PACEART OPTIMA
Version 1.3
™
SYSTEM
Paceart Optima System Software Installation and Configuration
Instructions
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
Introduction to the Paceart Optima™System.........................................................................5
Paceart Installation and Configuration......................................................................................9
Installation and Configuration | Contents | 3
Explanation of symbols.............................................................................................................5
Indications.................................................................................................................................6
Precautions...............................................................................................................................6
Contraindications......................................................................................................................7
Paceart authorized users...........................................................................................................7
Technical Support......................................................................................................................7
Paceart manuals supplied with your system..............................................................................7
Accessing the online Help.........................................................................................................8
Components of the Paceart Optima System..............................................................................9
Minimum permissions needed for Paceart components..........................................................10
Paceart Configuration Options................................................................................................12
Recommended Windows settings...........................................................................................14
Configuring Internet Information Services (IIS)........................................................................14
Configuring Internet Information Services (IIS) for Windows Server 2003....................14
Configuring Internet Information Services (IIS) for Windows Server 2008....................15
Configuring Internet Information Services (IIS) for Windows Server 2008 R2...............15
Configuring Internet Information Services (IIS) for Windows 7......................................15
Upgrading from Paceart Optima 1.2 to Paceart Optima 1.3.....................................................16
Editing and Running the Mapping Script......................................................................17
Installing the Paceart Optima Database Manager...................................................................17
Starting the Paceart Database Manager.......................................................................18
Creating a Paceart System Database...........................................................................19
Updating the password for PaceartDataAccessUser....................................................19
Configuring Fax Services and Message Queuing...................................................................20
Installing the Paceart Optima Application Server, Messaging Service, and Online Help.........20
Installing SSL Certificates.......................................................................................................23
Installing an SSL Certificate for Windows Server 2003.................................................23
Installing an SSL Certificate for Windows 7 and Windows Server 2008.......................29
Installing an SSL Certificate for Windows Server 2008 R2...........................................30
Installing the MSI Client...........................................................................................................31
Installing Paceart ECG............................................................................................................33
Installing Paceart Web.............................................................................................................33
Configuring Microsoft Windows Server 2003................................................................35
CardioVoice Installation...........................................................................................................35
Installing the Dialogic D/4PCI and D/4PCIU Boards.....................................................35
Installing the driver........................................................................................................36
Installing CardioVoice Software....................................................................................36
Disabling the EVO 3.0 message window......................................................................39
Configuring Dialogic Drivers for Dialogic D/4PCI and D/4PCIU boards........................40
4 | Installation and Configuration | Contents
Simulating a CardioVoice call.......................................................................................40
Installing the ClickOnce Server...............................................................................................41
Installing the ClickOnce Client Prerequisites................................................................42
Installing the Paceart Client from the ClickOnce Server...............................................44
Installing the Paceart Optima Client on Citrix Server...............................................................44
Uninstalling Paceart Optima Customizations...........................................................................45
Paceart Database Manager.....................................................................................................45
Starting the Paceart Database Manager.......................................................................45
Creating a desktop shortcut to the Paceart Database Manager...................................46
Creating a Paceart System Database...........................................................................46
Deleting a database......................................................................................................47
SQL Server Integration Services (SSIS).......................................................................47
Publications..................................................................................................................47
Subscriptions................................................................................................................51
Bulk copy......................................................................................................................54
Rename database........................................................................................................55
Delete strips.................................................................................................................55
Delete patients.............................................................................................................56
SQL Users....................................................................................................................57
Enable or disable auditing............................................................................................58
Audit Data Archiving.....................................................................................................59
Set Multi-User...............................................................................................................59
Tools.............................................................................................................................59
Command Line Interface..............................................................................................62
Database Replication..............................................................................................................64
When to use replication................................................................................................64
Replication topologies..................................................................................................64
Replication security......................................................................................................65
SQL server synchronization..........................................................................................68
Synchronization management and replication conflicts................................................71
Installation and Configuration | Introduction to the Paceart Optima™System | 5
Introduction to the Paceart Optima™System
The Paceart Optima System is a clinic management tool that organizes patient, device, and programmer
information and provides access to trend analysis, aiding a physician or clinician in their daily workflow and
management of patient and cardiac data. The Paceart System supports cardiac rhythm devices from most
manufacturers.
The Paceart System:
• Stores programmed device parameters
• Summarizes patient data into concise reports
• Keeps a history of patient encounters
• Offers TTM technologies, such as CardioVoice, designed to work with event recorders
• Creates correspondence documents
• Schedules patient follow-up appointments
• Assists with records processing
• Assists in charge and billing management
• Offers integration with your hospital's or clinic's HL7-compatible system
• Provides task management to streamline your clinic's workflow
• Provides automatic import of data from pacemakers, programmers, and other storage media
Explanation of symbols
Consult instructions for use
Conformité Européenne (European Conformity). This
symbol means that the device fully complies with
European Directive MDD 93/42/EEC.
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
6 | Installation and Configuration | Introduction to the Paceart Optima™System
Humidity Limitation
Software
Indications
The Paceart System is intended for use as a 12-lead electrocardiograph, pacemaker artifact analyzer, and
transtelephonic ECG receiving station. It also acts as a database for cardiac patients with or without pacemakers
or implantable cardioverter defibrillators.
Precautions
Storage and installation
• Ensure there is no condensed moisture on the Paceart software USBs.
• Paceart software 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
System operation
Before system operation:
• Ensure that the system is not being used with other instruments that may result in misdiagnosis or other
problems.
• Ensure there is no condensed moisture on the Paceart software USBs.
• Paceart software 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
Additional precautions
• Do not modify the original system in any way. This includes adding any software product.
• Ensure that all patient records are updated and permanently stored before turning the PC power off.
• Double-check the data before typing the data into the system.
Transmission and transmitter settings
When recording ECGs:
• The transmitter transmission speed must match the transmit speed setting in Paceart.
Installation and Configuration | Introduction to the Paceart Optima™System | 7
• The transmitter transmit format must match the transmit format setting in Paceart.
• Discrepancies between the transmission speed or the transmission format will result in incorrect
measurements that may lead to incorrect ECG interpretations.
• The Date Given field must have a date that is the same or prior to the date the transmission is recorded.
• A patient may only have one active transmitter.
• The Paceart operator is responsible for setting the speed and format settings.
Contraindications
No known contraindications.
Paceart authorized users
Medtronic representatives provide the Paceart Optima System orientation and training materials at the time of
the installation. All users should be familiar with Paceart documents, including the online Help, before using
the Paceart Optima System. The designated system administrator should also read the Paceart System
documentation for information on using the Paceart Optima System software user interface for function and
control.
An authorized person, preferably a physician, must verify the implantable device and electrode specifications
entered into the database or modified in the database. An authorized person, preferably a physician, must
verify the test results that are automatically entered into the database by the instrument. The data obtained
from this device must be interpreted in conjunction with other clinical data and the results of other independent
tests.
Technical Support
For technical support contact your local Medtronic office. In the US and Canada, call 1-800-PACEART.
Paceart manuals supplied with your system
Electronic versions of Paceart Optima System software manuals are available in addition to the printed versions
you received along with your system.
Electronic versions of Paceart Optima System manuals are supplied on the documentation USB supplied with
your software.
There are two manuals installed for use with the Paceart Optima System software, the Paceart Optima System
Software Installation and Configuration Instructions and the Paceart Optima System Software User Manual.
The Paceart Optima System Software Installation and Configuration Instructions provide you with the information
you need to install and configure your Paceart Optima System software. This includes optional configurations
and optional software components. The Paceart Optima System Software User Manual provides you with
information on how to use your Paceart Optima System software.
For information on the installation, configuration, and use of the Paceart ECG Module refer to the documentation
supplied with the Paceart ECG Module.
8 | Installation and Configuration | Introduction to the Paceart Optima™System
All patient and clinical data displayed in Paceart Optima System software documentation are fictitious and for
demonstration purposes only.
Accessing the online Help
The online Help provides additional information about the features and functionality of the Paceart Optima
System.
There are three ways to access online Help.
• Clicking Help > Help from the menu bar opens the appropriate help topic for where you are in the application.
• Clicking the Help button in a dialog box opens the appropriate help topic for the dialog box.
• In any add or edit dialog box, clicking the "?" and selecting an active field opens the field level Help for that
field.
If your version of Paceart has been customized, you can view your customer and customization numbers by
clicking Help > About.
Installation and Configuration | Paceart Installation and Configuration | 9
Paceart Installation and Configuration
The intent of this information is to help you as a system administrator prepare for an installation of the Paceart
Optima System at your site. It will answer many of the questions you may have about how the Paceart Optima
System can use your existing network infrastructure.
This manual describes each the Paceart Optima System components and provides detailed instructions for
installing them. This information will help you decide which Paceart configuration is the best fit for your site by
providing details on each type of configuration.
Components of the Paceart Optima System
You can install different components of the Paceart Optima System depending on your configuration.
You must have administrative rights on the computer to install Paceart Optima System components.
The Paceart Database Manager
The Paceart Database Manager is a tool for performing the most common tasks of creating and managing
your Paceart System databases. This tool makes it easy to complete advanced database administration tasks
by using wizards.
Some of the tasks performed by thePaceart Database Manager couldalso be performed through other database
management software such as Microsoft SQL Server Enterprise Manager.
The Application Server
The Application Server allows you to centralize security and maintenance in one location. Only one database
needs updating if the database structure changes during a Paceart System upgrade.
The Client
The Paceart Optima System client is how most users interact with the Paceart System. The client is the user
interface for the Paceart Optima System. You enter and view information in the Paceart System user interface.
That information is then sent to the Paceart database via the Application Server.
The client connects to the application server and the Paceart database. In a standalone configuration you can
have the client, the application server, and the database all on one workstation. Or in a distributed system you
can have multiple clients running on different workstations that all connect into an application server and a
Paceart database.
ECG
You can install the optional Paceart ECG add-on package with the Paceart Optima client to add the ability to
capture and store ECG data for cardiac events from an external device in Paceart. You can also store and
manage a collection of ECG strips within an ECG session. ECG hardware must be connected to the client
workstation to record ECG strips.
ClickOnce Server
The ClickOnce server is an optional Paceart server configuration that enables Paceart users to install and run
the Paceart Optima System by clicking a link in a Web page instead of running the installation on individual
workstations. ClickOnce ensures that users are always running the latest version of Paceart by automatically
downloading any updates from the Application Server each time users run Paceart.
10 | Installation and Configuration | Paceart Installation and Configuration
Medtronic Mainspring Data Express
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.
For installation and configuration instructions, refer to the Medtronic Mainspring Data Express Connectivity
Guide.
Paceart Web
Paceart Web Access is an optional add-on package for use with the Paceart System. Adding Paceart Web
Access to your Paceart System allows you to access Paceart reports through an easy-to-use Web interface.
You can search for a particular report using Paceart Web Access. The search criteria include patient name,
provider name, type of encounter, and date range of the encounter.
Paceart Web Access can be configured to work on either an intranet or on the Internet. Depending on your
access requirements, you can restrict Paceart Web Access availability to your internal intranet, or you can
access your Paceart reports from any Internet connection in the world.
CardioVoice
The CardioVoice TTM Assistant system is an optional add-on package that enables patients and doctors to
communicate information about cardiac events through an automated voice response system.
Patients call into CardioVoice from their home and are directed througha series of automated prompts. Patients
can transmit an ECG, record messages for their doctor, and listen to messages from their doctor.
Doctors can access CardioVoice from a Paceart station in the clinic or by dialing into CardioVoice remotely.
When a patientrecords a new ECG, notification of the event is sent to the doctor by fax, e-mail, or page. Doctors
can record messages for their patients, listen to messages from patients, and view ECGs recorded by patients.
Minimum permissions needed for Paceart components
Depending on your operating system, you must have certain user account privileges to install and run Paceart
components.
User Groups
There are three groups of users that apply to permissions for Paceart components in each operating system.
• Administrators: Members of the Administrators group have the largest amount of default permissions and
the ability to change their own permissions. Administrators can install and run all Paceart components.
• Power Users: Members of the Power Users group can create user accounts, but can modify and delete
only those accounts they create. Power Users can run all Paceart components but cannot install any of
them.
User Account Control (UAC) settings
User Account Control (UAC) is available in Windows 7 and WindowsServer 2008. It does not apply to Windows
Server 2003. UAC notifies you before changes are made to your computer that require administrator-level
permission. It is necessary to turn off UAC before installing most Paceart components.
Installation and Configuration | Paceart Installation and Configuration | 11
User Permissions
The following table shows supported operating systems for each Paceart component, which user groups can
install or run the components, and whether to turn off UAC. We recommend turning off UAC for all installations.
Component
Install
prerequisites
(Windows
Installer,
Microsoft .NET)
Install SQL
Server
Install Database
Manager
Install
Application
Server
ECG
Systems
Supported
Server 2003,
Server 2008
Server 2003,
Server 2008
Server 2003,
Server 2008
Server 2003,
Server 2008
Restricted UserPower UserAdministratorOperating
Turn off UAC
settings?
YesNoNoYesWindows 7,
YesNoNoYesWindows 7,
YesNoNoYesWindows 7,
RecommendedNoNoYesWindows 7,
YesNoNoYesWindows 7Install MSI Client
NoYesYesYesWindows 7Run MSI Client
YesNoNoYesWindows 7Install Paceart
ECG
Server
ClickOnce
Server
ClickOnce
Server
Install Paceart
Web
Run Paceart
Web
CardioVoice
NoYesYesYesWindows 7Run Paceart
YesNoNoYesWindows 7Install ClickOnce
RecommendedYesYesYesWindows 7Install client from
NoYesYesYesWindows 7Run client from
YesNoNoYesWindows 7,
Server 2003,
Server 2008
NoYesYesYesWindows 7,
Server 2003,
Server 2008
YesNoNoYesWindows 7Install
NoNoYesYesWindows 7Run CardioVoice
12 | Installation and Configuration | Paceart Installation and Configuration
Paceart Configuration Options
The Paceart System can be configured in multiple ways to support the needs of each installation.
When deciding on the configuration most appropriate for your installation, you must take the following items
into consideration:
• Number of clinical ECG-acquisition stations needed
• Need for viewing and editing ECG strips
• Number of TTM-acquisition stations needed
• Number of data entry terminals needed
• Availability of a local area network (LAN) and support
• Availability of a wide area network (WAN) and support
• Need for multiple geographic locations
• Number of places and locations for report retrieval
• Need for 24/7 TTM-acquisition
• Need for remote, disconnected data access
Paceart Optima System is scalable and configurable, providing options to best suit your installation.
Standalone Configuration
The Paceart Optima standalone configuration is the most basic Paceart Optima System configuration option.
It involves a single workstation running the following software with no network connection required:
• Microsoft SQL Server
• The Paceart Optima Database Manager
• The Paceart Optima Application Server
• The Paceart Optima MSI Client
• Medtronic Mainspring Data Express (optional)
Paceart Hardware, such as the 12-Lead ECG/TTM ECG Module for in-clinic and transtelephonic ECG acquisition,
is added to capture ECG signals.
This configuration most likely does not need a full version of SQL Server; in most cases, an Express edition of
SQL Server suffices. An example of when a full version of SQL Server would be required is when the database
would need to store more than 4 GB of data.
While the standalone configuration is the most straightforward to install, it is not practical if you want to run
Paceart on multiple workstations.
Network Configuration
This configuration is the most typical Paceart System scenario in use today. In this scenario, there is one
Paceart Application Server with a single SQL Server database containing the data from all of the client
workstations. These workstations could be all within the same facility, sending the data across a local area
network (LAN) or in different geographies, sending data on a wide area network (WAN).
Pros of network configuration:
• This configuration has a low degree of complexity. There is only one database to maintain and no replication
is needed.
• Centralized security and maintenance at the Application Server location, including a central repository for
backups.
• Only one database needs updating if the database structure changes during a Paceart System upgrade.
• All patient data is stored in one database and is accessible from any client workstation on the LAN or WAN.
Installation and Configuration | Paceart Installation and Configuration | 13
Cons of network configuration:
• No local copy of data if LAN or WAN fails.
• Higher bandwidth requirements as individual client workstations are saving all data,including large encounters
with multiple episodes, EGMs, and ECG strips, across the LAN or WAN.
• If you are not using ClickOnce, client software upgrades mustbe upgraded across multiple client workstations
simultaneously.
• Queries must contain extra criteria if client workstations only wantto see local patients instead of all patients
on the network.
While you can connect multiple instances of the Paceart client to the same Paceart Application Server, you
must have a separate database for each instance of an Application Server. The following diagram shows a
typical Paceart network configuration including which components can be installed on the application server.
The Application Server and SQL Server Database can be hosted on the same workstation.
Multiple Database Configuration
This configuration is for clinic settings that run the Paceart System on multiple databases. For example, your
clinic could have separate databases for arrhythmia and pacemaker patients or adult and pediatric patients.
Your clinic could also want a separate database for testing purposes. If you want to connect to multiple databases
from a Paceart workstation, install a separate Application Server for each database.
Use the ClickOnce installation method to connect to multiple databases on a single client workstation. You can
be logged in to only one instance of the Application Server and one database at a time from a workstation.
14 | Installation and Configuration | Paceart Installation and Configuration
Database Replication
This configuration is for clinic settings that run the Paceart System on a single, distributed database. Using
replication, you can distribute data to remote or mobile users over a local area network, dial-up connection, or
the Internet. Replication also allows you to enhance application performance, physically separate data based
on how it is used, or distribute database processing across multiple servers. For example, your clinic could
have users that want to use replication as a means of backup to an alternate computer.
Recommended Windows settings
Use the recommended Windows settings for the best view of the Paceart Optima user interface.
The Paceart Optima user interface is best viewed in Windows 7 using the Windows Classicstyle and the default
text size.
To change the Windows style in Windows 7, click Start > Control Panel > Personalization.
To change the text size in Windows 7, click Start > Control Panel > Display.
Configuring Internet Information Services (IIS)
Internet Information Services (IIS) is a Web server application and set of feature extension modules created
by Microsoft for use with Microsoft Windows. IIS must be configured before installing Paceart.
The version of IIS installed on your workstation varies depending on which Windows operating system your
workstation is running. You must have administrative rights on the computer to configure IIS. There are unique
instructions to configure IIS for each version of Windows.
Configuring Internet Information Services (IIS) for Windows Server 2003
Internet Information Services (IIS) must be configured before installing Paceart.
1. Click Start.
2. Click Control Panel.
3. Double-click Add or Remove Programs.
4. Click Add/Remove Windows Components.
5. On the Windows Component Wizard, select the Application Server check box and click Details.
The Application Server window is displayed.
6. Determine which action to take.
• If you are running the 32-bit version of Windows Server 2003, click the ASP.NET check box and then
click OK.
• If you are running the 64-bit version of Windows Server 2003, click Cancel. Click Start > Run and then
enter cscript %SYSTEMDRIVE%\inetpub\adminscripts\adsutil.vbs SET
W3SVC/AppPools/Enable32bitAppOnWin64 1. Paceart is a 32-bit application and this command
sets IIS to 32-bit mode. If you have any existing 64-bit IIS applications, they no longer work after this
command.
Internet Information Services (IIS) is configured on your computer.
Installation and Configuration | Paceart Installation and Configuration | 15
Configuring Internet Information Services (IIS) for Windows Server 2008
Internet Information Services (IIS) must be configured before installing Paceart.
1. Click Start > All Programs > Administrative Tools > Server Manager.
The Server Manager window is displayed.
2. Click Roles.
The Roles Summary View is displayed.
3. Click Add Roles.
The Add Roles window is displayed.
4. Click Next to select the roles to install.
5. Select the Application Server and Web Server (IIS) check boxes.
6. On the Select Role Services window, select the Web Server (IIS) Support check box.
The Add Roles Wizard window is displayed.
7. Click Add Required Role Services.
The Select Server Roles dialog box is displayed.
8. Click Next.
9. Click Next.
10. On the Select Role Services window, accept the default values and click Next.
11. Click Install.
12. Click Close.
Internet Information Services (IIS) is configured on your computer.
Configuring Internet Information Services (IIS) for Windows Server 2008 R2
Internet Information Services (IIS) must be configured before installing Paceart.
1. Click Start > All Programs > Administrative Tools > Server Manager.
The Server Manager window is displayed.
2. Click Add Roles in the Roles Summary pane.
The Add Roles Wizard window is displayed.
3. Select the Application Server and Web Server (IIS) check boxes.
4. Click Next.
5. Click Next.
6. Click Add Required Role Services.
7. Click Close.
Internet Information Services (IIS) is configured on your computer.
Configuring Internet Information Services (IIS) for Windows 7
Internet Information Services (IIS) must be configured before installing Paceart. Windows may prompt you for
a Windows setup disk during this process.
1. Click Start.
2. Click Control Panel > Programs > Programs and Features.
3. Click Turn Windows features on or off.
The Windows Features window is displayed.
4. Click Internet Information Services > World Wide Web Services > Application Development Features.
16 | Installation and Configuration | Paceart Installation and Configuration
5. Select the ASP.NET check box.
6. Click Microsoft .NET Framework 3.5.1
7. Select the Windows Communication Foundation HTTP Activation check box.
8. Click OK.
Internet Information Services (IIS) is configured on your computer.
Upgrading from Paceart Optima 1.2 to Paceart Optima 1.3
Paceart Optima 1.3 changes the way some data was mapped in Paceart Optima 1.2.
Data Changes
The Since Last Session field has been removed in Optima 1.3 and any data in that field in Optima 1.2 will be
copied over to the Since Last Reset. If you had data in the Since Last Reset in Optima 1.2, you will want to
make sure you have the data you need before you upgrade to Optima 1.3.
If you did not use Since Last Session in Optima 1.2, the Since Last Reset data will not be lost when you
upgrade to Optima 1.3.
The ability to use Advanced Search queries to find interrogated device data has been removed in Optima 1.3.
If you created any custom queries using the interrogated device data the search will be lost in the upgrade.
Before you install Optima 1.3
Before you upgrade to version 1.3, you will need to do the following things:
• Make a backup copy of your existing database so that you don't lose any data.
• Edit and run the mapping script.
Installation and Configuration | Paceart Installation and Configuration | 17
Installing Optima 1.3
Next, you are ready to install the Paceart Optima 1.3 softwarecomponents. You do not need to uninstall Paceart
Optima 1.2 before you install the new version. When you install each component, you will be asked to confirm
that you want to upgrade to the latest version.
Editing and Running the Mapping Script
Paceart Optima 1.3 changes the way some data was mapped in Optima 1.2. You need to edit and run this
script prior to installing the Optima 1.3 software.
Before you begin, make sure that you've made a backup copy of your database and that you have read/write
permissions to the Paceart database.
1. Insert the Paceart installation USB into the computer that is running your SQL Server.
2. In the Resources folder, right-click the Run.bat file and select Edit.
The file opens in your default text editor.
3. Replace <Server Instance> with your SQL Server Instance name and <Database Name> with the name
of your database.
4. Save and then close the file.
5. Double-click the Run.bat file to run the script.
The script opens and runs in the Command Prompt window.
After you have run this script, you are ready to install the Optima 1.3 Database Manager software.
Installing the Paceart Optima Database Manager
Install the Paceart Optima Database Manager to control the creation, maintenance, and use of your Paceart
databases.
If you have a Paceart Optima customization installed, uninstall it before installing a new version of the Paceart
Optima Database Manager software. For more information on uninstalling customizations, refer to Uninstalling
Paceart Optima Customizations.
If you plan to use Database Manager for replication and publications, you must have a full version of SQL
Server installed on your system before installing Database Manager. Systems containing subscriptions to the
publishing system can still use Express versions of SQL Server, but only with like versions. For example, a
system using SQL Sever 2008 Express can only subscribe to a publication hosted on a full version of SQL
2008, not 2005.
If the Database Manager installer does not detect a SQL installation or detects a SQL 2005 installation on your
system, SQL Server 2008 Express is installed with Database Manager. All of the required SQL tools are also
installed.
If the Database Manager installer detects a SQL 2008 installation on your system, SQL Server Express is not
installed with Database Manager. If you already have a SQL 2008 installation on your system, install the
following SQL Server 2008 componentsbefore installing Paceart in the orderlisted. Each component is available
for 32 and 64 bit systems and can be accessed from the installation USB under the Resources directory.
1. SQL 2008 Native Client
2. SQL System CLR Types
3. SQL 2008 Shared Management Objects
4. SQL 2008 Command Line Utilities
5. MSXML 6.0 Parser
6. SQL 2008 Replication Management Objects
7. SQL Server 2008 Management Studio Express
18 | Installation and Configuration | Paceart Installation and Configuration
The components can also be downloaded from the Microsoft website.
1. Insert the Paceart installation USB drive to start the installation wizard. If your workstation has the Autorun
feature disabled, navigate to the USB and double-click setup.exe.
2. If there are any prerequisites that must be installed they are displayed in a list. Select and then click Install
for each of the prerequisites. You may need to restart your computer depending on which prerequisites are
installed.
3. On the License Agreement window, read the license terms and click I accept the terms of the license
agreement if you agree to the terms.
4. Click Next.
5. Click Next.
6. On the Paceart Installer Configuration window, select Database Manager and click Next.
The Paceart Database Manager - InstallShield Wizard window is displayed.
7. Click Next.
8. If there are any prerequisites to install, they are displayed in the Paceart Database Manager - InstallShield
Wizard window. Click Install for each prerequisite. You mayneed to restart depending on which prerequisites
are installed. If you are installing SQL Server 2008 Express with Tools, follow the steps in the Microsoft
SQL Server 2008 Setup wizard.
9. Click Next after all prerequisites are installed.
10. Click Install.
11. Click Finish to exit the Paceart Database Manager installer.
Paceart Optima Database Manager is installed on your computer.
Starting the Paceart Database Manager
Use the sa (System Administrator) login when using the Paceart Database Manager. Many of the features
require this login.
This icon is used in this topic.
DescriptionIcon
Connect
1. Double-click the Paceart Database Manager icon on the desktop to display the Connect to SQL Server
login screen.
2. Select the SQL Server instance to which you want to connect.
• Select from the most recently used servers in the drop-down list.
• Click the Browse button to pick from a list of all SQL Servers known to be running on your network or
aliased using the SQL Server Client Network Utility.
3. Select either Windows Authentication or SQL Server Authentication to connect. Your choice depends on
how your SQL Server DB is set up and what access rights you have. There is no difference as far as Paceart
Database Manager is concerned.
4. If you chose SQL Server Authentication enter your login name and password. The login name defaults to
"sa" but it can be changed to any SQL user.
5. Click OK.
You are now connected to the instance of the SQL server that you selected. If you need to login to a different
instance of SQL Server while you are using Paceart Database Manager click the Connect icon in the upper
left corner of the screen. This will display the Connect to SQL Server login screen again.
Installation and Configuration | Paceart Installation and Configuration | 19
Creating a Paceart System Database
Paceart System databases hold patient data. The New Database Wizard takes you through the steps to create
a new Paceart System database. You will name your new database, specify where it is stored, and set its initial
size. You must be a member of the System Administrators server role on the SQL Server to use this function.
1. Login to the Database Manager.
2. Double-click New Database.
3. Click Next.
4. Enter a name for the database.
It defaults to "Paceart_Database". The next database defaults to "Paceart_Database_#1". The number will
increase by one for each new database.
5. Enter the database location. We recommend that you accept the default value.
6. Click Next.
7. Specify the initial size of the database between 50 MB and 2,000 MB. If you exceed the initial size of the
database it will grow in increments of 50 MB . You can estimate the size of your database according to the
size of your patient population or you can select the initial size of your database.
• If you select the option to estimate the size based on your patient population, enter the number of
Pacemaker patients and the number of arrhythmia patients, and then click Next.
• If you select the option to select the size, slide the bar to the appropriate size.
8. Click Next.
9. Review your choices.
• Click Next if they are accurate.
• Click Back if you need to return to a previous screen to change a value.
It may take several minutes for the wizard to create the database and initialize the database structure.
10. Click Finish.
Updating the password for PaceartDataAccessUser
You can update the password for PaceartDataAccessUser in Database Manager. The PaceartDataAccessUser
is automatically created when you create a new Paceart database and is used to connect to the Application
Server.
1. Log in to Paceart Database Manager.
2. Click Tools > Change Password.
The Change Password window is displayed.
3. Enter PaceartDataAccessUser in the Login name field.
4. Enter a new password in the Password and Confirm Password fields.
5. Click OK.
20 | Installation and Configuration | Paceart Installation and Configuration
A message is displayed stating that the password was successfully changed.
6. Click OK.
Configuring Fax Services and Message Queuing
Fax Services and Message Queuing need to be configured before installing the Paceart Messaging Service.
Windows may prompt you for a Windows setup disk during this process.
1. Click Start.
2. Click Control Panel.
3. Double-click Add or Remove Programs.
4. Click Add/Remove Windows Components.
5. On the Windows Component Wizard window, check if the Fax Services and Message Queuing check
boxes are selected.
• If both check boxes are selected, Fax Services and Message Queuing are already configured. Click
Cancel and continue the Paceart installation.
• If one or both of the check boxes are not selected, select them and click Next.
6. Click Finish.
Fax Services and Message Queuing are configured on your computer.
Installing the Paceart Optima Application Server, Messaging Service, and Online Help
Install the Paceart Optima Application Server to centralize security and maintenance for Paceart in one location.
The Messaging Service is used by Paceart to send email, fax, and pager messages. It also allows you to work
with the CardioVoice System. Paceart Online Help provides context-sensitive help throughout the Paceart
application.
If you have a Paceart Optima customization installed, uninstall it before installing a new version of the Paceart
Optima Application Server software. For more information on uninstalling customizations, refer to Uninstalling
Paceart Optima Customizations.
Installation and Configuration | Paceart Installation and Configuration | 21
You must have Internet Information Services (IIS) configured before installing the Application Server.
1. Insert the Paceart installation USB drive to start the installation wizard. If your workstation has the Autorun
feature disabled, navigate to the USB and double-click setup.exe.
2. If there are any prerequisites that must be installed they are displayed in a list. Select and then click Install
for each of the prerequisites. You may need to restart your computer depending on which prerequisites are
installed.
3. On the License Agreement window, read the license terms and click I accept the terms of the license
agreement if you agree to the terms.
4. Click Next.
5. Click Next.
6. On the Paceart Installer Configuration window, select Application Server and click Next.
The Application Server progress bar is displayed.
7. When the Application Server progress bar completes, click Next on the Paceart Application Server InstallShield window.
8. Select a destination folder for the Application Server. Click Change to change from the default location.
9. Click Next.
10. Select the database server you are installing to.
• If you are installing to a local database, select the database server from the list.
22 | Installation and Configuration | Paceart Installation and Configuration
• If you are installing to a remote database, enter either the database server name or the IP address.
• If you are installing to a Citrix Server database, enter the IP address.
11. Enter the password for PaceartDataAccessUser that you assigned in Database Manager in the Password
field.
12. Click Browse next to the Name of database catalog field.
13. Browse to the desired catalog and click OK.
The selected catalog is displayed in the Name of database catalog field.
14. Click Next.
15. In the Configuration section, select whether to use the machine name or a manual configuration for the
Application Server. A manual configuration can be an IP address or a full machine name including domain.
If you do not use a Domain Name System (DNS), select Manual and enter the IP address.
16. In the Port Number section, enter a port number. We recommend port number 333 for Paceart. If you are
using SessionSync, enter a port number other than 443 because SessionSync uses that port.
17. Click Next.
18. Select a destination folder for the Paceart Messaging Service. Click Change to change from the default
location.
19. Click Next.
Installation and Configuration | Paceart Installation and Configuration | 23
If you do not have all the necessary components installed for Paceart Messaging Service, a warning message
is displayed. Click Next to continue the installation.
20. Select a destination folder for the Paceart Online Help. Click Change to change from the default location.
21. Enter the port number you want to use for Paceart Online Help in the Port Number field. The default port
number is 2782.
22. Click Next.
23. Click Install.
24. Click Finish to exit the Paceart Optima Application Server installer.
The Paceart Optima Application Server, Messaging Service, and Online Help are installed on your computer.
Installing SSL Certificates
A Secure Socket Layer (SSL) certificate identifies Paceart as a trusted source and ensures transactions between
the Application Server and the Paceart application are secure. An SSL certificate must be installed before
installing the Paceart client.
The approach used to install the SSL certificate on your workstation varies depending on which Windows
operating system your workstation is running. You must have administrative rights on the computer to install
SSL certificates.
Installing an SSL Certificate for Windows Server 2003
Install an SSL certificate using Internet Information Systems (IIS) before installing the Paceart client.
You must have Internet Information Services (IIS) configured before installing an SSL certificate. Install the
Medtronic Root Certificate, which is automatically installed with the Application Server, before installing an
SSL Certificate.
1. Click Start.
2. Right-click My Computer and click Manage.
The Computer Management window is displayed.
3. On the Computer Management (Local) menu, click Services and Applications > Internet Information
Services > Web Sites.