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Software Installation Manual, CardioPerfect Workstation

1. HEG See Link an Existing GPO H E Group Polic i ar Block Inheritance r WMI Filtere _ Bock Inheritance H LE Sites Group Policy Modeling Wizard ha F Group Policy Modeli Mew Organizational Unit JA Group Policy Result View k New Window From Here Delete Rename Refresh Properties Help Select an existing GPO and link it to this container 2 Right click and then select Link an Existing GPO 3 Select the new GPO DIR 80013928 Ver D 53 59 WelchAllyn CardioPerfect Workstation E gt ES _ Group Bele Management Select GPO E Forest cpws local i Domains El y cows local ie ons Mode Bo E PWS ECG E oa Danan con cy f Group Poli D efault Domain Controllers Policy E WMI Filters z Group EM Modelir bee Group Policy Resulte 4 Click OK DIR 80013928 Ver D 54 59 WelchAllyn CardioPerfect Workstation Assign an image to the group policy 1 Goto Group Policy Management Select Group Policy objects 3 Edit the GPO you just created InstallCPWS by right clicking the Group Policy and selecting Edit The Group Policy Object Editor window appears Select User Configuration gt Software Settings gt Software installation Right click and select New Package T Group Policy Object Editor E x File Action view Help am ah Be iy Install CPW S testbox0 cows loce version Deployment sta
2. Removable Disk E My Documents a My Network Places al Entire Network Microsoft Windows Network Py Cows 192 168 0 252 2 Share om 192 168 0 252 amp Te hy Computer Ss My Network File name CPws Remote Setup mei Places gt Files of type windows Installer packages mei v Cancel J me Select the installation type Click Open Select Assigned 56 59 CardioPerfect Workstation SE File Action wiew Window Help da Er EN Install cP wis cpwstestserver cpyus Deployment state Source BE Computer Configuration ee ae H E Software Settings There are no items to show in this wiew J Windows Settings H E Administrative Templates li User Configuration A E Software Settings Deploy Software 2x Software installation H E Windows Settings Select deployment method H E Administrative Templates Published C Advanced Select this option to Assign the application without modifications Cancel 11 Right click the Software Installation object you just created and select Properties 12 From the deployment tab check the Install this application at logon checkbox and click OK Km Group Policy Object Editor fr D x File Action View Help je eael ee CPWS Remote Setup Properties J cf X BE Computer Configuration General Deployment Upgrades Categories Modifications Security nralisharel1 6 2 o H Software Settings H E windows Settings Depl
3. Seral Port Options Serial Test Options Part 1 COMS IDLE Test Mode Ts Orly Test This Serial Port Ext LoopBack R Int LoopBack Transmit Completion Timing Advance Standard Default Test Type Standard Default Quick Faster Continuous Test Speed 230400 Baud Seral Test Status Port In Use D Click the Properties tab Select Faster from the Transmit Completion Timing Advance drop down menu Click Update Configuration Click Yes in the Keyspan Serial Adapter confirmation box es o pi Click OK in the Device Configuration Update Complete Your Device is Ready to Use box To configure the ABPM module for an RS232 cable Click Q to start CPWS software Connect the RS232 cable to an available CPU COM port Select File gt Settings gt Ambulatory blood pressure Select Advanced P ee V a Select the proper COM port DIR 80013928 Ver D 21 59 WelchAllyn CardioPerfect Workstation 10 Install additional options or features Install Telemedicine software Telemedicine is an optional extension to CPWS Without the correct release code the Telemedicine functionality will not be activated With Telemedicine it is possible to send and receive tests and interpretations to and from predefined contacts This typically allows expertise sharing and second opinion consults but might also be used for administrative purposes in situations where replication cannot be used Telemedicine offers
4. User Mame Password Enter your System Administrator name and password click OK and go to Step 9 e If your computer does not have SQL Server and if you checked the Database option in step 5 the wizard displays the database selection screen Welch Allyn CardioPerfect Select the version of the database engine to install 4 To Microsoft SOL Server 2000 Desktop Engine MSDE 2000 Quick Installation 2 5 minutes Maximum Database size is 2GB Microsoft SQL Server 2005 Express Longer Installation 17 35 minutes Will Install NET Framework 2 0 as part of the installation Maximum Database size is 4GB Welch Allyn Cardio Control B Y Cancel 8 Choose the database that you want to install and click Next e MS SQL Server 2000 Desktop Engine MSDE 2000 Default Select this option for Windows XP e MS SQL Server 2005 Express Select this option for 64 bit operating systems Windows Vista and Windows 7 Only the options supported by your operating system are available for selection 9 Click Next The wizard installs the software This takes several minutes and depends on your computer s speed When installation is complete click Finish 10 Restart the computer to finish the installation if required 11 Click any other desired menu items as described in the following pages You can now use CPWS DIR 80013928 Ver D 14 59 WelchAllyn CardioPerfect Workstation
5. 4 Install example data You can install example data in your database to experiment with 1 Close all running programs 2 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn The file importer installs the example data op Imported ECG 19961007 121551 COMYO03 MDW successfully Imported ECG 19980904 103305 COMYODT MDM successfully Imported ECG 19980904 103345 COMVODT HDM successfully Imported ECG 19980904 103406 CCNY OO MOM successfully Imported ECG 20000809 164219 CCNY 004 MDW successfully Imported RECOLLECT 19970304 102611 COMVODS MDW successfully Imported RECOLLECT 19970919 091900 CONV OT0 MOW successfully Imported RECOLLECT 19980309 161253 CONV 012 MDW successfully Imported RECOLLECT 19980902 005411 COMVOTT MDW successfully Imported RECOLLECT 19990607 215710 CCNY 013 MDW successfully Imported RECOLLECT 20000316 151501 COMVODS MDW successfully Imported SPIRO 20000208 161511 CONY 003 MOV successfully Imported HECG_ 19980824 101549 CCNY O01 MDW successfully Imported XECG 19980904 104621 CCNY 001 MDW successfully Finished 20 out of 20
6. depending on which option was selected one of these dialogs appears Time of backup s Every 1 month on C Day 1 Of the month Dnthe 2nd 5 Wednesday Of the month Days Week Months 6 Enter the preferred schedule in the next steps Click Next 7 Asummary shows details of the backup schedule Verify that this information is correct and click OK Restore the database Restoring is the process of recovering a damaged corrupt or missing database Several situations can arise that might require the recovery of the database Prior to the recovery of the database evaluate the situation carefully What is wrong with the database and what is the date of the most recent database backup Important When restoring a database you can only recover the database to the point of the latest backup Any changes made to the database after the last backup will be lost 1 Make sure that all users are logged out You cannot restore the database while it is being used 2 Under Database Administration click Restore database CCW Administration Tool Backup Database 4 17 Restore Database User Logged In Connection local ccdb 3 Select the backup that you want to restore If you have moved your backup files to a different location use the Change File button to locate the backup files Click Restore A warning appears Click Yes to start with the restore pro
7. or higher 17 or higher N A N A Ports 2 USB 3 USB and 2 serial N A N A Operating XP SP2 or later Vista XP SP2 or later Vista Windows Server Windows Server system Business SP1 or later Business SP1 or later 2003 2008 2003 2008 Windows 7 Home Windows 7 Home 2008 R2 XP SP2 2008 R2 Premium Professional Premium or later Windows 7 or Ultimate Professional or Home Premium Ultimate Professional or Ultimate Peripherals Color printer recommended for Spirometry Printer optional Compatible with inkjet and laser printers 1 An Internet connection is required for the Telemedicine option or to allow Welch Allyn to provide online technical support A PC running only CPWS and EMR applications during tests If using CPWS software in a language other than English select a numerical option for the Windows date format under Regional Options Formats that include month names are reliable only in the English version of the software Both 32 and 64 bit operating systems are supported DIR 80013928 Ver D 11 59 WelchAllyn CardioPerfect Workstation 3 Install CPWS software Installing CPWS software also copies selected device drivers for the ECG recorder and spirometer to the hard drive Caution Connect USB devices only after the software is installed Otherwise drivers must be installed manually 1 Make sure that you have administrator rights 2 Close all running programs Insert the CardioPerfect Workstation CD T
8. Create a new Group Policy Object GPO To support CPWS installation based on a specific user group complete the following steps 1 Goto Group Policy Management from administrative tools 2 Select Domains gt cpws local gt Group Policy Objects 3 Right click and select New 4 Enter a name for the GPO Group Policy Management SE File Action View Window Help es am ela m la Group Policy Management Group Policy Objects in cpws local TA Forest ap Bonen Mr ERE Domains 8 cows ocal Default Domain Palicy ET CPS Install Enabled 10 23 2008 42 ga CPWS ECG Default Domain Controllers P Enabled 10 23 2008 24 H a Domain Controllers EF Default Domain Policy Enabled 10 23 2008 2 5 SEE Group Policy Objects EG CPWS Install S Default Dom Ex JER Default Domai H WMI Filters Name Install CP S 4 OQ Sites Group Policy Modeling Cancel L Group Policy Results 5 Press OK DIR 80013928 Ver D 52 59 WelchAllyn CardioPerfect Workstation Assign a Group Policy Object GPO to a group of users 1 Select Domain gt cpws local gt CPWS ECG 5 Group Policy Management Sa File Action view Window Help e am ex E Group Policy Management CPWS ECG Ely Forest cows local E 45 hai Linked Group Policy Objecte Group Policy Inheritance Delegation I cpws local Link Order Link Enabled GPO Status MI Fill ay Default Domain Policy a Create and Link a GPO Here
9. Database options that you Telemedicine Server would like to have V US Default Settings installed The disk space fields reflect the requirements of the options you have selected Disk Space Required Disk Space Remaining Welch Allyn Cardio Control B Y lt Back 22830 k 195353 k 2510k Ok 217134 k 93158461 k 6 Select the components you want to install For most US installations that includes Software Database and US Default Settings as shown in the previous figure You do not have to use the SQL Server database provided with CardioPerfect software If you already have a database uncheck the Database option Welch Allyn CardioPerfect Select Drivers In the options list select the checkboxes for the options that you would like to have installed V PRO Link USB ECG V SpiroPerfect USB Spirometry Disk Space Remaining Welch Allyn Cardio Control B V 92129502 k Cancel 7 Select the device drivers you want to install If you are unsure which devices you need to support check both boxes e If SQL Server already exists on the target system the wizard is ready to start the installation Click Next A Login dialog may appear DIR 80013928 Ver D 13 59 WelchAllyn CardioPerfect Workstation Enter password of the system administrator sa IF you do not know this password please consult pour network administrator
10. e The complete name address and phone number of your facility e For out of warranty repairs or spare parts orders a purchase order or credit card number e For parts orders the required spare or replacement part number s Repairs If your product requires warranty extended warranty or non warranty repair service call the nearest Welch Allyn Technical Support Center A representative will assist you in troubleshooting the problem and will make every effort to solve it over the phone avoiding potential unnecessary return lf a return cannot be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA number as well as the appropriate return address A Return Material Authorization RMA number must be obtained prior to any return Welch Allyn does not accept returned products without an RMA Packing instructions If you have to return goods for service follow these recommended packing instructions e Remove all hoses cables sensors power cords and ancillary products as appropriate before packing unless you suspect they are associated with the problem e Wherever possible use the original shipping carton and packing materials e Include a packing list and the Welch Allyn Return Material Authorization RMA number It is recommended that all returned goods be insured Claims for loss or damage to the product must be Initiated by the sender DIR 80013928 Ver D
11. files imported Imported KECG 19980904 104521 CONYVODLMDYW successfully Import 3 Press Quit DIR 80013928 Ver D 15 59 WelchAllyn CardioPerfect Workstation 5 Reinstall USB drivers To reinstall the USB drivers A Caution Connect USB devices only after the drivers are manually reinstalled 1 Close all running programs 2 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt 3rd Party Tools and Service Packs gt gt Browse the manuals folder e View read me file Exit WelchAllyn Select CardioPerfect Device Drivers Select the drivers you want to install e CardioPerfect PRO Link USB drivers Note If you have older CardioPerfect MD or Portable ECG hardware see Appendix A Installing legacy Unilink USB drivers on page 47 e USB Spirometer drivers 5 Follow the instructions on the screen DIR 80013928 Ver D 16 59 WelchAllyn CardioPerfect Workstation 6 Install Adobe Reader All user manuals on the CardioPerfect Workstation CD require Adobe Reader to read or print If you do not have the reader you must install it Note To download the latest free Adobe Reader go to Adobe Reader download at htt
12. for the backup Select the backup device to which you want to back up the database Select the type of backup that you want to make If you select Then Append to media The backup is added to the already existing backup on the selected backup device Overwrite existing The backup overwrites the already existing backup media 4 Click Start Backup to start the backup process Schedule an automatic backup If you want to make automatic backups of the database you need to schedule the times at which the backup is made You can schedule a single backup or a recurring backup Note This feature is not available in SQL Server Express 2005 Important Make sure that the computer is switched on at the time you scheduled the backup Also ensure that SQL Server Agent is running 1 Click Backup database 2 Select the Schedule check box and click Change The Schedule backup dialog box appears DIR 80013928 Ver D 42 59 WelchAllyn CardioPerfect Workstation le Schedule Backup 3 Select the backup device and backup type you want to use and click Next 4 Select whether you want to schedule a single backup or a recurring number of backups 1 Schedule Backup DIR 80013928 Ver D 43 59 WelchAllyn CardioPerfect Workstation If you select Then Once Enter the date and time at which the backup must be made and click Next Recurrent Enter the recurrence pattern and click Next If you scheduled a recurrent backup
13. mechanism that can be used to prevent certain users to take certain actions You can control e The users that access CPWS This is done through user accounts and passwords e Actions users can perform with CPWS This is done by assigning each user a role Each role can only perform a predefined set of actions Access and action control can be configured with the user administration functionality in the Administrator tool Authentication types Authentication is performed through the login process When logging into CPWS a user must provide a password as proof of identification CPWS can use these types of user authentication e NT authentication e Database authentication e Anonymous NT authentication NT authentication takes advantage of Windows NT user security and account mechanisms Users with a valid NT account can start CPWS without entering a user name and password Instead the Windows NT user name and password are used So you can control access to Windows NT and CPWS with just one user account Database authentication Database authentication uses CPWS security system Anonymous authentication At log on there is a third option called anonymous You can use this only if the ccguest account exists Anonymous access should in general be avoided and may be illegal according to local regulations On systems with HIPAA support anonymous access is disabled Windows NT authentication properties Database auth
14. organizational unit Right click and select move Select the group as shown in the next figure B Group Policy Management File Action view Window Help SRC eo B Group Policy Management r Bench emis lasal amp Active Directory Users and Computers lt Ele Action View Window Help Ble u a ar a ee ee Nam NR a AR Ol gt EAR lt 3 Active Dil z J Save Move object into container Em e vescriptio a es A aA c 2 9 Buin Built in S for admini EP C Ga Computers ey Group Members of this group are GF i CPWS ECG rity Group a L H Domar Controles rity Group DNS Administrators Group H ForeignSecurityPrincipals rity Group DNS clients who are permi a ESA rity Group Designated administrators rity Group All workstations and serve rity Group All domain controllers in th rity Group All domain quests rity Group All domain users rity Group Designated administrators rity Group Members in this group can Cancel Built in account for quest rity Group Group For the Help and Su Fi KAS and 145 Servers ecurity Group Servers in this group can fl Schema Admins Security Group Designated administrators Eh SUPPORT 38894530 User This is a vendor s account Fi TelnetClients Security Group Members of this group ha fi venkat K User ite DIR 80013928 Ver D CardioPerfect Workstation 51 59 WelchAllyn CardioPerfect Workstation
15. 2 In CPWS A Assign each user to a site Users can now log in to CPWS B In CPWS set up how users specify a site when logging in DIR 80013928 Ver D Default Select a site from a drop down menu on the login screen Specify a site in the the user s login script To specify a site navigate to the following in the user s registry HKCU software cardio control mdw ConnectionString Change the following registers to the values shown name DefaultSite type REG SZ value SiteGUID Note The value for Site GUID must be the same as the key under which the site was generated in HKLM software cardio control mdw Sites Specify a site in the the user s login script and hide the site selection field in the login screen To specify a site see the previous bullet To hide the site selection field navigate to the following in the user s registry AKCUNSOF tware cardio Control mdw Connectionstring Change the following registers to the values shown name DontAllowSiteSelection type REG DWORD value 1 45 59 WelchAllyn CardioPerfect Workstation 16 OS specific installation instructions Windows Server 2003 and Server 2008 By default standard Windows users cannot perform spirometry calibration because they do not have the necessary permissions to edit certain registry keys Grant access to users who need to make changes to the local machine registry e HLKM Software Cardio Control e HKLM Software Spirometry D9OW DI
16. 3 59 WelchAllyn CardioPerfect Workstation Limited warranty statement Welch Allyn Inc warrants that the CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase Accessories used with the Product are warranted for 90 days after the date of purchase The date of purchase is 1 the date specified in our records if you purchased the Product directly from us 2 the date specified in the warranty registration card that we ask you to send to us or 3 if you don t return the warranty registration card 120 days after the date on which the Product was sold to the dealer from whom you bought the Product as documented in our records This warranty does not cover damage caused by 1 handling during shipping 2 use or maintenance contrary to labeled instructions 3 alteration or repair by anyone not authorized by Welch Allyn and 4 accidents lf a Product or accessory covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period described above Welch Allyn will at its discretion repair or replace the defective Product or accessory free of charge You must obtain a return authorization from Welch Allyn to return your Product before you send it to Welch Allyn s design
17. 996 are mandatory for all entities except small health plans Among other things HIPAA requires all repositories of Healthcare Information to provide access only to authorized individuals and to maintain an audit trail of activity performed with that data Welch Allyn CardioPerfect keeps track of this audit trail in a separate database called ccdb_audit which is installed during set up When upgrading from an older version the audit database may not yet exist Upon detecting this situation CPWS prompts you to run the dbbuilder tool to correct this situation The HIPAA mode can be switched on and off from the Administrator tool For more information see HIPAA audit functions on page 38 Additional functionality of HIPAA mode e Audit trail of log ins and attempted logins e Audit trail of data access change deletion print out import and export of patient and test data e Anonymous access is disabled e Inactivity time out after not using CPWS for a period of time it requires reentry of your password to reactivate the program Considerations for system administrators In the HIPAA Settings of the Administrator tool CPWS adds security features and audit functionality to enable a fully HIPAA compliant environment In addition to this basic functionality the overall system configuration must also provide for measures such as security policies on passwords for example password complexity and aging We strongly recommend using NT authe
18. CardioPerfect Workstation 2 Overview Welcome to the Welch Allyn CardioPerfect Workstation CPWS the medical diagnostic workstation that offers the next step for PC based medical systems CPWS includes the following features e A database with virtually unlimited storage based on the Microsoft SQL Server database software e The possibility to integrate different diagnostic tools e One framework for different diagnostic modules Note All CPWS installations include the following free SQL licenses e SQL MSDE 2000 can store up to 2GB of data this accommodates approximately 1500 stress tests depending on file size e SQL Server 2005 Express can store up to 4GB of data You can purchase MS SQL licenses from Microsoft for versions that allow unlimited storage This manual explains how to install and configure CPWS For information about using CPWS see the CPWS user manual Module specific instructions are in the user manuals of the applicable modules Product configurations CPWS includes the following components e Server database You use this component to store and view data sent from clients to this computer Install only one server at your site e Client application You use this component to run CPWS with one or more of the diagnostic modules The client sends data collected by CPWS to the server You can install one or many clients at your site Before installing determine how you want to configure CPWS e Sin
19. Connectivity Tools gt gt 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 2 Click Browse the manuals folder Windows Explorer displays the folder on the CD containing the manuals Open the appropriate language folder and open the desired manuals DIR 80013928 Ver D 18 59 WelchAllyn CardioPerfect Workstation 8 View the Read Me file The Read Me file describes the contents of the CardioPerfect Workstation CD and includes last minute information that was not included in the user manuals 1 Close all running programs 2 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data CardioPerfect Device Drivers gt gt CardioPerfect Connectivity Tools gt gt 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 3 Click View read me file DIR 80013928 Ver D 19 59 WelchAllyn CardioPerfect Workstation 9 Configure the ABPM module The ambulatory blood pressure ABPM module may require configuring for use with a Keyspan USB serial adapter Note If your operating system driver is not on the Keyspan CD you may need to go to the Keyspan website and download the driver To configure t
20. Delete a patient Only someone with system administrator rights can delete a patient from CPWS in the Administrator tool WARNING When you delete a patient you delete all the patient data from the database If there are tests in the database for this patient these tests are deleted 1 Find the patient that you want to delete 2 Click Delete 14 6 Tests Transfer a test One mistake that can occur is recording a test for the wrong patient With the Administrator tool you can correct this by transferring a test from one patient to another 1 Find the patient for whom the test was mistakenly recorded 2 Click Transfer test The Transfer test dialog box appears DIR 80013928 Ver D 37 59 WelchAllyn CardioPerfect Workstation Transfer Test s to other patient k O x Test s of patient To patient TEST O0000000 1 test test Select the test you want to transfer To select several tests press and hold the Shift key Find the patient to whom you want to transfer the test with the Search button and select that patient by clicking the name 5 Click Transfer The tests transfer to the selected patient 14 7 HIPAA audit functions You can modify the HIPAA related settings in the HIPAA section of the Administrator tool HIPAA settings In the HIPAA Settings screen the following items can be modified e HIPAA On and Off Switch Switches HIPAA mode on or off e Empty Audit Database Use this to purge the aud
21. ERFECT This database contains all information generated by CPWS A second database called ccdb audit is installed for maintaining an audit trail when enabled Start the Microsoft SQL 2000 server To work with CPWS the database engine or MS SQL server must be running By default the database engine or MS SQL Server starts automatically when you start the computer However you can also manually start the SQL server 1 Click Start and point to Programs 2 Point to the MSDE or MSSQL7 or MSDE SQL Server 2000 folder and click Service manager The SQL Server Service Manager appears From the Services list select MSSQLServer 4 Click Start Continue to start MS SQL Server You have successfully started the MS SQL Server when the SQL Server Service Manager icon displays a green triangle instead of a red square MS SQL Server is running MS SQL Server is not running DIR 80013928 Ver D 27 59 WelchAllyn CardioPerfect Workstation Start SQL Server 2005 Express Edition 1 Click Start and point to All Programs 2 Point to the SQL Server 2005 folder and click Configuration Tools folder and select SQL Configuration Manager The SQL Server Service Manager appears From the Services list select SQL Server 2005 Services Select SQL Server CARDIOPERFECT point to the Action button and select Start DIR 80013928 Ver D 28 59 WelchAllyn CardioPerfect Workstation 13 Before configuring CPWS Security CPWS has a security
22. R 80013928 Ver D 46 59 WelchAllyn A Installing legacy Unilink USB drivers CardioPerfect Workstation If you use a CardioPerfect Portable or CardioPerfect MD device connected through USB you will need to install the Unilink USB drivers The standard driver supplied with the system will support the PRO recorder only To install or reinstall Unilink USB Drivers 1 2 3 4 J Close all running programs On the CDROM navigate to Drivers VPROLink UniLink Usb Legacy Indicate your ECG device connector Unilink USB for legacy CardioPerfect ECG recorder models and click Next J3 Select device type Please select the recording device for which you would like to install the drivers Cardio Perfect PRO Link USB C Cardio Perfect Unilink USB Click Next to start the installation of the driver Click Finish DIR 80013928 Ver D 47 59 WelchAllyn CardioPerfect Workstation B Install CPWS from the Windows Active Directory Installation notes e See System requirements on page 11 before beginning installation e Make sure that Windows Server with Active Directory and Group Policy Management is enabled e Make sure that workstations are members of the domain network e If your client PC is running Windows Vista make sure that UAC is turned off during the remote install Installation steps The installation consists of the following major steps e Initial preparation e Creating the active direct
23. ated service center for repair THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FORA PARTICULAR PURPOSE WELCH ALLYN S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY DIR 80013928 Ver D 4 59 WelchAllyn CardioPerfect Workstation Contents koo 00 0 EE EE tel mccienieuc E E 6 EE OE EEE EEE 8 Oe MWG O SOMW al KPU EEE EAEE EEE 12 EN ENN 15 JE se AGS GIy EE O 16 6 Mal Adobe ROAGE EE er 17 7 Browse the user manuals a aaaanaaaaaaaanananannananannanananunnananannananannanananannananan 18 Oe VERNE 19 9 Configure the ABP IVI NOddb Luvvvrvvvvrvvrvvvsevesvaree senke 20 10 Install additional options or features anai2aaaauanaauanannasannaaaananuananuanaananaanan 22 11 Thin client interface a 2aaaaaaaaaananuanannanaanannanannanannannnnanananannanannanannannanannnnan 23 PAN 00089 5 CAlAD EE RRR RR 21 To BOAT UP de 29 ea aa Ls 0 go EE eee eATES 31 15 TANN 45 16 OS specific installation instructions rrrrrarerrrrarrnrrrarnnnrrerrannneerannnnenernannneennennee 46 A Installing legacy Unilink USB drivers aanaaaaaaaaaasaaaa aaaaanaasaanaanaanaaaaanaaaaaaan 47 B Install CPWS from
24. can deactivate that user When you deactivate a user the user account is not deleted but made inactive The user can no longer access CPWS 1 Make sure the user is not currently logged in 2 Click Users 3 Click the user that you want to deactivate or reactivate 4 Click one of the following Make inactive The user account is deactivated and the user cannot access CPWS The user account still exists DIR 80013928 Ver D 32 59 WelchAllyn CardioPerfect Workstation Make active The Edit user information dialog box appears If you use database authentication enter a new password for the user The user is reactivated immediately Delete an account You can delete a user only when there are no tests in the database that were recorded or interpreted by that user Since most users have recorded tests this normally means that you cannot delete a user In such cases you need to de activate the user An inactive user cannot work with CPWS 1 Click Users 2 Click the user that you want to delete 3 Click Remove user The user is deleted Assign a role With database authentication roles are not automatically assigned For the security system to work You must assign these roles With NT authentication every user is by default assigned the role of User For the security system to allow extended access you must change these roles 1 Under Users click the user whose role you want to change 2 Click Edit user T
25. cess When the restore process is successful a message appears DIR 80013928 Ver D 44 59 WelchAllyn CardioPerfect Workstation 15 SiteManager CPWS now includes sites a way to group users that log in to the same server but belong to different practices offices or other administrative units All users assigned to a site have the same settings for the database connection license information and available plug ins You use SiteManager to manipulate these settings and to create and maintain site definitions You can add update and remove sites SiteManager is available in the CPWS main installation directory To use SiteManager you must have Administrative privileges To set up SiteManager 1 In SiteManager define one or more sites The CardioPerfect server changes to Site mode CardioPerfect Workstation Site Manager Rolling Hill Database Registration Provider Serial Number Jackson Memorial SQLOLEDB v 3131313 West Vale Server License Number MAINSGLBOX v ABCDEF Database Name ccdb v dr Heart Company St Elsewhere Heart Clinic Plugins Available Plugins Selected Plugins Plugins File Link Plugins File Link ABP PertectiPluginsyFile Link Cardio Perfect Plugins File Link Cardio Perfect ST Plugins File Link ins File Link lt lt Remove RecollectPluginsFile Link Spiro Perfect Plugins File Link Spiro Perfect Plugins File Link Add Site Edit Site Remove Site Save Close
26. ction the domain users must have enough rights to install software Enter the server name and database to which CPWS software should connect If you leave this section blank the installer uses default settings Enter the serial number and release code from the purchase of your CPWS software If you leave this section blank CPWS prompts you to enter this information the first time CPWS launches 49 59 WelchAllyn CardioPerfect Workstation Create the active directory organizational unit These steps create a specific CPWS user group 1 Goto the Active Directory Users and Computers window and find the organizational unit where you want to install CPWS If no organizational units exist in your domain you can create a new one and add users to this group for whom you want CPWS installed The next figure shows how to create a new organizational unit called CPWS ECG for the domain cpws local Active Directory Users and Computers E File Action wiew Window Help Active Directory Users and Computer f GE objects H E Saved Queries igp cows local E E Builtin f Tester TST Tester Create in cpwslocal Mame Erws t CG Cancel DIR 80013928 Ver D 50 59 WelchAllyn Move users to the organizational unit To add users to the created users group 1 A P Go to Active Directory Users and Computers Go to the Users folder Select the users you want to move to the new
27. enter the information of the physician that you want to add Edit a physician 1 Click the physician that you want to edit 2 Click Edit The Physician dialog box appears 3 Edit the physician information Delete a physician Important You can only delete a physician when there are no tests linked to that physician 1 Click the physician that you want to delete 2 Click Delete The physician is deleted 14 3 Specialties Configure the specialties list Select Specialties Add a specialty 1 Click New Specialty The Add Specialty dialog box appears New Specialty x Specialty Name Cancel 2 Enter the name of the specialty that you want to add DIR 80013928 Ver D 35 59 WelchAllyn CardioPerfect Workstation 14 4 Edit a specialty 1 Click the specialty that you want to edit 2 Click Edit The Edit Specialty dialog box appears 3 Edit the name of the specialty Delete a specialty Important When you delete a specialty you also delete it for all physicians who are linked to that specialty 1 Select the specialty that you want to delete 2 Click Remove Specialty The specialty is deleted Locations Configure the locations list Select Locations Add a location 1 Click New Location The Add Location dialog box appears fAddtocation x Location Name Cancel 2 Enter the name of the location that you want to add Edit a location Important When you change the na
28. entication properties Windows 2000 XP Windows 2000 and XP One user name and password for both OS One user name and password for OS and CPWS One user name and password for CPWS validated by the SQL server No login screen at startup optional Always a login screen at startup Password aging and login auditing No password aging or login auditing User accounts are assigned the role User by System administrator assigns and configures user default The system administrator configures roles and rights user rights User name format domain user_name User name format any format or character except DIR 80013928 Ver D 29 59 WelchAllyn CardioPerfect Workstation Accounts CPWS includes the following user accounts with special privileges e Admin account The Admin account is a CPWS user account that gives access to workstation functionality that can only be used by the system administrator such as the Administrator tool The Admin account can perform every possible action To prevent abuse change the password of this account after installation e SAaccount The SA account is an MSDE server administrator login that gives access to functionality related to the database By default the SA account password Is Cardio Perfect To prevent abuse change the password for this account after installation A word on HIPAA As of April 2003 the Privacy provisions of the US Health Insurance Portability and Accountability Act of 1
29. erfect Workstation WelchAllyn Index ABPM MOAUG aaaaaaaaaaaiaaaa naananannannnnannnnan 20 login window add hide at startup a aanizaaaaaaaaaaaasaa saasaaaaaa 34 NOG AW OU EE EE 36 manual backup aaanzaaaaaasaasaaanaanaasnaanaa 40 42 referring phycisian rrrrnnnnrrnnnnnvrnrnnnvnnnnnnrr 35 MONA Da eae cee a La Va 31 Specially seede 35 MS SQL Server iu luni dd solissotkskadtia 27 admin account aa aaaaaaaaanaaaanaaaaaanaanaaanaan 30 NT authentication a aaaiaaaaaasaasaaanaanaaani 29 Administrator tool rrrrnnrrnrnnnrvrrnnrennnrrnnnnrennnn 31 overwrite existing media 2 aaaanaannai ni 42 Always use my NT account a naan nii 34 password append tO media a naiaaaasaaaaasasaaaaaanaaaan 42 8 15 010 gt NE 34 SUNENICANON see 29 patient automatic backup z saazaasaaaaasaanaanannannai 40 42 GCI EE a 37 schedule crire 42 quick installation guide rrrrrnnrrrrnnrrrrnnrennnr 12 PN sc uantanncceden seaside nexenteeoaeumcen seeeese qeneteus 40 referring physician backup device add edit or delete ainainaasaasasaasnanna 34 OTS AG EEE 41 requirements change hardware rrnnnnrennnnrvnnnnnnnnnrrnnnnrennnnsnnnnnennnne 11 USET PaSSWONd a aaiaiaaaanaaaaanaaaanuanaanaanaai 34 MF ge 23 user ONIS re 33 restore database rrrnnrrnnnnnnanannnnnnnanennnnnnnnnn 44 change user role rrr
30. gle computer configuration A stand alone system on a single computer Client application Server database e Network configuration Installing a network configuration means that the server and client components are on different computers They require an external connection to communicate with each other typically a network lt lt Server database e Thin client configuration Clients can access the application via presentation applications such as Citrix ICA and Microsoft Remote Desktop Services RDS DIR 80013928 Ver D 8 59 WelchAllyn CardioPerfect Workstation Thin client Thin client flere P ECG Pro Recorder ECG Pro Recorder SQL server For more information see Thin client interface on page 23 The Site Management Tool a standalone application provides central administration of site related data For more information about installing and using this tool see SiteManager on page 45 CPWS components When you install CPWS you can install the following components Software CPWS client software The license that you purchased determines which modules are activated Database The CPWS database Telemedicine server The Telemedicine server that you use to send and receive tests through e mail or a direct TCP IP connection US defaults A set of default values specific to the US such as 60Hz AC mains frequency and mph as the speed unit When upgrading fr
31. he ABPM module for a USB serial adapter 8 ee ee YS Install the Keyspan software Follow the Keyspan instructions Select Start gt Programs gt Keyspan gt USB Serial Adapter Select Keyspan Serial Assistant Verify which COM port is assigned to the adapter Click Q to start CPWS software Select File gt Settings gt Ambulatory blood pressure Select Advanced a Ambulatory blood pressure General Printing Advanced Recording device ABPM 6100 V Enable g oo v Enable start button ABP Perfect Enable GQ 7 V Erase measurements from the device after storing them into the database Cancel Apply Help Match the COM port to the Keyspan Serial Adapter Assistant Keyspan USB Serial Adapter USA19H Assistant E A amp Adapter Status Properties Port Mapping Diagnostics Help g r USATSH 1 COME Idle DIR 80013928 Ver D 20 59 WelchAllyn CardioPerfect Workstation To configure the ABPM module for a USB serial adapter using Windows Vista or Windows 7 1 Install the Keyspan software Follow the Keyspan instructions 2 Select Start gt Programs gt Keyspan gt USB Serial Adapter 3 Select Keyspan Serial Assistant Keyspan USB Serial Adapter USA19H Assistant Adapter Status Properties Port Mapping Diagnostics Help Adapter Serial Configuration Adapter U5 419H 1 COMS Endpoints High Performance Bulk Compatible Interrupt
32. he Edit User Information dialog box appears 3 Select one of the following roles e Technician e Physician e User e Administrator Grant rights CPWS comes with four sets of user rights one for each user role However you can change these user rights Note that you cannot change user rights at the user level You can only change user rights at the user role level 1 Click User rights 2 Inthe User rights matrix locate the user role column for which you want to change the rights Technician i Action Fives i Crete peter Ect postert Start mew best Open keni Edi b Chabala bm Pret pod Elle Export fe Dat enes Change advanced pets Lonin maps steers an Me B Ml ne nn En Me an ni en et nn i RR 8 ROR RRR DIR 80013928 Ver D 33 59 WelchAllyn CardioPerfect Workstation 3 Determine whether to allow each action M Checked Users assigned this role can perform the action a Unchecked Users assigned this role cannot perform the action Note You cannot edit the right to change security settings for administrators administrators always have this right to make sure there is always someone that can access the system Set up a password When you use database authentication you can reset a user password with a new password You can use this function for example when end users have forgotten their password 1 Click Users 2 Click the user for which you want to change the use
33. he installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt CardioPerfect Connectivity Tools gt gt 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 3 Select Install CardioPerfect Workstation The installation wizard runs Click Next then click Accept to accept the software license agreement Welch Allyn CardioPerfect Registration Information Please enter the name and company of the registered owner of Welch Allyn CardioPerfect into the fields below All fields must be filled in to proceed Name welch Ally Company Welch Allyn Family of Companies Serial number Release code rr elch Allyn Cardio Control B V lt Back Cancel 4 Enter your registration details you can find the serial number and release code on the CD case and click Next DIR 80013928 Ver D 12 59 WelchAllyn 5 Specify where to install the files CardioPerfect Workstation By default files are installed in C Program files Cardio Control MDW To specify a different location click Browse After specifying a destination click Next Welch Allyn CardioPerfect Select Components In the options list V Software below select the checkboxes for the V
34. it trail e Screen Lock Timeout setting Sets the number of minutes of inactivity allowed before the program locks Once locked out you must re enter the password to regain access e Login Attempts Sets the number of unsuccessful login attempts allowed before a security log event is generated DIR 80013928 Ver D 38 59 WelchAllyn CardioPerfect Workstation HIPAA Settings baser HIPAA Settings ef mel Audit Log DIR 80013928 Ver D 39 59 WelchAllyn CardioPerfect Workstation HIPAA Audit log viewer The audit log entries generated as users access CPWS can be viewed with the Administrator tool under the Audit Log function You can either choose to view all audit log entries default or you can enter certain criteria for selecting specific kinds of audit log events like Security or actions performed by a specific user 6 CCW Administration Tool User Administration HIPAA Auditing Application Administration Telemedicine Refresh log Print Application HIPAA Auditing HIPAA Settings pe EE AudDateTime AudPaNumbe A E ale HE admin 112 273720035 22 01 5 IC ardio Control workstation FERMAT ECG Test was opened CCNY O03 Audit Log admin Mees 22 01 a oh O03 r Any Patient Database Administration 14 8 Database functions In a computer environment there is always a possibility that something goes wrong database tables may be lost or corrupted To limit the p
35. lect the device type If you select Then Disk Select the location where the backup is created and enter a filename When you select a network drive make sure you have the proper permissions to access the backup directory and file Tape Select the tape and enter a filename Make sure that the tape drive is connected to the computer that runs SQL server DIR 80013928 Ver D 41 59 WelchAllyn CardioPerfect Workstation Make a manual backup The simplest way to create a backup is to create one manually You can do this anytime you want end users do not have to log out Before you can make a backup you need to create a backup device 1 Select Backup database lt CCW Administration Tool File Sections Language User Administration Backup Database Application Administration Telemedicine Backup Name WACP Backup HIPAA Auditing Description Start Backup Backup of the Workstation Database Database Administration Backup to BE Location Backup Database BloomFontein disk cwwssaineack AddDevice George disk C MSSQL BACK R Holter disk C AMSSOL7YBACK Remove Device SoaPaulo disk C MSSQL BACK Restore Database Append to media C Overwrite existing media Schedule New Schedule SQLServer Agent service must be running when using scheduled backups User Logged In Connection local ccdb pr Enter a name and a description
36. me of a location it is automatically changed everywhere in the system including existing tests 1 Select the location that you want to edit 2 Click Edit The Edit Location dialog box appears 3 Edit the name of the location Delete a location Important When you delete a location you also delete it for all tests that are linked to that location 1 Select the location that you want to delete 2 Click Remove Location The location is deleted DIR 80013928 Ver D 36 59 WelchAllyn CardioPerfect Workstation 14 5 Patients Access the patient list CPWS maintains a list of patients on the server Under Application administration click Patients 6 CCW Administration Tool File Sections Language User Administration Application Administration os Transfer Tests Remove Patient te RV Specialties Number Name Birthdate CC5E 3C04 7474 476D 9F2B 4 Locations 884C894F 2766 4456 88DD E CCONY 012 Brady Tachy 7 21 1962 CCNY 002 Ceasar J 8 12 1921 NN CCNY 030 Doe Jane 8 24 1970 Referring Physicians CCNY 003 Doe John 1 1 1990 Pocket_363_030527_1040_26 Doe John 1 1 1968 CCNY 013 Fainting attacks amp CCNY 001 Jongmans Stella 571771971 CCNY 010 Nodal tachycardia Patients CCNY 008 Onymous Ann 9 29 1951 CCNV 009 Pacing problem Recording Long 111963 Telemedicine HIPAA Auditing CCNY 011 WPA Database Administration User Logged In Connection local ccdb 7
37. nder such laws the licensee is entitled to use the copy of the software provided on the original distribution medium The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remains with Welch Allyn The information contained in this manual is subject to change without notice All changes will be in compliance with regulations governing manufacture of medical equipment The printed version of this document may be out of date Always refer to the file on the CD for the latest information User responsibility This product is designed to perform in conformity with the description thereof contained in this manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided A defective product should not be used Parts that are broken plainly worn missing or incomplete distorted or contaminated should be replaced immediately Should any repair or replacement become necessary we recommend that service be performed at the nearest approved service center The user of the product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair damage or alteration by anyone other than Welch Allyn or their authorized service personnel Accessorie
38. nstall Mode before installing CPWS or any of its components This can be accomplished by typing the following command in the command prompt change user INSTALL After installing CPWS and its components you can exit Install Mode by entering the following command change user EXECUTE You can get the current status by entering this command change user QUERY This applies only to systems with Terminal Services installed or configured when operating in Application Mode If in Remote Administration mode the only mode available if Terminal Services is not installed this has no effect Configure thin clients for ECG and Spirometry 1 Close all running programs 2 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe DIR 80013928 Ver D 24 59 WelchAllyn CardioPerfect Workstation CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data CardioPerfect Device Drivers gt gt CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 3 Click CardioPerfect Connectivity Tools then click Install PerfectLink thin client support The Welcome screen appears Click Next Start a thin client remote session Within CardioPerfect running in the remote session a Navigate to the Settings dial
39. ntication along with the security policy enforcement that the NT Server provides DIR 80013928 Ver D 30 59 WelchAllyn CardioPerfect Workstation 14 Administrator tool Use the Administrator tool to perform user and data administration and to back up the database 1 In the Windows Start menu select Programs gt Welch Allyn gt Administrator Tool 2 Enter your password The Administration Tool screen appears 4 CCW Administration Tool Eile Sections Language User Administration User Rights a Action ___ Administrator Physician Technician I A Change security Create patient Edit patient Start new test Open test Edit test Delete test Print Import file Export file Use telemedicine User Rights DODKNODKODOI Change advanced settings Confem interpretations II lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt lt C CLE lt lt lt lt lt lt lt lt ST Workspace Functionality categories The main window contains the following elements Functionality categories You can access the following categories of administrator functions from this pane e User Administration e Application Administration e Telemedicine e HIPAA Auditing e Database Administration From these categories you can select vari
40. og then the ECG section and the Recorder tab b Select PerfectLink as the port to use c In the Spirometry section go to the Recorder tab d Select PerfectLink in the Connect to dropdown list Note If you plan to connect the USB PRO ECG or Spiro USB Serial recorder to several thin client PCs install PerfectLink on each thin client PerfectLink enables the remote server to see USB connected devices Configure thin clients for ABPM This procedure applies only to ABPM To connect ABPM devices enable COM port forwarding through RDP or Citrix e Microsoft RDP COM port forwarding If you use Remote Desktop services using the RDP protocol you can select from the options in the Terminal Services Client Open Remote Desktop Connection Select Options to expand the dialog If Serial devices is not present on this page select More a b c Navigate to the Local Resources tab d e Inthe Local devices and resources list check Serial ports f Click OK and connect to the remote computer DIR 80013928 Ver D 25 59 WelchAllyn CardioPerfect Workstation e Citrix ICA COM port forwarding If you use Citrix ICA you map the serial port from the server using the following command net use comx client comz where x is the server COM port and z is the client COM port Note that client is not replaced by the client workstation name it is the word client For NFuse implementations you may need to change the
41. om a previous version your existing customized settings are not overwritten Drivers Most device drivers are automatically installed when you install the software To manually install Spirometry and ProLink drivers see Appendix A Installing legacy Unilink USB drivers Upgrades Note The database is not compatible with older client software When installing CPWS you must upgrade all clients and the database Do not use CPWS software on any client workstations during this process SpiroPerfect update In versions before 1 5 0 Spirometry s predicted values were calculated differently than in newer software releases Predicted values were calculated at the moment a Spirometry test loaded into the system based on the Norm setting configured under Settings As of version 1 5 0 the norm values are calculated at the moment the test starts and the values are stored with the test DIR 80013928 Ver D 9 59 WelchAllyn CardioPerfect Workstation When upgrading from pre 1 5 0 software the installation process will optionally calculate the norm values for your Spirometry tests already in the database if it detects any Spirometry tests for which the predicted values can be calculated The upgrade process tries to provide the best possible match between the pre 1 5 0 norm selection active on your system at the time of the upgrade installation and the norms implemented in new software release and prompts you to confirm the mapping If no ma
42. onsider the requirements of IEC 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists e The personal computer used should adhere to the appropriate electromagnetic compatibility EMC standard for non medical electrical equipment CISPR 22 24 FCC Part 15 CE or related national variants If it is required for the personal computer to be situated within the patient environment it is the responsibility of the user to ensure that the system provides a level of safety in compliance with IEC 60601 1 1 Note On computers that you plan to use for clinical procedures disable automatic installation of Windows updates DIR 80013928 Ver D 6 59 WelchAllyn CardioPerfect Workstation Symbols Documentation symbols Indicated conditions or practices that if continued or not corrected immediately WARNING h ge could lead to illness injury or death A Caution Indicated conditions or practices that if continued or not corrected immediately could damage the equipment Shipping storing and environment symbols Single Use Do Not Reuse Expiration date Keep away from sunlight Temperature Range Stacking limits Certification symbols Meets essential requirements of European Medical Device Directive 93 42 EEC Equipment symbols Serial Number EF Catalog Number Type BF Equipment al Manufacture Date EN Defibrillation proof type BF applied part DIR 80013928 Ver D 7 59 WelchAllyn
43. ory organizational unit e Moving users to the organizational unit e Creating a new Group Policy Object GPO e Assigning a GPO to a group of users e Assigning an image to the group policy e Starting the install on a Client PC e Device driver association Initial preparation 1 Insert the CPWS installation CD into the PC s CD drive lf autorun starts press Exit to exit the installer Copy the CPWS installation image from the installation CD to a network location that all users in the domain can access 4 Run InstallServerSetup exe Install Server Cofiguration l i x Domain Administrator Information Registration If not all users have sufficient rights to install a application please provide credentials of an account that will have sufficient rights User Name admin Senalnumber 56789231 321 Password Fo Feleasecode 45646C04 EBEDACE Confirm Password Domain erws Validate Release Code Database Serve Server Name testbox07 Database name fccdb DIR 80013928 Ver D 48 59 WelchAllyn 5 Enter the following Domain Administrator Information Database Server Registration 6 Press Save 7 Press OK DIR 80013928 Ver D CardioPerfect Workstation Enter a user name password and domain name The user name must have sufficient administration rights to install software on the computers in the domain If you don t provide any information in the domain administrator se
44. ossible risk of data loss you should back up your database regularly With the Administrator tool you can make a full backup your database During the backup copies of the database and the transaction log are made These copies can be used to restore the database after the database has become corrupt or is lost during a catastrophic event You can back up a database in the following ways e Manually The simplest way to back up the database You can manually back up the database at any time you want e Automatically A backup or a series of backups at a fixed date and time To back up the database automatically you must schedule a backup DIR 80013928 Ver D 40 59 WelchAllyn CardioPerfect Workstation Access database functions In the Administration tool select Database Administration Create a backup device Before you can back up the database you need to create a backup device A backup device a place to store the backup can be a file on your hard disk or network drive or a tape We advise you to create a backup device on a different hard disk than the one that contains the database If you do not do this you run the risk of losing both your database and your backup copy if your computer crashes 1 Click Backup database 2 Click Add device The Backup device dialog box appears x Backup Device x Type of device fe Disk Physical location Tape 3 Enter the name of the backup device 4 Se
45. ous administrator tasks Workspace You perform administrator tasks in the workspace located in the right pane 14 1 User accounts 1 Start the Administration Tool 2 Select User administration in the left pane DIR 80013928 Ver D 31 59 WelchAllyn CardioPerfect Workstation Create an account 1 Click New User under Users The Edit user information dialog box appears 1 4 Edit User Information E E x user login Personal information UserName Role Administrator C Physician Technician User Password Cree 2 Inthe Edit user information dialog box enter the user name for the user that you want to add If you use Then the user name format is NT authentication DOMAIN user name Database authentication Any name with any characters except 3 Enter a user password If you use NT authentication you cannot enter a password because the NT password will be used 4 Selecta role for the user 5 In the Personal Information tab enter the user s personal information Notes e When you do not enter a password for database authentication users can log in to CPWS without supplying a password e When you use database authentication users can change their password in CPWS Deactivate an account When you want to prevent an end user from working with CPWS for instance because you want to delete the user in the near future and want to prevent him or her from accessing the data you
46. oyment type H E Administrative Templates C Published EP User Configuration i 2 Software Settings Assigned Software installation H E Windows Settings fg Administrative Templates Deployment options Auto netall this application by file extension activation Uninstall this application when it falls out of the scope of management Do not display this package in the Add Remove Programs control panel Installation user interface options Basic fa Maximum Advanced STEEL The Server installation and setup is now complete DIR 80013928 Ver D 57 59 WelchAllyn CardioPerfect Workstation Start the install on a client PC After configuring the CPWS software deployment log in to a client computer Note The installation takes place before you see the desktop after logging in Device driver association 1 For new installations of CPWS the Found New Hardware Wizard dialog box may launch when a USB device is connected after the software installation Note If you connect a ProLink USB the drivers automatically install 2 If the user does not have Administrator rights to install the hardware enter the admin password to complete the installation Found New Hardware You must be member of the Administrators group on this computer to install this hardware USB Device User name v m Password The drivers install DIR 80013928 Ver D 58 59 CardioP
47. p get adobe com reader 1 Close all running programs 2 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt CardioPerfect Connectivity Tools gt gt 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 3 Click 3rd Party Tools and Service Packs CardioPerfect Workstation installer Install Adobe Acrobat Reader US lt lt Back Exit WelchAllyn 4 Click Install Adobe Acrobat Reader US Follow the instructions on the screen DIR 80013928 Ver D 17 59 WelchAllyn CardioPerfect Workstation 7 Browse the user manuals All CardioPerfect user manuals are on the CardioPerfect Workstation CD in PDF format and are downloaded to the install location you specified for the CPWS software Note To open PDF files you must have Adobe Acrobat Reader If you do not have the reader see Install Adobe Reader on page 17 1 Insert the CardioPerfect Workstation CD The installer menu appears If this menu does not appear explore the CD and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data CardioPerfect Device Drivers gt gt e CardioPerfect
48. ponders Ar er bed ere Stet a JE Version 1 6 4 Regulatory Affairs Representative Welch Allyn Limited 4341 State Street Road Navan Business Park Skaneateles Falls NY Dublin Road 13153 0220 USA Navan County Meath www welchallyn com Republic of Ireland Welch Allyn C 0297 DIR 80013928 Ver D WelchAllyn CardioPerfect Workstation A Caution US Federal law restricts this device to sale by or on the order of a physician 2011 Welch Allyn All rights are reserved No one is permitted to translate reproduce or duplicate this manual or any part thereof in any form without prior written permission from Welch Allyn Welch Allyn assumes no responsibility for any injury to anyone or for any illegal or improper use of the product that may result from failure to use this product in accordance with the instructions cautions warnings or statement of intended use published in this manual Unauthorized copying of this publication may not only infringe copyright but also reduce the ability of Welch Allyn to provide accurate and up to date information to users and operators alike Welch Allyn CardioPerfect and SpiroPerfect are registered trademarks of Welch Allyn PerfectLink is a registered trademark of Welch Allyn Software in this product is copyright Welch Allyn All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide U
49. r desktop PC preferred laptop or tablet P4 or equivalent or higher 5 MB free space 512 MB 1 GB or higher recommended 1280x1024 high color 1280x1024 recommended 15 or higher USB or serial COM port forwarding Server Tower or desktop PC P4 or equivalent or higher 120 GB with 40 GB free space 1 GB or higher N A N A N A N A 23 59 WelchAllyn CardioPerfect Workstation Item Resting ECG Spiro ABP Server Operating XP SP2 or later XP XP SP2 or later XP XP SP2 or later Vista Windows Server system embedded Vista embedded Vista Business SP1 or 2003 2008 Business SP1 or later Business SP1 or later Windows 7 2008 R2 Windows 7 Home later Windows 7 Home Premium Premium Home Premium Professional or Professional or Professional or Ultimate Ultimate Ultimate Peripherals Color printer recommended for Spirometry Compatible with inkjet and laser printers 1 Both 32 and 64 bit operating systems are supported Before you begin e Make sure that you have administrator rights for this computer e Close all programs before starting the installation Configure the CPWS server Install CPWS on the server as described in Install CPWS software starting on page 12 It is not necessary to install drivers for the acquisition devices on the server Although the installer may handle this on its own it is good practice when installing new software on a version of Windows Server to switch to I
50. r password 3 Click Edit The Edit User Information dialog box appears 4 Enter a different password Hide the login window at startup When you use NT authentication you can choose to hide the Login window for the end user When you do this CPWS automatically uses the NT user information and bypasses the login screen 1 On the client start CPWS and wait for the Login window to appear Welch Allyn CardioPerfect E loj x File Welch Allyn CardioPerfect A Enter logon information here Use anonymous login guest account C Use Windows NT authentication Use database authentication 2 Inthe Login window select Always use above login settings 14 2 Physicians CPWS uses predefined lists of physicians specialties and locations that are maintained on the server This way all clients that are connected to the same server have the same information available 1 Open the Administration Tool 2 Select Application Administration 3 Select the table you want to configure Configure the physicians list Select Physicians DIR 80013928 Ver D 34 59 WelchAllyn CardioPerfect Workstation Add a physician 1 Click New Physician The Physician dialog box appears New physician Specialty None Internal First name Middle name Last name Phone number 1 Phone number 2 Fax number E Mail address Cancel Help 2 Select the Specialty to which you want to link the physician and
51. rnnrarrnnnrrrnnrnvvnnrrvnnrrnnnnrennn 33 SA COM GV aaeei aaiae 30 client server structure aainaaaaaaaanaaasaaanaaan 8 schedule AD GT EE EN 27 automatic backup aaaaanaaanaaaasaaanaasaasaaanaan 42 HEEE 2 RE TE 44 S CUTItY aaaaaaiaaaaaaa aaaaannanannnnnanannnnnnnnnnnnnnnnnnnnani 29 database authentication 22222 naan a 29 service manager iiiinaaniaaninaasassanaai 27 28 dbbuilder specialty PUE E E 30 add edit or delete aa assasaavan 35 de activate user rrrrnrnnrrrrrnnnrronrnnrrvrnnrrennnnnre 32 SQL Server Agent rrrnnnrnnnnnnrvnrnnnnnvnvnnnrnnvnnner 42 delete test PAU 37 transfer to another patient of referring physician rrrrnnnrnrrrnnnnennnnnrrnnnnnre 35 ME Druen 31 5 91516 fa EE aa 36 transfer TE EEE 33 test from patient to patient 37 edit user 181372 11 0 q NE n 36 echange 410 512 HR 33 SIO OCIA added 36 Create acCcOoUnt a iaanaanaaaaanannnnnnnnanna 32 hide login WINGOW rrrnnrrnnnnrvvvnnrrennnrrvnnrrnnnnnen 34 de activate rrrrrernnnrrrnnnrernnnnvnnnnnrnnnnnnnnnnere 32 HIPAA deln Eas E 33 SLI OE PE E N 30 NAME format EE 32 install user role PI 12 5 eg EE 33 location change EE EE aaa aaan 33 add or edit san 36 DIR 80013928 Ver D 59 59
52. s The Welch Allyn warranty can only be honored if you use Welch Allyn approved accessories and replacement parts Caution Use of accessories other than those recommended by Welch Allyn may compromise product performance DIR 80013928 Ver D 2 59 WelchAllyn CardioPerfect Workstation Warranty service and spare parts Warranty All repairs on products under warranty must be performed or approved by Welch Allyn Unauthorized repairs will void the warranty In addition whether or not covered under warranty any product repair shall exclusively be performed by Welch Allyn certified service personnel Assistance and parts If the product fails to function properly or if assistance service or spare parts are required contact the nearest Welch Allyn Technical Support Center USA 1 800 289 250 1 Canada 1 800 561 8797 Latin America 1 305 669 9003 South Africa 27 11 777 7555 European Call Center 353 46 90 67790 Australia 61 2 9638 3000 United Kingdom 44 207 365 6780 Singapore 65 6419 8100 France 33 1 55 69 58 49 Japan 81 42 703 6084 Germany 49 695 098 5132 China 86 21 6327 9631 Before contacting Welch Allyn it is helpful to attempt to duplicate the problem and to check all accessories to ensure that they are not the cause of the problem When calling please be prepared to provide e Product name model number and complete description of the problem e The serial number of your product if applicable
53. tch is found the suggested norm selection will be empty You can use the norm suggested by the upgrade select a different norm to use or cancel the calculation of the predicted values Caution In some cases the norm implementations differ in pre 1 5 0 versions causing differences in the predicted values after recalculation Full details on the norm implementation differences are available upon request DIR 80013928 Ver D 10 59 WelchAllyn CardioPerfect Workstation System requirements To work with CPWS software you need the following minimum recommended configuration Note If implementing CPWS in a thin client environment see Thin client interface on page 23 Resting ECG ABP Stress CPWS Server CPWS Server Item Spiro Recollect ECG small office enterprise Configuration Tower or desktop PC Tower or desktop PC Tower or desktop Server preferred laptop or tablet PC CPU P4 or equivalent P4 or equivalent P4 or equivalent P4 XEON or higher or higher or higher or equivalent or higher Hard disk 20 GB with 5 GB 40 GB with 10 GB 120 GB with 40 GB 200 GB with 40 GB free Space free Space free Space free Space RAID 5 array or RAID array controller with memory backup recommended RAM 512 MB 1 GB or higher 1 GB or higher 1 GB or higher 1 GB or higher recommended Monitor 1024x768 true color 1024x768 true color 1024x768 1024x768 true color resolution 1280x1024 true color recommended Monitor size 15
54. te Source 2 Computer Configuration o E Software Settings o H Windows Settings H E Administrative Templates lit User Configuration Eg Software Settings Software installation There are no items bo show in this view Ga Windows Settings Paste H E Administrative Templates Refresh View k Arrange Icons k Line up Icons Properties Help Adds a package 6 Select the MSI package and browse to the network location where you copied the CPWS installation image Note You must select the CPWS Remote Setup msi package from the network location rather than the drive letter because the network path is accessible from the client PC whereas the drive letter may not be accessible DIR 80013928 Ver D 55 59 WelchAllyn 4 Group Policy Object Editor SE R DIR 80013928 Ver D CardioPerfect Workstation _ 0 xI File Action view Help e Aml she EH Mame version Install CPWS testbox07 cpws locs Deployment state F Computer Configuration EO Software Settings H E windows Settings i DAES Administrative Templates Eg User Configuration 2 Software Settings de Software installation H E Windows Settings Ea Administrative Templates There are no items to show in this view Look in 13 1 6 2 1100 OF PE My Recent Documents T Desktop My Documents My Recent Documents i My Computer F HL 312 Floppy A Deskto D Se Local Disk C 15 CD Drive D
55. template ica file from COMAIlowed NO to COMAllowed Yes For detailed information about enabling COM port forwarding see documentation from Microsoft or Citrix e Citrix serial port sharing configuration In the Citrix Program Neighborhood window the window containing Citrix connections use the menu system the Tools menu to select configuring serial devices Proceed through the prompts to add a serial port to share through the client After adding a serial port devices connected on the client are available to CPWS on the server For details on configuring shared serial ports see the Citrix user documentation DIR 80013928 Ver D 26 59 WelchAllyn CardioPerfect Workstation 12 About the database CPWS can use these database engines e Microsoft SQL Server 2008 R2 and Microsoft SQL Server 2008 R2 Express e Microsoft SQL Server 2008 and Microsoft SQL Server 2008 Express e Microsoft SQL Server 2005 and Microsoft SQL Server 2005 Express e Microsoft SQL Server 2000 e Microsoft SQL Server 7 e Microsoft MSDE database a runtime version of MS SQL Server 7 2000 Note To use with CardioPerfect existing SQL Server installations must have mixed mode authentication enabled Database installation The database installation process installs either the Microsoft MSDE database engine or the Microsoft SQL Server 2005 Express Edition depending on your installation selection and creates a database named ccdb in an instance named CARDIOP
56. the Windows Active Directory rrrnrrrnrrrarerarrrarnnernnrrvarevnnennne 48 ge DEE 59 DIR 80013928 Ver D 5 59 WelchAllyn CardioPerfect Workstation 1 Safety summary Introduction We at Welch Allyn are dedicated to provide safe products to our customers It is the user s responsibility to follow the rules of safety as established for their protection and for the protection of their patients as described in this manual The hospital s Biomedical IT support staff shall require primary skills including disciplines related to maintenance and servicing computer controls platforms Please take note of all safety precautions and warnings provided with the devices before using the devices and the accompanying software WARNING The CardioPerfect family of devices is an integral part of a personal computer based diagnostic system The user shall adhere to warnings in order to ensure safe and reliable performance of the system e The personal computer non medical electrical equipment shall be situated outside the patient environment reference IEC 60601 1 1 e The personal computer used should adhere to the appropriate safety standard for non medical electrical equipment IEC 60950 or its national variants and use of an isolation transformer is recommended e Normal isolation transformer does not fulfill the IEC601 1 1 standard and its supplement EEE requirements for transformer unit To maintain operator and patient safety c
57. the following methods for sending and receiving email e Email facilities e Direct communication using TCP IP sockets In both cases the Internet or any other TCP IP network must be available as transportation infrastructure You can use a mix of both email and direct socket connection Telemedicine like CPWS is built using a client server architecture This means Telemedicine scales from use on a single standalone computer with a modem to a configuration of multiple client computers a MSSQL database server and a telemedicine mail server working together in a LAN network Before installing Telemedicine make sure that the hardware and software requirements are met see System requirements on page 11 determine the type of communication you will use and if in a network identify which computer s will run as clients and which as mail server The Telemedicine option requires significant IT skills to install and configure Detailed instructions on installation and configuration can be found in Section 10 of the CardioPerfect Workstation Service and Advanced Installation manual For a more detailed description of how to use Telemedicine see the CPWS user manual Note Full administrator privileges are required to correctly configure Telemedicine DIR 80013928 Ver D 22 59 WelchAllyn 11 Thin client interface CardioPerfect Workstation If you plan to operate the CPWS in a thin client environment install the Welch All
58. yn PerfectLink ECG client on the client PC Clients can access the application via presentation applications such as Citrix ICA and Microsoft Remote Desktop Services RDS ECG Pro Recorder Cf S gt Thin client v Thin client VE ECG Pro Recorder server Q Q z CPWS SQL server Device data acquisition through a thin client interface requires the following e Resting ECG and Spirometry The Welch Allyn PerfectLink thin client solution e ABPM A serial interface With the serial interface the system administrator can configure your system to share the serial port over the network between the server and the clients Thin client system requirements To work with CPWS software in thin client environment you need the following minimum recommended configuration Item Configuration CPU Hard disk RAM Monitor resolution Monitor size Ports Connection technology DIR 80013928 Ver D Resting ECG Tower or desktop PC preferred laptop or tablet P4 or equivalent or higher 5 MB free space 512 MB 1 GB or higher recommended 1024x768 high color 1280x1024 recommended 15 or higher USB PerfectLink Spiro Tower or desktop PC preferred laptop or tablet P4 or equivalent or higher 5 MB free space 512 MB 1 GB or higher recommended 1024x768 high color 1280x1024 recommended 15 or higher USB or serial PerfectLink ABP Tower o

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