Q-Tel RMS Networking Definitions
PRIMARY BENEFITS:
• The Quinton® Q-Tel® RMS
Rehab Management System
includes telemetry monitoring
stations, administrative
workstations, and printers
networked together.
• All of these components work
together in a private workgroup
and can be connected to the
hospital network.
• This guide includes definitions
and frequently asked questions
to help explain common
networking terms as they apply
to the Q-Tel RMS system.
NETWORK
A group of two or more computer systems linked together. There are many types of computer networks.
The two network types most commonly used with Q-Tel RMS are:
1. WORKGROUP — A workgroup is a network of local devices connected together for shared access to files,
printers, and other information within the computers in the workgroup. It is separate from a Domain or
Internet. Access is restricted to only those devices configured for the workgroup.
Q-Tel RMS uses this type of network to communicate with other Q-Tel RMS devices including towers,
workstations, and printers.
2. HOSPITAL DOMAIN — The hospital domain is the primary network used within the hospital or facility to
connect all their computers and systems. The hospital domain typically allows access to email, the Internet,
network file servers (for file sharing), shared printers, and enables communication between computers
and systems. The Q-Tel RMS system is not designed to work as a member of the hospital domain as the
primary network connection between Q-Tel RMS computers and devices. The Q-Tel Workgroup is isolated
from the hospital domain via a WatchGuard VPN Security appliance. Software and Review Workstations
can be placed on the hospital domain and communicate with the trusted Q-Tel Workgroup via VPN
connections through the WatchGuard.
Q-Tel ® RMS NET WORKING DEFINITIONS
STATIC IP ADDRESS — Every computer connected to the QTELNETWORK Workgroup is assigned a unique number
known as an Internet Protocol (IP) address. A static IP address is an IP address whose value does not change. Q-Tel RMS
towers and workstations connected to the QTELNETWORK Workgroup and placed behind the WatchGuard firewall must use
Static IP addresses.
DYNAMIC IP ADDRESS — A Dynamic IP Address is an IP address that is automatically assigned by another computer on
the network, known as a DNS server. The DNS server allocates and assigns IP addresses to various devices and computers
on the network on a temporary basis. Customer supplied computers running the Q-Tel RMS may use dynamic IP
addresses in order to connect to the WatchGuard firewall.
COAXIAL CABLE CONNECTION — A type of wire that consists of a center wire surrounded by insulation and then a
grounded shield of braided wire. The shield minimizes electrical and radio frequency interference. Coaxial cabling is used
for Q-Tel's antenna cabling. It transports the signal from the patient monitors to the Q-Tel towers.
ACCESS POINT — A hardware device or a computer’s software that acts as a communication hub for wireless devices.
MASTER TOWER — A custom computer provided by Mortara. Every Q-Tel RMS network must have one, and only one,
Master Tower. The Master Tower contains the Q-Tel RMS patient database and all ECG files. A Master Tower has one or
two proprietary telemetry receiver board(s) installed that are used for admitting patients to ECG monitoring sessions.
SLAVE TOWER — A custom computer provided by Mortara. A Q-Tel RMS network can have one or two Slave Towers
in addition to a Master Tower. A Slave Tower contains one or two proprietary telemetry receiver board(s) for admitting
patients to monitored exercise sessions. A patient can be admitted to an exercise session only on either a Master or
Slave Tower machine.
REVIEW WORKSTATION — A Review Workstation is a customer-supplied computer running the Q-Tel RMS Workstation
software. It is intended for use as an administrative and session management workstation. A Review Workstation user
cannot take control of a session but can view session parameters, ECG waveforms for all patients admitted to an exercise
session, and perform Patient Information data input, as well as all charting and reporting functions.
SOFTWARE WORKSTATION — A Software Workstation is a customer-supplied computer running Q-Tel RMS Workstation
software. It is similar to the Review Workstation with the addition of full session management capabilities.
TURNKEY WORKSTATION — A Turnkey Workstation is a custom designed and built PC provided by Mortara running
Q-Tel RMS Workstation software. It is intended for use as an administrative and session management workstation. All
components (e.g., PC, software, and peripherals) needed to use the equipment are provided by Mortara. With a Turnkey
Workstation, a user can take session control, manipulate session parameters, view ECG waveforms for all patients admitted
to an exercise session, and perform Patient Information data input and all charting and reporting functions.
WMTS — Wireless Medical Telemetry Service refers to a dedicated band of frequencies (roughly 608 -613MHz) specifically
set aside by the FCC for use by wireless medical telemetry devices. In this frequency range, medical devices have priority
over commercial, non-medical devices when it comes to interference. These frequencies were set aside by the FCC to
promote interference-free operation of medical telemetry systems.
Q-Tel ® RMS WORKGROUP AND NET WORKING FAQS
CAN WE PLACE THE Q-TEL RMS “SERVER” IN
THE DATA CLOSET FOR SECURITY PURPOSES?
No, the Q-Tel RMS system is a medical device. The Q-Tel Master
Tower contains telemetry receiver cards and cannot be housed in
a server room.
DO YOU SUPPORT ACTIVE DIRECTORY OR LDAP?
No. The Q-Tel RMS system is designed to operate in its workgroup
and cannot be joined to the hospital network.
CAN I RUN MY OWN BACKUP AND CAN IT
BE AUTOMATED?
The Q-Tel RMS system comes with a backup/restore utility. This
utility must be launched manually. We have tested and verified this
utility works correctly with our database and ECG data files. We
cannot guarantee the performance of any other backup utilities.
WHAT PROTOCOLS DO YOU SUPPORT FOR REMOTE ACCESS AND DIAGNOSIS?
Mortara technical support uses TeamViewer® in order to remotely diagnose the Q-Tel RMS system. No additional hardware
or software is needed. The Q-Tel Master Tower must be connected to the hospital network to use this tool. The customer
does need to be present in order to accept the remote connection.
WHAT LOGON SECURITY PROTOCOLS DO YOU SUPPORT?
The Q-Tel RMS application runs on the Windows® operating system. The Q-Tel RMS is a dedicated-purpose system and
consequently does not have specific access controls to the application itself. Access control to the PC is achieved through
standard Windows logon security measures.
CAN WE ADD THE Q-TEL RMS MASTER TOWER TO OUR DOMAIN?
The Master Tower (or Slave Towers) cannot be joined to the hospital domain as a member of the domain. They must run
on the Trusted Q-Tel private network to guarantee telemetry monitoring and alarming.
CAN WE PERFORM MICROSOFT UPDATES ON THE Q-TEL RMS SYSTEM WHEN AVAILABLE?
Mortara recommends that all critical and security updates from Microsoft® (for Windows OS, Internet Explorer®, and
Microsoft Office applications) be applied by the customer as they become available. Updates should not be applied during
active patient monitoring. A backup of all critical data should be performed before applying any patch. The Microsoft
operating system patches on the original Q-Tel RMS configuration are the only certified updates for the system. Until tested,
Mortara cannot guarantee the updates will not interfere with the Q-Tel RMS application. However, we believe the added
security of applying the patches outweighs the possible risk of system malfunction due to a conflict with a security update.
CAN WE LOAD ANTIVIRUS SOFTWARE ON THE Q-TEL RMS SYSTEM?
Mortara recommends installing reputable commercially available anti-virus software (such as McAfee® or Norton™) on any
Q-Tel RMS system, especially if the system is connected to the hospital network and/or the Internet. The anti-virus software
must be configured to exclude the Q-Tel RMS data directory, and full system scans and virus definition updates should only
be performed after hours. Due to the need for the real-time functions it could possibly slow down the application and
possible clinical response to patient issues.
CAN WE CONNECT THE Q-TEL RMS SOFTWARE WORKSTATIONS OVER OUR WIRELESS
NETWORK?
Yes. Software and Review Workstations can run on the hospital wireless network and VPN into the trusted Q-Tel Network.
IS YOUR SYSTEM HIPAA COMPLIANT?
Site policies and procedures need to meet HIPAA regulations. We supply basic audit logs for log on/log off by users. The
Q-Tel RMS system does not provide logging information on each entry.
Q-TEL ® RMS WORKGROUP AND NETWORKING FAQS
MORTARA INSTRUMENT, INC.
MORTARA INSTRUMENT EUROPE S.R.L.
WHAT PERIPHERALS CAN THE CUSTOMER PURCHASE?
The Q-Tel RMS Towers, Turnkey Workstations, printers and network equipments are
specified and configured by Mortara. They are classified as system components of a
Class II medical device. Mortara is obligated to provide a complete working system
comprised only of components fully tested and verified by Mortara in accordance with
strict testing procedures. Customers can provide their own PC equipment for the
Software and Review Workstations.
HOW DOES THE WATCHGUARD VPN SECURITY APPLIANCE
PROTECT MY Q-TEL RMS NETWORK?
MORTARA INSTRUMENT AUSTRALIA
The WatchGuard VPN Security Appliance protects critical data on the Q-Tel Workgroup
while securing communications with Q-Tel RMS applications running on the Hospital
network. The WatchGuard requires a 100Mbps connection and uses encrypted PPTP
and PPP protocols for VPN connection through the firewall. It routes HTTP and HTTPS
protocols for optional general Internet and AACVPR registry connectivity.
WHAT TYPE OF IP ADDRESS DOES THE WATCHGUARD USE?
By default the WatchGuard is configured for DHCP on the customer network. To maintain
VPN connections the DHCP assigned IP address must not expire. At the customer's
discretion the WatchGuard can be reconfigured for static IP.
MORTARA DOLBY UK LTD.
www.mortara.com
ISO 13485 CERTIFIED
HOW DOES Q-TEL RMS COMMUNICATE WITH THE AACVPR
REGISTRY?
The AACVPR Registry provides a secure application programming interface (API) for
Q-Tel RMS to transmit information directly with the registry. The API is secured both
under 128 bit Secure Socket Layers (SSL) in addition to two factor authentication. The
connection session includes an inactivity timeout constraint, where a connecting system
will be required to re-authenticate after 15 minute of inactivity. Q-Tel RMS transmits
data in XML format using the API's Simple Object Access Protocol (SOAP).
WARRANTY + SERVICE
Mortara®, Quinton®, and Q-Tel® are registered
trademarks of Mortara Instrument, Inc.
Microsoft,® Windows,® and Internet Explorer® are
registered trademarks of Microsoft Corporation
McAfee® is a trademark or registered trademark of
McAfee, Inc. in the United States and other countries.
Norton™ is a trademark of Symantec Corporation or
its affiliates in the U.S. and other countries.
TeamViewer® is a registered trademark of
TeamViewer GMbH.
Ref: 9513-193-02-ENG Rev 2