CareLink Integration Software Installation and Configuration Manual
Caution: Federal law (USA) restricts this device to sale by or on
the order of a physician (or a properly licensed practitioner).
Trademarks in this manual
The following list includes trademarks or registered trademarks of Medtronic in the United States and possibly in
other countries. All other trademarks are the property of their respective owners.
Medtronic, Paceart Optima, CareLink, Mainspring, Medtronic CareLink
Contents
Mainspring Data Express............................................................................................................4
CareLink EHR Integration.......................................................................................................17
Configuring EHR Integration........................................................................................17
Installing and configuring Mirth Connect.....................................................................21
Troubleshooting EHR Integration.................................................................................22
4 | CareLink Integration Software Installation and Configuration Manual | Mainspring Data Express
Mainspring Data Express
Mainspring – because like the inner workings of a clock – it is the power source that facilitates the movement
of cardiac data within your clinic, and between various departments within your organization.
Mainspring Data Express is a comprehensive solution for your cardiac patients, bringing together device and
patient data from the Medtronic CareLink Network, the Paceart Optima System, the CareLink Programmer,
your EHR System, and local network.
In order to simplify the process of connecting and sharing demographic, scheduling, and device data between
Medtronic applications and electronic health record systems (EHRs), Medtronic has developed Mainspring
Data Express.This software application serves as the primary tool to move and share data for device patients.
Mainspring Data Express helps to streamline the implementation and on-going maintenance of data movement
between applications.
This manual explains the process for installing the Mainspring Data Express software and configuring CareLink
Report Export and CareLink EHR Integration.
Mainspring Data Express is an optional component of the CareLink Network and the Paceart Optima System.
For more information on configuring the CareLink website refer to the CareLink online Help.
Explanation of symbols
Symbol definitionSymbol
Consult instructions for use
For US audiences only
Authorized Representative in the European
Community
Manufacturer
Lot number
Re-order number
Date of Manufacture
Do not dispose of this product in the unsorted
municipal waste stream. Dispose of this product
according to local regulations. See
http://recycling.medtronic.com for instructions on
proper disposal of this product.
Temperature Limitation
Humidity Limitation
CareLink Integration Software Installation and Configuration Manual | Mainspring Data Express | 5
Symbol definitionSymbol
Software
Indications
Mainspring Data Express is an optional component of the Medtronic CareLink Network and the Paceart
Optima System. Mainspring Data Express can be used to provide data integration between disparate systems,
using a defined mapping.
For more information on the Medtronic CareLink Network, refer to the CareLink Network Online Help.
For more information on the Paceart Optima System, refer to the Paceart Optima System Software UserManual or the Paceart Optima System Online Help.
Precautions
Mainspring Data Express USBs must be stored within the following conditions:
Storage Environment
-20°C (-4°F) to +45°C (113°F)Temperature
20% to 90%Relative Humidity
Mainspring Data Express USBs must be operating in an environment within the following conditions:
Operating Environment
0°C (32°F) to +35°C (95°F)Temperature
20% to 90%Relative Humidity
Call customer service or your biomedical department for service and repairs.
Contraindications
No known contraindications.
Mainspring Data Express Authorized Users
Medtronic representatives provide the Mainspring Data Express orientation and training materials at the time
of the installation. Users should be familiar with the Mainspring Data Express documents before using
Mainspring Data Express.
6 | CareLink Integration Software Installation and Configuration Manual | Mainspring Data Express
Technical Support
In the US and Canada, call 1-800-929-4043 and select option 3. For all other countries contact your local
Medtronic representative.
If you are installing the Mainspring Data Express software for the first time, and not an upgrade, you must
complete the following prerequisites before you can install the Mainspring Data Express software.
•Create an External Systems Account on the CareLink Network. For instructions on how to create an
External Systems Account, refer to the CareLink Network Online Help.
•Install .Net Framework version 4.5.2 (or newer).
•Install and configure MS Message Queuing.
•If you will be using the EHR Integration feature, install the Java Runtime Environment version 1.6 or higher.
Upgrade Installation
If you are upgrading to a new version of Mainspring Data Express software you must first stop the existing
Connected Systems Gateway service.
You do not need to uninstall your existing Mainspring Data Express software.The new version of the software
will import any existing configurations. For example, if you have an existing Paceart System-CareLink
scheduling integration configuration, the settings will be saved and used in the new version of the Mainspring
Data Express software.
Installing and Configuring MS Message Queuing for Windows 7
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
1. Open the Control Panel.
2. Select the appropriate action based on your system configuration.
•Click Programs, and then under Programs and Features, click Turn Windows features on or off.
•Click Classic View, double-click Programs and Features, and then in the tasks pane, click Turn
Windows features on or off.
3. Under the Microsoft Message Queue (MSMQ) Server option, check the Microsoft Message Queue
(MSMQ) Server Core option. This enables all of the MSMQ Server Core subfeatures.
4. Click OK.
5. If you are prompted to restart the computer, click OK to complete the installation.
Installing and Configuring MS Message Queuing for Windows 8.1
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
3. Click Programs, and then under Programs and Features, click Turn Windows features on or off.
4. Under the Microsoft Message Queue (MSMQ) Server option, check the Microsoft Message Queue
(MSMQ) Server Core option. This enables all of the MSMQ Server Core subfeatures.
5. Click OK.
6. If you are prompted to restart the computer, click OK to complete the installation.
Installing and Configuring MS Message Queuing for Windows 10
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
1. Open the Control Panel.
2. Click Programs, and then under Programs and Features, click Turn Windows features on or off.
3. Under the Microsoft Message Queue (MSMQ) Server option, check the Microsoft Message Queue
(MSMQ) Server Core option. This enables all of the MSMQ Server Core subfeatures.
4. Click OK.
5. If you are prompted to restart the computer, click Restart now to complete the installation.
Installing and Configuring MS Message Queuing for Windows Server 2008
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
1. Click Start > Control Panel.
2. Double-click Programs and Features.
3. Click Turn Windows features on or off.
The Server Manager window is displayed.
4. Select Add Features in the Features and Summary section.The Add Feature Wizard dialog is displayed.
5. Under the Message Queuing > Message Queuing Services option, select the Message Queuing Server
option.
6. Click Next on the Add Feature Wizard dialog box to select features.
7. Click Install on the Add Feature Wizard dialog box to confirm your installation selections.
8. When the installation is complete, click Close.
Installing and Configuring MS Message Queuing for Windows Server 2008
R2
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
Before you install a new version of the Medtronic Mainspring Data Express software you must stop the existing
Connected Systems Gateway service.
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
1. To stop the Connected Systems Gateway service go to Start > Control Panel > Administrative Tools
> Services.
2. Right-click on the Connected Systems Gateway service and select Stop.
CareLink Integration Software Installation and Configuration Manual | Installing Mainspring Data Express | 11
Installing Mainspring Data Express
Complete the items listed in the prerequisites section before you install and configure the Mainspring Data
Express software.
1. To start the installation, insert the Mainspring Data Express installation USB into the computer.The setup
program will automatically start.
If the setup program does not automatically start, you can manually start the installation program by clicking
CSGInstall.exe on the installation USB.
2. Click Next.
3. Enter a destination folder. Click Change to change from the default location.
If you have a previous version of Mainspring Data Express installed, use the same filepath as the previous
version.
4. Click Next.
5. Click Install.
A progress bar shows the installing progress.
6. Select Launch Medtronic Mainspring Data Express and then click Finish to exit the installation wizard
and open the Medtronic Mainspring Data Express window.
12 | CareLink Integration Software Installation and Configuration Manual | Installing Mainspring Data Express
7. In the Medtronic Mainspring Data Express window, select the features you want to enable, then click
Configurations.You can select multiple features under Paceart Integration, but you can only select one
feature under CareLink Integration.
The configuration window for the feature you selected is displayed.
8. Make your configuration changes and click OK. Refer to the following sections for information on configuring
each feature.
The configuration window closes.
9. Click OK to close the Mainspring Data Express window.
If you selected EHR Integration for the first time, follow the installation steps in the Installing and ConfiguringMirth Connect section of this document to install and configure Mirth Connect.
The CareLink Integration section of Mainspring Data Express has the following features:
•Report Export allows you to save CareLink Network reports to a network location.
•EHR Integration allows you to export patient data from the CareLink Network and integrate into your clinic's
Electronic Health Records (EHR) system.
CareLink Report Export
Reports can be exported from CareLink to an external system, like your clinic's Electronic Health Records
(EHR) system.
When the Report Export feature is enabled, you can use a default file naming format, or customize the filename
format by adding an additional field.You must have full administrative privileges in CareLink to edit the
filename format.
To export reports, Mainspring Data Express must be installed and configured, and a CareLink Network
Connection between Mainspring Data Express and the CareLink Network must be established.
There is a process to install and configure the Report Export feature.
1. On the CareLink Network website, create an External System Account for Mainspring Data Express.
Enable and configure the Report Export feature for that External System Account. For instructions refer
to the CareLink Network Online Help.
2. On your network, install and configure Mainspring Data Express (install prerequisites first).
3. Enable the Report Export feature in Mainspring Data Express.
4. On the CareLink website, export a report from CareLink and ensure that it arrives in the correct location.
Configuring CareLink Report Export
1. To start Mainspring Data Express, go to Start > Programs > Medtronic Mainspring Data Express >
Medtronic Mainspring Data Express.
2. In the Medtronic Mainspring Data Express window, select Report Export and click Configurations.
The CareLink Report Export configuration window is displayed.
3. On the Configuration1 tab enter the applicable values for your CareLink implementation. Refer to the
CareLink Report Export Configuration Values table for more explanation on the fields.
4. If you have satellite clinics in CareLink you must have a separate Report Export configuration for each
clinic. Click Add to create additional configurations for other clinics.
If you have satellite clinics in CareLink you must have a separate configuration for each clinic. Click Add to
create additional configurations for other clinics.You may have up to 15 configurations. Each configuration
must have a unique External System Account Name.
This table explains the fields on the CareLink Report Export configuration window.
ExplanationField nameCallout
number
An optional field for entering the name of your configuration. Limit 15 configurations.Description1
2
3
4
Data Bridge
Service
Service Site
External
System
Account Name
The name of the CareLink reporting service the adapter will use.
The default is "Endpoint_CSA_basicHttpsBinding".
The path of the CareLink Data Bridge Service site that the adapter will use.Data Bridge
•To connect in the US and Canada select " https://cl-emr.medtroniccarelink.net/
DataBridgeGateway/DataBridgeGatewayService.svc"
•To connect in Europe and Asia select "http://cl-emr.europe.medtroniccarelink.net/
DataBridgeGateway/DataBridgeGatewayService.svc "
The account name used to connect to the CareLink system. This account name is
created and configured on the External System Accounts tab on the CareLink
website.
The authorization code used to connect to the CareLink website.This authorization
code is configured on the External System Accounts tab on the CareLink website.
The file destination path where CareLink PDF reports are exported. On the CareLink
website this is called the document folder.The file destination path can be specified
as a UNC path (\\ComputerName\SharedFolder\Reports) or a mapped drive (z:
\\computer\reports). Using a mapped drive allows you to use a shorter file name
but the computer hosting Mainspring Data Express must have the network drive
mapped to it.
A "True" value indicates that the Windows Username and Password field values
should be used as authentication credentials when accessing the destination path.
A "False" value indicates that a username and password are not required to access
the destination path.
The default is "False".
When Use Specified Credentials is "True", this is the Windows username that will
be used when accessing the destination file system.The Windows username value
should follow the UPN (User Principal Name) format username@domain. For
example BSMITH@ENT.
When Use Specified Credentials is "True", this is the password associated to the
Windows Username that will be used when accessing the destination file system.
10
11
Overwrite
Existing File(s)
Minimum
Available Disk
Space
A "True" value indicates that the adapter will overwrite an existing file with a new
file of the same name. A "False" value indicates that the adapter will not overwrite
an existing file with a new file of the same name.
The default is "True".
The minimum amount of free space in MB on the destination file system required
for the adapter to initialize.
The default is "15" MB.
Enabling and Verifying Mainspring Report Export
After you install and configure Mainspring Report Export you need to enable the Report Export feature on
the CareLink website.
1. Log into the CareLink website.
2. Click Manage My Clinic > Clinic Profile > External Systems Integration.
3. In the Report Export section, select Ye s to enable report export.
Note: You can configure the report filename. For more information on configuring the filename refer to
the Editing Report Filename for Report Export topic in the CareLink online Help.
4. Click Save.
5. After you have enabled the feature, export a sample report from CareLink.
6. Browse to the documentation folder location and verify that the sample report was successfully exported.
•Verify that the Mainspring Data Express software prerequisites were installed or configured correctly.
•Verify that you selected the correct Data Bridge Service Site for your geography.
•Verify that the External System Account Name and External System Account Authorization Code
match what was created in CareLink on the External System Accounts tab.
•Verify that you've selected True in the Use Specified Credentials field if the report destination requires
you to enter a Windows username and password. Then verify that the Windows username and password
were entered correctly in the Username and Password fields.
•Verify that the Connected Systems Gateway service was started.
Mainspring Report Export on CareLink
•Verify that you created an External System Account in CareLink.
•Verify that the created External System Account was configured to include Report Export external system
associations.
•Verify that Report Export was enabled on the External System Integration tab of the CareLink website.
•Verify that the Report Export file naming format was configured as desired.
CareLink EHR Integration
CareLink EHR Integration allows you to export patient data from the CareLink Network and import it into your
clinic's Electronic Health Records (EHR) system. This feature uses Mirth Connect to route the data exported
from the CareLink Network to your EHR.
There is a process to install and configure the Mainspring Report Export feature.
1. On the CareLink Network website, create an External System Account for Mainspring Data Express.
For that External System Account enable and configure the EHR Integration feature. For instructions
refer to the CareLink Network online Help.
2. On your network, install and configure the Mainspring Data Express software (install prerequisites first).
3. Enable the EHR Integration feature in Mainspring Data Express.
4. Install and configure the Mirth Connect software.
5. Test your configuration by putting it into Test on the CareLink Network and export data. After you have
tested your integration, move your configuration to Production on the CareLink Network. For instructions
refer to the CareLink Network online Help.
Configuring EHR Integration
1. To start Mainspring Data Express, go to Start > Programs > Medtronic Mainspring Data Express >
Medtronic Mainspring Data Express.
2. In the Medtronic Mainspring Data Express window, select EHR Integration and click Configurations.
The CareLink EHR Integration configuration window is displayed.
3. On the Configuration1 tab enter the applicable values for your CareLink implementation. Refer to the
CareLink EHR Integration Configuration Values table for more explanation on the fields.
4. If you have satellite clinics in CareLink you must have a separate Report Export configuration for each
clinic. Click Add to create additional configurations for other clinics.
5. Click OK.
You will need to install and configure Mirth Connect.
CareLink EHR Integration Configuration Values
This table explains the fields on the CareLink EHR Integration configuration window.
An optional field for entering the name of your configuration. Limit 15 configurations.Description1
2
3
4
5
6
7
Data Bridge
Service
Service Site
External System
Account Name
External System
Account
Authorization
Code
Document Folder
Location
Use Specified
Credentials
The name of the CareLink Data Bridge service the adapter will use.
The default is "Endpoint_CSA_basicHttpsBinding"
The path of the CareLink Data Bridge Service site that the adapter will use.Data Bridge
•To connect in the US and Canada select
https://cl-emr.medtroniccarelink.net/DataBridgeGateway/DataBridgeGatewayService.svc
•To connect in Europe and Asia select
http://cl-emr.europe.medtroniccarelink.net/DataBridgeGateway/DataBridgeGatewayService.svc
The account name used to connect to the CareLink system.This account name is created
and configured on the External System Accounts tab on the CareLink website.
The authorization code used to connect to the CareLink website.This authorization code
is configured on the External System Accounts tab on the CareLink website.
The file destination path where files will be written. On the CareLink website this is called
the document folder. The file destination path can be specified as a UNC path
(\\ComputerName\SharedFolder\Reports) or a mapped drive (z:\\computer\reports).
Using a mapped drive allows you to use a shorter file name but the computer hosting
Mainspring Data Express must have the network drive mapped to it.
A "True" value indicates that the Windows Username and Password field values should
be used as authentication credentials when accessing the destination path. A "False"
value indicates that a username and password are not required to access the destination
path.
10
11
Username8
Password9
Overwrite Existing
File(s)
Minimum Available
Disk Space
Mirth Inbound Path12
The default is "False".
When Use Specified Credentials is "True", this is the Windows username that will be
used when accessing the destination file system. The Windows username value should
follow the UPN (User Principal Name) format username@domain. For example
BSMITH@ENT.
When Use Specified Credentials is "True", this is the password associated to the Windows
Username that will be used when accessing the destination file system.
A "True" value indicates that the adapter will overwrite an existing file with a new file of
the same name. A "False" value indicates that the adapter will not overwrite an existing
file with a new file of the same name.
The default is "True".
The minimum amount of free space in MB on the destination file system required for the
adapter to initialize.
The default is "15" MB.
Specifies a file system path where HL7 messages will be available for Mirth Connect
software to use.
The file system path where Mirth is configured to write failed HL7 messages.Mirth Error Path13
The minimum amount of free space in MB on the file system specified in the Mirth Inbound
Path field, required for the adapter to initialize.
The default is "15" MB.
Installing and configuring Mirth Connect
After you have installed the Mainspring Data Express software and selected the EHR Integration feature, you
will need to install and configure Mirth Connect.
1. Browse to Resources\Mirth on the USB and double-click on
mirthconnect-2.2.1.5861.b1248-windows.exe.
2. In the Welcome to the Mirth Connect Setup Wizard window, click Next.
3. Read the license agreement, select I accept the agreement, and then click Next.
4. Select the destination directory and click Next.
5. Make sure all of the components are selected and then click Next.
6. Select the Start menu folder settings and then click Next.
7. Configure the network port settings and then click Next.
8. Configure your password requirements and then click Next.
9. Configure your server settings and then click Next.
10. Select Install service and then click Next.
11. Click Finish.
Mirth Connect has been installed.
12. In the system tray, right-click on the Mirth Connect Server Manager icon and select Show Manager.
The Mirth Connect Server Manager is displayed.
13. In the Mirth Connect Server Manager, click Administrator.
14. If a Security Information dialog box appears, click Run.The Mirth Server Manager is installed.
15. In the Mirth Connect Login dialog box, in the Username field enter "admin" and in the Password field
enter "admin".
16. Click Login.
The Welcome to Mirth Connect dialog box is displayed.
17. Create and enter a new username and password. Enter the other required information and then click
Finish.
18. In the Mirth Connect Administrator window, click Channels.
19. In the Channel Tasks pane, click Import Channel.An Open dialog box is displayed.
20. Select the File to MLLP.xml file located at the default path of C:\Program Files
(x86)\Medtronic\Connected Systems Gateway\HL7MLLPSubsystem.
The Edit Channel window is displayed.
21. Click the Destinations tab.
22. Enter the Host Address and Host Port that the HL7 message should be sent to.
25. Click the File to MLLP channel in the Channels pane, and then click Enable Channel from the Channel
Tasks pane.
The channel status is Enabled.
26. In the Channel Tasks pane, click Deploy Channel.The Dashboard shows that the File to MLLP status is "Started".
Troubleshooting EHR Integration
CareLink EHR Integration
•Verify that the Mainspring Data Express software prerequisites were installed or configured correctly.
•Verify that you selected the correct Data Bridge Service Site for your geography.
•Verify that the External System Account Name and External System Account Authorization Code
match what was created in CareLink on the External System Accounts tab.
•Verify that you've selected True in the Use Specified Credentials field if the report destination requires
you to enter a Windows username and password. Then verify that the Windows username and password
were entered correctly in the Username and Password fields.
•Verify that the Connected Systems Gateway service was started.
Mirth Connect
•Verify that the File to MLLP status is "Started".
•Verify that the Mirth Connect windows service status is "Started".
CareLink Integration Software Installation and Configuration Manual | Automatically Starting the Connected Systems Gateway
After Restart | 23
Automatically Starting the Connected Systems Gateway
After Restart
1. After you verify that your implementation was successful you can set this service to automatically connect.Go to Start > Control Panel > Administrative Tools > Services.
2. Right-click on the Connected Systems Gateway service and select Properties.
3. Select Automatic in the Startup type field. If you restart your computer this service will automatically