Caution: Federal law (USA) restricts this de vice to sale b y 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............................................................................................................5
Mainspring Data Express Software Prerequisites................................................................8
Installing Mainspring Data Express........................................................................................11
Paceart System Integration......................................................................................................15
Connectivity Guide | Contents | 3
Explanation of symbols.............................................................................................................5
Mainspring Data Express Version 8.0 to 9.0..............................................................223
Mainspring Data Express Version 7.0 to 8.0..............................................................224
Mainspring Data Express Version 6.0 to 7.0..............................................................225
Mainspring Data Express Version 5.0 to 6.0..............................................................226
Mainspring Data Express Version 4.0 to 5.0..............................................................233
Uninstalling Mainspring Data Express.................................................................................238
Connectivity Guide | Mainspring Data Express | 5
Mainspring Data Express
Mainspring – like the inner workings of a clock – it is the power source that f acilitates 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 Paceart System, the Medtronic CareLink Network, the CareLink Programmer, the Boston
Scientific LATITUDE® Patient Management system, the St. Jude Medical Merlin.net® Patient Care Network,
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 the
features.
Explanation of symbols
Symbol definitionSymbol
Consult instructions for use
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.
Storage temperature limit
Transit temperature limit
Humidity Limitation
6 | Connectivity Guide | Mainspring Data Express
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 integ ration 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 User
Manual or the Paceart Optima System Online Help.
Precautions
Symbol definitionSymbol
Software
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.
Connectivity Guide | Mainspring Data Express | 7
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.
8 | Connectivity Guide | Mainspring Data Express Software Prerequisites
Mainspring Data Express Software Prerequisites
Before you install and configure the Mainspring Data Express software you must install and Configure MS
Message Queuing.
Installation Prerequisites
First Time Installation
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.
•Create a Paceart System External System Account User and Role. For instructions refer to the Paceart
Optima System online Help.
•Install .Net Framework version 4.7.2 (or newer).
•Install and configure MS Message Queuing.
•If you will be using the EHR Integration f eature, install the Jav a Runtime Environment version 1.8 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 e xisting 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 sav ed and used in the new v ersion 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.
Connectivity Guide | Mainspring Data Express Software Prerequisites | 9
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.
1. From the Charms bar, click Settings.
2. Click Control Panel.
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 Queueing for Windows Server 2012,Windows
Server 2012 R2, and Windows Server 2016
Membership in the local Administrators group, or equivalent, is the minimum required to complete this
procedure.
1. Launch Server Manager.
2. In the Server Manager, click Add Roles and Features to start the Add Roles and Features Wizard.
3. Click Next until the Features page opens.
4. Expand Message Queuing, expand Message Queuing Services, and then select the Message Queuing
Server option.
5. Click Next, and then click Install.
6. If you are prompted to restart the computer, click OK to complete the installation.
Installing the Java Runtime Environment
If you will be installing the EHR Integration feature, you will need to install the Java Runtime Environment
version 1.8 or higher.
You do not need to be connected to the internet to install the files.
1. Insert the Mainspring Data Express software USB into your disk drive.
2. Browse to Resources\Mirth on the USB and double-click on jre-8u172-windows-i586.exe.
The installation wizard starts.
3. Click Install.
A progress window is displayed.
10 | Connectivity Guide | Mainspring Data Express Software Prerequisites
4. Once the installation is complete, click Close.
Installing .Net 4.7.2 Framework
You must have .Net 4.7.2 Framework (or newer) installed before you install the Mainspring Data Express
software.
You do not need to be connected to the internet to install the files.
1. Insert the Mainspring Data Express software USB into your disk drive.
2. Browse to Resources\.Net Framework on the USB and double-click on
NDP472-KB4054530-x86-x64-AllOS-ENU.exe.
3. Read the Microsoft license agreement and select I have read and ACCEPT the terms of the License
Agreement.
4. Click Install.
The .Net Framework will install. A progress bar shows the installation progress.
5. Once the setup is complete click Exit.
Stopping the Connected Systems Gateway Service
Before you install a ne w version of the Medtronic Mainspring Data Express software you must stop the e xisting
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.
Connectivity Guide | 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 and click
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 pre vious v ersion 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 e xit the installation wizard
and open the Medtronic Mainspring Data Express window.
12 | Connectivity Guide | 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.
Connectivity Guide | Installing Mainspring Data Express | 13
The configuration window for the feature you selected is displayed.
8. Make your configuration changes and clic k OK. Refer to the f ollowing sections for inf ormation 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, f ollow the installation steps in the Installing and ConfiguringMirth Connect section of this document to install and configure Mirth Connect.
If you selected HL7 Integration for the first time, f ollow the installation steps in the Installing the CorepointIntegration Engine section of this document.
Automatically Starting the Connected Systems Gateway After Restart
1. After you verify that your implementation was successful y ou 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.
14 | Connectivity Guide | Installing Mainspring Data Express
3. Select Automatic in the Startup type field. If you restart your computer this service will automatically
restart.
4. Click OK.
Log File Configuration
The default location for log files, depending on your operating system will be one of the following locations:
•For 32 bit operating systems the location is C:\Program Files\Medtronic\Connected SystemsGateway\Logs\.
•For 64 bit operating systems the location is C:\Program Files (x86)\Medtronic\ConnectedSystems Gateway\Logs.
The default log file retention count is 10.You can save up to 99 log files.
Connectivity Guide | Paceart System Integration | 15
Paceart System Integration
The Paceart System Integration section of Mainspring Data Express has the following features:
•CareLink Scheduling Integration: Allows y ou to exchange scheduling data betw een the CareLink Network
and the Paceart System.
•HL7 Integration: Allows you to import demographic information, scheduling information, and interrogated
device data using ORU^R01 messages that conform to the IHE IDCO profile, from electronic medical
record systems or practice management systems. Also allows you to export device data to electronic
medical record systems via HL7.
•Local Data Interface: Allows you to configure the service that receives patient session data transmitted
from local sources, such as a device programmer or Latitude.
•Local Data Interface Plus: Allows you to configure the service that receives patient session data transmitted
from local sources using a newer security model.
•CareLink Transmission Integration: Allows you to configure the service that imports patient session data
into the Paceart System from CareLink.
General Paceart System Settings
General Paceart System External System Account
This section gives you a simple way to configure a single account to use with all your all the integration
features.To enable this account for all Paceart System features, select the Use General Paceart ExternalSystem Account Settings check box on the feature-specific tab.To use different external system accounts
for each feature, clear the Use General Paceart External System Account Settings check box on the
feature-specific tab, then enter the Username and Password of the account.
Paceart Optima System Application Server
These settings contain information about the computer on which the Paceart Optima System Application
Server is installed. Mainspring Data Express communicates with the Paceart Optima System Application
Server using this hostname and port to exchange data between the Paceart System and external sources.
Configuring Paceart System Settings
General Paceart System Settings can be modified by editing the paths. For each of the P aceart Web Services,
the localhost need to be replaced with the hostname and port number.
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 at least one of the follo wing Paceart Integration
features and click Configurations:
•CareLink Scheduling Integration
•HL7 Integration
•Local Data Interface
•Local Data Interface Plus
•Remote Data Interface
•Data Bridge Gateway
The Paceart Integration configuration window is displayed.
16 | Connectivity Guide | Paceart System Integration
3. In the General Paceart Settings section, edit the settings as needed.
a) Update the Username and Password for the external system account set up in the Paceart System.
b) Change the Hostname to the domain name or IP address of the computer on which the P aceart Optima
System Application Server is installed.
c) Change the Port to the port number the Paceart Optima System Application Server uses on that
computer.The default value is 333.
4. Click OK.
Paceart System Integration Configuration Values
This table explains the fields under General Paceart Settings on the Paceart Integration configuration
window.
ExplanationField Name
General Paceart External System Account
Username
Password
Paceart Optima Application Server
Hostname
Port
The Paceart System External System Account username.This
username is defined in the Paceart System on the External System
Accounts tab.
The Paceart System External System Account password.This
password is defined in the Paceart System on the External System
Accounts tab.
The domain name or IP address of the computer on which the Paceart
Optima System Application Server is installed.
The port number the Paceart Optima System Application Server
domain interface uses.The default value is 333.
CareLink Scheduling Integration
The Paceart System-CareLink Scheduling Integration feature provides a way to automatically synchronize
scheduling between the CareLink Network and the Paceart System. If you schedule an appointment in
CareLink, it will be downloaded to the Paceart System; if y ou schedule an appointment in the Paceart System,
it will be sent to CareLink.
The Paceart System regularly requests status information for appointments scheduled in CareLink. Schedules
are either updated nightly or when a clinician makes a request from the Paceart System.
If an appointment is created in CareLink, CareLink retains ownership until the appointment is sent to the
Paceart System. Once the Paceart System is updated to reflect the CareLink Network appointment, the
appointment is owned by the Paceart System.
If a remote appointment is created or modified in the Paceart System, the appointment is automatically created
or updated in CareLink. Ownership of the appointment remains with the Paceart System.
The Paceart System receives appointment status information that reflects the last known status as reported
by CareLink.The remote status is displayed in patient appointment information on the Paceart System.The
Paceart System records the completion and failure status details of this information in its log.The Paceart
System scheduling requests that violate CareLink Network scheduling rules are displayed as errors in the
Paceart System Remote Status field.
When you schedule a remote appointment in the Paceart System, the Remote Status will show "Processing."
Once the appointment is successfully acknowledged by CareLink, the Remote Status will sho w "Scheduled."
Connectivity Guide | Paceart System Integration | 17
If the appointment is not successfully sent to CareLink or if CareLink reports an error, the Remote Status
will show "Error." An "Error" status can be manually changed to "Ignore." Once the transmission is received
by CareLink, the Remote Status will show "Completed." If CareLink determines that an appointment was
missed, the Remote Status will show "Missed".
Contact your Paceart technical support specialists regarding support for appointment scheduling transfers
on the Medtronic CareLink Network.
CareLink Scheduling Integration Prerequisites
Before you configure CareLink Scheduling Integration, you must complete the following prerequisite:
•On the CareLink website, create an External System Account for Mainspring Data Express and enable
the Scheduling Integration feature.
Before you use CareLink Scheduling Integration, you must ensure that the Paceart System patient records
and appointments meet the following criteria:
•The Paceart System patient record must have a birth date, a patient ID number, and a patient ID number
type.
•Appointments created or updated in the Paceart System must have the patient remote follow-up service
set to Medtronic CareLink Network, and the patient must have an active Medtronic ICD, ICM, or
pacemaker that is supported by the Medtronic CareLink Network.To find out if a device is supported, log
into CareLink and click Resources > CareLink Supported Implantable Devices.
Paceart System/CareLink patient matching for a single patient
The primary match is on the patient ID number, patient ID number type, and the birth date. If either of these
are not present in the Paceart System, appointments will not be sent to CareLink. If the patient ID number
and patient ID number type is not present in the CareLink system, a demographic match is performed.The
configurable matching criteria include first name, middle initial, and gender in addition to the last name and
birth date which are always used. If the demog raphic match succeeds, CareLink will record the patient number
so future matches will be simpler and quicker.
This matching is performed on CareLink and is used when adding, updating and removing appointments,
and when updating remote appointment status.
Paceart System/CareLink patient matching for a batch download
In this scenario, the Paceart System downloads a list of all CareLink patients and appointments and then
matches CareLink patients to Paceart System patients.The primary matching is on the patient ID number,
patient ID number type, and the birth date. If the patient ID n umber and ID number type is not present in the
CareLink system a much stricter demographic match is performed.This requires a match on the first name,
middle initial, last name, gender, and birth date.
Configuring CareLink Scheduling 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 CareLink Scheduling Integration and click
Configurations.
The Paceart Integration window is displayed.
3. On the CareLink Scheduling Integration tab, enter the applicab le values for y our CareLink implementation.
Refer to the CareLink Scheduling Integration Configuration V alues tab le for more e xplanation on the fields.
4. Click OK.
18 | Connectivity Guide | Paceart System Integration
This table explains the fields on the CareLink Scheduling Integration configuration tab.
ExplanationField name
CareLink Settings
CareLink Scheduling Service
CareLink Scheduling Service Site
External System Account Name
External System Authorization
Code
Send Patient First Name
Send Patient Middle Name
Send Patient Gender
Paceart Settings
Patient ID Type Description
The name of the CareLink scheduling service that the adapter will use.The default
value is "Endpoint_CSA_basicHttpsBinding".
The fully qualified path of the CareLink scheduling service that the adapter will use.
The default value is
"https://clscheduling.medtroniccarelink.net/SchedulingGateway/SchedulingGate wa y.svc".
The account name of the dedicated user that will be used to connect to the CareLink
Scheduling service.This account name is created and configured on the ExternalSystem Accounts tab on the CareLink website.
The account authorization code that will be used to authenticate the CareLink User
ID with the CareLink Scheduling service.This authorization code is created and
configured on the External System Accounts tab on the CareLink website.
A Boolean value indicating if the Patient First Name value is sent to CareLink. If
"True", it will be used by CareLink for patient matching.The default value is "True".
A Boolean value indicating if the Patient Middle Name value is sent to CareLink. If
"True", it will be used by CareLink for patient matching.The default value is "True".
A Boolean value indicating if the Patient Gender v alue is sent to CareLink. If "True",
it will be used by CareLink for patient matching.The default value is "True".
The Paceart Patient ID Type Description to associate with the CareLink Remote
Patient ID.The default value is "Default".
Appointment Resource
The Paceart Appointment Resource to associate with CareLink remote appointments.
The default value is "Default Resource".
Troubleshooting CareLink Scheduling Integration
Troubleshooting scheduling connectivity problems
CareLink
•Verify that the CareLink account used to connect to Mainspring Data Express has a Transmission
Permission selection of View changes transmission status from new to viewed.
•Verify that the CareLink account used to connect to Mainspring Data Express does not have an expired
password.
•If the CareLink clinic has sub-clinics, verify that the CareLink account used to connect to the Medtronic
Mainspring Data Express has access to the sub-clinics' patients integrated with the Paceart System.
•Verify that you created an External System Account in CareLink.
•V erify that the created External System Account was configured to include Scheduling Integration external
system associations.
•Verify that scheduling integration has not been unlinked and verify the "Last Connected on" date/time
displayed. Go to the CareLink Network website and click Manage My Clinic > Clinic Profile > ExternalSystems Integration.
Connectivity Guide | Paceart System Integration | 19
Paceart
•V erify the Paceart External System Account password associated with the Mainspring Data Express user .
•V erify that the patient's Demographics tab in the Paceart System has the patient remote follow-up service
set to Medtronic CareLink Network, and that the patient has a Medtronic ICD or pacemaker that is
supported by the Medtronic CareLink Network.To vie w the CareLink Network supported devices list, login
to the CareLink website and go to Resources > CareLink Supported Implantable Devices.
•Verify that the Paceart System patient record has a date of birth and a valid patient ID number.
Mainspring Data Express
•Verify that the Mainspring Data Express software and features were properly installed and configured.
•V erify that the correct CareLink hosting system was entered in the CareLink Scheduling Integration tab
of the Paceart Integration dialog box.The CareLink hosting system must match what was entered in the
Remote Data Interface tab.To verify these details, the Remote Data Interface f eature should be selected
in the Medtronic Mainspring Data Express window.
•Verify that the Connected Systems Gateway service was started.
Paceart Optima System HL7 Integration
Viewing and Resolving Errors
In the Paceart Optima System, you can view and resolve HL7 errors in Administration > Activity Log.The
Patient Management service logs all patient information changes from the HL7 protocol. Any additions,
deletions, and updates to patient records from HL7-based systems are logged under this service in the Activity
Log. In some instances, a work item is created and requires a Paceart System user or workgroup to resolve
the issue.
For a complete list of Activity Log Results, refer to the Paceart Optima System Software User Manual or the
Paceart Optima System online Help.
Paceart Optima System Patient ID Configuration
In the Paceart Optima System, a patient can have multiple patient IDs.You can configure patient IDs on the
Administration > Demographics > Patient ID Type tab. Matching an inbound patient ID involves matching
both the ID number and the ID type. By def ault, the Paceart System matches the first occurrence of the PID-3
segment to patient ID number and patient ID type.
For example, your Paceart Optima System has a patient ID type called "EMR".
You receive the following PID segment in an HL7 message:
PID|||1335579^^^^EMR~654321^^^^MRN|
This would match a patient in the Paceart System with an "EMR" type ID and a patient ID number of "1335579".
20 | Connectivity Guide | Paceart System Integration
Paceart Optima System Patient Matching Configuration
In the Paceart Optima System, you must configure patient matching on the Administration > Connectivity
Management > Patient Matching Configuration tab.
Patient matching is initially based on the patient ID only.Y ou can configure a second le v el of patient matching
in the Verify Patient Match Configuration section. If a patient match cannot be made using the patient ID,
matching can also be configured based on patient demographic information in the Demographics OnlyMatch Configuration section.These levels of matching can determine when a new patient is created in the
Paceart System, when an error is logged, and when a work item is created.
For more information on configuring Paceart Optima System patient matching, refer to the Paceart OptimaSystem Software User Manual or the Paceart Optima System online Help.
Configuring Paceart HL7 Integration
1. To start Mainspring Data Express, click Start > Programs > Medtronic Mainspring Data Express >
Medtronic Mainspring Data Express.
2. In the Medtronic Mainspring Data Express window, select HL7 Integration and click Configurations.The Paceart Integration configuration window is displayed.
3. In the HL7 Integration tab, enter the values for your configuration.
4. Click OK to close the Paceart Integration configuration window.
HL7 Integration Configuration Values
This table explains the fields on the HL7 Integration configuration tab.
ExplanationField name
HL7 Outbound
Outbound Include Episode Observations
Boolean value providing an option to include episode data in the HL7
message sent to the receiving system. Inclusion of this data ma y add
to the size of the message.
The default value is "False" (do not send episode data).
Include Nonconforming Data
Boolean value providing an option to include nonconforming data in
the HL7 message sent to the receiving system. Inclusion of this data
may add to the size of the message.
The default value is "True".
Connectivity Guide | Paceart System Integration | 21
ExplanationField name
Include IDCO Nonconforming Data
Include Medtronic OBX Segments
Include PV2 Segment
Paceart
Paceart XML Version
Boolean value providing an option to include IDCO nonconforming
data in the HL7 message sent to the receiving system. Inclusion of
this data may add to the size of the message.
The default value is "True".
Boolean value providing an option to include Medtronic OBX segments
in the HL7 message sent to the receiving system. Inclusion of this
data may add to the size of the message.
The default value is "True".
Boolean value providing an option to include the PV2 segment in the
HL7 message sent to the receiving system. Inclusion of this data ma y
add to the size of the message.
The default value is "True".
The version of Paceart XML that will be exported from the Paceart
System to HL7.This value is for reference only and cannot be edited.
Installing the Corepoint Integration Engine
If you selected the Paceart HL7 Integration feature, the Corepoint Integration Engine needs to be installed.
If you have a previous version of NeoIntegrate installed, you need to remove it and install the Corepoint
Integration Engine.
1. On the Corepoint Health Solutions - InstallShield Wizard window, click Next.
2. Read the license agreement. Click Next to accept it.
3. Specify a destination folder. Click Change to change the default location, and then click Next.
4. Select the type of installation you want and click Next.
5. Select the type of authentication you want and click Next.
6. Specify the administrator password or Windows user depending on what authentication type was selected.
7. Click Install to install the Corepoint Integration Engine.
8. When the installation is complete, you can launch the license manager. If you already have your licensestring select this option and click Finish.
Note: If you do not have your license string deselect the Launch the License Manager option and call
Paceart Technical Support for licensing information.
After you click Finish, the Log On dialog is displa yed.The Medtronic Mainspring Data Express window
also opens in front of the Log On dialog. Move the window out of the way.
9. Enter the username and password you specified in step 6, and then click OK.
10. On the LicenseManager window, click License wizard.
The License Wizard starts.
11. Click Next.
12. Select the Request a license using a product key option, and then click Next.
13. On the Machine description dialog box, enter a description of how this license is used, and then click
Next.
For example, "St. Elsewhere Hospital Production Server"
14. On the Connection and login information dialog box, enter the Web login provided by Operations and
Technical Services and connection details and click Next.
22 | Connectivity Guide | Paceart System Integration
15. Click Connect to contact Corepointhealth.com to obtain your license.
16. After you have connected to Corepointhealth.com click Next.
17. Click Finish.
18. On the LicenseManager window, click Exit.
19. After exiting the license manager , you can load the Corepoint Health configuration import/export file. Runthe Corepoint Integration Engine Administration console by clicking Start > All Programs > Corepoint
Health > Corepoint Integration Engine > Corepoint Integration Engine - Administration.
20. Enter the user name and password you specified when installing the Corepoint Integration Engine and
click OK.
The Corepoint Integration Engine Administration Console window is displayed.
21. Ensure that the Integration Engine Service is started.
22. Close the Corepoint Integration Engine Administration Console window.
23. Open the Corepoint Integration Engine Configuration console by clic king Start > All Programs > Corepoint
Health > Corepoint Integration Engine > Corepoint Integration Engine - Configuration.
24. Enter the user name and password you specified when installing the Corepoint Integration Engine and
click OK.
The Corepoint Integration Engine Configuration window is displayed.
25. Click File > Import.
The Open File window is displayed.
26. Navigate to the configuration file folder at C:\Program Files (x86)\Medtronic\Connected
Systems Gateway\HL7SubSystem.
27. Double-click the HL7 Source and Destination Transformation.nix file.
The Import selected components window is displayed.
28. Select all of the components and click Import.
29. Click OK after the components have been loaded.
30. Commit the update to the Corepoint Integration Engine by clicking Version > Commit All...The Commit Changes dialog box is displayed.
31. Click Commit and Activate at the bottom of the dialog box.
32. When the Confirm Engine Reconfiguration dialog box is displayed, click Commit and Activate again
to confirm your changes.
The Corepoint Integration Engine pauses and restarts to commit the update.
33. Close the Corepoint Integration Engine Configuration window.
Troubleshooting Paceart HL7 Integration
Troubleshooting Paceart HL7 integration problems
Paceart
•V erify the Paceart External System Account password associated with the Mainspring Data Express user .
•Verify that the Paceart System patient record has a date of birth and a valid patient ID number.
Mainspring Data Express
•Verify that the Mainspring Data Express software and features were properly installed and configured.
•Verify that the Connected Systems Gateway service was started.
Programmer Acquisition service cannot start Event Log message
If in the Event Log for the Progr ammer Acquisition service you receive an error message that says "Progr ammer
Acquisition service cannot start", you need to change the Corepoint Integration Engine port value.
Connectivity Guide | Paceart System Integration | 23
2. Click Service > Corepoint Integration Engine Monitor Service Configuration.
The Corepoint Integration Engine Monitor Service Configuration window is displayed.
3. Change the port value.
4. Click OK.
Local Data Interface
The Local Data Interface allows you to configure the service that receives patient session data transmitted
from local sources, such as a programmer or LATITUDE.You can start and stop the service, configure
advanced options, and enable or disable transmissions from enabled sources.
Updating the Local Data Interface Port Number
The value in the Port field on the Local Data Interface tab identifies the port Mainspring Data Express uses
to receive data from local sources.This value must match the value of the port configured for the progr ammer
or for LATITUDE.
1. If needed, change the value in the Port field to match the port configured for the local source.The default
value is 443.
2. Click OK to save your changes.
Local Data Interface Extended Configurations
This table explains the fields on the LDI Extended Configurations window.
ExplanationField name
Manufacturer Name
Encounter Type
Username
Password
The manufacturer name of the data provided by a specific system.
For example, "Medtronic".
The type of data provided by a specific system.The default value is
"InClinic".
The username for a user-defined local data interface extended
configuration.
The password for a user-defined local data interface extended
configuration.
Local Data Interface certificate installation
The digital certificate allows a secure connection to be established between a data import source and the
Paceart System.You must complete the certificate installation before y ou can import data from other sources.
You will generate a certificate request that you will email to Paceart Technical Support.Then Technical
Support will email you back the certificate file that you will import into your system and install.
If you have questions please call Paceart Technical Support.
Installing the Certificate
1. On the Local Data Interface tab, click Generate Request.
24 | Connectivity Guide | Paceart System Integration
The Export Certificate Request window is displayed.
2. In the Customer Information section, enter your information in the following required fields:
•Organization
•State or Province
•Country
3. In the Contact Information section, enter your information in the following required field:
•Email - must be in standard email format (the certificate will be emailed to this email address)
4. In the Public Key Information section, select the desired key length.
5. From the Server Addressing section, select how you would like the data import source to address theLocal Data Interface. Select the check box next to Host Name or IP Address.
6. Click Export Certificate Request to a File.
7. Select the location where you would like to save the certificate request file.You must save to a location
that can be accessed by a workstation or computer that has email.The default file location is
C:\PaceartGatewayCertificateRequest.McertReq.
8. Once the file has been successfully exported, click OK.
9. Send an e-mail with the exported certificate request file to Paceart Technical Support at
CertSupport@Medtronic.com.
10. Technical Support will then send the certificate file to the email address you specified.
Note: Some days may elapse before you receiv e the certificate.The certificate is usually sent out within
one business day.
11. Save the certificate file to a location that is accessible from the Paceart System computer.The default
filename is C:\PaceartGatewayCertificate.MCert.
12. Click Install Certificate.
13. Find and select the file using the standard Windows dialog and click Open.
14. If you have completed the installation successfully, the Digital Certificate section will display Digital
Certificate has been installed. If you receive an error message, call Paceart Technical Support.
Enabling a data import source
You must install the certificate before you can enable a source for data import.
1. Click on the source ID listed in the Available for Data Import table to select it.
2. Click Add.
3. The source ID will now be in the Enabled for Data Import table.
4. Click OK for the changes to take effect.This source is now able to import data to the Paceart System.
Local Data Interface Plus
The Local Data Interface Plus allows you to configure the service that receives patient session data tr ansmitted
from local sources using a newer security model and technologies.You can start and stop the service,
configure advanced options, and enable or disable transmissions from enabled clients.
Connectivity Guide | Paceart System Integration | 25
Updating the Local Data Interface Plus Port Number
The value in the Port field on the Local Data Interface Plus tab identifies the port Mainspring Data Express
uses to receive data from local sources.This value must match the value of the port configured for the clients
connecting to the Local Data Interface Plus.This value cannot be the same value that is configured for the
Local Data Interface if that feature is also enabled.
1. If needed, change the value in the Port field to match the port configured for the local source.The default
value is 334.
2. Click OK to save your changes.
Local Data Interface Plus certificate installation
The digital certificate allows a secure connection to be established between a data import source and the
Paceart System.You must complete the certificate installation before y ou can import data from other sources.
You may select an existing certificate in the personal store on the local computer or generate a certificate
request that you will send to a third-party certificate authority. If you generate a certificate request, the
third-party certificate authority will return to you the certificate file that you need to import into your system
and install.
If you have questions please call Paceart Technical Support.
Selecting an Existing Certificate
1. On the Local Data Interface Plus tab, click Select Existing Cert.
A Digital Certificate selection dialog will displayed for the personal store of the local machine.
2. Select the desired Digital Certificate and click OK.
3. If you have completed the installation successfully, the Digital Certificate section will display details about
the installed digital certificate. If you receive an error message, call Paceart Technical Support.
Installing a New Certificate
1. On the Local Data Interface Plus tab, click Create Cert Request.
The Export Certificate Request window is displayed.
2. In the Customer Information section, enter your information in the following required fields:
•Organization
•Organizational Unit
•City/Locality
•State or Province (do not abbreviate)
•Country
3. In the Contact Information section, enter your information in the following required field:
•Email - must be in standard email format
4. From the Server Addressing section, enter how you would like the data import source to address the
Local Data Interface Plus.The default, and most commonly used, is the fully qualified domain name of
the machine.
5. In the Public Key Information section, select the desired key length.
Note: Larger public key sizes increase security, but can affect performance.
6. Click Export Certificate Request to a File.
26 | Connectivity Guide | Paceart System Integration
7. Select the location where you would like to save the certificate request file.The default file location is
C:\CertReq.txt.
8. Once the file has been successfully exported, click OK.
9. Send the certificate request to the third-party certificate authority to be processed.
10. The third-party certificate authority will then return a certificate file to you.This is typically a *.cer or
*.crt file.
11. Save the certificate file to a location that is accessible from the Paceart System computer.
12. Click Complete Cert Request.
13. Find and select the file using the standard Windows dialog and click Open.
14. If you have completed the installation successfully, the Digital Certificate section will display details aboutthe installed Digital Certificate. If you receive an error message, call Paceart Technical Support.
Enabling a data import source
You must install the certificate before you can enable a source for data import.
1. Click on the Client ID listed in the Unauthorized Clients table to select it.
2. Verify it is the same Client ID and Username listed on the Clients User Interface.
3. Click Add.
The Client ID is added to the Authorized Clients table.
4. Click OK for the changes to take effect.This client is now able to import data to the Paceart System.
CareLink Transmission Integration
The CareLink Transmission Integration options control how the Paceart Optima System receives transmissions
from the CareLink Network through Mainspring Data Express.
•Configure the Remote Data Interface service to import patient session data from the CareLink Network
upon request by the Paceart System.
The Remote Data Interface service allows patient session data to be imported from Carelink when requested
from within the Paceart Optima System.This service also allows you to import historical transmissions
from CareLink over the period you specify.
•Configure the Data Bridge Gateway service to export patient session data from the CareLink Network and
import it into the Paceart Optima System.
Remote Data Interface
The Remote Data Interface allows you to configure the service that imports patient session data from remote
sources, such as the Medtronic CareLink Network.You can start and stop the service, specify the polling
interval, select the service's auto start options, and configure the login information for remote follow-up
services.
Configuring Remote Data Interface
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 Remote Data Interface and click
Configurations.
Connectivity Guide | Paceart System Integration | 27
The Paceart Integration configuration window is displayed.
3. On the Remote Data Interface tab enter the applicable values for your implementation. Refer to the
Remote Data Interface Configuration Values table for more explanation on the fields.
4. If you receive data from more than one remote system, you m ust ha v e a separ ate Remote Data Interface
configuration for each system. Click Ad d to create additional configurations for additional remote systems .
You can create up to 5 configurations.
5. Click OK.
Remote Data Interface Configuration Values
This table explains the fields on the Remote Data Interface configuration tab.
ExplanationField name
Carelink 1
Data Service
The name of the service.The default value is
"Endpoint_CSA_basicHttpsBinding".
28 | Connectivity Guide | Paceart System Integration
ExplanationField name
Data Service Site
System Account Name
System Account Access Code
Manufacturer Name
Application ID
Encounter Type
Clinic Request (Days of History)
The URL to access the data service(s) of a specific system. For
CareLink, this is referred to as the Transmission Gateway Service.
The account name used to connect to the CareLink system.This
account name is created and configured on the External SystemAccounts 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 manufacturer name of the data provided by a specific system.
For CareLink, this value is "Medtronic".
The name of the external system. For CareLink, this value is
"CareLink".
The type of data provided by a specific system. For CareLink, this
value is "Remote".
The value indicating how many days of history to request from the
external system.The default value is 7.
Enabling remote data acquisition in the Paceart System
After you have configured Remote Data Interface for Mainspring Data Express, you need to enable remote
data acquisition in the Paceart System.
1. Log in to the Paceart System.
2. Use the connectivity tools available in the Paceart System administration to set up remote encounter
acquisition.You can enable remote encounter acquisition and set up nightly imports.
For instructions, refer to the Paceart Optima System online Help or the Paceart Optima System Software
User Manual.
Data Bridge Gateway
The CareLink Data Bridge Gateway allows y ou to e xport patient session data from the CareLink Network and
import it into your Paceart Optima System.
When a CareLink Clinic Administrator enables the EHR Integration feature, an External System Account is
created that has privileges to retrieve data for that clinic.These External System Account credentials are
used by Mainspring Data Express to access the Data Bridge Gateway.
Enabling Data Bridge Gateway Integration in CareLink
Before you can configure the Data Bridge Gatew ay integration, y ou need to set up an external system account
for Mainspring Data Express in the CareLink Network.
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.
The EHR Integration feature in CareLink sets up the credentials needed for Mainspring Data Express to
access the Data Bridge Gateway and retrieve patient session data.
2. On your network, install and configure the Mainspring Data Express software (install prerequisites first).
Connectivity Guide | Paceart System Integration | 29
3. Enable and configure the Data Bridge Gateway feature in Mainspring Data Express.
4. Test your configuration by putting it into Test on the CareLink Network and export data. After you have
tested your integration, mov e your configuration to Pr oduction on the CareLink Network. F or instructions,
refer to the CareLink network online Help.
Configuring Data Bridge Gateway
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 Data Bridge Gateway and click
Configurations.
The Paceart Integration configuration window is displayed.
3. On the CareLink DataBridge Gateway tab, enter the applicable values for your implementation. Refer
to the CareLink DataBridge Gateway Configuration Values table for more explanation on the fields.
4. If you receive data from more than one remote CareLink Network system, you m ust hav e a separate Data
Bridge Gateway configuration f or each system. Click Add to create additional configurations f or additional
remote systems.You can create up to 15 configurations.
5. Click OK.
30 | Connectivity Guide | Paceart System Integration
CareLink DataBridge Gateway Configuration Values
This table explains the fields on the Data Bridge Gateway configuration tab.
ExplanationField Name
Configuration 1
Description
Data Bridge Service
Data Bridge Service Site
External System Account Name
External System Account
Authorization Code
An optional field for entering the name of your configuration. Limit 15
configurations.
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.
•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 SystemAccounts 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.
Troubleshooting Data Bridge Gateway 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 Windo ws username and pass w ord.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.
Paceart Integration
•V erify the Paceart External System Account password associated with the Mainspring Data Express user .
Mainspring Health Interface
The Mainspring Health Interface allows you to configure the service that sends Mainspring health information
to the Paceart Optima System.This information includes which Mainspring features are enabled, which of
those enabled features are running and which of them are down, and Digital Certificate management messages.
Connectivity Guide | Paceart System Integration | 31
Configuring Mainspring Health Interface
1. To start Mainspring Data Express, go to Start > Programs > Medtronic Mainspring Data Express >
Medtronic Mainspring Data Express.
In the Medtronic Mainspring Data Express window, if any of the Paceart Integration features are
enabled, the Mainspring Health Interface is also enabled.
2. Click Configurations
The Paceart Integration configuration window is displayed.
3. In the Mainspring Health Interface tab, enter the values for your configuration.
4. Click OK to close the Paceart Integration configuration window.
Mainspring Health Interface Configuration Values
This table explains the fields on the Mainspring Health Interface configuration tab.
ExplanationField Name
Mainspring Server Name
This value is the name of the Windows machine that Mainspring is
running on.The default value is the machine's short name.
32 | Connectivity Guide | CareLink Integration
CareLink Integration
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 e xport 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, y ou can use a default file naming f ormat, 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 EHR Export feature with the Report Export option 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.
Connectivity Guide | CareLink Integration | 33
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.
34 | Connectivity Guide | CareLink Integration
5. Click OK.
CareLink Report Export Configuration Values
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.
number
Connectivity Guide | CareLink Integration | 35
ExplanationField nameCallout
Description1
Data Bridge Service2
3
4
5
Data Bridge Service
Site
External System
Account Name
External System
Account Authorization
Code
File Folder Location6
An optional field for entering the name of your configuration. Limit 15
configurations.
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.
•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.
7
10
Use Specified
Credentials
Username8
Password9
Overwrite Existing
File(s)
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 "T rue", 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".
36 | Connectivity Guide | CareLink Integration
number
ExplanationField nameCallout
11
Minimum Available
Disk Space
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 Yes 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 v erify that the sample report was successfully exported.
Troubleshooting Report Export
CareLink Report Export
•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 Windo ws username and pass w ord.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.
•V erify 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 e xport 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.
Connectivity Guide | CareLink Integration | 37
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, mov e y our configuration to Pr oduction on the CareLink Netw ork. 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.
38 | Connectivity Guide | CareLink Integration
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.
Connectivity Guide | CareLink Integration | 39
40 | Connectivity Guide | CareLink Integration
number
ExplanationField nameCallout
Description1
Data Bridge Service2
Data Bridge Service Site3
4
5
External System Account
Name
External System Account
Authorization Code
Document Folder Location6
An optional field for entering the name of your configuration. Limit 15
configurations.
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.
•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.
11
Use Specified Credentials7
Username8
Password9
Overwrite Existing File(s)10
Minimum Available Disk
Space
A "True" value indicates that the Windows Username and Password field
values should be used as authentication credentials when accessing the
destination path. A "F alse" v alue 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 "T rue", this is the pass word 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 e xisting 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.
number
Connectivity Guide | CareLink Integration | 41
ExplanationField nameCallout
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.
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.
14
Mirth Inbound Path12
Mirth Error Path13
Minimum Available Disk
Space
Installing and configuring Mirth Connect
After you have installed the Mainspring Data Express software and selected the EHR Integ ration f eature, y ou
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.
42 | Connectivity Guide | CareLink Integration
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.
23. Click Save Changes.
24. In the Mirth Connect pane, click Channels.
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 Windo ws username and pass w ord.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".
Connectivity Guide | HL7 Integration | 43
HL7 Integration
The Medtronic CareLink Network and the Paceart System support the HL7 protocol which allows those
systems to integrate with your e xisting HL7-based Electronic Health Record (EHR) and Practice Management
Systems.This allows you to import patient demographic information, scheduling information, and interrogated
device data that conforms to the IHE IDCO profile into the Paceart System. And allows you to export
transtelephonic, in-clinic, and remote encounter data from the Paceart System and CareLink to your EHR
system.
If you want to integrate Merlin.net into your Paceart System, you can do so with an HL7 ORU message that
conforms to the IDCO profile.
The information contained in this section assumes an understanding of the HL7 Message Specification and
a working knowledge of the Paceart System.
Inbound Messages
The Paceart System integrates with the HL7 protocol for inbound messages from external systems to the
Paceart System by mapping HL7 values to Paceart System parameters.
Inbound Patient Administration Messages (ADT)
The Medtronic Mainspring Data Express HL7 integration can receive demographic information from any
system or interface engine that is using HL7 messaging.This feature allows f or consistent patient demographic
information across systems and reduces duplication of data entry.
The patient administration transaction set provides for the transmission of new or updated demographic
information about patients. Information that is entered in a patient administration system can be passed to
the Paceart System as an unsolicited HL7 message.
The Medtronic Mainspring Data Express HL7 integration supports a wide array of ADT trigger events to allow
you to configure the HL7 integration to capture the desired changes to patient demographic information.
Table : Supported HL7 ADT Triggers
The Patient Add, Patient Update, or Patient Add-Update Paceart System requests can be configured for the
A04, A08, and A28 messages. Patient Update is most often used.
Adds the patient to the Paceart System if there is no matching patient record
found.
44 | Connectivity Guide | HL7 Integration
DescriptionPaceart Request
Patient Update
Patient Add-Update
Patient Delete
Updates the patient record if a single matching patient is found in the P aceart
System.
Adds the patient to the Paceart System if there is no matching patient record
found. Updates the patient record if a single matching patient is found in the
Paceart System.
Deletes the patient from the Paceart System only if a single matching patient
is found, and the P aceart System patient record does not have any associated
device, encounter, or appointment.
Changes the specified patient ID if a single matching patient is found.Patient Change ID
Inbound Patient Administration Message Segments
PID - Patient Identification Segment
The PID segment provides important identification information about the patient and is used as the primary
means of communicating the identifying and demographic information about a patient between systems.
The MRG segment provides receiving applications with information necessary to update patient ID data.
OccurrenceSub-componentComponentField
1N/A1MRG-1
1N/A5MRG-1
IN1 - Insurance Segment
The IN1 segment is used to communicate information about a patient's insurance.
Parameter
Name
Value
Type
Description
Parameter
Type
N/AString 6Patient Code
N/AString 6Patient Code
N/AString 6Patient Code
Paceart
values
N/AString 50Patient ID
N/AString 50Patient ID
Connectivity Guide | HL7 Integration | 47
ComponentField
component
OccurrenceSub-
N/AN/AN/AIN1-3
N/AN/AN/AIN1-4
N/AN/AN/AIN1-8
N/AN/AN/AIN1-11
N/AN/AN/AIN1-12
N/AN/AN/AIN1-15
Parameter
Name
Company
Code
Company
Name
Insurance
Policy
Number
Insurance
Policy Holder
Employer
Insurance
Effective Date
Insurance
Type
Parameter
Type
ENUMPatient
Paceart
values
N/AString 60Insurance
N/AString 50Insurance
N/AString 20Patient
N/AString 50Patient
N/ADatePatient
PRIMARY,
SECONDAR Y,
OTHER
N/AN/AN/AIN1-16
Insurance
Policy Holder
Name
N/AN/AN/AIN1-36
Insurance
Policy Holder
Certificate
Number
N/AN/AN/AIN1-49
Insurance
Policy Holder
Social
Security
Number
N/AN/AN/AN/A
Insurance
Status
ENUMPatient
N/AString 50Patient
N/AString 20Patient
N/AString 11Patient
ACTIVE,
INACTIVE
Inbound Scheduling Messages (SIU)
The Medtronic Mainspring Data Express HL7 integration can accept unsolicited schedule notification messages
(SIU) from a scheduling filler application.The HL7 standard defines four roles that the system can assume
in scheduling integration.The Paceart System operates as an Auxiliary application or an "interested third-party."
This allows for e xisting scheduling systems to serve as the Filler application and to send schedule notification
messages to the Paceart System.The Filler application is said to own the schedule for the specified resources
meaning it is the authoritative source for scheduling information.
48 | Connectivity Guide | HL7 Integration
Supported Transaction Types
The schedule notification messages can be processed to not only create, delete, cancel, and modify
appointments in the Paceart System, but also can be used to add or modify patient information.This allows
for a patient to be added to the Paceart System based on their first appointment with a clinic.
Updating, rescheduling, deleting, or canceling, an appointment can only be performed as long as the
appointment exists in Paceart.
A single matching Paceart System appointment for a single matching patient is said to exist if the Appointment
External ID is the same as the Request Appointment External ID (matching appointment is found by ID) or
there is an appointment with the same start date, time, and appointment type (matching appointment is found
by start date, time, and type).
Creates a new appointment in the Paceart System if the appointment ID does not already
exist in the Paceart System. If the appointment does exist then no appointment will be
added.
Modifies the appointment in the Paceart System if the appointment ID already exists in
the Paceart System.
Updates the appointment information in the Paceart System if the appointment exists in
the Paceart System.
If the appointment does not exist in the P aceart System, then it creates a new appointment
in the Paceart System.
Cancels/Removes the appointment in the P aceart System if the appointment ID already
exists in the Paceart System.
Deletes the appointment in the Paceart System if the appointment ID already exists in
the Paceart System.
Inbound Scheduling Segments
The schedule notification message should contain information on what type of appointment has been booked.
The information can be transformed in the message to map to one of the following values. If no encounter
type information is availab le in the scheduling messages , the appointment will fail to add/update the Paceart
System database.
Connectivity Guide | HL7 Integration | 49
SCH - Schedule Activity Information
The SCH segment contains general information about a scheduled appointment.
Paceart valuesParameter T ypeParameter NameOccurrenceSub-componentComponentField
N/AString 75Appointment IDN/AN/A1SCH-1
N/AN/A1SCH-2
N/AN/AN/ASCH-9
N/AN/A4SCH-11
NTE - Notes and Comments
The NTE segment is an optional segment used to provide notes and comments.
The PID segment provides important identification information about the patient and is used as the primary
means of communicating the identifying and demographic information about a patient between systems.
The PV2 segment is a continuation of visit-specific information contained in the PV1 segment.
OccurrenceSub-componentComponentField
1N/A1PV2-7
2N/A1PV2-7
3N/A1PV2-7
4N/A1PV2-7
AIG - General Resource Segment
The AIG segment contains information about various kinds of resources that can be scheduled.
OccurrenceSub-componentComponentField
Parameter
Name
Value 1
Value 2
Value 3
Value 4
Parameter
Name
Parameter
Type
Parameter
Type
Paceart
values
N/AString 6Patient Code
N/AString 6Patient Code
N/AString 6Patient Code
N/AString 6Patient Code
N/AString 50Appointment
Paceart
values
N/AN/A1AIG-3
Resource
N/AReference_OnlyAppointment
52 | Connectivity Guide | HL7 Integration
Inbound Observation Requests (ORU)
The ORU-R01 message transmits observations and results. Mainspring Data Express and the P aceart Optima
System comply with the IDCO standard for how to use an HL7 OR U message for implantable cardiac device
observations.
Table : Supported HL7 ORU Triggers
Paceart RequestHL7 Message
Transmission DataORU^R01
DescriptionPaceart Request
Sends transmission data from one system to another system.Transmission Data
Inbound Observation Requests Segments
MSH - Message Header
The MSH segment is present in every HL7 message type and defines the message's source, purpose,
destination, and certain syntax specifics like delimiters (separator characters) and character sets.
The PID segment provides important identification information about the patient and is used as the primary
means of communicating the identifying and demographic information about a patient between systems.
Measured
Tachycardia
Therapy Counters
Lifetime Right
Ventricle ATP
Delivered
MDC_IDC_STAT_TACHYTHERAPY_TOTAL_DTM_START737921
Measured
Tachycardia
Therapy Counters
Lifetime Start Date
MDC_IDC_STAT_TACHYTHERAPY_TOTAL_DTM_END737922
Measured
Tachycardia
Therapy Counters
Lifetime End Date
MDC_IDC_STAT_TACHYTHERAPY_RECENT_DTM_START737937
Measured
Tachycardia
Therapy Counters
Since Last Counter
Reset Start Date
Parameter
Type
IntegerEncounter
DateTimeEncounter
DateTimeEncounter
DateTimeEncounter
MDC_IDC_STAT_TACHYTHERAPY_RECENT_DTM_END737938
when 737984^MDC_IDC_STAT_EPISODE_VENDOR_TYPE^MDC has OBX-5 value of 773124^STJ-Epis_VT1^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
when 737984^MDC_IDC_STAT_EPISODE_VENDOR_TYPE^MDC has OBX-5 value of 773125^STJ-Epis_VT2^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
DateTimeEncounter
Measured
Tachycardia
Therapy Counters
Since Last Counter
Reset End Date
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VT1 Monitor
Episode Count or
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VT1 Episode
Count
Encounter
Measured
Connectivity Guide | HL7 Integration | 87
PaceartIDCO
Parameter NameSupported Values (OBX 5)OBX 3-2OBX
3-1
Tachycardia
Detection Counters
Since Last Counter
Reset VT2 Monitor
Episode Count or
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VT2 Episode
Count
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754881^MDC_IDC_ENUM_EPISODE_TYPE_Epis_VF^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VF VT
Episode Count
Parameter
Type
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754882^MDC_IDC_ENUM_EPISODE_TYPE_Epis_VT^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754883^MDC_IDC_ENUM_EPISODE_TYPE_Epis_ATAF^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754884^MDC_IDC_ENUM_EPISODE_TYPE_Epis_SVT^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VT Episode
Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset AF AT
Episode Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset SVT Episode
Count
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754885^MDC_IDC_ENUM_EPISODE_TYPE_Epis_Monitor^MDC
88 | Connectivity Guide | HL7 Integration
PaceartIDCO
3-1
Parameter NameSupported Values (OBX 5)OBX 3-2OBX
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VF VT
Monitor Episode
Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset VT Monitor
Episode Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset AF AT
Monitor Episode
Count
Parameter
Type
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754886^MDC_IDC_ENUM_EPISODE_TYPE_Epis_PeriodicEGM^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
when 737952^MDC_IDC_ST AT_EPISODE_TYPE^MDC has OBX-5 value of 754887^MDC_IDC_ENUM_EPISODE_TYPE_Epis_P atientActiv ated^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
when 737952^MDC_IDC_STAT_EPISODE_TYPE^MDC has OBX-5 value of 754888^MDC_IDC_ENUM_EPISODE_TYPE_Epis_Other^MDC
MDC_IDC_STAT_EPISODE_RECENT_COUNT738000
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset Periodic
Episode Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset Patient
Activated Episode
Count
Encounter
Measured
Tachycardia
Detection Counters
Since Last Counter
Connectivity Guide | HL7 Integration | 89
PaceartIDCO
3-1
Parameter NameSupported Values (OBX 5)OBX 3-2OBX
Reset Other
Episode Count
MDC_IDC_STAT_EPISODE_RECENT_COUNT_DTM738016
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset Start Date
MDC_IDC_STAT_EPISODE_RECENT_COUNT_DTM_START738017
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset Start Date
MDC_IDC_STAT_EPISODE_RECENT_COUNT_DTM_END738018
Measured
Tachycardia
Detection Counters
Since Last Counter
Reset End Date
Parameter
Type
DateTimeEncounter
DateTimeEncounter
DateTimeEncounter
when 737984^MDC_IDC_STAT_EPISODE_VENDOR_TYPE^MDC has OBX-5 value of 773124^STJ-Epis_VT1^MDC
MDC_IDC_STAT_EPISODE_TOTAL_COUNT738032
when 737984^MDC_IDC_STAT_EPISODE_VENDOR_TYPE^MDC has OBX-5 value of 773125^STJ-Epis_VT2^MDC
The Paceart System and CareLink integrate with the HL7 protocol for outgoing messages from the Paceart
System and CareLink to an external system by mapping a parameter and a parameter type to HL7 values.
This section describes outbound message mapping.
Parameter
Type
Binary 50
MB
Outbound MSH Message Segments
The HL7 MSH (Message Header) segment is present in every HL7 message type and defines the message's
source, purpose, destination, and certain syntax specifics like delimiters (separator characters) and character
sets.
ComponentFieldSource of Data or Literal Value
N/AMSH-1|
N/AMSH-2^~\&
1MSH-3Paceart
1MSH-4Medtronic
N/AMSH-7Local date and time in the format YYYMMDDhhmmss
1MSH-9ORU
2MSH-9R01
3MSH-9ORU_R01
N/AMSH-10Message ID in the format YYYYMMDDhhmmss######
1MSH-11P
1MSH-122.6
N/AMSH-15AL
N/AMSH-16NE
1MSH-21IHE_PCD_ORU_R01
94 | Connectivity Guide | HL7 Integration
Outbound PID Message Segments
The PID (Patient Identification) segment provides important identification information about the patient and
is used as the primary means of communicating the identifying and demographic information about a patient
between systems.
2..211PID-3String 50Patient ID Value
11PID-5String 50Patient Last Name
12PID-5String 50Patient First Name
13PID-5String 1Patient Middle Initial
Outbound PV1 Message Segments
The PV1 (Patient Visit) segment is used by registration applications to communicate information on a
visit-specific basis.
1N/APID-7DateTimePatient Birth Date
1N/APID-8ENUMPatient Gender
11PID-11String 50Patient Address Line 1
12PID-11String 50Patient Address Line 2
13PID-11String 50Patient Address City
14PID-11String 10Patient Address State
15PID-11String 10Patient Address Postal Code
16PID-11String 50Patient Address Country
11PID-13String 20Patient Phone Number
14PID-13String 100Patient Email Address
11PID-14String 20Patient Phone Number 2
11PID-16ENUMPatient Marital Status
11PID-29DateTimePatient Date of Death
11PID-30BooleanDeath Indicator
of Care
ID
OccurrenceSub-ComponentComponentFieldParameter T ypeParameter
N/AN/A1PV1-2String 1Patient Status
N/AN/A1PV1-3StringPatient Location
N/AN/A1PV1-19String 50Encounter Visit
Connectivity Guide | HL7 Integration | 95
Outbound PV2 Message Segments
The PV2 (Patient Visit) segment is a continuation of visit-specific information contained in the PV1 segment.
OccurrenceSub-ComponentComponentFieldParameter T ypeParameter
mN/A1PV2-7String 6Patient Code
Value (Paceart)
Custom Patient
Field(s)
(CareLink)
Outbound NTE Message Segments
The NTE segment is an optional segment that appears after the PID and is used to provide notes and
comments.
Parameter
Type
Comment
NTE-3Parameter
/PaceartXML/PatientRecord/CommentString 65000Patient Record
Outbound OBR Message Segments
The OBR (Observation Request) segment transmits information about an exam, diagnostic study/observation,
or assessment that is specific to an order or result.
Parameter
Type
and Time
OccurrenceSub-ComponentComponentFieldParameter
N/AN/A1OBR-3String 32Encounter Key
N/AN/A1OBR-4ENUMEncounter Type
N/AN/A4OBR-4String 20Encounter Type
N/AN/A5OBR-4String 20Encounter Type
N/AN/A6OBR-4String 20Encounter Type
N/AN/A1OBR-7DateTimeEncounter Date and Time
N/AN/A1OBR-8DateTimeEncounter Signature Date
N/A11OBR-32String 6Provider Code/Signer ID
N/A21OBR-32String 50Provider Last
N/A31OBR-32String 50Provider First Name
N/A41OBR-32String 1Provider Middle Initial
1
In the Paceart System, if Encounter Lock is false, then the value is "P" for preliminary. If Encounter Lock is
true, then the value is "F" for final. In CareLink, when an encounter is first sent to the EHR the Encounter Lock
value is "F" for final. If subsequent values are sent then the Encounter Lock value is "A" for amended.
Connectivity Guide | HL7 Integration | 97
Parameter
Type
OBR:4 Coded Elements
The OBR:4 segment maps the following values to the IDCO Profile values.The items below identify the
referenced Universal Service Identifiers.
CareLink integrations will only export the "REMOTE" value.
The OBX segment is primarily used to carry key clinical observation and result reporting information within
report messages.
Nonconforming and discriminator OBX values
Each OBX message segment has a value to specify nonconforming values. An OBX-8 value of "NC-PA"
means that the data was nonconforming in the Paceart System or CareLink. An OBX-8 value of "NC-IDCO"
means that the data does not conform to the IDCO profile definition for the data.
The OBX-8 value is also used to specify a discriminator value for numerical data. For example, a numerical
message segment allows the less-than (<) and greater-than (>) symbols, but not the less-than or equal to
(<=) and greater-than or equal to (>=) symbols.The following segment is for valid values of the number:
While the following segment is for nonconforming values of the number:
Parameter
OBX-8OBX-6OBX-3OBX-2Parameter
type
>=^NC-IDCO,
<=^NC-IDCO
Programmed
Bradycardia
Automatic
NMNumericEncounter
731456^MDC_IDC_
SET_BRADY_AT_
MODE_SWITCH_
{beats}/min^
heartbeats per
minute^MDC
RATE^MDC
Mode Switch
Therapy P acing
Rate
Enumerations
For OBX message segments that have a Parameter Type of ENUM, there are multiple OBX-5 values for
each possible value of the enumeration.These values are not listed in the OBX message segment tables.
Outbound OBX Encounter Message Segments
1001351^MDT_ENCOUNTER_SUMMARY_FLAG^MDTCWEBooleanEncounter Summary Indicator
721033^MDC_IDC_SESS_CLINIC_NAME^MDCSTString 50Encounter Location of Care
Medtronic defined enumeration values
Encounter Summary Indicator
You can map a Medtronic defined OBX-5 value for the following segment:
The OBX-5 value can be the following Medtronic defined value:
Outbound OBX Session Message Segments
OBX-6OBX-3OBX-2Parameter typeParameter
OBX-5-3OBX-5-2OBX-5-1
MDTMDT_ENCOUNTER_SUMMARY_YES200300
OBX-6OBX-3OBX-2Parameter typeParameter
721025^MDC_IDC_SESS_DTM^MDCDTMDateTimeEncounter Session Timestamp
721026^MDC_IDC_SESS_TYPE^MDCCWEENUMEncounter Type
CWEENUMEncounter Session Reprogrammed
721027^MDC_IDC_SESS_
REPROGRAMMED^MDC
IDCO enumeration values
Encounter Type can have the following IDCO OBX-5 values:
Connectivity Guide | HL7 Integration | 99
OBX-6OBX-3OBX-2Parameter typeParameter
720897^MDC_IDC_DEV_TYPE^MDCCWEENUMEncounter Session Device Type
720900^MDC_IDC_DEV_MFG^MDCCWEENUMEncounter Session Device Manufacturer
720898^MDC_IDC_DEV_MODEL^MDCSTString 50Encounter Session Device Model
720899^MDC_IDC_DEV_SERIAL^MDCSTString 50Encounter Session Device Serial Number
720901^MDC_IDC_DEV_IMPLANT_DT^MDCDTMDateTimeEncounter Session Active Device Implant Date
720963^MDC_IDC_LEAD_MFG^MDCSTENUMLead Manufacturer
720961^MDC_IDC_LEAD_MODEL^MDCSTString 50Lead Model
720962^MDC_IDC_LEAD_SERIAL^MDCSTString 20Lead Serial
Number
720964^MDC_IDC_LEAD_IMPLANT_DT^MDCDTMDateTimeLead Implant Date
720966^MDC_IDC_LEAD_LOCATION^MDCCWEENUMLead Chamber
1001044^MDT_LEAD_EXPLANTEDATE^MDTDTMDateTimeLead Explanted