GE CARDIOSOFT V6.71 SERVICE MANUAL_SM_2060290-150_A E Healthcare CardioSoft Diagnostic System Version 6.7 Service Manual 2060290-150 Revision A

GE Healthcare

CardioSoft® Diagnostic System

Version 6.7

Service Manual

2060290-150 Revision A

NOTE: The information in this manual only applies to the CardioSoft Version 6.7. Due to continuing product
innovation, specifications in this manual are subject to change without notice.

GE Medical Systems
Information Technologies, Inc.
8200 West Tower Avenue
Milwaukee, WI 53223 USA
Tel: [phone]

1 800 437 1171 (USA only)
1 800 668 0732 (Canada only)

Fax: [phone]

CASE, MAC, MARS, and MUSE are trademarks owned by GE Medical Systems Information Technologies
GmbH, a General Electric Company going to market as GE Healthcare.

© 2015 General Electric Company. All rights reserved.

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Contents

1 Introduction

Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6

2 Supported Operating Systems
3 Installation

Installation of the Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Installation of CardioSoft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

Installation of Communication Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

General Entries in INI Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Entries in LOC_WIN.INI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Entries in CARDIO.INI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Entries in SETUP_CM.INI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Entries in CardioSoft.INI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16

Entries in HL7.INI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16

Directory structure and notes on CardioSoft files . . . . . . . . . . . . . . . . . . . . .3-17

System Configuration/Service Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22

Data transfer to/from MUSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Metabolic Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

Installation in the network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

Installation/Configuration of CardioSoft Web . . . . . . . . . . . . . . . . .3-4

Communication Commands . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27

Serial Port Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-28

Data String Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29

Shared File Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

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Data File Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

General Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-32

Configuration of "Complete Patient Information" . . . . . . . . . . . . . . . . . . . . .3-32

Installation of the Hardlock Modules

(Parallel/Serial & USB Type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

MARS PC Application Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

DICOM Interface Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35

Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-36

Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-36

Special DICOM setup items without UI . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

Protocol Code Mapping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

Method of Protocol Code mapping . . . . . . . . . . . . . . . . . . . . . . . .3-40

Syntax of the Protocol Code mapping per schema: . . . . . . . . . . .3-40

Adding a new Protocol Schema . . . . . . . . . . . . . . . . . . . . . . . . . .3-40

Default protocol schema and codes used in DICOM.INI . . . . . . .3-41

Description of Dialogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

DICOM tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

Network configuration - DSS/Order Filler, PPS Manager . . . . . . .3-49

Network Configuration - Image Manager, Image Archive . . . . . . .3-50

Worklist customization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

4 Acquisition Modules for CardioSoft

Controlling Electrostatic Discharge Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

CAM-USB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

CAM-USB A/T & CAM-USB A/T KISS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

Context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Supported Operating Systems and System performance . . . . . . . . . . . . . . .4-8

Model 1 CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Model 2 CORINA with Suction Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Model 3 CORINA with Analog Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9

Model 4 CORINA with suction pump and Analog Output . . . . . . . . . . . . . . . .4-9

Replacement of CORINA Model 1...4 through newer CORINA Variants (101 118

31...34) with enhanced communication interface to PC . . . . . . . . . . . . . . . . .4-9

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Repair Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

Hardware Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Mechanical Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

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Casing: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

Floating screening: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

PCB CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Cable to PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14

Pump Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14

PCB CORINA TRIGGER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16

Insulation Foil for PCB CORINA TRIGGER . . . . . . . . . . . . . . . . .4-16

Internal Wiring of the Analog Output . . . . . . . . . . . . . . . . . . . . . .4-16

Electrical and electronic structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16

ECG Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16

CONTROLLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

PC PORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Optional Analog Out Electronics . . . . . . . . . . . . . . . . . . . . . . . . .4-19

Internal Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20

Mechanical Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20

Electrical Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20

Interfaces to Peripherals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Mechanical Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Electrical Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Troubleshooting Help Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

5 Troubleshooting Tips

Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Printer Debugging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

General Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

System Diagnosis on Windows XP/Windows 7 . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Browsing the Windows Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11

Backing up the CASE/CS Event Log and System Information . . . . . . . . . .5-11

Confirming CAM-USB Hardware Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Wireless LAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Remote Servicing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

6 Care and Maintenance

General Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Recommended Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Leakage Current Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Enclosure Leakage Current Test . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

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7 Specifications

Technical Specifications for CAM-USB, CAM-USB A/T, CAM-USB A/T KISS and CAM-

14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Electromagnetic Compatibility of CAM-USB, CAM-USB A/T and CAM-USB A/T KISS
7-3

Technical Specifications CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

ECG Signal Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Analog Output Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Signal Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10

Electromagnetic Compatibility of CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10

Patient Leakage Current Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Enclosure Leakage Current Test (System) . . . . . . . . . . . . . . . . . .6-3

Protective Earth Resistance Test . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

8 Spare Parts

CAM-USB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

CAM-USB A/T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

CAM-USB A/T KISS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

CORINA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

KISS Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Dongles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

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1 Introduction

1.1 Manual Information

1.1.1 Revision History

Each page of the document has the document part number and revision letter at the
bottom of the page. The revision letter identifies the document’s update level.

The revision history of this document is summarized in the tabl e be low.

Revision Date Comment

A 2015-08-03 Initial release of CardioSoft Service Manual V6.7.

1.1.2 Manual Purpose

Table 1. Revision History PN 2060290-150

This manual supplies technical information for service representative and technical
personnel so they can maintain the equipment to the assembly level. Use it as a
guide for maintenance and electrical repairs considered field repairable. Where nec­essary the manual identifies additional sources of relevant information and or tech­nical assistance.

See the operator manual for the instructions necessary to operate the equipment
safely in accordance with its function and intended use.

1.1.3 Intended Audience

This manual is intended for the person who uses, maintains, or troubleshoots this
equipment.

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Safety Information

1.2 Safety Information

1.2.1 Responsibility of the Manufacturer

Information Technologies is responsible for the effects of safety, reliability, and
performance only if:

 Assembly operations, extensions, readjustments, modifications, or repairs are

carried out by persons authorized by Information Technologies.

 The electrical installation of the relevant room complies with the requirements

of the appropriate regulations.

 The equipment is used in accordance with the instructions for use.
 The country of manufacture appears on the device label.

1.2.2 General

This device is not intended for home use.
Contact Information Technologies for information before connecting any devices to

the equipment that are not recommended in this manual.
Parts and accessories used must meet the requirements of the applicable IEC 60601

series safety standards, and/or the system configuration must meet the requirements
of the IEC 60601-1-1 medical electrical systems standard.

Periodically, and whenever the integrity of the device is in doubt, test all functions.
The use of accessories not complying with the equivalent safety requirements of this

equipment may lead to a reduced level of safety of the resulting system.
Consideration relating to the choice shall include:

 use of the accessory in the patient vicinity and
 evidence that the safety certification of the accessory has been performed in

accordance to the appropriate IEC 60601-1 and/or IEC 60601-1-1 harmonized
national standard.

If the installation of the equipment, in the USA, will use 240V rather than 120V, the
source must be a center-tapped, 240V, single-phase circuit.

NOTE

The CORINA acquisition module is not for use in the U.S. and Canada.

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Warnings, Cautions, and Notes

1.3 Warnings, Cautions, and Notes

The terms danger, warning, and caution are used throughout this manual to point out
hazards and to designate a degree or level or seriousness. Familiarize yourself with
their definitions and significance.

Hazard is defined as a source of potential injury to a person.

Term Definition

DANGER Indicates an imminent hazard which, if not avoided, will result in death or

serious injury.

WARNING Indicates a potential hazard or unsafe practice which, if not avoided, could

result in death or serious injury.

CAUTION Indicates a potential hazard or unsafe practice which, if not avoided, could

result in minor personal injury or product/property damage.

NOTE Provides application tips or other useful information to assure that you get

the most from your equipment.

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Equipment Symbols

1.4 Equipment Symbols

Consult Instructions for Use

Consult the operating instructions.

Class II Equipment

Identifies equipment that meets the safety requirements specified for
class II equipment by IEC 60601–1. This device was designed so that
it does not require a safety connection to electrical earth (US ground).
No single failure results in dangerous voltage becoming exposed and
causing an electric shock. This is achieved without relying on an
earthed metal casing.

Defibrillation-proof Type CF Applied Part

Identifies a defibrillation-proof type CF applied part on medical
equipment that complies with IEC 60601–1. This device meets the
requirements for protection against electric shock for an earth-free
(floating) applied part (one intended for contact with patients) for
cardiac application.

CAUTION

CONSULT ACCOMPANYING DOCUMENTS
There may be specific warnings or precautions
associated with the device that are not otherwise
found on the label. Consult the accompanying
documentation for more information about safely
using this device.

–

Defibrillation-proof Type BF Applied Part

Identifies a defibrillation-proof type BF applied part on medical
equipment that complies with IEC 60601–1. This device meets the
requirements for protection against electric shock for an earth-free
(floating) applied part (one intended for contact with patients).

Mains power switch (ON - OFF)

On/Standby

Potential equalization pin

Protective Earth (ground)

Identifies the terminal of a protective earth (ground) electrode or any
terminal that is intended for connection to an external conductor for
protection against electric shock in case of a fault.

Caution! High Voltage!

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Equipment Symbols

12V

Input

Indicates the input connector.

Output

Indicates the output connector.

Fuse

12 V DC

Date of Manufacture (Year-Month)

Indicates the original manufacture date for this device.

Manufacturer

Indicates the name and address for the manufacturer of this device. It
may also include the date it was manufactured.

Catalog or Orderable Part Number

Indicates the manufacturer's catalog or part number.

Serial Number

Indicates the manufacturer's serial number.

Revision

Indicates the device’s revision level.

Rx Only

US Federal law restricts this device to sale by or on the order of a
physician.

This symbol indicates that the waste of electrical and electronic
equipment must not be diposed as unsorted municipal waste and
must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning the
decommissioning of your equipment.

Can Be Recycled

Indicates you may recycle this material or device. Recycle or dispose
of in accordance with local, state, or country laws.

Environmental Friendly Use Period (EFUP)

Per Chinese standard SJ/T11363–2006, indicates the number of
years from the date of manufacture during which you can use the
product before any restricted substances are likely to leak, causing a
possible environmental or health hazard.

NOTE

 If the device contains less than the maximum

concentration of restricted substances, the symbol
contains a lowercase e

 This is also referred to as China RoHS.

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Service Information

1.5 Service Information

1.5.1 Service Requirements

Follow the service requirements listed below.

 Refer equipment servicing to Information Technologies’authorized service

personnel only.

 Any unauthorized attempt to repair equipment under warranty voids that

warranty.

 It is the user’s responsibility to report the need for service to Information

Technologies or to one of their authorized agents.

 Failure on the part of the responsible individual, hospital, or institution using

this equipment to implement a satisfactory maintenance schedule may cause
undue equipment failure and possible health hazards.

 Regular maintenance, irrespective of usage, is essential to ensure that the

equipment will always be functional when required.

UL Classification Mark, Canada/US

Indicates this medical equipment is UL Classified with respect to
electric shock, fire, and mechanical hazards only in accordance with
UL 60601-1, CAN/CSA C22.2 NO. 601.1, and IEC 60601-2-25 for the
US and Canada.

PCT (GOST-R) Mark

Indicates the device or product conforms with applicable Russian
Gosstandart technical and safety standards.

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2 Supported Operating

Systems

CardioSoft Workstation / Client:

 Windows XP Professional (32-bit), Service Pack 3
 Windows 7 Professional (32-bit)
 Windows 7 Professional (64-bit)

CardioSoft Server:

 Windows Server 2008 (64-bit)
 Windows Server 2008 R2 (64-bit)

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3 Installation

3.1 Installation of the Software

After Software installation please reboot the system!

3.1.1 Installation of CardioSoft

For CardioSoft start the Setup Program without parameter.
Versions earlier than V 4.2 first have to be upgraded to V 4.2 before installing V 6.x
To run CardioSoft properly the screen resolution must be set to 1024 by 768 pixels
(minimum) with 65536 (16 bit) colors.

Note: Only CORINA Models 101 118 31...34 and 37/38 (OEM) are supported by
CardioSoft 6.x.

3.1.1.1 Installation in the network

Network Configuration

To communicate with a MUSE server or Remote View Function you have to config­ure the TCP/IP protocol.

Network Installation of CardioSoft

CAUTION: Before installation, close all programs on all stations.
The CardioSoft server itself must not be used as a CardioSoft station.

CAUTION: To guarantee trouble-free access to the database, be sure to install the
latest CardioSoft software version on all CardioSoft clients/workstations in the net­work.

3.1.1.1.1 Network environment: Domain

A Setup Domain User

One of the following criteria must be met:

1. A new
the Windows domain where the CardioSoft server resides or a Windows
domain that has a trust relationship with the Windows domain where the
CardioSoft server resides.
NOTE: Typically, the Domain Administrator must do this step

2. An existing domain user account from the Windows domain where the
CardioSoft server resides or an existing domain user from a Windows domain
that has a trust relationship with the Windows domain where the CardioSo ft

domain user account must be created (designated as Network User) on

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server resides is designated as the Network User
the application on the CardioSoft system.

B Configure directory on CardioSoft-Server

Select one of the following criteria and perform the according steps:

CardioSoft-Server: Network Share

1. On the computer designated as the CardioSoft server, create a directory on a
local drive volume that meets the minimum space requirements for a CardioSoft
database.

2. Network Share
a. For new installations, share this directory as “GE-cardio”.

b. For existing installations, use the existing share. Rename the existing

CardioSoft directory “cardio” to “card_old”. Create a new directory on a
local drive volume that meets the minimum space requirements for a
CardioSoft database

3. Configure the share permissions such that the designated Network User has
“full control” permission.

NOTE

All further steps have to be performed with each CardioSoft station.

that will be configured to run

C Add CardioSoft station to Windows Domain

1. Login as local Administrator.

2. Change settings such that the CardioSoft computer joins a Windows domain
where the CardioSoft server resides, or a Windows domain that has a trust
relationship with the Windows domain where the CardioSoft server resides.

Note:

Typically, the Domain Administrator or another user that has been

granted the right to add computers to the specified domain must do this step.
Windows XP Professional 32-bit:

Windows 7:
puter name, domain and workgroup settings -> Change Settings -> Computer
Name tab -> Change...

3. Reboot

Control Panel -> System and Security -> System -> Section: Com-

D Configure Network User on CardioSoft station

1. Login as Domain Administrator.

2. Add the designated Network User to the local Administrator group.

Windows XP Professional 32-bit:
Computer Management -> SystemTools -> Local Users and Groups -> Groups

-> Administrators ->Properties

Control Panel -> System -> Computer Name

Control Panel -> Administrative Tools ->

Windows 7:
Computer Management -> Local Users and Groups

3. Logoff and Login as the designated Network User to create the Network User
Profile.

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E Install CardioSoft Application Software

NOTE

Refer to the CardioSoft Installation and Upgrade Guide.

3.1.1.1.2 Network environment: Workgroup

The CardioSoft-server is configured as a Workgroup.

A Setup User Account

One of the following criteria must be met:

1. A new user account must be created on the CardioSoft server.

2. An existing user account on the CardioSoft server will be used.

This user is designated as Network User.
Using a UNC path for the database directory, the user accounts of the CardioSoft cli-

ent must be present/created on the database server.

B Configure directory on CardioSoft-Server

Select one of the following criteria and perform the according steps:

New CardioSoft-Server: Create Network Share

1. On the computer designated as the CardioSoft server, create a directory on a
local drive volume that meets the minimum space requirements for a CardioSoft
database.

2. Share this directory as “cardio”.

3. Configure the share permissions such that the designated Network User has
“full control” permission.

Existing CardioSoft-Server: Configure Network Share

All local CASEs/CardioSoft, that will be networked, are new:

1. Configure the share permissions for the CardioSoft directory such that the
designated Network User has “full control” permission.

2. For UNC path: same user on both systems.

At least one local CASE/CardioSoft with existing examinations will be networked:

1. Rename the existing CardioSoft directory “cardio” to “card_old”. Create a new
directory on a local drive volume that meets the minimum space requirements
for a CardioSoft database.

2. Share the new directory as “cardio” and the renamed directory as “card_old”.

3. Configure the share permissions of “cardio” and “card_old” such that the
designated Network User has “full control” permission.

NOTE

All further steps have to be performed with each CardioSoft station.

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C Configure CardioSoft station as Workgroup

1. Login as local Administrator.

2. Change the workgroup name to the workgroup name of the CardioSoft server.
Windows XP Professional 32-bit:
Windows 7:
Computer name, domain and workgroup settings -> Change Settings ->
Computer Name tab -> Change...

3. Reboot

Control Panel -> System and Security -> System -> Section:

D Configure Network User on CardioSoft station

1. Login as Local Administrator.

2. Create a new local user (same name and password as the designated Network
User used on the CardioSoft server) and add this Network User to the local user
group.
Windows XP Professional 32-bit:
Computer Management -> SystemTools -> Local Users and Groups -> Groups

-> Administrators ->Properties

Control Panel -> System -> Computer Name

Control Panel -> Administrative Tools ->

Windows 7:
Computer Management -> Local Users and Groups

3. Logoff and Login as Network User to create the Profile.

Control Panel -> System and Security-> Administrative Tools ->

E Install CardioSoft Application Software

NOTE

Refer to the CardioSoft Installation and Upgrade Guide.

3.1.1.2 Installation/Configuration of CardioSoft Web

Cardiosoft Web must run on the same server as the CardioSoft database file server.

Windows Server 2008 / Windows Server 2008 R2

1. Open Server Manager > Roles > Add roles -> WebServer (IIS).

NOTE

Enable the ISAPI extension from the Role Services dialog.

2. Install the CardioSoft software on the server

3. Configure CardioSoft (System Configuration > Country Settings…)

4. Install the dongle, parallel or USB, no particular config needed.

5. Start CardioSoft:

-> verify the dongle is recognized by its "INTERNAL serial number" under the
option codes tab.

6. Enter the CWEB option code, verify it and close CardioSoft.

7. Install CardiosoftWeb software on the server (must be exactly the same version)
and reboot.

8. Make the following changes in the registry (use: regedt32.exe)
a. Security settings

Go to HKLM\Software\Wow6432Node\Btrieve Technologies

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Set permissions for Group "Users" to full control.

b. Registry key values:

Go to HKLM\Software\Wow6432Node\Btrieve Technologies
In \Microkernel Engine\Version 6.15\Micro kernel Interface\Settings
Verify the Target Engine value is "0"

 In \Microkernel Workstation Engine\Version 6.15\Microkernel

Interface\Settings

 Verify the Requester value is "0"
 Verify the Local value is "1"
 In \Microkernel Workstation Engine\Version 6.15\Settings
 Verify the TraceFile value is C:\CARDIO\MKDEWE.TRA
 Verify the Home Directory value is C:\CARDIO
 Verify the File sharing on local drives value is "1"

 Open IIS Manager:

- Click Start.

- In the Start search box, type INETMGR and press ENTER.

 Select the ISAPI and CGI Restriction feature and click the Open Feature

action.

 Click the Edit Feature Settings action and select the Allow unspecified

ISAPI modules check box on the Edit ISAPI and CGI Restrictions Settings

dialog.

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 In the Connections column, select Applications Pools. In the Application

Pools column, select the DefaultAppPool and click the Advanced Settings
action. Set the Enable 32-Bit Applications setting to True.

 In the Connections column, right-click the Default Web Site and select Add

Virtual Directory from the context menu. On the Add Virtual Directory
dialog, enter Alias Scripts and select the path to the IIS scripts directory:
C:\inetpub\scripts.

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 In the Connections column select Scripts, in the center column Handler

Mappings, and in Action column first click Open Feature, then Edit
Feature Permissions. On the Edit Feature Permissions dialog, enable
Read, Script and Execute.

 In the Connections column, select the server name, in the center column

Authentication, and in Actions column first click Open Feature.

 Enable Anonymous Authentication. This can be changed later under the

responsibility of the hospital’s IT department.

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

 Navigate to the CardioSoft / CS Database directory and grant the User

group Full control.

9. Restart IIS

10. Check CardioSoftWeb version: http://SERVER_IP/scripts/CardioSoftWeb/
iscard.dll?

11. Check access

Homepage URL:

http://SERVER IP/cardiosoftweb/cardiosoftwebhome.htm

Direct URL to patient ID " 123456 ":

http://SERVER_IP/scripts/CardioSoftWeb/
iscard.dll?GetExamdirect?Patid=123456

3.1.2 Installation of Communication Server

The Communication Server is a separate PC with up to 4 Modems connected. Rest­ing ECG procedures can be sent from ECG carts supporting A5 or CSI protocol to
this Communication Server over a Modem. The Communication Server stores the
Resting ECG's in a local network server and this data can be sent to the MUSE. Pro­cedures can be sent from ECG Systems to this Communication Server over Modem.

Note: This PC can only used as Communication Server and cannot used for
other purpose.

Prerequisites: PC with minimum requirement see CardioSoft User Manual, Up to 4
serial ports. Up to 4 Modems (CAUTION: all Modems must be from the same
type), PC must be integrated in a local network to store the data or send the data to
MUSE.

Installation Steps:

1. Install CardioSoft on the PC

2. Start the CardioSoft Application and view the System Configuration. In the Tab
Modem select the Baud Rate and the Modem Type (The Port Setting is not used
for the Communication Server). In the Tab MUSE you can configure to send
the Resting ECGs to MUSE (The setting “Start Modem connection before
transfer” cannot be used). In the Tab General please deactivate the “Enable
Password Function”.

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3. For every Modem create a Shortcut to the CardioSoft Application. In the
Properties Dialog of the Shortcut view Tab Shortcut. For Modem 1 at COM1
change the content of the field “Target” to “...\cardio.exe cartmodem com1”
(for Resting ECG from ECG recorder) or “...\cardi o.exe sysmodem com1” (for
Resting ECG from ECG System) and rename the shortcut to “CardioSoft
Modem 1”. Change the other Shortcuts in the same way.

4. Connect all Modems and switch on all Modems. Start the first Shortcut. It
should be displayed a window with the title “COM1: Data received form ECG
System/ECG recorder”. If an error message is displayed check the Modem
Settings. Press the “End” Button in the window and close the CardioSoft
Application. Test every shortcut in the same way.

5. Copy all Shortcuts to the Menu Group “Start up” with the Windows Explorer.

6. Close all applications and reboot the system.

With every start, up to 4 CardioSoft Applications are started and store the received
Resting ECGs. If errors messages are displayed, then check the error like described
in Step 4

NOTE

Up to V5.02 the communication server assigned all received examinations, regard­less of different patient demographic data. From V5.1 the default behavior is differ­ent: examinations that have the same patient ID as stored on the local network server
but different demographic data (last name, first name, date of birth), are copied to a
list, to allow the customer later a manual assignment of this examinations. The com­parison of patient demographic data is done case insensitive, possible empty fields
don’t care. The number of not assigned examinations is displayed. If the „End“-But­ton of any of the 4 windows is pressed, a dialog to assign manually all received
examinations (that have not yet been assigned) comes up automatically.

If it is desired to assign all examinations automatically (as in versions <5.1), even if
patient data are different, the entry „PAT_CommSrvTempList=0“ in LOC_WIN.INI
section [CARDIO] must be inserted. Please note that patient demographic data in
the examination is always updated with the patient data of the database (Resting
ECGs).

3.1.3 General Entries in INI Files

All INI Files are located in the Application Data Folder that can be selected during
installation. The default setting is C:\Cardio. Procedure Setups will be stored in
CARDIO.INI. General settings will be stored in CA_SYS.INI and could be exported
to any folder or floppy disc. Special service settings are stored in LOC_WIN.INI.
When CardioSoft is started the first time and there is no CA_SYS.INI or no entry in
this INI file the default values from the LOC_WIN.INI will be used and copied to
the CA_SYS.INI file. After that the values from the CA_SYS.INI file are used.

3.1.4 Entries in LOC_WIN.INI

Entries from the file LOC_WIN.INI described here are mainly those which cannot
be changed directly by changing settings in CardioSoft.

Describtion of the CARDIO section in the LOC_WIN.INI File

Font entries, screen settings, HF output ...

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[CARDIO]
GRA_ScreenFont1 = “...” // Default = “MS Sans Serif”

GRA_ScreenFont2 = “...” // Default = “Arial”
GRA_ScreenFont3 = “...” // Default = “Courier New”
GRA_ScreenFont4 = “...” // Default = “Small Fonts”
GRA_ScreenFont5 = “...” // Default = “MS Sans Serif”

GRA_PrinterFont1 = “...” // Default = “Times New Roman”
GRA_PrinterFont2 = “...” // Default = “Arial”
GRA_PrinterFont3 = “...” // Default = “Courier New”
GRA_PrinterFont4 = “...” // Default = “Small Fonts”
GRA_PrinterFont5 = “...” // Default = “Times New Roman”

CFG_ProdName = GE CardioSoft // Product name for CardioSoft

GE MicroLab // Product name for MicroLab

GE CASE Client // Product name for CASE Client
CFG_CorinaTime = 5
CFG_Abcux = 2977 // 2978 or entry not available: USA version

// 2977: international version

CardioInstallPath = C:\Program Files\GE Healthcare

// Program files folder where Cardio.exe is installed

CFG_ProgDir = C:\CARDIO // Application Data Folder
CFG_DataDir = C:\CARDIO // Database folder

CFG_SavedDataDir // Path to server database
CFG_DispSwitchDBMsg // 0: disable message when database mode is

// changed
// Default: 1

CFG_OfflineBackup // 1: save tests after sync. with online database in

// directory LOCAL_BACKUP
// Default: 0

CFG_WorkOffline // Setting from user interface
CFG_AutoWorkOffline // Setting from user interface

CFG_RemoveSpo2Device // 0: make legacy SpO2 devices visible in

// configuration
// Default: 2

CFG_SerialNumber =
CFG_UNCNameFor DataDrive=// UNC Name for Data Drive

CAUTION: If the file loc_win.ini is inadvertently deleted, only the USA version of
CardioSoft can be started. It is thus advisable to make a backup of the INI files from
time to time.

INST_DevType=0 // Device Type is set from the Installation Program

// 0: CardioSoft (is default if value not present)
// 1: CardioSoft
// 2: MicroLab
// 3: CASE
// 4: CASE Client
// 5: CS

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RES_ShowQTDispTable=? // Range of values: 0..1 Default: 1

// Meaning: Output of the QT data for all leads

in the measurement table

GRA_PrinterFontFactor=? // Range of values: 50..500 Default: 100

// Meaning: Font size factor for print fonts

GRA_ScreenFactor=? // Range of values: 50..500 Default: 100

// Meaning: Multiplication factor for screen

display fonts

GRA_GridWeight=? // Range of values: 1..9 Default: 5

// Meaning: Grid points in printouts

GRA_CharSet=? // Range of values: 0..17 Default: 0

// Meaning:Determines the character set

for the CardioSoft fonts.

0: ANSI_CHARSET
1: DEFAULT_CHARSET
2: SYMBOL_CHARSET
3: SHIFTJIS_CHARSET

(Recommendation for Japanese)
4: OEM_CHARSET
5: BALTIC_CHARSET
6: CHINESEBIG5_CHARSET
7: EASTEUROPE_CHARSET
8: GB2312_CHARSET
9: GREEK_CHARSET

10: HANGUL_CHARSET
11: MAC_CHARSET
12: RUSSIAN_CHARSET
13: SYMBOL_CHARSET
14: TURKISH_CHARSET
15: JOHAB_CHARSET
16: HEBREW_CHARSET
17: THAI_CHARSET

GRA_PropSheetX = 100 // Default: 100

// Meaning: Scaling factor for the width of

“Property Sheets” like the Setup-Dialog

GRA_PropSheetY = 100 // Default: 100

// Meaning: Scaling factor for the height of

“Property Sheets” like the Setup-Dialog

GRA_ScreenFont Factor=? // Range of values: 50..500 Default:100

// Meaning: Multiplication factor for screen

display fonts

GRA_Dlg SizeX = 100 // Default: 100

// Meaning: Scaling factor for the width of dialogs

GRA_Dlg SizeY = 100 // Default: 100

// Meaning: Scaling factor for the height of dialogs

PRI_CancelExe = ? // Range of values 0..1 Default = 1 for P2000 Printer

others = 0

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Some printer drivers have problems with aborting the print job. A separate program
CancelPr.Exe can be used to improve this behavior.

MUS_SendComment=0 // Controls the comment + history objects to be sent

// to MUSE within the supplements object
// Range 0..1, default=1
// 0: no objects

// 1: comment + history
GRA_DontRemoveGrid = 0 // Range of values 0..1 Default = 1
When CardioSoft is closed before all print layouts are finished, there may be prob-

lems with the grid. Setting this value to 1 causes the grid-font not to be removed
when CardioSoft is closed.

CAMUSB_ImpedanceSlape = 115 // Meaning: for Impedance Measurement
CAMUSB_ImpedanceInterccpt = 2152 // Meaning: for Impedance Measurement
CAMUSB_LeadFailBias = 1 // Range of values 0..1 Default: 1

// Meaning: Enable lead Fail Detection

Some printer drivers have problems managing the printout area, so that the last line
may be missing, for example. Where printing should start can be set as follows:
PRI_FrameLeft=? // left-hand margin in 1/10 mm
PRI_FrameTop=? // top margin in 1/10 mm

Mai_MoveMainWindow=? // Range of values 0..1 Default: 0

// Meaning: 1. The main window can be moved by

clicking on the title bar in the initial screen

// Meaning 0: The main window can not be moved
Mai_ResizeMainWindow=? //Range of values 0...1 Default: 0

Specifies if the main window can be resized to

minimum 800x600 pixels
Mai_MainWindowPosition=left,top,width,height

// Position and size of the CardioSoft main window

(in pixels)

Example:

Mai_MainWindowPosition:1024,0,1024,768 moves

the main window to the 2nd screen of a dual screen

system

Note: Be sure to enter valid values. Otherwise you

may not see the CardioSoft screen.
MUS_LosslessCompression=? // Range of values 0...1 Default: 1

Specifies that the 10 second ECG is sent to MUSE

with our without compression
FDA_InfoText=? // Range of values 0...1 Default = 1 for CardioSoft in

English and Spanish

Specifies if the following text is shown on the Initial

Screen or not:

CAUTION: U.S. Federal law restricts this device

to sale by or on the order of a physician

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RES_GlobalValuesReadOnly=?//Range of values 0...1 Default: 0

Specifies if Measurement Results in Resting ECG /

Post Text Review / Test Summary can be modified

or not.
DSP_ClipCurves=? //Range of values 0...1 Default: 1

Specifies if the ECG waveforms are printed within

the designated frame.
EMR_ErrDir=<error folder>

The folder for error logging for the EMR Interface can be set individually for each
client (System Configuration, EMR tab). If no value is specified, the default value is
used:
<App Data folder>/emr_errors, i.e. D:\CASE\emr_errors or C:\CARDIO\emr_errors

EMR_Mode=1
If this entry does not yet exist, EMR mode is automatically en abled (=1) when start­ing CardioSoft, if the file emr.ini in c:\winnt\ with entry “LogicianInstallPathTo” in
section “[Installation]” is available (which is automatically done with the Installa­tion of the EMR system). Note that additionally the option XEMR is needed to run
the EMR interface.

CFG_EnableEMR=0
The EMR mode can be switched off temporarily on the service screen. This is to
have access to all functions for service purposes without the need to change
EMR_MODE in LOC_WIN.INI manually. (So the entry EMR_Mode is not
changed in this case).

PAT_CheckDemogr=? // Range of values 0...2 Default:1

//Meaning: If CardioSoft is launched by an external

information system via HL7, BDT, or GDT, this

entry defines the reaction, if the incoming patient ID

is identical with the local database, but the patient

demographic data (one of first name, last name or

date of birth) are different.

0: No user interaction; If the incoming data field is

not blank, the data is taken from the information

system, else from the local database.

1: A side-by-side dialog comes up to select the

patient demographic data to be used for the local

database.

2: An error message comes up which must be con-

firmed. A new test cannot be performed.
PAT_RequirePatID=0 // Range of values: 0…1: Default: 1

Meaning: When CardioSoft is launched by an EMR

(HL7, BDT, GDT), an existing Patient ID is

mandatory and an error message comes up if no

Patient ID was provided by the EMR.

If set to zero, no error message occurs if no Patient

ID is provided by the EMR. The patient record as

well as the test is stored without Patient ID.

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CFG_TEMP_PATH_PDF=d:\temp// Default: ""

CFG_EXT_LOCATION_SOURCE=0// Range of values: 0…2; Default: 1

CFG_ConfirmByLoginUser=1 // Range of values: 0...1; Default: 0

3.1.5 Entries in CARDIO.INI

Meaning: Folder used when creating a synchronous

temporary PDF output (for DICOM encapsulated

PDF).

The default value uses the "TMP"- or "TEMP"-

path variable as folder.

CardioSoft Source for Ergospirometry location used

by LF8 (field "Ward"):

0: Not used

1: Room field

2: Location name configured in MUSE tab

If the CASE/CardioSoft user list is enabled, a test

can be confirmed by the authenticated user (login

user) without entering again username and password

during test confirmation process.

CARDIO.INI stores the user dependent settings. In this chapter only those settings
are described which cannot be changed directly by the CardioSoft application.

[REST_ECG]
PostTestPage=0

Controls the default tab appearing in Post Test Review of the resting ECG examina­tion: default: 0
0 = Test Summary 1 = ECG Traces 2 = Medians 3 = Arrhythmia Review
4 = Vector Loops 5 = Full Disclosure

Color customization for Ambulatory Blood Pressure printouts
[LBD_RECORD]

Remark: Header and footer are configured in the Printer Setup.
Format of the following items: R value (Red), G value (Green), B value (Blue)

Range: 0…255

Color of BP lines "Day" phase (affects Standard Page report format #1):

LBD_PriColLineDay=100,200,300 (Default: 0,255,0)

Color of BP lines "Night" phase (affects Standard Page report format #1) :

LBD_PriColLineNight=100,200,300 (Default: 0, 0,128)

Color of Pulse Pressure lines "Day" phase (affects Standard Page report format #2):

LBD_PriColLinePPDay=100,200,300 (Default:0,0,0)

Color of Pulse Pressure lines "Night" phase (affects Standard Page report format
#2):

LBD_PriColLinePPNight=100,200,300 (Default:0,0,0)

Color of area "Day" phase (affects Standard Page report format #2, Tabular Sum­mary report, Histogram in Phases report)

LBD_PriColFlatDay=100,200,300 (Default: 255,245, 0)

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Color of area "Night" phase (affects Standard Page report format #2, Tabular Sum­mary report, Histogram in Phases report):

LBD_PriColFlatNight=100,200,300 (Default: 166,202,240)

Color of Histogram (affects Statistic Summary report)

LBD_PriColFlatSum=100,200,300 (Default: 255,128, 0)

Color of upper limit area (affects Standard Page report format #3):

LBD_PriColFlatUpperLim=100,200,300 (Default: 255, 0, 0)

Color of lower limit area (affects Standard Page report format #3):

LBD_PriColFlatLowerLim=100,200,300 (Default: 0, 255, 0)

3.1.6 Entries in SETUP_CM.INI

This file is located in the Application Data Folder.
Option to set the sorting sequence of the alphanumerical key as required. Example:

sort patients in reverse order; max. 255 characters permitted
[DATABASE]

SortTable = “ZzYyXxWwVvUuTtSsRrQqPpOoNnMmLlKkJjIiHhGgFfEeDdCcB­bAa”

This entry only comes into effect when made before calling up CardioSoft for the
first time. The sorting sequence is stored in the database during its creation. If a
change in the sorting sequence is to be made at some later time, the entire database
has to be deleted.

TimeOut : <value>
The function of this entry is to define the timeout (in seconds) for operations like

open, write, update, delete. This may be very helpful for environments with low net­work performance.
The default value is 30 seconds. The valid range is between 1 and 100.

[GENERAL]
CFG_TEST_ATTACHMENTS=1 (Default: 0)

This item is automatically set to 1, when at least one workstation provides test
attachments (e.g. Ergospirometry with LF8 reports). This is needed to control test
attachment specific configuration items (e.g. for the Export dialog).

PAT_SET_UNDEFPIDS_TO_UNASS=0 // Range of values: 0...1; Default: 1

If a Resting ECG is received from an ECG recorder

without patient ID (not even blanks), that test is

automatically moved to the list of unassigned tests

(default), independent of patient data content.
PAT_SET_UNDEFPIDS_TO_RANDOMPATID=1 // Range of values: 0...1;

Default: 0

If a Resting ECG is received from an ECG recorder

without patient ID (not even blanks), the system cre-

ates a random patient ID that is not yet existing in

the database (format: "000000-xxxxx", whereas x is

a digit 0...9) instead of the special ID "000000",

which is the default.

In combination with item

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3.1.7 Entries in CardioSoft.INI

[Installation]

CardioSoft.ini is created by the EMR system and used by both, EMR and Cardio­Soft. It is stored in the folder <EMR install path>/CardioSof t. The fol lowi ng entri es
are used:

CARDIOPATH=<filepath>
Specifies the full pathname of the CardioSoft executable (is filled and used by
EMR):

READDIR=<dir path>
CardioSoft output directory for car-files (Folder is automatically set by the EMR
system and used by EMR and CardioSoft; It can be changed in CardioSoft, System
Configuration, EMR tab, "Write to" folder):

"PAT_SET_UNDEFPIDS_TO_UNASS=0" all

received ECGs without a patient ID would automat-

ically be included in the database with the newly

created patient ID.

WRITEDIR=<dir path>
CardioSoft input directory for emr-files (Folder is automatically set by the EMR
system and used by EMR and CardioSoft; It can be changed in CardioSoft, System
Configuration, EMR tab, "Read from" folder):

TESTMODE=<value>
If value is TRUE then the CPO EMR will run in test mode. Test mode causes the
HL7 files to be written with MSH-11 set to D (Debug) rather than the normal P (Pro­duction). Patient demographic data of simulated patient is used for all tests. Test
mode should only be enabled for testing and should not be used in a production
environment.

FILEHANDLING=<value>
Specifies what should be done with files read or written (only used by EMR ).
The value must be one of the following: 1. DELETE (default: car-files are deleted,
emr-files are always deleted by CardioSoft). 2. MOVE (car-files and emr-files are
saved to <readdir>/save and <writedir>/save)

3.1.8 Entries in HL7.INI

[GENERAL]

HL7.INI is used by Cardiosoft to setup the interface to the EMR system. The file is
stored on the Cardiosoft server, so the items are valid for all clients. The following
items are set by using the EMR tab in CardioSoft (System Configuration) by th e
user:

GEN_OutboundDir=c:\temp\inbound
This is for the upload of existing patient and test records to the EMR database

GEN_TCPIP=0
Enable/Disable TCP/IP for the upload of existing patient and test records to the
EMR database

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GEN_HostName=DTSServer
Hostname of DTS server (or IP address)

GEN_PortNrOut=34000
TCP/IP OUT port

GEN_Header=\011
Header for HL7 Low Level protocol

GEN_Trailer=\028\013
Trailer for HL7 Low Level protocol

The following settings can be entered manually in section [GENERAL] in HL7.INI
(they are used with their default values)

GEN_ReqAckFromResponder=1
HL7 is used in Acknowledge mode (only with TCP/IP; default value is 0):

GEN_AckTimeout=1000
Timeout after an expected Acknowledge Message (only in Acknowledge mode)
from the Responder in ms (default value is 2000ms, value is valid from 500 to
5000ms)

GEN_MaxSentMess=1
Total number of messages sent (default value is 2: original message and 1 repetition
after error; value is valid from 1 to 5)

GEN_EndOfSegmWithCRLF=0
HL7 segments end with CR/LF (default is 1, that means all segments end with CR
and LF; 0 means only CR)

3.1.9 Directory structure and notes on CardioSoft files

Upon installation, CardioSoft creates the Program Files folder (default: C:\Program
Files\GE Healthcare) where all files required for execution of the program are cop­ied.

The following sub-folders are created:

ConnSrv Connectivity server program files
DIAGS Thermal Writer diagnostic software
DOC Operator Manuals
PatientEducation Patient Education files

After the CardioSoft application has been started once, the following directories
have been created. Database Directories (CardioSoft Default: C:\CARDIO):

AVER Late Potential Examinations
CAS CASE8000 Examinations
DATABASE Btrieve File (e.g. database engine)
EMECG Emergency Examinations
EMRLINK HL7 files (links for EMR)
ERGOECG Stress tests
EXTPROG Reports from external programs
HOLTERRBP Ambulatory blood pressure files
NARRATIV Configured reports

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ONL500 Full disclosure files for research (500Hz)
ONL2000 Full disclosure files for research (2000Hz)
ONLINE Full disclosure files for procedure types
RESTECG Resting ECG files
RHK Not in use
SETUP User settings
SOUND Test attachments
SPIR Spirometry Examinations
TAPE Not in use

After the CardioSoft application has been started once, the following directories
have been created as subfolders of the Application Data Folder (CardioSoft default:
C:\CARDIO):

ATTACH Temp directory for test attachments (e.g. ergospirometry)
DICOMLOG DICOM log and cache files
emr_errors EMR log files
LOCAL_DB Database directory for offline mode
LOG CASE / CardioSoft event log files
RESTORE Restore folder due no network problems

The data base files containing the patient data and the references (file names) from
the examinations are located in the directory \DATABASE. BTRIEVE is used as a
data base. The examination data from operating modes Resting ECG, Spirometry,
Ergometry and Ambulatory Blood Pressure are stored in the directories \RESTECG,
\SPIR, \ERGOECG and \HOLTER BP, respectively. In all examinations online
ECGs are stored in \ONLINE. Configurations are stored in the \SETUP directory.

Windows:

CASEsplashscreen.bmp
CaseStartup.bmp
CaseStartup_1152x864.bpm
CaseStartup_1280x1024.bpm

Windows\<Fonts Folder>:

GEInspBd.TTF
GEInspBI.TTF

Windows\inf:

Camusb.inf
Camusb.cat
Camusb_x64.inf
Camusb_x64.cat
Camusb_fx1.inf
Camusb_fx1.cat

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Windows\System:

Windows\System32:

Camusb_fx1_x64.inf
Camusb_fx1_x64.cat
MmsAcq_pci.inf
MmsUsbWriter.inf

cor_vxd.vxd
hel_grid.ttf

CASE8000.cpl
Hel_grid.ttf
Mfc42.dll
MSFLXGRD.OCX
msvcp60.dll
Msvcrt.dll

Windows\System32\ drivers:

Camusb.sys
Camusb_x64.sys
Camusb_fx1.sys
Camusb_fx1_64.sys
Camusbsw_fx1.bix
COR_SYS.sys

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Windows\System32\drivers\Case:

AcqKeypad.sys
btn_blk.sys
CardioMsg.dll
mmsacq_isa.sys
mmsacq_pci.sys
mmscom_isa.sys
mmscom_pci.sys
mmsusb.sys
mtpd.sys
pgsusbsw.bix
PgsUsbWriter.sys
PgsUsbWriterLoader.sys
thermal_printer_fpga.bin
UsbWriter.sys

Windows\System32\drivers\Case\AcqFiles:

801284a.bin
acq_boot.bin
acq_brd.abf
acq_prog.abf
am114.m
bootldr.abf
ee_mgr.abf
eeboot.abf
main.abf
modldr.abf

Windows\System32\drivers\Case\inf:

Bimini_NT.inf
Case.inf
MmsAcq_isa.inf
MmsAcq_pci.inf
MmsAcqKeypad.inf
MmsBtn_isa.inf
MmsCom_isa.inf
MmsCom_pci.inf
MmsUsb.inf
MmsUsbWriter.inf
Mtpd.inf
P2000_NT.inf
P2000_XP.inf
PgsUsbWriter.inf

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PgsUsbWriterLoader.inf
Radisys_NT.inf
Radisys_XP.inf

Windows\System32\drivers\Case\WriterFiles:

Chinese_GB2312.itf
Cyprwrtr.dld
EastEurope.itf
Japanese.itf
Korean.itf
Latin1.itf
Russian.itf
Turkish.itf
Usbwrtr.dld

File name nomenclature of the examination procedure

The file name comprises the ID letter for the examination procedure (C: Ergometry,
R: Resting ECG, S: spirometry, N: STAT (emergency) ECG, A: late potential analy­sis, B: ambulatory blood pressure measurement, H: Holter ECG, U: ultrasound, T:
stress echocardiography, Y: X-ray, K: cardiac catheterization, X: external programs,
Z: Right-Heart-Catheterization), the identification letter for the compression (C:
compressed, U: uncompressed), the internal patient ID (6-digit with leading zeros)
and the internal examination ID (3-digit with leading zeros), giving additional file
data.

File in windows inf directory: camusb.inf

INI files

An initialization file CARDIO.INI is created in the Application Data Folder to store
modality-specific settings. Up to 30 different setups can be stored (see Custom Setup
in System Configuration), making them available to all users of a network. The file
names are SETUP0.INI to SETUP29.INI. Stress test driver settings are stored in file
PA5V0.DAT to PA5V29.DAT.
Entries in the initialization file LOC_WIN.INI are described in the corresponding
sections of this Service Manual.

An initialization file CA_SYS.INI is created in the Application Data Folder, where
the system settings are stored.

Stress test driver (ergometer, treadmill) settings are stored in the file
ERG_PROT_V5AN.DAT in the Application Data Folder. It has been known for this
file to have been deleted during new installations. It can also prove useful to assign
the file with the attribute READONLY. This prevents overwriting or deletion. How­ever, this attribute must be removed again before making any new changes in the
profile. It is more advisable, however, to make a backup of the file as it cannot then
be lost, even in the event of a hard disk error.

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The initialization file HL7.INI is used for the EMR Interface created in the database
directory. It is valid for all clients. For entries, see the corresponding section of this
manual.

This initialization file CardioSoft.INI is created by the EMR system and is also used
by CardioSoft.

3.1.10 System Configuration/Service Screen

The service screen is accessed in the General Settings via the “For Service” key. The
password is helserv or case8k. This contains the logbook listing the errors arising
during the run period since the last program start. One can delete the logbook or save
it for future reference under a different file name.

Figure 2-1: Service Screen

Service Screen Description

Element Description

Installation Displays current installation folders
Logbook Displays internal logbook entries with time stamp

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Element Description

Log Level Level on which the logging mechanism filters incoming messages

 Error: Only messages classified as ERROR are written to the log

file

 Warning: Error and warning messages are written to the log file
 Information: All kind of messages are written to the log file

Enable key log If enabled, key events are written to the log file
Enable Log Messages If enabled, log messages are written to the log file
Number of log files Defines the number of log files kept for previous events (log

history)

 Possible Values: 1 – 15 log files

Log files size [byte] Defines the maximum size of a single log file in byte

 Possible Values: 10 – 1024 Byte

Browse Opens the currently selected log file (currently selected in the log

file drop down list) within the Microsoft Notepad.

Delete Deletes the currently selected log file (currently selected in the log

file drop down list)

Export Provides means to export one or more log files to a local directory

or SD card

Configuration

Store data cyclically during
Exercise Test

This setting enables continuous storage of test data during an
Exercise Test, thus limiting the loss of data if any issue occurs with
the system (system/application unresponsive) and the ECG data
cannot be saved in the test end phase.
When the system is restarted after a crash or unresponsiveness,
the temporarily saved Exercise Test will automatically be entered
into the database.

Max. number of retained
backups

Transfer to MUSE: Use
Location Number from System
Configuration

Transfer to MUSE: Use Cart/
Device Number from System
Configuration

Research Full Disclosure ECG
(in directory \ONL500,
\ONL2000)

The maximum number of retained backups can be defined in the
range from 1 to 5.

When tests are transferred to MUSE, the location number of the
current system configuration is used rather than the number that
was stored at the time the test was acquired.

When tests are transferred to MUSE, the cart/device number of the
current system configuration is used rather than the number that
was stored at the time the test was acquired.

Please always select “non”. If you select other than “none” the hard
disk will be filled up very fast, because for every Full Disclosure
ECG a Full Disclosure ECG with 500 Samples per second or 2000
Samples per second will be stored.

CORINA time constant (HP
filter)

Time Constant for CORINA ECG Acquisition Module. Should be
not changed, if not requested from Customer.

CAM-14 High Pass Filter High Pass Filter for CAM-14 ECG Acquisition Module. Should be

not changed, if not requested from Customer.

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Element Description

Test Software

ACQ TEST Test of the CASE ECG Acquisition Module.
WRTR TEST Test of the Thermal Writer.
KEYPAD TEST Test of the CASE function keyboard.
BURN-IN TEST Burn-In Test for CASE.
LOOPBACK TEST Loop back test for CASE Serial ports.
Service notice… Service Person can write notice to a file.
Set CAM-USB/CORINA Serial

Number…
Delete Network Locks… All other stations of the network using this server must be stopped

Test dictionary… Compares the Text Strings of the selected language with the actual

OK or Cancel Close the Service Screen

3.1.11 Data transfer to/from MUSE

Store Examinations for MUSE

Prerequisites: Network with correct installed TCP/IP specifications,

or Modem and RAS with installed TCP/IP, assuming
FTP or a shared directory will be used.

Each CardioSoft has to use
the correct location number for generating an unique filename!

Tests on CardioSoft can be transferred to MUSE database for general accessibility
Three possibilities are implemented in CardioSoft:

a) Save Examinations on Floppy and carry it to MUSE
b) Send Examinations to MUSE using FTP via LAN or RAS
c) Store Examinations on a shared directory located on MUSE via

LAN or RAS

Set the CAM-USB or the CORINA Serial number of a CAM-USB or
CORINA from Service with Serial Number 0.

before this Network Locks should be deleted.

selected language of the system configuration.

its unique Cart number as well as

The usual way for MUSE 5.x is FTP:

1.Specify the FTP account informations on CardioSoft ->

System Configuration -> MUSE by enabling “Data transfer via FTP”

2. Type in the FTP Server (normally the same as the Web Server)

Use Username and Password if this information is required for the FTP Server.

For MUSE 4.x the preferred method will be the shared directory:

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1. Specify the account informations on CardioSoft ->

System Configuration -> MUSE by enabling “Data transfer via shared
directory”.

2. Type in the correct shared directory.

Use Username and Password if these informations is required for accessing this
shared directory.

Example: Use an existing mapped network drive (f.e. “F:\” as a synonym

for \\SvrName\SharePointName) already established from file manage
reconnected at logon time (not available if using a modem!), or use the
UNC Format in a valid form like “\\SvrName\SharePointName”.
If no DNS/WINS is installed on the domain server (f.e. you're using RAS)
write “\\123.456.789.255\SharePointName” (all samples without quotes!),
where 123.456.789.255 is the physical

Transferring examinations to MUSE using FTP or shared directory, the connection
to the server can be established via local modem.
Enable “Start modem connection before transferring data” to use these RAS func­tionality.
Note: You have to configure the modem, RAS, phonebook, etc. in a separate step.

IP address of the Server.

Modem/RAS Installation

Prerequisites: RAS access on MUSE-Server for required account.
Transferring Data from/to MUSE can be done via LAN or modem.

1. Select taskbar ->Start ->Settings ->Control Panel.

2. Doubleclick on “Modem” and follow the questions on the displayed dialogs.

Take attention in “Properties” ->“Call preferences” and disable “Wait for dial
tone before dialing” if modem is linked in an Inhouse telephone compount.

3. Select taskbar ->Start ->Settings ->Control Panel.

4. Double-click on “Network”

5. Select Tab “Services”, add “Remote Access Service” and confirm by “OK”

6. Choose “TCP/IP” protocol in Properties ->Network

7. Select taskbar ->Start ->Programs ->Accessories ->Dial-Up Networking

Describe your connectivity to the MUSE server modem.

8. Behind Advanced... ->change properties ->Tab “Server” select the correct type

of server, protocol TCP/IP and the properties for this protocol

So far it's possible to establish a RAS connection for receiving patient and order
information from MUSE, or for transferring examinations to MUSE.

(In advance you should confirm the configuration of RAS/Modem before you start a
transfer in CardioSoft. Use explorer.exe or winfile.exe after establishing a connec­tion to a PC via RAS, and try to down-/upload some files)

Example: The most problems occur with Dial-Up Networking ->Advanced... -

>change properties ->Tab “Entries” ->Configuration... ->Modem com­pression and in combination with ->Tab “Server” ->Soft ware com pr es­sion, as well as with “LCP-Extensions for PPP” and in Tab “Security”
with the correct encryption/certification by using Service Packs before
Version 3. The switches are dependent strongly on modem characteristics
(on both sides) and on configuration of the integrated network with which
you linked on it.

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9. Connecting Internet Browser to MUSE via modem:

1. Select taskbar -> Start -> Settings -> Control Panel.

2. Double-click on “Internet”.

3. Open tab “Connection”.

4. Activate “Connect via modem”.

5. Confirm by “OK”

Patient database reading from MUSE

Prerequisites: Network connection with correct TCP/IP specifications

MUSE Browser software option (BRWS)

To use the MUSE database instead of the local database for selecting patients, you
need an account on the MUSE server. Use the following procedure to enter that
account information in the CardioSoft application.

1. In CardioSoft, select System Configuration > MUSE.

2. Check the Request MUSE Data check box.

3. Select the correct MUSE Site number.

4. Enter the the MUSE Web Server address, the MUSE User Name, and the

MUSE Password.

NOTE

You can enter the MUSE Web Server address in any of the following
formats:

Format Example

Internet name convention http:\\www.myMuseSvr....

Intranet name convention myMuseSvr
TCP/IP address 123.456.789.255

5. Change the MUSE Port Number, if necessary.

It defaults to 80.

6. If SSL is configured on the MUSE system, check the SSL Connection check

box and enter the appropriate port number.

7. When you are done, click OK.

Configuration of Internet Explorer

Prerequisites: Internet Explorer v6.0 or above

MUSE v5.x or above
Acrobat Reader V4.0 or above

CardioSoft requires an internet browser to read examinations stored in the MUSE
database. GE Healthcare recommends installing Internet Explorer v6.0 or above;
earlier versions of Internet Explorer have known difficulties working with MUSE.
Use the following procedure to configure your browser to work with the CardioSoft
and MUSE systems.

1. From the Windows desktop, select Start > > Control Panel > Internet Options.

2. Select the Connections tab.

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3. Select the method CardioSoft will use to connect to the MUSE Web server:

 To connect via modem, either select an existing modem from the list or

click Add... to set up a new modem.

 To connect via LAN, click the LAN settings button and select the

appropriate method for configuring the LAN settings.

4. Configure the proxy server as appropriate:

Where you access the proxy server information depends on the selected
connection method. For modem, click the Settings button on the Connections
tab. For LAN, click the LAN settings button on the Connections tab. Then do
one of the following:

 If your network uses a proxy server, activate the Use a proxy server check

box and define the server address and port. If necessary, click the Advanced
button to enter additional address information.

 If your network does not use a proxy server, ensure the Use a proxy server

check box is not checked.

5. When you are done, click OK.

6. Restart the system.

NOTE

Some changes to the internet options will not take effect until the operating
system restarts.

3.1.12 Metabolic Interface

The system can communicate with the data acquisition device over the
workstation’s serial port or it can record test data to a shared file on the network.

This section describes:

 the available communication commands
 the serial port settings
 the structure of the serial data string
 the structure of the test data file
 general settings

3.1.12.1 Communication Commands

To enable the serial port communication, select the “Metabolic Cart” check box in
System Configuration -> Devices and select the appropriate COM port.

The stress test module can process the following commands from the serial port:
'E' echo on

'T' start treadmill
'O' stop treadmill
'H' stage hold
'R' request measurements
'W' start pretest
'S' start exercise
'M' start recovery

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3.1.12.2 Serial Port Settings

The default settings for serial port are
parity no

data bits 8
stop bits 1
baud rate 1200
handshake no

You can modify the settings for the serial port by modifying the following values in
the [CAS_RECORD] section of the file
<Application Data Folder>\CARDIO.INI.

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Field Values

SpiroParity 0 = no parity

1 = even parity
2 = odd parity

SpiroDataBits 0 = 7 data bits

1 = 8 data bits

SpiroStopBits 0 = 1 stop bit

1 = 2 stop bits

SpiroBaudrate 0 = 300 baud

1 = 600 baud
2 = 1200 baud
3 = 2400 baud
4 = 4800 baud
5 = 9600 baud
6 = 19200 baud
7 = 38400 baud
8 = 56000 baud
9 = 128000 baud

SpiroHandShake 0 = no handshake

1 = XonXoff
2 = hardware handshake
3 = hardware handshake and interpretation of CR and NULL

For example, to configure the serial port for even parity, 7 data bits, 2 stop bits, 9600
baud, and XonXoff, cardio.ini would look like this:

[CAS_RECORD]
SpiroParity = 1
SpiroDataBits = 0
SpiroStopBits = 1
SpiroBaudrate = 5
SpiroHandShake = 1

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3.1.12.3 Data String Structure

If the system receives the "R" command (request measurements), the following data
string is sent:

[AAAA_BBBB_C_DDDD_E_FFFF_GGGG_HHHH_IIII_JJJJ_KKKK_LLLL_M
MMM_]NNPP
where a space is shown as an '_'.

AAAA - Combined Phase and Stage name

BBBB - Value for load parameter 1 (value 0 if unavailable)
C - Designator for load parameter 1

Installation of the Software

"base" - Pretest phase, stage 1
"warm"- Pretest phase, stage 2 or higher
"ramp" - Exercise phase, all stages
"reco" - Recovery phase, all stages

M - Treadmill Speed in [0.1 mph]
K - Treadmill Speed in [0.1 km/h]
W - Ergometer Load in [W]

DDDD - Value for load parameter 2 (value 0 if unavailable)
E - Designator for load parameter 2

% - Treadmill Grade in [0.1 percent]
U - Ergometer revolutions in [/min] = [rpm]

FFFF - Heart rate in [/min] = [bpm] (value 0 if unavailable)
GGGG - Ventricular Ectopic beats per minute (VE/min)
HHHH - BP Measurement NBR (always -999 since not used)
IIII - Systolic BP in [mmHg] (-999 if unavailable)
JJJJ - Diastolic BP in [mmHg] (-999 if unavailable)
KKKK - ST Level for most significant ECG lead in [0.01 mV] = [0.1 mm] (-999 if

unavailable)
LLLL - ST Slope for most significant ECG lead in [0.1 mV/s] (-999 if unavailable)

Remarks concerning the "most significant ECG lead":

 The most significant ECG lead is the lead with the largest ST-depression.
 The leads aVR, aVL and V1 are excluded.
 If no ST segment depression is found, lead V5 is defined as the most

significant lead.

MMMM - ST Integral for most significant ECG lead in [µVs] (-999 if unavailable)
NN - Rightmost 2 ASCII characters of checksum expressed hexadecimal in upper

case

The checksum is the sum of the numeric values of all characters from "[" to "]"

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PP - Fixed string "CR" for Carriage return

3.1.12.4 Shared File Settings

The shared file output is enabled by the field “SpiroOptionWriteToFile”. If enabled,
the system will write the stress test data to a shared file named ergospir.dat. By
default, the file is stored in c:\temp. You can change that setting by modifying the
following fields in the [CAS_RECORD] section of the file

<Application Data Folder>\LOC_WIN.INI.

SpiroOptionWriteToFile 0 = Do not write to file

SpiroDirectory Valid directory path

For example, if you want the shared file ergospir.dat to be written to a directory
called spirapp\data located on the c:\ drive, the entry in LOC_WIN.INI would look
like this:

Installation of the Software

inclusive. (Example: Numeric value of character 'A' is 65).

Field Values

1 = Write to file

[CAS_RECORD]
SpiroOptionWriteToFile = 1
SpiroDirectory = C:\SPIROAPP\DATA

3.1.12.5 Data File Structure

If the shared file output is enabled, the system will write the following data string to
the shared file every five seconds or immediately after phase or stage has changed.

AAAA - Combined Phase and Stage name

BBBB - Value for load parameter 1 (value 0 if unavailable)
C - Designator for load parameter 1

"Chck" - Lead check phase, before start of Pretest
"Base" - Pretest phase, stage 1
"Warm"- Pretest phase, stage 2 or higher
"Exer" - Exercise phase, all stages
"Reco" - Recovery phase, all stages
"Stop" - Stress test was finished

M - Treadmill Speed in [0.1 mph]
K - Treadmill Speed in [0.1 km/h]
W - Ergometer Load in [W]

DDDD - Value for load parameter 2 (value 0 if unavailable)
E - Designator for load parameter 2

% - Treadmill Grade in [0.1 percent]

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Meaning

U - Ergometer revolutions in [/min] = [rpm]

FFFF - Heart rate in [/min] = [bpm] (value 0 if unavailable)
GGGG - Ventricular Ectopic beats per minute (VE/min)
HHHH - BP Measurement NBR (always -999 since not used)
IIII - Systolic BP in [mmHg] (-999 if unavailable)
JJJJ - Diastolic BP in [mmHg] (-999 if unavailable)
KKKK - ST Level for most significant ECG lead in [0.01 mV] = [0.1 mm] (-999 if

unavailable)
LLLL - ST Slope for most significant ECG lead in [0.1 mV/s] (-999 if unavailable)

Remarks concerning the "most significant ECG lead":

 The most significant ECG lead is the lead with the largest ST-depression.
 The leads aVR, aVL and V1 are excluded.
 If no ST segment depression is found, lead V5 is defined as the most

significant lead.

MMMM - ST Integral for most significant ECG lead in [µVs] (always -999 since
not used)

NN - Rightmost 2 ASCII characters of checksum expressed hexadecimal in upper
case

The checksum is the sum of the numeric values of all characters from "[" to "]"
inclusive. (Example: Numeric value of character 'A' is 65).

PP - Fix string "CR" for Carriage return

Example

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3.1.12.6 General Settings

For serial output and for shared file output:
The availability of the blood pressure values can be controlled by the following

entries in the file <Application Data Folder>\LOC_WIN.INI:
ExerciseBpGreyoutTime:?

Range: 5..360, default = 60, unit = seconds
The BP values will be greyed out after this period of time

SpiroNegateGreyedBp=?

Range: 0..2, default 1
BP values older than defined with entry
’ExerciseBpGreyoutTime’ will be converted as
follows:
0: old BP value will be positive
1: old BP value will be invalid (-999)

2. old BP value will be negative

3.1.13 Configuration of "Complete Patient Information"

When patient demographic data are provided externally, the "Complete Patient
Information-Dialog" allows the user to complete missing patient demographic data,
depending on the procedure type and the selected configuration.

The "Complete Patient Information-Dialog" can be used in the following scenarios:
(1) CardioSoft is launched by an EMR (HL7, BDT, GDT) to perform a new te st.
(2) CardioSoft performs a new test via an order list (MUSE, DICOM)
(3) CardioSoft performs a new test via the MUSE patient list.
The following items can individually be enabled or disabled per procedure type

Last name, first name, date of birth, weight, weight, gender, ethnic, pacemaker.

:

Sequence must be separated by a comma:

Last name, first name, date of birth, height, weight, gender, ethnic, pacemaker

Example in

Configuration for External tests:

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: <Application Data Folder>\LOC_WIN.INI:

PAT_ComplDemogrSPI=1,0,1,1,0,1,0,0

PAT_ComplDemogrUNKNOWN=

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Default for scenario (1): All items disabled
Default for scenario (2) and (3): Enable Last name, date of birth

Configuration for Exercise test:

PAT_ComplDemogrCAS=
Default for scenario (1): All items disabled

Default for scenario (2) and (3): Enable Last name, date of birth, gender

Configuration for Spirometry:

PAT_ComplDemogrSPI=
Default for scenario (1): All items disabled

Default for scenario (2) and (3): Enable Last name, date of birth, height, gender

Configuration for Ambulatory Blood Pressure:

PAT_ComplDemogrABP=
Default for scenario (1): All items disabled

Default for scenario (2) and (3): Enable Last name, date of birth

Configuration for HOLTER ECG:

PAT_ComplDemogrLEG=
Default for scenario (1): All items disabled

Default for scenario (2) and (3): Enable Last name, date of birth enabled

Configuration for Resting ECG:

PAT_ComplDemogrRES=

Default for scenario (1):All items disabled
Default for scenario (2) and (3): Enable Last name, date of birth, gender

Configuration for Ergospirometry:

PAT_ComplDemogrESP=
Default for scenario (1): All items disabled

Default for scenario (2) and (3): Enable Last name, first name, date of birth,
height, weight, gender

There are different 3 modes using this dialog:

(1) Mode 1

Activation of the dialog:

The dialog comes up if at least one item is enabled.

Display of the dialog:

Enabled items are displayed always.
Disabled items are greyed out.

PAT_ComplDemogrIfEmptyFields=0 (d efault value for scenario (1))

(2) Mode 2

Activation of the dialog:

The dialog comes up if at least one item is enabled that is
empty.

Display of the dialog:

Enabled items are displayed always, whether or not they are
empty. Display a hint to indicate which of all enabled items
that he has to complete because they are empty.
Disabled items are greyed out.

PAT_ComplDemogrIfEmptyFields=1

(3) Mode 3

Activation of the dialog:

The dialog comes up if at least one item is enabled that is
empty.

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Display of the dialog:

All empty items are displayed, whether or not they were
enabled. Display a hint to indicate which of the empty items he
has to complete because they were enabled.
All items that already have values are greyed out.

PAT_ComplDemogrIfEmptyFields=2 (d ef ault value for scenario (2) and (3))

3.2 Installation of the Hardlock Modules (Parallel/Serial & USB Type)

If CardioSoft is running without the patient module, some of the options are locked
with a hardlock. There are three hardlock modules available: One is the hardlock
with ’DB 25 connectors. This hardlock can be connected to the parallel or the serial
interface. Another USB hardlock can be connected to the USB port. When using this
USB hardlock the hardlock has to be plugged into one free USB port of the PC. If a
USB server hardlock module is connected to a USB port of a server, up to 250 Car­dioSoft without the patient module can be enabled. An FLXX option activation key
is required for this functionality. When using the parallel/serial hardlock, then using
an environment variable the program can be informed where to look for the hard­lock. In the default setting a search for the hardlock is made at the interfaces LPT1
and LPT2 only. In addition, using these environment variables, certain PC configu­rations, which could lead to problems, can be indicated.

Port Identification Meaning:

p = parallel normal parallel port
s = serial normal serial port
e = ECP parallel port in ECP mode
n = NEC (Japan) As the Japanese NEC models have a different port con-

figuration, a special operation can be activated with this
parameter. A separate NEC API is thus no longer neces­sary.

C = Compaq
Contura Dockingbase

I = IBM PS/2 The specification for IBM PS/2 rectifies an error in

Example:

in the file autoexec.bat

The dockingbase multiplexer (to toggle between the
parallel port and Ethernet adapter) is reset on the paral­lel port to scan for the hardlock.

reprogramming the ports for certain video drivers under
Windows (hardlock is no longer found after Windows
has been started). This effect can now only be activated
via the specification of the environment variables.

SET HL_SEARCH=378p, 2f8s

The hardlock is searched for at the parallel interface at address 0x378 and the serial
interface at address 0x2f8.

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If the patient module is connected to LPT1, the hardlock at LPT2 may not be identi­fied. In this case use

SET HL_SEARCH=278p

to inform hardlock API that the search for LPT2 should commence. The ports are
generally located at the following addresses:

COM1 3F8
COM2 2F8
COM3 3E8
COM4 2E8
LPT 1 378
LPT 2 278

Define the protocol used for accessing the HL Server.
Set HL_SERACH = IXP

IPX HL server searched for via IPX or SPX
OP HL server searched for via TCP/IP
NetBios HL server searched for via NetBios

IP is searched first by default.
(Optimize search via TCP/IP protocol.)
Set HLS_IPADRR = <server name>
For detailed information about installation of the server dongle, please refer to the

Installation Guide.
For more hardlock details and how to use Alladin DiagnostiX, please refer to the

Hardlock’s User Manual (see on CD, folder Hardlock Server).

3.3 MARS PC Application Configuration

If using MARS PC as the Holter ECG program, do the following:

1. Select the Devices tab on the System Configuration window.

2. Click the ellipses (…) button at the end of the Path to Holter ECG Program

field.

3. Browse to the MARS superapp.exe file and click OK.

3.4 DICOM Interface Configuration

3.4.1 Terminology

IHE: Integrating the Healthcare Enterprise
DICOM: Digital Imaging and Communication in Medicine
SCP: DICOM Service Class Provider

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SCU: DICOM Service Class User
PPS: Performed Procedure Step
DSS: Department System Scheduler
MWL: Modality Work List
AE title: Application entity title

The DICOM Interface is enabled with the option key DICM.
A valid DICM option key provides the DICOM tab in the System Configuration

which allows you to configure the DICOM Interface.
The service password (see “System Configuration/Service Screen” on page 3-22) is

needed to access the DICOM tab.
There are some items that affect the workflow/ User Interface of the system (e.g.

work list configuration, archiving).
Those items should be reviewed with the clinical staff before using the systems.

3.4.3 Setup

The default setup is the setup recommended by the IHE Stress test profile.
Please be aware that only the DICOM Conformance Statement (2040396-087) pro-

vides all necessary informations to assess the interoperability to other systems.

To complete a standard IHE configuration the following steps are needed:

DICOM tab access

 Go to the System Configuration, select the DICOM tab and enter the service

password.

Perform local setup

On the DICOM tab, perform the following local setup (mandatory for each worksta­tion):

NOTE

All data entered in this section is automatically stored in the local file
CA_SYS.INI (section [DICOM]), located in the Application Data Folder.

 Enter the AE title for this workstation in the SCU AE title field.

Perform server-based setup

On the DICOM tab, perform the following server-based DICOM setup (done once,
possible at any workstation if you have a CASE/CardioSoft network).

NOTE

All data entered in this section is automatically stored in the server-based file
DICOM.INI, located where the database is installed.

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 Enter the network configuration for DSS/Order Filler and PPS Manager (may

be identical to the Order Filler) using the button "Network Configuration" in the
section "Worklist".

AE title, host name and port number of the remote host are required to complete
this configuration.

Click both "Verify remote host" buttons to check the configuration (verification
service, using ECHO Messages).

 Enter the network configuration for the Image Archive and Image Manager

(may be identical to the Image Archive) using the button "Network
Configuration" in the section "Image Archiving".

AE title, host name and port number of the remote host are required to complete
this configuration.

Click both "Verify remote host" buttons to check the configuration (verification
service, using ECHO Messages).

The SCU port is used to receive storage commitment responses. Click the
button "Verify SCU port" to check the configuration (verification service, using
ECHO messages).

 Configure the extended character set for the DICOM Interface depending on the

language used: add the item CHARACTER_SET to “Special DICOM setup
items without UI”).

Check the DICOM setup

 Click the "Check connection" button and verify that no error occurs.
 In case of errors, click "View error log..." and check the listed error message.
 Confirm the dialog.

Verify Order List button

 Click "New test" and verify that the "Order List" button is enabled in the patient

list dialog.

Verify the protocol code mapping

The CARDIO application receives protocol schema and codes from the DSS/ Order
Filler and maps them to the internally used procedure types Exercise test, Resting
ECG, Spirometry, Ambulatory Blood Pressure or Ergospirometry.

The protocol code mapping is responsible for starting the correct procedures out of
the DICOM work list.

Therefore it is is crucial that the received and the used protocol schema and codes
match.

To verify this, create at least one order per desired procedure type in the DSS/ Order
Filler system.

Then bring up the Order List via patient list dialog.
Select each of the orders and verify that the "Start procedure" button is always

active.

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If this button is disabled for one of the orders, the corresponding protocol code map­ping has to be modified.

The CARDIO application has implemented several sets of predefined protocol
schema/codes (see chapter "Default protocol schema/codes").

Either the DSS/ Order Filler adapts it's used protocol schema/codes to this pre­defined schema/codes or the protocol code mapping has to be modified within this
system (see chapter "Protocol Code Mapping").

3.4.4 Special DICOM setup items without UI

File DICOM.INI in database folder, section [DICOM]:

 Character set for the DICOM Interface:

The following extended character sets are supported:
CHARACTER_SET=0 (Default 0; range: 0 to 4)

0: ISO_IR 6 (ASCII)
1: ISO_IR 100 (ISO 8859-1: Latin 1: Western European languages)
2: ISO_IR 101 (ISO 8859-2: Latin 2: Central/Eastern European languages)
3: ISO_IR 144 (ISO 8859-5: Cyrillic: Russian)
4: ISO_IR 148 (ISO 8859-9: Latin 5: Turkish)

 Use the selected ECG Report formats of the Exercise test setup for ECG

Waveform Images (only valid if the "General ECG Waveform SOP Class" is
disabled and 12-leads are selected in the Exercise test setup):

IA_USE_SELECTED_ECG_REPORT_FORMATS=1 (Default: 0, use always
1x10s format)

 Timeout value for reading DICOM messages.

READ_MESSAGE_TIMEOUT=10 (Default: 5 seconds; Range: 1 to 100s)

 Transfer syntax for DICOM File Export.

FILE_TRANSFER_SYNTAX=1 (Default: 0; range 0 to 3)
0: Explicit Little Endian

1: Implicit Little Endian
2: Explicit Big Endian
3: Implicit Big Endian

 ECHO_INTERVAL for sending ECHO-RQ during “Verify remote host” actio n.

ECHO_INTERVAL_MS=1000 (Default: 2000; Range: 500 to 10000 ms)

 ECHO Retry Number for sending ECHO_RQ during “Verify remote host”

action.
ECHO_RETRY=5 (Default: 3; Range 1 to 20000)

3.4.5 Protocol Code Mapping

3.4.5.1 General

DICOM Protocol Codes are grouped in so called schemas.

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There is a predefined DICOM protocol schema ("SRT") for Exercise test that
CASE/CardioSoft uses as default data.

However, the DSS/Order filler may use other schemas and protocol codes.
In this case you can add or adjust schemas and protocol codes.
CASE/CardioSoft has also implemented it's own schema per procedure type that

could be used by the DSS/Order filler.
The DICOM interface provides the Protocol Code Mapping in both directions:

Scheduled test (Incoming Protocol Codes)

NOTE

The DICOM worklist response of the DSS/Order Filler must include the
Scheduled Protocol Code Sequence (DICOM tag 0040,0008).

That sequence is used to perform the Protocol Code mapping for scheduled tests
and must contain the Protocol Code in its Code Value (DICOM tag 0008,0100)
and the Scheme in its Scheme Designator (DICOM tag 0008,0102).

Using the DICOM worklist, the received (scheduled) DIC OM Protocol Schema/
Code is mapped to the

 CASE/CardioSoft Procedure T ype (e.g. Exercise test, Resting ECG...) and to the
 CASE/CardioSoft Protocol Code I and II for detailed information

(e.g. for Exercise test: Use of treadmill or ergometer. Use of protocol, e.g.
BRUCE, WHO...).

If CASE/CardioSoft cannot find a corresponding procedure type, the "Start exami­nation" button in the DICOM worklist is disabled.

Performed test (Outgoing Protocol Codes)

The DICOM Protocol Schema/Code sent out (Performed Protocol Schema/ Code) is
built by using the performed

 CASE/CardioSoft Procedure Type (Exercise test, Resting ECG...) and the
 CASE/CardioSoft protocol code I and II for detailed information (e.g. for

Exercise test: Treadmill or Ergometer. Exercise test protocol, e.g. BRUCE,
WHO...).

The DICOM Performed Protocol Code may be different than the DICOM Scheduled
Protocol Code (but identical schema), because the user could have changed it.

Example:

The user starts a scheduled order, that initiates an Exercise test with a Treadmill and
the BRUCE protocol.

Before going to the pre-test phase, the user switches to the NAUGHTON protocol.
So the DICOM Performed Protocol Code reflects what was executed in reality.
It is essential to have the correct Protocol Code Mapping in both directions.

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3.4.5.2 Method of Protocol Code mapping

The DICOM Protocol Code Mapping is achieved by sections and entries in the file
<Installation database folder>\DICOM.INI.

Changing or appending additional schemas for the mapping can only be done by
manually changing the data in this file using an editor (e.g. Notepad).

Changes always affect all workstations and clients in the CASE/CardioSoft network.
The DICOM Protocol Schema/ Code applies to the DICOM tag 0040, 0008 (Sched-

uled Protocol Code Sequence) and 0040, 0260 (Performed Protocol Code
Sequence).

3.4.5.3 Syntax of the Protocol Code mapping per schema:

Example: SRT_NO_0=STRESS,P2-7131C,1,BALKE
Four parameters are used per protocol code in a schema section.
The used delimiter is ",".

1. CASE/CardioSoft Procedure Types: "STRESS" (Exercise test); "ABP"
(Ambulatory Blood Pressure); "SPI" (Spirometry); "ECG" (Resting ECG);
"ESPIRO" (Ergospirometry)

2. DICOM Performed Protocol Code: Depends on the used scheme. If a
predefined DICOM schema is used, the protocol codes are well defined.
If a user defined scheme used, it depends on the system’s requirements.

3. CASE/CardioSoft Protocol Code I (Value): Depends on CASE/CardioSoft
Procedure Type
For Exercise test/ Ergospirometry: 0 is Bicycle Ergometer, 1 is Treadmill
For all other procedure types this is not yet used (= zero).

4. CASE/CardioSoft Protocol Code II (String): Depends on CASE/CardioSoft
Procedure Type
For Exercise test/ Ergospirometry: Protocol name that must match the Exercise
test protocol names listed in the Exercise test configuration (e.g. "BRUCE").
For all other procedure types this is not yet used.

3.4.5.4 Adding a new Protocol Schema

Example for adding a new Protocol Schema including new Protocol Codes required
by the DSS/Order Filler:

1. Determine the procedure type for which you want to add a new schema and use
the corresponding test type identifier, e.g.
Procedure type is Exercise test --- corresponding procedure type identifier is
"STRESS".

2. Append the new schema for unscheduled tests in section
[PROTOCOL_SCHEMES], using the item with the corresponding procedure
type identifier, e.g.
New schema is "ABCD":
STRESS_PROT_SCHEME_UNSCHED=SRT,99IHE,CSO_STRESS,ABCD

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3. Use the new schema as default protocol schema for the determined procedure
type in section [PROTOCOL_SCHEMES], if the performed protocol code
could not be mapped to a DICOM protocol code, e.g.

STRESS_PROT_SCHEME_USED_IF_UNKNOWN=ABCD

4. Determine DICOM default protocol codes for this schema, if the performed
protocol code could not be mapped to a DICOM protocol code, e.g.

"ABCD_ERG_UNKNOWN", if CASE/CardioSoft Protocol Code I is 0
(Ergometer)

or

"ABCD_TRM_UNKOWN", if CASE/CardioSoft Protocol Code I is 1
(Treadmill)

5. Use the new DICOM Protocol Codes as required by the DSS/Order Filler for
this procedure type, e.g.

"ABCD_WHO" for Ergometer with WHO-Protocol.
"ABCD_BRUCE" for Treadmill with BRCUE-Protocol.
Number of new DICOM Protocol Codes is 2.

6. Add the new schema as a new section, using the syntax as described, e.g.

[ABCD]
ABCD_UNKNOWN_0_PROT_CODE=ABCD_ERG_UNKNOWN
ABCD_UNKNOWN_1_PROT_CODE=ABCD_TRM_UNKNOWN
ABCD_NO=2
ABCD_NO_0=STRESS,ABCD_WHO,0,WHO
ABCD_NO_1=STRESS,ABCD_BRUCE,1,BRUCE

3.4.5.5 Default protocol schema and codes used in DICOM.INI

[PROTOCOL_SCHEMES]
; List of protocol schemas per procedure type for the unscheduled case, max. 10

schemas allowed,
; delimiter is ","
STRESS_PROT_SCHEME_UNSCHED=SRT,99IHE,CSO_STRESS
ESPIRO_PROT_SCHEME_UNSCHED=SRT,99IHE,CSO_ESPIRO
ECG_PROT_SCHEME_UNSCHED=CSO_ECG
ABP_PROT_SCHEME_UNSCHED=CSO_ABP
SPI_PROT_SCHEME_UNSCHED=CSO_SPI

; Default performed protocol schema used, if the performed protocol code could not
be

; mapped to a DICOM protocol code
STRESS_PROT_SCHEME_USED_IF_UNKNOWN=CSO_STRESS
ESPIRO_PROT_SCHEME_USED_IF_UNKNOWN=CSO_ESPIRO
ECG_PROT_SCHEME_USED_IF_UNKNOWN=CSO_ECG
ABP_PROT_SCHEME_USED_IF_UNKNOWN=CSO_ABP
SPI_PROT_SCHEME_USED_IF_UNKNOWN=CSO_SPI

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[SRT]
; DICOM protocol scheme SRT for procedure type Exercise test

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

SRT_NO=9
SRT_NO_0=STRESS,P2-7131C,1,BALKE
SRT_NO_1=STRESS,P2-7131A,1,BRUCE
SRT_NO_2=STRESS,P2-7131D,1,ELLESTAD
SRT_NO_3=STRESS,P2-7131B,1,MODBRUCE
SRT_NO_4=STRESS,P2-713A1,1,MODNAUGHTON
SRT_NO_5=STRESS,P2-713A0,1,NAUGHTON
SRT_NO_6=STRESS,P2-7131F,1,PEPPER
SRT_NO_7=STRESS,P2-7131E,1,RAMP
SRT_NO_8=STRESS,P2-31102,0,WHO

[99IHE]
; DICOM protocol scheme 99IHE for procedure type Exercise test

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

99IHE_NO=4
99IHE_NO_0=STRESS,PHARMSTRESS,1,MODBRUCE
99IHE_NO_1=STRESS,PERSANTINE,1,PERSANTINE
99IHE_NO_2=STRESS,ADENOSINE,1,ADENOSINE
99IHE_NO_3=STRESS,DOBUTAMINE,1,DOBUTAMINE
[CSO_STRESS]
; User defined protocol scheme for procedure type Exercise test

; outgoing default protocol codes for this scheme
CSO_STRESS_UNKNOWN_0_PROT_CODE=CSO_ERG_UNKNOWN
CSO_STRESS_UNKNOWN_1_PROT_CODE=CSO_TRM_UNKNOWN

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

CSO_STRESS_NO=21
CSO_STRESS_NO_0=STRESS,CSO_WHO,0,WHO
CSO_STRESS_NO_1=STRESS,CSO_WHO50,0,WHO50
CSO_STRESS_NO_2=STRESS,CSO_WHO75,0,WHO75
CSO_STRESS_NO_3=STRESS,CSO_HOLLMANN,0,HOLLMANN
CSO_STRESS_NO_4=STRESS,CSO_BAL,0,BAL
CSO_STRESS_NO_5=STRESS,CSO_STD.FRANCE,0,STD.FRANCE
CSO_STRESS_NO_6=STRESS,CSO_MODWHO,0,MODWHO
CSO_STRESS_NO_7=STRESS,CSO_CONCONI,0,CONCONI
CSO_STRESS_NO_8=STRESS,CSO_BRUCE,1,BRUCE

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CSO_STRESS_NO_9=STRESS,CSO_MODBRUCE,1,MODBRUCE
CSO_STRESS_NO_10=STRESS,CSO_NAUGHTON,1,NAUGHTON
CSO_STRESS_NO_11=STRESS,CSO_ELLESTAD,1,ELLESTAD
CSO_STRESS_NO_12=STRESS,CSO_MODBALKE,1,MODBALKE
CSO_STRESS_NO_13=STRESS,CSO_USAFSAM,1,USAFSAM
CSO_STRESS_NO_14=STRESS,CSO_SLOWUSAFSAM,1,SLOWUSAFSAM
CSO_STRESS_NO_15=STRESS,CSO_CORNELL,1,CORNELL
CSO_STRESS_NO_16=STRESS,CSO_BALKE,1,BALKE
CSO_STRESS_NO_17=STRESS,CSO_MODBALKEWARE,1,MODBALKE-

WARE
CSO_STRESS_NO_18=STRESS,CSO_ADENOSINE,1,ADENOSINE
CSO_STRESS_NO_19=STRESS,CSO_DOBUTAMINE,1,DOBUTAMINE
CSO_STRESS_NO_20=STRESS,CSO_PERSANTINE,1,PERSANTINE

[CSO_ESPIRO]
; User defined protocol scheme for procedure type Ergospirometry test

; outgoing default protocol codes for this scheme
CSO_ESPIRO_UNKNOWN_0_PROT_CODE=CSO_ERG_UNKNOWN
CSO_ESPIRO_UNKNOWN_1_PROT_CODE=CSO_TRM_UNKNOWN

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

CSO_ESPIRO_NO=21
CSO_ESPIRO_NO_0=ESPIRO,CSO_E_WHO,0,WHO
CSO_ESPIRO_NO_1=ESPIRO,CSO_E_WHO50,0,WHO50
CSO_ESPIRO_NO_2=ESPIRO,CSO_E_WHO75,0,WHO75
CSO_ESPIRO_NO_3=ESPIRO,CSO_E_HOLLMANN,0,HOLLMANN
CSO_ESPIRO_NO_4=ESPIRO,CSO_E_BAL,0,BAL
CSO_ESPIRO_NO_5=ESPIRO,CSO_E_STD.FRANCE,0,STD.FRANCE
CSO_ESPIRO_NO_6=ESPIRO,CSO_E_MODWHO,0,MODWHO
CSO_ESPIRO_NO_7=ESPIRO,CSO_E_CONCONI,0,CONCONI
CSO_ESPIRO_NO_8=ESPIRO,CSO_E_BRUCE,1,BRUCE
CSO_ESPIRO_NO_9=ESPIRO,CSO_E_MODBRUCE,1,MODBRUCE
CSO_ESPIRO_NO_10=ESPIRO,CSO_E_NAUGHTON,1,NAUGHTON
CSO_ESPIRO_NO_11=ESPIRO,CSO_E_ELLESTAD,1,ELLESTAD
CSO_ESPIRO_NO_12=ESPIRO,CSO_E_MODBALKE,1,MODBALKE
CSO_ESPIRO_NO_13=ESPIRO,CSO_E_USAFSAM,1,USAFSAM
CSO_ESPIRO_NO_14=ESPIRO,CSO_E_SLOWUSAFSAM,1,SLOWUSAFSAM
CSO_ESPIRO_NO_15=ESPIRO,CSO_E_CORNELL,1,CORNELL
CSO_ESPIRO_NO_16=ESPIRO,CSO_E_BALKE,1,BALKE
CSO_ESPIRO_NO_17=ESPIRO,CSO_E_MODBALKEWARE,1,MODBALKE-

WARE
CSO_ESPIRO_NO_18=ESPIRO,CSO_E_ADENOSINE,1,ADENOSINE
CSO_ESPIRO_NO_19=ESPIRO,CSO_E_DOBUTAMINE,1,DOBUTAMINE

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CSO_ESPIRO_NO_20=ESPIRO,CSO_E_PERSANTINE,1,PERSANTINE

[CSO_ECG]
; User defined protocol scheme for procedure type Resting ECG

; outgoing default protocol codes for this schema
CSO_ECG_UNKNOWN_0_PROT_CODE=CSO_ECG_UNKNOWN

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

CSO_ECG_NO=1
CSO_ECG_NO_0=ECG,CSO_ECG,0,Resting ECG

[CSO_ABP]
; User defined protocol scheme procedure procedure type Ambulatory Blood Pres-

sure

; outgoing default protocol codes for this schema
CSO_ABP_UNKNOWN_0_PROT_CODE=CSO_ABP_UNKNOWN

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

CSO_ABP_NO=1
CSO_ABP_NO_0=ABP,CSO_ABP,0,ABP-Test

[CSO_SPI]
; User defined protocol scheme for procedure type Spirometry

; outgoing default protocol codes for this schema
CSO_SPI_UNKNOWN_0_PROT_CODE=CSO_SPI_UNKNOWN

; list of defined protocol codes; first item must specify the number of protocol codes
in this schema.

CSO_SPI_NO=1
CSO_SPI_NO_0=SPI,CSO_SPI,0,Spirometry-Test

;The user can add other protocol schemas or change existing protocol schemas as
needed, but the required syntax must be followed.

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DICOM Interface Configuration

3.4.6 Description of Dialogs

3.4.6.1 DICOM tab

Figure 1

1. Acquisition modality (configuration affects this workstation)
a. SCU AE-ti tle (Unique ID for this workstation, mandatory)

b. Modality for the worklist query (Default: Orders for modality "ECG")
c. Own Modality (D efault: "ECG")

2. Worklist (configuration affects all workstations in the CASE/CardioSoft
network)

a. DICOM Work list function (Default: Enabled)

If the Work list function is disabled, the system does not connect to the
DSS/Order Filler and the PPS Manager at all.
Only the Image Archiving is done, if it is enabled.

b. Network Configuration

See description Figure 2

c. Worklist Customization

See description Figure 4

d. DICOM Source for the Order number (part of the test information):

• Accession number (0008,0050)

• Requested Procedure ID (0040,1001)

• Scheduled Procedure Step ID (0040,0009)

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DICOM Interface Configuration

• Not used (blank)

e. Default procedure type for starting the test if the scheduled protocol code

did not match:

• Exercise test

• Resting ECG

• Spirometry

•ABP

• Ergospirometry

• Not used

3. Service support
a. Check the DICOM-Interface according to the DICOM configuration setup:

The following checks are implemented:

•DICOM library (Merge3-COM) initialization

• "Open Association" and "Close Association" action to the DSS/Order
filler is performed, if the work list is enabled; the Service List
[DMWL_Service_List] in file MERGECOM.APP is used for
association negotiation.

• "Open Association" and "Close Association" action to the PPS
Manager is performed, if the work list is enabled; the Service List
[MPPS_Service_List] in file MERGECOM.APP is used for association
negotiation.

• "Open Association" and "Close Association" action to the Image
Archive is performed, if one of the TCP/IP functions for image
archiving is enabled and the ECG Waveform object is enabled and the
"General ECG Waveform Object SOP Class" is disabled; the Service
List [IA_Service_List_12LECG] in file MERGECOM.APP is used for
association negotiation.

• "Open Association" and "Close Association" action to the Image
Archive is performed, if one of the TCP/IP functions for image
archiving is enabled and the ECG Waveform object is enabled and the
"General ECG Waveform Object SOP Class" is enabled; the Service
List [IA_Service_List_GenECG] in file MERGECOM.APP is used for
association negotiation.

• "Open Association" and "Close Association" action to the Image
Archive is performed, if one of the TCP/IP functions for image
archiving is enabled and the PDF Report object is enabled; the Service
List [IA_Service_List_EncPDF] in file MERGECOM.APP is used for
association negotiation.

• "Open Association" and "Close Association" action to the Image
Manager is performed, if one of the TCP/IP functions for image
archiving is enabled and the "Storage Commitment Request" is
enabled; the Service List [IM_Service_List] in file MERGECOM.APP
is used for association negotiation.

The results are logged in the file
"<Application Data Folder>\DICOMLOG\DicomLog.txt".

b. View error log

The DICOM-Interface logs its events using 3 files:

• <Application Data Folder>\DICOMLOG\DicomLog.txt (viewed
automatically by using this button; includes the most DICOM-Interface
events)

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DICOM Interface Configuration

• <Application Data Folder>\DICOMLOG\DicomLogThread.txt (can
only be manually displayed; includes events logged by the DICOM
Listener Thread)

• <Application Data Folder>\Merge.log (this comes from the DICOM
MergeCOM-3 library (is not considered here).

The DICOM-Interface uses 2 levels of event logging.
The default event logging level is level 0, which is used for errors.
Changing the level to level 1 has the following effect:

• Adds more informations (that are not necessarily errors) to the log files

• Lists the DICOM messages of one transaction as files in the DICOM
LOG folder

To change the event logging level, use the Notepad to edit the file
CA_SYS.INI in program folder, section [DICOM], entry
DICOM_LOG_LEVEL=1.

c. Local usage of the DICOM setup:

• Use the server-based DICOM setup (default). In a CASE/CardioSoft
network all workstations use one server-based DICOM setup.

• Use local DICOM setup. In a CASE/CardioSoft network you can
switch the server-based DICOM setup of this workstation to a local
setup that affects only this workstation.

4. Image Archiving (configuration affects all workstations in the CASE/

CardioSoft network)
a. Set the test to "Read only" in the database after a successful image

archiving (when the test was set to "Archived (DCM)" in the test list).

NOTE

Archiving occurs at different times, see 4i

b. File export folder configuration for automatic or manual image archiving

via file export (UNC is supported)

c. Image archiving includes the PDF report of the test (r eport format is as

configured for the print report in the modality)

d. Image archiving includes the following raw ECG Waveforms of the

Exercise test:

• The first 12SL ECG strip in pretest phase (as "Resting ECG"), if
available.

• The last ECG strip in pretest phase (as "Baseline ECG"), if available.

• The last ECG strip per stage in exercise phase (as "Exercise ECG"), if
available.

• The last ECG strip in recovery phase (as "Post Exercise ECG"), if
available.

e. Use the "General ECG Waveform SOP Class" for archiving ECG

Waveforms (instead of "12-Lead ECG Waveform SOP Class"):
There may be two scenarios to enable this item:

• The Image Archive cannot process/view the DICOM 12-lead ECG
Waveform object.

• The Exercise test is perfomed with 3-, 6- or 15 leads.

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DICOM Interface Configuration

f. Enable "Storage Commitment transaction"

Some Image Managers may not have the ability to process the "Storage
Commitment transaction". In this case uncheck this item.

g. Network configuration (see section “Network Configuration - Image

Manager, Image Archive” on page 3-50)

h. Function of automatic image archiving

The following functions are available for the automatic image archiving:

• Perform the automatic archiving via TCP/IP (default; uses the Image
Archive SCP configuration and the Image Manager SCP configuration,
see 4g)

• Perform the automatic archiving via File Export. The destination folder
of 4b is used. The file name is used as configured in the Export setup
dialog (see User Manual, System Configuration)

• Disable the automatic archiving

i. Start automatic image archiving

• Initiate the archiving of a test automatically after Test Execution

• Initiate the archiving of a test autom a tically after Test Confirmation

j. Repeat automatic image archiving after a test modification.

A test modification after archiving it is only possible, if the test was not yet
set to "Read Only" (see 4a).

k. Function of manual image archiving

Manual image archiving is not intended for the normal workflow.
It is accessible through a button in the test list, if it was enabled here.
One or more tests can be selected and be archived manually.
The following functions are available for the manual image archiving:

• Perform the manual archiving via TC P/IP (uses the Image Archive SCP
configuration and the Image Manager SCP configuration, see 4g)

• Perform the manual archiving via File Export (uses the destination
folder of 4b and the filename as configured in the Export setup dialog,
see User Manual, System Configuration)

• Disable the manual archiving (default)

l. Use not yet archived tests for manual image archiving

Archive all tests or only tests, that were not yet archived.

m. Use reviewed (confirmed) tests for manual image archiving

Archive all tests or only tests, that were reviewed before.

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DICOM Interface Configuration

a
d

b
c

e
h
f
g

3.4.6.2 Network configuration - DSS/Order Filler, PPS Manager

Figure 2

The following data are stored server-based (unless local storage was explicitly set in
the configuration) accessible for all CASE/CardioSoft Workstations and Clients
(file DICOM.INI in Database folder):

a DSS/Order filler SCP AE Title
b DSS/Order filler SCP IP/Host name
c DSS/Order filler SCP Port number
d DSS/Order filler verify remote host
e PPS Manager SCP AE Title
f PPS Manager SCP IP/Host name
g PPS Manager SCP Port number
h PPS Manager verify remote host

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DICOM Interface Configuration

a
e

b
c

g
j

h
i

f
d

3.4.6.3 Network Configuration - Image Manager, Image Archive

Figure 3

The following data are stored server-based (unless local storage was explicitly set in
the configuration) accessible for all CASE/CardioSoft Workstations and Clients
(file DICOM.INI in Database folder):

a Image Manager SCP AE Title
b Image Manager SCP IP/Host name
c Image Manager SCP Port number
d Image Manager SCU Port number (for Storage commitment responses)
e Image Manager verify remote host
f Image Manager verify reception on SCU port
g Image Archive SCP AE Title
h Image Archive SCP IP/Host name
i Image Archive SCP Port number
j Image Archive verify remote host

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3.4.6.4 Worklist customization

DICOM Interface Configuration

Figure 4

The worklist customization dialog allows to customize the following fields in the
DICOM worklist:

1. Worklist fields (correspond to the last column in the DICOM worklist)

2...7.Six detailed information fields (correspond to the fields in the detailed informa­tion section of the DICOM worklist)

They are made up of identical elements
a. Check box: allows you to enable or disable the correspo nding field in the

DICOM worklist.
b. Drop-down list: available DICOM data object to select
c. Text box for entry of the DICOM data object prompt
d. Use default text button to restore the default text prompt for the selected

DICOM data object

8. Worklist Default button to reset all fields of the DICOM worklist to their default
values.

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For your notes

DICOM Interface Configuration

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4 Acquisition Modules for

CardioSoft

CAUTION

Disconnect power and signal lines to PC and patient before
servicing the device.

4.1 Controlling Electrostatic Discharge Damage

All external connector inputs and outputs of the device are designed with protection
from ESD damage. However, if the device requires service, exposed components and
assemblies contained within are susceptible to ESD damage from sources including
human hands, non-ESD protected work stations, and/or improperly grounded test
equipment.

CAUTION

The system contains components that are susceptible to
electrostatic discharge damage. Observe all static precautions while
performing service. Failure to observe these precautions may result
in failure of components.

The following guidelines help make a service workstation more resistant to the ESD
damage:

 Discharge any static charge you may have built up before handling

semiconductors or assemblies containing semiconductors.

 A grounded, antistatic wristband (3M part number 2046 or equivalent) or heel

strap should be worn at all times while handling or repairing assemblies
containing semiconductors.

 Use properly grounded soldering and test equipment.
 Use a static-free work surface (3M part number 8210 or equivalent) while

handling or working on assemblies containing semiconductors.

 Do NOT remove semiconductors or assemblies containing semiconductors from

antistatic containers (Velo-stat bags) until absolutely necessary.

 Make sure power to an assembly is turned off before removing or inserting a

semiconductor.

 Do NOT slide semiconductors or electrical/electronic assemblies across any

surface.

 Do NOT touch semiconductor leads unless absolutely necessary.

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4.2 CAM-USB

CAM-USB

 Semiconductors and electrical/electronic assemblies should be stored only in

antistatic bags or boxes.

These guidelines may not guaranty a 100% static-free workstation, but greatly
reduce the potential for failure of any electrical/electronic assemblies.

NOTE

Throughout this document, the term “CAM-USB Interface Box” refers to both
the CAM-USB Interface Box V1 and the CAM-USB Interface Box V2.

CAM-USB is a 15-lead ecg acquisition device with USB interface. It consists of two
main components: the CAM-14 acquisition module and the CAM-USB Interface
box. Only additional lead wires and electrode grabbers are needed to complete the
system hardware for the CAM-USB (see Figure 3-1).

Figure 3-1:

Supported PC and Operating Restrictions

The CAM-USB system can be connected to the USB port of any PC certified in
accordance to IEC950, with the following operating restrictions:

 The PC must not be within the patient care area, in accordance with IEC

60601-1-1.

 The CAM-USB system must be connected directly to a PC USB port. Do not

use a USB-HUB or cable extension between the PC and the CAM-USB system.

 The CAM-USB Interface Box V2 driver must be installed to connect to a USB

3.0 port. For more information, see “Confirming CAM-USB Hardware

Version” on page 5-11.

 The CAM-USB device is powered directly from the USB bus and must receive

the full USB single port operating power (+5V DC, 500 mA). Take care when
connecting other USB-powered devices to the PC to ensure the CAM-USB
system receives full power.

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CAM-USB

Supported Operating Systems and System Performance

CAM-USB and CardioSoft V6.x work with the following operating systems:

 Windows XP Professional 32-bit (SP2 or SP3)

Minimum PC: P4 class, 1.6 GHz., 512 MB SDRAM., 20 GB HDD

 Windows 7 Professional 32-bit (SP1)

Minimum PC: P4 class, 2GHz., 1 GB SDRAM, 20 GB HDD

 Windows 7 Professional 64-bit (SP1))

Minimum PC: P4 class, 2GHz., 1 GB SDRAM, 20 GB HDD

CAM-14 Acquisition Module

P/N: 901142-005 and 901142-008

NOTE

CAM-14 Acquisition modules are not service parts. They must be purchased
through Sales, not Service.

Functions

15-lead acquisition module, already used with CASE8000, CASE, and MAC5000.

Interface

Serial digital communication interface with 1 MHz clock.

CAM-USB Interface

For service orderable part numbers, see Chapter 8, “Spare Parts” .

Functions

The CAM-USB INTERFACE implements the function of the protocol converter
between the PC-USB communication port and the patient data acquisition module
CAM-14. It is used to isolate the PC system from the patient environment with a
4kV medical floating isolation. It also generates the operating voltage for the
CAM-14 module. (see Figure 3-2).

Interfaces
USB Interface: PC Communications Bus (12 MBits/s full-speed device,

bus powered)

CAM-14 Interface: Serial two wire protocol with 1 MHz serial clock.

Figure 3-2:

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CAM-USB A/T & CAM-USB A/T KISS

Indicators

The CAM-USB Interface has two LED's (green and amber) to display the actual
CAM-USB interface status. Additionally, there is a buzzer to allow acoustic
signalling and the QRS beep (if enabled within the CardioSoft software).

Meaning of the system status LEDs

Green

LED

On Off ECG signal transmission in progress

On On Ready to send ECG signals (e.g., no communication with

Off Off No power

On Blinking Communication with CAM-14 interrupted (e.g., CAM-14 not

When a communication problem between the CAM-USB Interface Box and the PC
occurs, the box will emit a continuous tone and both LEDs will be illuminated.

Amber

LED

System Status

CAM-14)

connected)

CAM-USB Interface Defects Handling

The CAM-USB Interface will not be repaired. In the case of defects, the complete
box (with mounted cables) will be replaced.

4.3 CAM-USB A/T & CAM-USB A/T KISS

NOTE

Throughout this document, the term “CAM-USB A/T Interface Box” refers to
both the CAM-USB A/T Interface Box V1 and the CAM-USB A/T Interface
Box V2.

Throughout this document, the term “CAM-USB A/T KISS Interface Box”
refers to both the CAM-USB A/T KISS Interface Box V1 and the CAM-USB
A/T KISS Interface Box V2.

CAM-USB A/T is a 15-lead ecg acquisition device with USB interface and
Analog/Digital Trigger Outputs (A/T) . It cons ists of three main components: the
CAM-14 acquisition module, the CAM-USB A/T Interface box, and an external
medical power supply.

CAM-USB A/T KISS is a 15-lead ecg acquisition device with USB interface,
Analog/Digital Trigger Outputs (A/T), and an integrated suction pump. It consists of
three main components: the CAM-14 acquisition module, the CAM-USB A/T KISS
Interface box, and an external power supply.

Only additional lead wires and electrode grabbers are needed to complete the system
hardware for the CAM-USB A/T or CAM-USB A/T KISS (see Figure 3-3).

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CAM-USB A/T & CAM-USB A/T KISS

Figure 3-3:

Supported PC and Operating Restrictions

The CAM-USB A/T or CAM-USB A/T KISS system can be connected to the USB
port of any PC certified in accordance to IEC950, with the following operating
restrictions:

 The PC must not be within the patient care area, in accordance with IEC

60601-1-1.

 The CAM-USB A/T or CAM-USB A/T KISS system must be connected

directly to a PC USB port. Do not use a USB-HUB or cable extension between
the PC and the CAM-USB system.

 The CAM-USB Interface Box V2 driver must be installed to connect to a USB

3.0 port. For more information, see “Confirming CAM-USB Hardware

Version” on page 5-11.

 The medical grade power supply included with the devices must be used to

ensure the safety of the patient.

Supported Operating Systems and System Performance

CAM-USB A/T, CAM-USB A/T KISS, and CardioSoft v6.x work with the
following operating systems:

 Windows XP Professional 32-bit (SP2 or SP3)

Minimum PC: P4 class, 1.6 GHz, 512 MB SDRAM, 20 GB HDD

 Windows 7 Professional 32-bit (SP1)

Minimum PC: P4 class, 2 GHz, 1 GB SDRAM, 20 GB HDD

 Windows 7 Professional 64-bit (SP1)

Minimum PC: P4 class, 2 GHz, 1 GB SDRAM, 20 GB HDD

CAM-14 Acquisition Module

P/N: 901142-005 and 901142-008

NOTE

CAM-14 Acquisition modules are not service parts. They must be purchased
through Sales, not Service.

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CAM-USB A/T & CAM-USB A/T KISS

Functions

15-lead acquisition module

Interface

Serial digital communication interface with 1 MHz clock

CAM-USB A/T Interface and CAM-USB A/T KISS Interface

For service orderable part numbers, see Chapter 8, “Spare Parts” .

Functions

The CAM-USB A/T or CAM-USB A/T KISS Interface serves as protocol converter
to connect the CAM-14 acquisition module to the USB port of a standard IEC60950
PC. The device, which is powered by an external IEC60601-1 power supply,
contains the USB cable and the CAM-14 cable. Additionally, four analog outputs
and one digital output are supported by the device. The CAM-USB A/T KISS
variant also includes a suction pump to supply the external KISS multilead electrode
suction system. For product safety, there is 1.5kV insulation between the CPU core
and the CAM-14 acquisition module and 1.5 kV insulation between the CPU core
and the Analog/Trigger outputs.

Interfaces

1. USB Interface: PC Communications Bus (12 MBits/s, full-speed device)

2. Power Input: 12VDC, max. 2A

3. CAM-14 Interface: Serial two wire protocol with 1 MHz serial clock.

4. Analog-/Trigger Outputs:

9-Pin Sub-D connector , Output pin-no. are identical to CASE. All output signals
are short circuit protected.

1. +15VDC@50mAmax

2. CH1OUT, Analog Output; Range: -5V…+10V @RL>= 2kOhm

3. Digital Trigger Output with TTL-Level @ RL>=2kOhm

4. CH2OUT, Analog Output; Range: -5V…+10V @RL>= 2kOhm

5. GND

6. CH3OUT, Analog Output; Range: -5V…+10V @RL>= 2kOhm

7. NC

8. CH4OUT, Analog Output; Range: -5V…+10V @RL>= 2kOhm

9. NC

CH GND

(CH = connector housing)

5. Suction System Air Inlet (only in CAM-USB A/T KISS)

Indicators

The CAM-USB A/T Interface and the CAM-USB A/T KISS Interface have two
LED's (green and amber) to display the actual interface status. Additionally, there is
a buzzer to allow acoustic signaling and the QRS beep (if enabled within the
CardioSoft software).

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CAM-USB A/T & CAM-USB A/T KISS

Meaning of the system status LEDs

Green

LED

On Off ECG signal transmission in progress

On On Ready to send ECG signals (e.g., no communication with

Off Off No power

On Blinking Communication with CAM-14 interrupted (e.g., CAM-14 not

When a communication problem between the CAM-USB Interface Box and the PC
occurs, the box will emit a continuous tone and both LEDs will be illuminated.

Amber

LED

System Status

CAM-14)

connected)

CAM-USB A/T Interface and CAM-USB A/T KISS Interface
Defects Handling

The CAM-USB A/T Interface and CAM-USB A/T KISS Interface will not be
repaired. In the case of defects, the complete box (with mounted cables) will be
replaced.

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CORINA

4.4 CORINA

NOTE

The CORINA acquisition module is not for use in the U.S. and Canada.

4.4.1 Context

CORINA is an ECG recorder for CardioSoft. CORINA stands for CORD
INTEGRATED AMPLIFIER and is an interface between patient and personal
computer. There are four CORINA models.

4.4.2 Supported Operating Systems and System performance

CORINA and CardioSoft V6.x are working with

Windows XP Professional 32-bit (SP2 or SP3)

Recommended PC: min. 1.6 GHz, min. 512MB SDRAM, min. 20 GB HDD

4.4.3 Model 1 CORINA

Comprises the following components:
Compact plastic casing with interfaces for patient cable and connection cable to PC.
All the electronics are integrated inside the casing. This includes ECG preprocessor,
controller to buffer data, data converter and transfer to PC. The electronics has its
own power supply.

4.4.4 Model 2 CORINA with Suction Pump

Is designed for use with the Electrode Application System. The casing also houses
the suction pump with the additional electronics required.

Casing design CORINA models 1 + 2:

Figure 3-4:

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CORINA

E
C
G

P
r

o

c

e

s

s

i

n

g

PC-PORT

CONTROLLER

Pump Module
(optional)

t

o
P

C

Lpl. CORINA

P
a

t

i

e

n

t

-

C

a

b

l

e

4.4.5 Model 3 CORINA with Analog Output

As Model 1 plus additional analog ECG output. This output enables CORINA &
CardioSoft models prior to release 3.0 output of lead II. The output signal of the
analog output in the stress test mode is configurable.

4.4.6 Model 4 CORINA with suction pump and Analog Output

Like Model 3 with additional suction pump.

4.4.7 Replacement of CORINA Model 1...4 through newer CORINA Variants (101 118 31...34) with enhanced communication interface to PC

Note: Only CORINA Models 101 118 31...34 and 37/38 (OEM) are supported by
CardioSoft V5.x or V6.x.

Note: Redesign of PCBs and PWAs due to EMC 2nd Edition:

- 101 118 31 ... 34: Starting with rev. G. New PWA and PC cable.

- 101 118 37, 38: Starting with rev. H. New PWA and PC cable.

CORINA Block Circuit Diagram

Block circuit diagram of CORINA models 1 + 2, in models 3 + 4 there is an
additional functional block (= PCB CORINA TRIGGER) to generate the analog
signal)

Figure 3-5:

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4.5 Introduction

The “Hardware Design Description” describes the structure of the hardware
implemented, internal interfaces and those for connection of peripherals.

4.5.1 Repair Procedure

A number is stored in the CORINA which allows the accurate assignment of user
and software options.

Repairs conducted by:

– Availability of AT PCBs CORINA (6 types, 3 with and 3 without the possibility

This tool enables the authorized service technician to program the replaced
CORINA PCB with the customer-specific serial number. The AT PCB is pro­grammed. This number only allows the PCB to be modified by overwriting.
Replacement works with the AT PCB only. The AT PCB can be programmed once
only.

Introduction

of plugging in the PCB CORINA TRIGGER).
To reprogram the serial number please see chapter 4.5 Reprogramming Serial
Number.

4.6 Hardware Structure

4.6.1 Mechanical Structure

CORINA comprises 4 (optionally 8) mechanical functional units.
These are:

– casing
– floating screening
– PCB CORINA (5 types: a) 2x standard, b) 2x for Analog Out, c) standalone)
– cable to PC
– pump module for Electrode Application System (optional)
– PCB CORINA TRIGGER (optional)
– insulating foil for PCB Analog Ou t (optional)
– internal wiring Analog Out (optional)

4.6.1.1 Casing:

The casing comprises the following components.
– lower case shell
– upper case shell
– locking device
The pump module (optional) is affixed to the lower section of the casing. The PCB

and the floating screening are attached to the upper section. The locking device is
screwed to the PCB and serves to secure the Marquette HELLIGE patient cable.

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Hardware Structure

Upper case shell with integrated PCB:

Figure 3-6:

Upper case shell with integrated PCB, incl. PCB CORINA
TRIGGER:

Figure 3-7:

4.6.1.2 Floating screening:

The floating screening comprises a plastic shell with a floating shield cemented in
place. The plastic shell is secured with the locking device and by clipping it in onto
the PCB. On the one hand, the floating screening protects the highly sensitive
electronics from interference while on the other hand, the plastic shell ensures a
defined safe gap to the metal plating of the casing.

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Hardware Structure

Lower case shell with integrated pump module (old tubing
system):

Figure 3-8:

Lower case shell with integrated pump module (new tubing
system):

Figure 3-9:

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Hardware Structure

4.6.1.3 PCB CORINA

Figure 3-10:

There are 4 PCB versions:
a) 2x Standard b) 2x for Analog Out

a) 2x Standard PCB:

The entire electronics as well as all interfaces are located on the PCB. The
patient input socket is fixed permanently to the PCB. The lead to the PC and the
power supply cable to the pump are plugged in. The operational readiness
display (LED green) is also located on the PCB. When operative the light is
transmitted to the outside of the casing via an optical fiber. The newer PCB
version, used in CORINA 101 118 31...32 provides a newer communication
protocoll to the PC and will not work inside other (older) CORINA variants.

b) 2x CORINA PCB model for CORINA TRIGGER (Analog Out)

It has longer male multipoint connectors than the standard PCB model. The
PCB CORINA TRIGGER is plugged into this and the internal analog lead as
well as, optionally, the suction pump connected.

The newer PCB version, used in CORINA 101 118 33, 34 and 101 118 37, 38
provides a newer communication protocoll to the PC and will not work inside
other (older) CORINA variants.

Revision A CardioSoft® Diagnostic System 4-13
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4.6.1.4 Cable to PC

Hardware Structure

Figure 3-11:

The connection cable to the PC has a 25-pin plug on the PC side. The plug casing
also houses a 3-pin socket. A plug-in power supply, supplying CORINA with
power, is then connected to this socket. On the CORINA side“ is a 26-pin or 20-pin
(EMC redesign) socket terminal strip. This is then plugged directly onto the PCB.

Figure 3-12:

4.6.1.5 Pump Module

The pump module comprises the following components:
– pump
–PCB
– tubing connection

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Hardware Structure

Pump (old tubing system)

Figure 3-13:

Pump:

When using the PCB Analog Out the power line to the suction pump (optional) is
not plugged into the PCB CORINA, but the PCB CORINA TRIGGER.

CAUTION: When used together with the PCB CORINA TRIGGER, the braided
pumppower supply wires must be covered by a heat-shrinkable tube!

Pump (new tubing system)

Figure 3-14:

Revision A CardioSoft® Diagnostic System 4-15
3 August 2015 2060290-150

PCB:

The PCB is screwed onto the pump casing. The electronics for pressure regulation is
located on the PCB. The 12-V power cable is soldered to the PCB.

Tubing connection:
The air tubing is preassembled and only needs connecting to the nozzle

(on the casing).

4.6.1.6 PCB CORINA TRIGGER

There is a floating, analog ECG output based on an optional plug-in card. It provides
a 1V/1mV signal (unedited signal, without filter and ADS, pacing pulse is blanked
out)at the analog output. The PCB CORINA TRIGGER only needs plugging in. It
remains firmly attached without requiring any additional fixation. The standard
signal to be output is a lead II signal. For CORINA and CardioSoft Version 3.0 and
later versions the output signal can be configured in the stress test mode.

Peripherals can be connected via a 3-pin output socket.
Pin assignment of this socket: Pin 1 = Analog Out, Pin 2 = ground, Pin 3 = reserved
(also refer to Section 3.4.2.3)

Hardware Structure

4.6.1.7 Insulation Foil for PCB CORINA TRIGGER

The insulation foil serves to effect floating isolation of the analog section of the PCB
CORINA TRIGGER with reference to the casing and (optionally) to the pump.

4.6.1.8 Internal Wiring of the Analog Output

The connection from the analog output of the PCB CORINA TRIGGER to the 3-pin
output socket on the casing is effected using a lead covered by a heat-shrinkable
tube. For EMV purposes there are two wide-band interference suppression coils
inside this tube. Using this tube effects high-voltage-resistant isolation between the
analog output signal and ground and patient floating part.

4.6.2 Electrical and electronic structure

The entire CORINA electronics is divided up into three functional units and located
on a PCB. These are ECG CONDITIONING, CONTROLLER and PC PORT. (In
addition, optionally, Analog Out electronics on the plug-in PCB CORINA
TRIGGER).

4.6.2.1 ECG Processing

– acquisition and analog-digital conversion of the ECG signals via up to 11

electrodes
– preprocessing and intermediate storage of the data
– data transfer via a serial interface
– additional functions are: pace identification, checking and testing functions,

configuration of the inputs, N negative-feedback loop, measurement of d.c.

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4.6.2.2 CONTROLLER

P
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Hardware Structure

voltage and blocking function

Transfer of data between the functional unit ECG Processor and CONTROLLER is
via a QSPI interface. The exact specifications are described in the document [ASIC
Interface].

Figure 3-15:

– all CORINA control functions
– initialization of hardware
– data communication from and to the functional unit ECG Processor
– data communication from and to the functional unit PC PORT
– output of ECG data to DA transductor on PCB CORINA TRIGGER (optional)

Figure 3-16:
CORINA is controlled by the Controller 68332. This controller already has all the

important functions required to control CORINA.
These are:

– CPU ( 68000 family plus 68020 commands plus commands for controller

applications )

– 2 serial interfaces ( SCI, QSPI )

Revision A CardioSoft® Diagnostic System 4-17
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Hardware Structure

12V

FIFO

ESD

Control-Bus

Data-Bus

ESD

D
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r

5V
Supply

5V

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5V (direct)

I

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P
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T

– on-chip memory ( for faster applications )
– maximum of 12 programmable chip selects
– interrupt manager
– intelligent 16-bit timer
– clock generator

Memory:

A 128 kByte FLASH ( 128 K x 8 PEROM ), which can be programmed directly
with the 5-V operating voltage supply, is used as a program memory store. This
permits the subsequent loading of software updates using the PC. The data memory
comprises the ON-The interrupt requests IEKG_and IPCPW_ are both stored by
using FLIPFLOPS, since the interrupt inputs IRQ1 to IRQ6 are only level gated. In
contrast to the others, IRQ7 is edge gated and can thus be actuated directly.
Resets are generated by a MICROPROCESSOR SUPERVISORY CIRCUIT.
A floating section is used to connect the functional unit ECG Processor to the QSPI
interface of the 68332. This is a full duplex interface with data input MISO ( Master­In Slave-Out ), data output MOSI ( Master-Out Slave-In ) and serial clock SCK. A
maximum of 4 devices can be connected to this interface. To achieve this, the PCB
is equipped with a connector onto which this bus can be switched in. Using this
connector thus allows the connection of a maximum of 3 further peripherals (e.g.,
experimental input). One of the peripherals is the PCB CORINA TRIGGER
(optional).

A signal transmitter gives an acoustic status message. This signal transmitter enables
signalling of errors, for example.

4.6.2.3 PC PORT

– CORINA power supply
– ESD protection
– data communication to and from PC

Figure 3-17:
All cables leading to and from the PC are provided with ESD protection.

A DC/DC transducer is used to generate the 5 V. This transducer generates the 5-V
power voltage from the 12 V received from the plug-in power supply. The DC/DC
transducer can be switched on and off by the PC via the control cable. There is a

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Hardware Structure

non-

floating

floating

Data via

QSPI

POWER

+12V

+12V

-12V

5V

Reg.

DC/DC

Converter

Opto-

Couplers

DA-

Converter

Analog

Amplifiers

connector on the PC to connect the 12 V. The pump module can then be connected
to this connector.
Data communication between PC and CORINA is via a FIFO. This enables the PC
to pick up ECG data at any time. The FIFO has a memory depth of 8 K / 32K X 9
bits, 7/4 bits being used (of these, 6/3 bits for ECG data and 1 bit for
synchronization).

All output leads are led through a driver chip.

4.6.2.4 Optional Analog Out Electronics

The PCB CORINA TRIGGER provides the user with a floating analog ECG output
signal for connection to ultrasound units. Pacing pulses are blanked out.

Funtionality:

Using QSPI (serial data transfer) the ECG data are transmitted via a medically
floating segment to a D/A transducer (10 bits) located on the PCB CORINA
TRIGGER. The analog output signal is subsequently standardized, amplified and
made available to the user. The signal is short-circuit-proof, unfiltered and does not
have ADS bedside processing.

CAUTION: To enable QRS complex triggering when using PACE, the pacing
pulses are removed from the ECG signal.

Figure 3-18:
CAUTION: When connecting up an ultrasound unit it is important to ensure that

the instrument connected has an input LPF of < 400 Hz. If this is not the case, an
external (passive) low pass should connected to the input of the peripheral.

Suitable low-pass configuration:

Revision A CardioSoft® Diagnostic System 4-19
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Revision A

2K

1uF

Figure 3-19:

4.6.3 Internal Interfaces

4.6.3.1 Mechanical Interfaces

Tubing connection of the pump module:

Hardware Structure

Figure 3-20:
The pump module air tubing is preassembled and only needs connecting to the

nozzle (on the casing).

4.6.3.2 Electrical Interfaces

CORINA has three internal interfaces. These are:
– interface to pump module

– debugging interface
– interface for further peripherals (PCB Analog Out):
Interface to pump module:

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Hardware Structure

Description of interface:

Figure 3-21:
The pump module interface is in the form of a 3-pin male multipoint connector. The

pump module requires only a 12-V power supply.

4.6.4 Interfaces to Peripherals

4.6.4.1 Mechanical Interfaces

CORINA has three mechanical interfaces. These are:
– power cable to PC

– connection socket for patient cable
– nozzle for air tubing
– optional: Analog Out connector

Figure 3-22:

4.6.4.2 Electrical Interfaces

CORINA has two external interfaces. These are:
– interface to PC

–ECG input
– optional: Analog Out

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4.6.4.2.1 Interface to PC:

Hardware Structure

Data interface:

Figure 3-23:

Description of interface:

OUT(0-5) data to PC
OUT6/ACK data bit to PC and data acceptance confirmation this interface

lead fulfils two functions
READ MODE -> data line D6 (data from CORINA -> PC)
WRITE MODE -> ACK* (data from PC -> CORINA)

For outputs OUT(0), OUT(1) and OUT(3) it is important to observe that these are
output inverted by CORINA since, initially, the PC inverts these inputs.
In newer CORINA versions (101 118 31...38) a new cable to PC is used, where only
OUT (2, 4, 5) are used to transmit data to the PC.

ERROR* indicates “full or empty FIFO”
IN(0-3) data from PC
ES selection whether ERROR* should indicate “full or empty

FIFO“
ES = LOW -> CORINA indicates “empt“ FIFO

ES = HIGH -> CORINA indicates “full“ FIFO
READ* transmit data to PC
WRITE* read data from PC
ON switch on CORINA

ON = LOW -> CORINA is switched off

ON = HIGH -> CORINA is switched on

Power source interface:

Figure 3-24:
As of 05/1997 this interface no longer delivers a 5-V signal.

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4.6.4.2.2 ECG Input:

2

13

ECG

Ground

Hardware Structure

Figure 3-25:

Description of interface:

E_R electrode input righ t arm
E_L electrode input left arm
E_F electrode input left foot
E_N electrode input right foot
E_C1 electrode input chest electrode C1 ( Wilson )
E_C2 electrode input chest electrode C2 ( Wilson )
E_C3 electrode input chest electrode C3 ( Wilson )
E_C4 electrode input chest electrode C4 ( Wilson )
E_C5 electrode input chest electrode C5 ( Wilson )
E_C6 electrode input chest electrode C6 ( Wilson )
E_NAX electrode input chest electrode NAX ( Nehb )
E_NST electrode input chest electrode NST ( Nehb )
E_S shielding

4.6.4.2.3 Analog Out

Figure 3-26:
Pin assignment of this socket: Pin 1 = Analog Out, Pin 2 = ground, Pin 3 = reserved.

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Troubleshooting Help Functions

4.7 Troubleshooting Help Functions

After startup, CORINA performs an internal self-test. The test results are filed in
FIFO memory. If an error is detected, an alarm signal also sounds three times in
succession.

Meaning of the error messages:

Self-Test Results

(BYTE)

00000000 0 no error
00000001 1 error in internal RAM of 68332
00000010 2 error in vector list
00000100 4 error in RAM memory
00001000 8 system software CRC check error
00010000 10 custom software CRC check error
00100000 20 QSPI check error

When several errors occur together, the relevant bit in each case is set.
Example:

System and custom software CRC check error.

Self-Test Results

(BYTE)

00011000 24 System and custom software CRC

Program Display

Value

Program Display

Value

Meaning

Meaning

check error

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5 Troubleshooting Tips

5.1 Frequently Asked Questions

Question: Why is the N-electrode always indicated as OK (green)?

Answer: The acquired signal is used for lead detection. Unlike all other electrodes, the N-

electrode is not an input electrode, so no signal is acquired and the electrode is
always indicated as OK. The N-electrode is an output electrode to remove artifacts.

Symptom: The error message “Acquisition module not connected”

occurs repeatedly with the CAM-USB Interface.

Solution: Disable power save mode for laptops. The process varies by operating system.

Windows XP

Windows XP has no icon of the flag in the taskbar. A vendor-specific applet must be
installed:

1. Turn off SpeedStep in the BIOS and Windows XP.

To disable SpeedStep, go to the power applet in the control panel and select the
“Always on” option.

2. If the attempt fails, contact your laptop vendor to get the applet for disabling

Intel SpeedStep Technology or AMD power non.

Setting Power Scheme to Always On:

1. Select Start > (Settings) > Control Panel to open the Control Panel.

2. In the Control Panel, click Power Options.

3. On the Power Schemes tab, choose Always On.

4. Choose Never for Turn off monitor/Turn off hard disks/System standby.

Checking minimum requirements

1. Select Start > (Settings) > Control Panel > System.

2. On the System Properties window, review the information on the General tab.

3. Verify the Service Pack 2 or Service Pack 3 is installed and that the system has

at least 512 MB of RAM.

Windows 7

1. Select Start > Control Panel > Power Options.

2. Select the High Performance power plan.

3. Click the Change Plan Setings link for the High Performance option.

4. Click the Change advanced power settings link.

5. Select the Sleep setting.

6. Set Allow hybrid sleep to OFF.

Optionally, you can also change the power settings for Hard disk and Display.

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Frequently Asked Questions

Symptom: The following error messages occur with the CAM-USB

interface:

[7983] Exercise test option not found.
[6400] Note: The “Record” function is available only in conjunction with the

“Resting ECG, Standard” option!

General: Option not found

Solution: 1. Look for the serial number (System Configuration > Option Code).

2. If the serial number is “0”, close CardioSoft, disconnect the CAM-USB, wait 5

seconds, reconnect the USB connector, and restart CardioSoft.

NOTE

The CAM-USB interface must be plugged in before starting CardioSoft.

3. Look for the serial number again.

Symptom: Waveforms are not acquired with the CAM-USB Interface.

Solution: Disconnect the USB connector and wait a minimum of 5 seconds before

reconnecting.

Symptom: Patient module is not detected at the LPT port.

Solution: 1. Set the LPT Mode in BIOS to “NORMAL” (not “ECP” or “EPP”).

2. If this does not help, use the Multi I/O card (PN: 2000148-001) from GEMS IT

Service.

The new generation Patient Module (v3.1) has better communication capabilities.
Because of these enhanced communication features, it works only with CardioSoft
v4.14 or later.

Patient Module V3.0 and earlier work only with PCI card VSCOM210.
Patient Module V3.1 and later work with all XT-compatible or 16550-compatible

PCI cards.

Symptom: I received error message -115 when installing CardioSoft.

Solution: Either the file identified by the error message is write protected or the actual user

does not have the rights to write to the destination directory. Change the read-only
attribute for the file or modify the user's permissions to allow write access.

Symptom: When I open an examination, I get a decompression error.

Solution: Use the SCANDISK or CHKDSK commands to check and repair the hard drive. If

that does not resolve the problem, run the database repair tool. If the problem still
persists, restore the most current backup.

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Frequently Asked Questions

Symptom: The Patient Selection menu will not fit within the screen.

Solution: To resolve this problem, the Display Configuration option (DSPC) must be

installed.

1. Select System Configuration > General > Exercise Test > Screen > Configure

Vital Signs.

2. Right-click on the desired field and select a smaller font.

3. Repeat for any field that does not fit.

4. When you are done, click OK to save your changes.

5. Save the configuration for future use with the Custom Setup feature.

Symptom: The Heart Rate is removed after it is transferred from a

MAC 1200 device to the CardioSoft system.

Solution:

The heart rate is calculated from the RR duration. To get the heart rate in
CardioSoft, you must have the Measurement Software option enabled on the MAC
1200 device; the RR duration and heart rate can be calculated.

Symptom: There are small differences in the measurement values

after they are transferred from the MAC 1200 device to the
CardioSoft system.

Solution: The protocol used to transfer the data does not use the same amplitude unit for the

measurement values as the MAC 1200 device. These values must be converted
when the data is received in CardioSoft, and the results may not be identical.

Question: How does one integrate the CardioSoft system into the

customer’s archiving system?

Answer:

Integrating with the customer’s archiving system requires the Report Export as PDF
option (EPDF). The generated PDF files can be sent to the customer’s archiving
system, and the archiving system can view the files with the PDF reader. The PDF
files can also be printed in high quality on a laser printer. PDF files provide better
quality than exporting screen captures as JPG files.

Symptom: Occassionally, the program does not calculate target load.

Solution: To calculate target load, the program needs to know the patient's gender, date of

birth, height, and weight.
The program cannot calculate target load in any of the following conditions:

 Age < 15 years or > 84 years
 Height < 50 cm or > 250 cm
 Weight < 20 kg or > 200 kg

 Body surface area (men) < 1.6 m

Body surface (women) < 1.2 m



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2

2

Frequently Asked Questions

Symptom: If a PDF report with ECG grid is generated with Adobe

Acrobat in CardioSoft, the figure 2 is displayed instead of
the ECG grid.

Solution: 1. Select Start > Printers and Faxes.

2. Double-click on Acrobat Distiller and select Printer > Document Defaults....

3. On the Adobe PDF Settings tab, clear the Do not send fonts to Distiller field.

4. On the Advanced tab, set True Type fonts to Download as Softfont.

If these steps do not resolve the problem, change the grid style in System
Configuration/Printer by deselecting the Dotted lines check box. The grid will now
use solid lines and the grid color can be individually adjusted.

Symptom: The MUSE Web Server works, but an error message is

displayed when the CardioSoft patient list is invoked.

Solution:

A MUSE Web user account must be created under Windows and assigned to the
MUSE group. The user account must also be created in MUSE.

Question: Why do metabolic carts display a higher heart rate than

CardioSoft?

Answer: During exercise tests, the heart rate is calculated for the 30-second tabular data. The

heart rate is averaged over 30 seconds at 5-second intervals and entered in the table.
The maximum heart rate is derived from the tabular data. The heart rate is sent to the
metabolic cart at 5-second intervals, so the value displayed there may be higher than
in CardioSoft.

Question: How do we run CardioSoft Web on Windows Domain

Controller?

Answer: For CardioSoft Web to run on Windows domain controllers, the following users

must be assigned to the Server Operators group after installation:
IUSR_<ComputerName> and IWAM_<ComputerName>.

1. Select Start > Control Panel > Administrative Tools > Active Directory

Users and Computers.

2. In the left panel, expand the desired location and select the Builtin folder.

3. In the right panel, right-click on Server Operators and select Properties.

4. Select the Members tab and add the users IUSR_<ComputerName> and

IWAM_<ComputerName>.

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Frequently Asked Questions

Question: What is the meaning of the spirometry test parameters

(LF501)?

Answer: Designation of Spirometry Test Parameters CardioSoft > V5.x of LF501

Parameter Designation

IVC [liters] Inspiratory vital capacity

(relaxed)

EVC [liters] Expiratory vital

capacity (relaxed)

FEVC [liters] Forced expiratory vital

capacity

FEV1 [liters] Volume of air exhaled

during the 1st second of
FEVC

PEF [liters/second] Peak expiratory flow Max. exspiratorischer

MEF75 [liters/second] Max. expired flow at

75% FEVC remaining

MEF50 [liters/second] Max. expired flow at

50% FEVC remaining

Inspiratorische
Vitalkapazität

Exspiratorische
Vitalkapazität

Forcierte
Exspiratorische
Vitalkapazität

Forciertes
exspiratorisches
Volumen in 1 Sekunde

Flow
Forcierter max.

exspiratorischer Flow
bei 75% Restvolumen
FEVC

Forcierter max.
exspiratorischer Flow
bei 50% Restvolumen
FEVC

MEF25 [liters/second] Max. expired flow at

25% FEVC remaining

MMF [liters/second] Max. mid-expiratory

flow (forced) between
25 and 75% of FEVC

FIVC [liters] Forced inspiratory vital

capacity

FIV1 [liters] Volume of air inhaled

during the 1st second of
FIVC

PIF [liters/second] Peak inspiratory flow Max. inspiratorischer

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Forcierter max.
exspiratorischer Flow
bei 25% Restvolumen
FEVC

Mittlerer Flow bei
25-75% FEVC

Forcierte inspiratorische
Vitalkapazität

Forciertes
inspiratorisches
Volumen
nach 1 s

Flow

Printer Debugging

Parameter Designation

MIF75 [liters/second] Max. inspired flow at

75% of inhaled FIVC

MIF50 [liters/second] Max. inspired flow at

50% of inhaled FIVC

MIF25 [liters/second] Max. inspired flow at

25% of inhaled FIVC

MVV [liters/second] Maximal voluntary

ventilation of air expired
for one minute (indirect,
derived from FEV1)

For more information, see the operator manual.

Forcierter max.
inspirator. Flow bei 75%
der inhalierten FIVC

Forcierter max.
inspirator. Flow bei 50%
der inhalierten FIVC

Forcierter max.
inspirator. Flow bei 25%
der inhalierten FIVC

Maximales
exspiratorisches
Ventilations-Volumen
pro Minute (indirekt,
abgeleitet von FEV1)

Question: What are the rules for the MILLER spirometry interpretation

(LF501)?

Answer: 1. FEV1/IVC 70% and IVCref/IVC 70%

> No Respiratory Problem

2. FEV1/IVC

> Combined Respiratory Problem

3. FEV1/IVC

> Obstruction

4. FEV1/IVC

> Restriction

70% and IVCref/IVC 70%

70% and IVCref/IVC 70%

70% and IVCref/IVC 70%

Symptom: InSite ExC has no remote access to the server.

Solution:

Determine whether the remote servicing software PC Anywhere is installed on your
computer. If it is, remove it.

5.2 Printer Debugging

Symptom: The printout is incomplete.

Solution: The printer probably has insufficient memory. Increase the memory in the printer or

select another printer with more memory.

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General Troubleshooting

Symptom: The laser printer prints numbers instead of a grid.

Solution: There are four solutions for this issue:

 If you work within a network environment, verify that CardioSoft is installed on

every client.

 On each client, open the the printer’s properties window and verify that Print

directly to the printer is set.

 Add the entry GRA_DontRemoveGrid=1 to the [CARDIO] section of

LOC_WIN.INI.

 Select Start > Control Panel > Regional Options > General > Language

settings for the system, and deactivate support for the following languages:

Arabic, Hebrew, Indic, Korean, Thai, and Vietnamese. Reboot the computer
after changing these settings.

Symptom: The “paper out” message is delayed when printing to laser

printers.

Solution: Reduce the Transmission Retry Timeout to decrease the delay of the displayed

“paper out” message. Note that this could also cause a timeout message when
printing pages with noisy ECG waveforms.

To reduce the Transmission Retry Timeout in Windows, do the following:

1. On the client receiving the delay, open the printer’s Properties window.

2. On the Port tab, select the port to which the printer is connected and click the

Configure Port... button.

3. On the Configure Port window, enter the number of seconds in the

Transmission Retry field and click OK.

5.3 General Troubleshooting

Symptom: After “Export to Microsoft Word”, the exported RTF file is

always displayed with Microsoft Word. This may be very
annoying when a series of tests is selected for export.

Solution:

Symptom: The stress test driver settings are lost after they were

Solution:

In the [Cardio] section of LOC_WIN.INI, add the entry CFR_SilentWordExport=1.

changed or created.

The file ERG_PROT_V5AN.DAT in the program directory may have become
corrupted. Delete the file and reboot the PC; the file will automatically be
regenerated.

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General Troubleshooting

Symptom: The database cont ains defective data sets. Errors occur

during patient selection, but not when selecting
examination options.

Solution: Contact technical support for a reorganisation tool, which may repair the error in the

data base.
By activating the REORG procedure, you can reorganize defective BTRIEVE files

from CardioSoft. This repair procedure may become necessary when the data
become damaged for some reason or another (after a power failure, for example). To
carry out the repair procedure successfully, CardioSoft must be terminated and there
must be sufficent memory space on your hard disk.

As a general rule, the following applies:

memory space required = twice the sum of all CardioSoft files with

the suffix “BTR”

The original CardioSoft files are still available in the form of “OLD” files after
reorganization and should only be deleted when the reorganization has been
completed successfully.

Symptom: There are problems with my printer, since I connnected

patient module to the system

Solution: CardioSoft normally checks all LPT ports to detect the patient module acquisition

box. If the connected printer has problems with this access and you have CardioSoft
V4.14 or greater, do the following to correct this problem:

Add the following entry to the [CARDIO] section of LOC_WIN.INI:

WCO_CorinaLptPort=x

Replace x with the number of the LPT port to which the patient module is
connected. If you define the Port number 0, detection for the patient module will be
disabled. This may be neccesary on View and Edit stations, if there are problems
with the printer after starting CardioSoft.

Symptom: Error when reading examinations, or examinations get lost.

Solution: Three causes can lead to data loss: hard drive failure, a virus on the hard drive, or

issues with the CardioSoft database. If the hard drive is found to be functional and
virus-free, running the database repair tool may correct the issue.

5-8 CardioSoft® Diagnostic System Revision A

2060290-150 3 August 2015

General Troubleshooting

Symptom: Patient locked although only called up on one workstation.

Solution: When a patient record on the network is locked even though it is being called up on

only one workstation, it indicates that another workstation was viewing the record
when either CardioSoft crashed or the PC was shut down without first terminating
CardioSoft. To correct this problem, do the following:

1. Ensure that CardioSoft is not running on any workstation.

2. Delete the file network.btr in the \database subdirectory of the CardioSoft

directory.

Symptom: Cannot monitor a stress test on two workstations at the

same time.

Solution:

There is no solution to this issue. A stress test currently being performed can be
monitored from only one workstation at any a time.

Symptom: When transferring examinations to another data medium,

the examinations cannot be retrieved if the subdirectory
has an umlaut (ä,ö,ü) in its name.

Solution: Create subdirectories without umlauts.

It is not possible to transfer more than 512 examinations into the root directory of a
data medium as DOS is only able to manage a maximum of 512 files on this
medium. If more examinations are to be transferred, a subdirectory must be created.
The number of files there is practically unlimited.

Symptom: Blood pressure display is cut off.

Solution: In the operating modes late potentials and ergometry, the blood pressure display can

be cut off, especially when the diastolic value is a 3-figure number. This problem
occurs only in the case of VGA monitors larger than 17" set to a 800 x 600
resolution.

To resolve this issue, select a higher resolution (1024 x 768 or 1280 x 1024).

Symptom: No RAS connection with ELSA modem.

Solution: The ELSA 33.6 TQV modem does not support pulse dialing. Select Tone Dialing.

Symptom: Modem RAS connection is not started.

Solution: To have CardioSoft automatically open the RAS modem connection when

transferring data to the MUSE system, set the Start Modem connection before
transfer field in the MUSE settings of the CardioSoft System Configuration. If you

manually opened the connection, terminate the manual connection.

Revision A CardioSoft® Diagnostic System 5-9
3 August 2015 2060290-150

General Troubleshooting

Symptom: When compressing an examination on a hard disk >4.3GB,

the following message is displayed when less than 15% of
the storage space is free: Not enough memory space.

Solution: This error indicates that you do not have enough free space on your hard drive. As a

temporary fix, do the following:

1. In CardioSoft, select System Configuration > General.

2. Click the Database button.

3. On the Database Setup dialog box, change the specified percentage of storage

space from 15 (the default) to 1.

4. Click OK.

NOTE

This only prevents the error message from being displayed. It does not
increase storage space. Steps must still be taken to provide additional hard
drive space, either by removing unnecessary files from the hard drive or
replacing the hard drive.

Symptom: Cannot start CARDIO.exe a second time within a short

period of time.

Solution: This problem may occur when more than one CardioSoft client is active in a

network environment. After the CardioSoft application is closed, the application
window closes immediately, but the cardio.exe process may still run for an
additional 20 to 30 seconds. During this time, cardio.exe may not be started again.

To resolve this issue, you must modify your system registry.

NOTE

Bback up the system registry before modfying it. Refer to Windows
documentation for more information on backing up and modifying the registery.

1. From the Windows desktop, run REGEDIT to open the system registry.

2. Locate the following entry:

HKEY_LOCAL_MACHINE\Software\Btrieve Technologies\
Microkernel Workstation Engine\Version 6.15\Settings

3. Add the following entry:

Delete TMP Files = 0

Symptom: The application locks up while printing a Post Test Report

on the thermal printer.

Solution:

Select Start > Settings > Control Panel > Printers and delete the print jobs from
the Marquette Thermal printer.

5-10 CardioSoft® Diagnostic System Revision A

2060290-150 3 August 2015