
The Electrocardiograph(s) must be configured with at least ONE connectivity option.
The ECG’s can be stored in the following formats:
– ELI (Mortara Unipro format)
– XML
– Mortara XML
– PDF
ELI Link
Output
Folder
Location
PDF
Options
Comm Input
Options
XML Orders Configuration
Options (Non-DICOM)
Import folder
to convert
Unipro files
to Output
folder
filetypes
Codepage used for different languages
1252 For: English & Western European Languages
1250 For: Central & Eastern European Languages including Polish, Hungarian and Czech.
ELI Link – DICOM Configuration
Output
Folder
Location
PDF
Options
Comm Input
Options
DICOM Configuration
Options
Import folder
to convert
Unipro files
to Output
folder
filetypes
Codepage used for different languages
1252 For: English & Western European Languages
1250 For: Central & Eastern European Languages including Polish, Hungarian and Czech.
More about DICOM later in Presentation!
Ways to connect
•
There are four ways that ECG’s can be transmitted to ELI Link
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•
1.
2.
3.
4.
Direct Connect (RS232 Serial Port Connection)-Must use Mortara cable
LAN
WLAN
Modem
ECG Import
–
Another way to send ECGs into ELI Link
Requirements
•
A computer running Microsoft® Windows
–
–
–
XP Professional
Server 2008
Windows 7
Depending on transmission mode the following will be required:
RS232 Serial Port
RS232 Download Cable
Network Interface Card (NIC Card)
Network Switch / Router / Access point
Network Cables
Modem
RS232 Port
Modem to computer cable
Telephone Cable
Installing ELI Link
•
Key points to consider
–
–
–
–
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Eli Link is installed by double-clicking on the Setup icon.
Select ‘EVERYONE’, as opposed to ‘Just Me’
Prepare to enter a key if enabling DICOM communication (A command Prompt window will
be displayed to enter the key)
Ensure that the server/CPU is rebooted after installation to COMPLETE the installation
There are two paths that ELI Link can be installed into depending on what version is being
installed:
• C:\Program Files\Mortara Instrument Inc\ELI Link
• C:\Mortara Instrument Inc\ELI Link
–
Older versions of ELI Link are called MGATE, and most MGATE versions are installed to the
following path:
• C:\Program Files\Mortara Instrument Inc\MGate
Installing ELI Link
Make sure you set the UAC settings to
Never Notify. This setting must be left at
Never Notify for Eli Link to install properly
and to operate as designed.
ELI Link Status Information
After a reboot of the computer there will be a Mortara Logo on the Task bar…
Mortara Logo
If you place the cursor over the logo you can determine if ELI Link is running
Accessing ELI Link Configuration
Right click on the Mortara Logo to access the following options:
•Display Configuration
•Displays the configuration screen
•Start ELI Link
•Starts the ELI Link Service if it has been stopped
•Stop ELI Link
•Stops the ELI Link Service
•Exit
•Displays the following message:
About ELI Link Custom ID’s
ELI Link allows the user to create their own custom ID (CID) for printing
and demographic entry.
If a CID is created there are 2 parts that need to be created:
•Print Format
•LCD Format
Note: Both formats must be created!
Reasons for the two different formats…
1. The electrocardiograph printer has a limited space for printing the
demographic information
2. The LCD has a larger space for entering information
NOTE: ELI Link allows only 1 Custom ID format!
Accessing the Custom ID Print/LCD
From the ELI Link Configuration screen select the Custom ID
Print or LCD button
Default ELI Link Custom ID ‘Print’
Note the Row and Column format…
Custom ID ‘LCD’
Making changes to the Custom ID
Start with changing the Print custom format. Changes to the Print format will trickle to
the LCD custom format
If a field needs to be added select the Add Field button
If a field needs to be removed select the Remove Field button
Notes:
1. The following fields MUST be present in a CID:
• Patient Last Name
• Patient ID
• Patient Age
• Patient Gender
Note: Labels can be changed
2. Certain field options have specific lengths that must be adhered to…
Examples:
• DOB: 10 characters
• Patient Gender: 7
• Patient Age: 3
•There are more…
CID Field Lengths
Last Name (20)
Weight (3)**
Location (7)
First Name (20)
Date of Birth (10)**
Room Number (5)
Middle Name (7)
Medication 1 (20)
Diagnosis (23)
ID Number (23)
Medication 2 (20)
Reason Code (4)
Secondary ID Number (23)
Systolic BP (3)**
Comment (20)
Social Security Number (11)
Diastolic BP (3)**
Note 1 (23)
Age (3)**
Referring Physician (23)
Note 2/LCD Request (23)
Gender (7)**
Attending Physician (23)
Race (17)**
Overreading Physician (23)
Height (3)**
Technician (7)
Entries in red are required fields
Maximum values listed in ( )
** - Field lengths MUST be this size!
Creating a Custom ID
Step 1 Planning.
Plan what the CID should contain
• What Fields are needed
• Remember the 4 required fields
• What labels do you want for the fields
• How long should the Field data lengths be?
• Remember certain fields require a specific length
• Map out what the printout will look like.
• Map out what the LCD should like
Note: Both the Printout and LCD formats are mapped using a row and
column format for the field name and the data location.
NOTE: Data entry on the electrocardiograph, once the CID has been
downloaded, will follow the Custom ID Print format and not the LCD
format.
Creating a CID ‘Print’ Format
Step 2 Clear the existing CID
Delete the existing fields by highlighting the field then selecting the Delete Field button
Creating a CID ‘Print’ Format
Step 3 Start adding the fields
Start adding fields that you want
Remember the 4 required fields for any CID
Creating a CID ‘Print’ Format
Adding Fields window
B
A
C
D
E
F
H
A.
B.
C.
D.
E.
F.
G.
H.
G
Select a field type from the drop down list.
Enter a Label for the field
Enter the Row that the label will placed on
Enter a Column for the Label to be placed
Enter the Row that the will placed (Should be same row as the label)
Enter a Column for the data is to be placed
Enter the Data Length (refer to table CID Field Lengths)
Select the OK button
Creating a CID ‘Print’ Format, cont.
When the OK button is selected the Custom ID Print window will
display the information.
Completed CID ‘Print’
When done entering all the field information select the OK Button
Creating a CID ‘Print’ Format, cont.
When done entering all the field information select the OK
Button and the following message will be displayed:
To accept the changes select OK. To reject the changes select Cancel
Note: Selecting the Cancel button will return you to the Custom
ID Print window.
Creating a CID ‘LCD’ Format
From the ELI Link Configuration screen select the CustomID LCD button
Creating a CID ‘LCD’ Format, cont.
Add
Field
button
missing
The Custom ID LCD window will be displayed.
Note that the displayed format matches the Custom ID Print format and
that there is not an Add Field button.
Creating a CID ‘LCD’ Format, cont.
If the LCD format matches what is required select the OK button.
If the LCD format does not match requirements use the Edit field button to
move the field and field data to the desired location.
For example: The end user wants the MR# entered first, then the
Given name, First name.
Also note that the WGT data field goes past the 30
column position.
In this case the DOB field and the Age field will need to be moved
temporarily to make room for the MR#
Modifying a CID ‘LCD’ Format
Move the DOB and Age fields…
Modifying a CID ‘LCD’ Format, cont.
Move the MR# field up…
Modifying a CID ‘LCD’ Format, cont.
Replace the DOB and Age field…
Modifying a CID ‘LCD’ Format, cont.
Move the HGT & WGT fields…
If all changes have been made select the OK button
NOTE: Data entry on the electrocardiograph, once the CID
has been downloaded, will follow the Custom ID Print format
and not the LCD format.
Transmission to ELI Link via RS232
•
RS232
1.
2.
3.
4.
5.
6.
7.
Make sure ELI Link is running and configured for RS232 transmissions
Make sure that RS232 cable is connected to the PC running ELI Link
Connect cable to the electrocardiograph
Make sure the electrocardiograph is configured for RS232 transmission
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer
Transmission to ELI Link via LAN
•
1.
2.
3.
4.
LAN
Make sure ELI Link is running and configured for LAN transmissions
Make sure that a network cable is connected to the PC running ELI Link
Connect the LAN cable to the electrocardiograph
Make sure the electrocardiograph is configured for LAN transmission
•
For Static Networks
•
•
•
•
•
For DHCP
•
5.
6.
7.
IP Address
Default Gateway
Subnet Mask
Host IP (IP Address of ELI Link Computer)
Host IP (IP Address of ELI Link Computer)
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer
Transmission to ELI Link via WLAN
•
1.
2.
3.
WLAN
Make sure ELI Link is running and configured for LAN transmissions
Make sure that a network cable is connected to the PC running ELI Link
Make sure the electrocardiograph is configured for LAN transmission
•
For Static Networks
•
•
•
•
•
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For DHCP
•
•
4.
5.
6.
IP Address
Default Gateway
Subnet Mask
Host IP (IP Address of ELI Link Computer)
Security Settings
Host IP (IP Address of ELI Link Computer)
Security Settings
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer
Transmission to ELI Link via MODEM
•
Modem
1.
2.
3.
4.
Make sure ELI Link is running and configured for modem transmissions
Make sure that RS232 cable is connected to the modem and the PC running ELI Link
Connect telephone cable to the electrocardiograph
Make sure the electrocardiograph is configured for modem transmission
•
5.
6.
7.
Telephone number (telephone number of modem connected to ELI Link PC)
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer
ELI Link Troubleshooting
A.
ECG wont transmit to ELI Link
• Check configuration of ELI Link
•
Are the correct folders set up on the system?
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Are folder permissions set up correctly?
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Check the transmission mode of ELI Link and the electrocardiograph, are
both configured correctly?
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Is ELI Link running?
•
Check the ELI Link log files (located in the C:\Program Files\Mortara Instrument
Inc\ELI Link\Log Files directory)
Sample ELI Link Log File
Error due to folder not existing
ELI Link Troubleshooting, cont.
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B. Custom ID does not download to unit
•
Have the Print and LCD formats been created?
•
Check the configuration of ELI Link
•
Check the configuration of the electrocardiograph
DICOM
What Is DICOM?
• DICOM stands for: Digital Imaging and Communications in Medicine
•DICOM is a standard
What does DICOM do?
• DICOM allows devices (electrocardiographs in our case) to communicate to a storage
device to store images (ECGs) for retrieval and later annotation
• DICOM also allows Mortara to download Worklists (orders)
ELI Link – DICOM Configuration
DICOM Storage and
Worklist Server Settings
Worklist Filter Settings
DICOM Server Settings
Storage Side
Worklist Side
Used to test
communications to
Servers
ELI Link DICOM Worklist Filter Configuration Window
ELI Link can be configured for multiple
Sites (ER, CCU, etc.) and multiple Query
Codes)
For orders to work Site number must
match a defined site.
Common filter entries are:
• Patient ID (Example: <QC>*)
• Modality (Example: EKG)
• Current Patient Location
• Scheduled Procedure Days Back
(Example: 2)
• Scheduled Procedure Days Forward
(Example: 3)
Saved changes here require the re-download
of the Custom ID to ALL electrocardiographs
DICOM Troubleshooting
•
ECG not able to transmit
– Transmit fail on cart
•
Can ELI Link connect to the Storage and MWL (Worklists) servers?
– Echo test
•
Is ELI Link running
– Check ELI Link status
• Is cart configured for DICOM?
– Check Comm Protocol option on cart this MUST be set to DICOM
– ECGs transmit but are not available for viewing
•
Is ELI Link running
– Check ELI Link status
•
Can ELI Link connect to the Storage and MWL (Worklists) servers?
– Echo test
ELI-Link Support:
EU Support:
Mortara Instrument Germany
Kaninenberghöhe 50
45136 Essen
Germany
Tel:
+49.201.18 55 69 70
Fax:
+49.201.18 55 69 77
Email: [email protected]
Service Manager: Michael Kallus
World Headquarters:
Mortara Instrument, Inc.
7865 North 86th Street
Milwaukee, WI 53224
U.S.A.
Tel:
414.354.1600
Fax:
414.354.4760
Email: [email protected]
Service Manager: Dave Winum