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.
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 a hospital's or clinic's HL7-compatible system
•Provides task management to streamline clinic 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 R epr esentative in theEuropean Community
Manufacturer
Lot number
Re-order number
Date of Manufacture
14 | Paceart Optima System | Introduction to the Paceart Optima
Indications
The Paceart System is intended for use as a 12-lead electrocardiograph, pacemaker artifact analyzer, and
transtelephonic ECG r eceiving station. It also acts as a database for cardiac patients with or without pacemakers
or implantable cardioverter defibrillators.
™
System
Do not dispose of this product in the unsorted
municipal waste stream. Dispose of this product
according to local regulations. See
http://recycling.medtronic.com for instructions on
proper disposal of this product.
Temperature Limitation
Humidity Limitation
Software
Precautions
Storage and installation
•Ensure there is no condensed moisture on the Paceart System software USBs.
•Paceart System 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 System software USBs.
•The Paceart System 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
Paceart Optima System | Introduction to the Paceart Optima
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 the Paceart System.
•The transmitter transmit format must match the transmit format setting in the Paceart System.
•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 System operator is responsible for setting the speed and format settings.
Contraindications
™
System | 15
No known contraindications.
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 the Paceart System 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 suppor t contact your local Medtronic office. In the US and Canada, Paceart Technical Services
can be contacted via phone or email.
•Phone: 1-800-PACEART
•Email: paceart.support@medtronic.com
•Web: Visit the Paceart Community website at paceartcommunity.medtronic.com.
16 | Paceart Optima System | Introduction to the Paceart Optima
Manuals supplied with your system
Electronic versions of Paceart Optima System manuals are supplied on the documentation USB supplied with
your software. You can also download or request printed copies of these manuals from
www.medtronic.com/manuals.
There are two manuals installed for use with the Paceart Optima System software, the Paceart Optima SystemSoftware 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 informationon the installation, configuration, and use of the Paceart ECG Module refer to the documentation
supplied with the Paceart ECG Module.
All patient and clinical data displayed in Paceart Optima System software documentation are fictitious and for
demonstration purposes only.
™
System
Accessing the online Help
The online Help provides additional information about the features and functionality of the Paceart Optima
System.
There are five ways to access the online Help.
•Clicking Help > Help fr omthe menu bar opens the appropriate help topic for where you ar ein 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.
•Pressing the F1 key while a field is selected opens the field level Help for that field.
•Pressing the F1 key while no fields are selected opens the appropriate help topic for where you are in the
application.
If your version of the Paceart System has been customized, you can view your customer build number by
clicking Help > About.
Navigating through the Paceart System without a mouse
On some windows in the Paceart System, it is possible to navigate by using the keyboard instead of a mouse.
These keyboard commands are composed of the ALT key followed by one or more keyboard symbols.
1. From within a Paceart System window, press the ALT key.
If the window supports ALT key functionality, the File menu item is selected and buttons, tabs, or file menu
items are underlined.
2. Press the letter on the keyboard that corresponds to the desired action.
3. Press the TAB key, SHIFT+TAB, and the ARROW keys to access additional options in a list.
4. Press ENTER to make a selection.
Paceart Optima System | Introduction to the Paceart Optima
Explanation of dialog box fields and buttons
This table lists of some of the common fields and buttons that appear in many of the dialog boxes within the
Paceart Optima System. Additional fields and buttons for each dialog box are defined separately throughout
this manual.
Field and button definitionsDialog box fields and buttons
™
System | 17
Save
Save and Close
Select
Cancel
OK
Help
Saves all changes.
Saves and closes the dialog.
Shows the selected item in the main window.
Cancels and closes the dialog.
Saves the information and closes the dialog box.
Accesses the Help system.
Chapter
2
Paceart System Patient Records
A patient's record is an ongoing electronic compilation of encounters, appointments, test results, medical
information, billing information, demographic information, and any other data that pertains specifically to a
single patient. All of this information is stored in the Paceart System database and can be manipulated in a
variety of useful ways.
The Paceart System lets you add information to a patient record in several ways. For example, you can enter
it manually, retrieve it from a previous entry, or download it from an external source. The process for adding
information can vary depending on the type of data being added.
Opening a patient record
Opening a patient record gives you access to specific information about one patient.
1. Click the Search tab.
2. Click the Patients subtab.
3. Enter the patient name and/or other search criteria about the patient.
4. Click Search.
5. Select the patient record and click Open.
The patient record is displayed.
Closing a patient record
After you have finished working with a patient record you can save the changes and close the record.
1. If you are in add or edit mode make sure to save any changes you have made to the patient record.
2. Click the Close Patient link in the upper right corner of the patient record.
The patient record is closed.
Switching between patient records
You can switch between patient records and other parts of the Paceart System, such as tasks or the
encyclopedia.
To switch from an open patient record to another part of the Paceart System, click on the tab you want to switch
to. For example, you can click on the Tasks tab to view your assigned tasks.
20 | Paceart Optima System | Paceart System Patient Records
You can switch back to an open patient record by selecting the record from the open patient drop-down list in
the upper right corner.
Paceart Optima System | Paceart System Patient Records | 21
Adding a patient to the Paceart System database
The Paceart System database is made up of patient records that contain information about the patient such
as encounters, appointments ,test results, medical information, billing information, and demographic information.
You can add a new patient to the Paceart System database from within the Paceart System from the Search
> Patients subtab or from an external system such as an EMR or the Medtronic CareLink Network. Minimally
you need to enter a patient's last name and location of care.
Adding a new patient to the Paceart System database
You can add new patients to the Paceart System database through an external system, or through the Paceart
Optima System by entering, and then saving, their demographic information.
If you searched for the patient first, some of the search criteria that you entered on the Patients search tab will
automatically transfer to the corresponding fields in the Add Patient dialog box.
•First Name
•Middle Initial
•Last Name
•Date of Birth
•City
•State/Province
•Zip/Postal code
•Country
•Phone
1. On the Patients search tab, click Add.
The Add Patient dialog box is displayed.
22 | Paceart Optima System | Paceart System Patient Records
2. In the Add Patient dialog box, enter the patient's demographic information.
3. Click Save.
Field and button definitions for the Add Patient dialog box
This is a list of fields and buttons and their definitions.
Field and button definitionsDialog box fields and buttons
Title:
*Last Name:
First Name:
MI:
Suffix:
The patient's title or salutation. The value must be one
of the following values: Dr., Miss, Mr., Mrs, Ms., Prof.
The patient's surname (family name). Required field.
The patient's first given name (e.g. primary forename
or primary personal name).
The first letter of the patient's second given name
(secondary forename, secondary personal name,
patronymic, or matronymic).
The suffix of the patient's name. For example, Sr.
(senior).
Date of Birth:
The patient's date of birth.
Paceart Optima System | Paceart System Patient Records | 23
Field and button definitionsDialog box fields and buttons
Gender:
Status:
Marital Status:
Language:
Location of Care:
Email:
Remote Follow-up Service:
Transmitting Automatically
The patient's gender. The value must be one of the
following values: Male, Female, Other.
A single character field used to represent the patient's
current status. These values are defined by your clinic
and your workflow, for example you could use "A" for
active.
The patient's marital status.
The patient's preferred language.
The patient's primary location of care. This can be
changed on specific appointments and encounters.
The patient's email address.
The patient's remote follow-up service.
Indicates that the device automatically transmits data
using wireless telemetry.
Address:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone 1:
Type:
Phone 2:
The first line of the patient's street address.
The second line of the patient's street address.
The city associated with the patient's street address.
The state or province associated with the patient's
street address.
The zip or postal code associated with the patient's
street address.
The country associated with the patient's street
address.
The patient's primary or preferred phone number.
The type of phone associated with Phone 1. Available
options are Home, Mobile, Work, Fax, Pager, and
Other.
The patient's secondary phone number.
Type:
The type of phone associated with Phone 2. Available
options are Home, Mobile, Work, Fax, Pager, and
Other.
24 | Paceart Optima System | Paceart System Patient Records
Field and button definitionsDialog box fields and buttons
Default:
Paceart:
Referring Providers
Diagnoses
Codes
Deceased:
Date of Death:
The patient's ID number from a previous version of
Paceart or from an external system such as an
electronic medical record (EMR).
The automatically generated Paceart ID number. This
is created when a new patient is added to Paceart and
is not editable.
The patient's referring providers. Click the [...] button
to select a provider from the encyclopedia.
The patient's diagnoses. Click the [...] button to select
a diagnosis from the encyclopedia.
The patient's code(s) as defined by your clinic. A
patient can have multiple codes. Codes can be used
for classifying or grouping patients.
Indicates whether or not the patient is deceased.
If the patient is deceased, the date of the patient's
death.
Cause of Death:
If the patient is deceased, the cause of the patient's
death.
Deleting a patient record
Deleting a patient record also deletes that patient from the Paceart System database. If you have permission
to delete a patient you can delete patients that have no active devices, no encounters, and no scheduled
appointments.
This process only allows you to delete one patient record at a time. To delete multiple patient records at one
time go to Administration > Batch Delete.
1. Click the Search tab.
2. Click the Patients tab.
3. Click Search.
The initial search results are sorted in ascending order by patient last name, patient first name, and then
patient middle initial. You can change the sort criteria and order by clicking on any of the column headings.
4. In the Results window, click the patient you want to delete.
5. Click File > Delete Patient.
6. Click Ye s to confirm the deletion.
The patient record is deleted.
Paceart Optima System | Paceart System Patient Records | 25
Patient Record
The patient record is divided into three tabs, the Patient Information tab, the Device Details tab, and
Encounters tab.
The Patient Information tab is used to document patient specific information such as patient demographics,
medication information, and scheduling preferences. The Device Details tab is used to document information
about the patient's device or devices, such as device details, implant date, and serial number. The Encounters
tab provides a list of patient encounters.
Copying information from the patent record tabs
You can copy information from any of the fields on the Patient Information, Device Details,orEncounters
tabs in the patient record. After copying the information, you can then paste it when adding or editing records
to speed data entry and reduce errors.
1. Locate the information that you want to copy from one of the fields on the Patient Information, Device
Details,orEncounters tabs in the patient record.
2. Right-click the field, then select Copy from the menu that opens.
3. To paste the copied value into a field, right-click the field and select Paste from the menu that opens, or
place the cursor into the field and press Ctrl+V.
Patient Information tab
You can add, edit, and delete patient demographic information from the Patient Information tab. This tab is
broken up into subtabs. You must be in add or edit mode and have sufficient privileges to view and modify
information on the subtabs.
The Patient Information tab gives an overview of patient information including the patient ID number, the date
of birth, and a list of diagnoses. If the patient has multiple ID numbers, then only the primary ID number is
displayed. The primary ID is configured in Administration.
Patient Information Subtabs
Description of informationSubtab
Patient Overview
Demographics
Diagnoses
This tab contains a read-only overview of a patient's demographic information,
patient IDs, codes,providers, diagnoses, medications , active devices, and patient
comments.
This tab contains personal information about the patient. You can edit information
on this tab.
This tab contains a list of all the patient's diagnoses. You can add, edit, or delete
information on this tab.
Providers
This tab contains a list of all the patient's providers. You can add, edit, or delete
providers.
This list also includes providers referenced as Implant, Abandoned, Partially
Explanted, and Explanted providers in the Device Details section, providers
26 | Paceart Optima System | Paceart System Patient Records
Description of informationSubtab
referenced as Prescribing providers in the Medications subtab, and providers
referenced as Billing providers in encounters.
Medications
Insurance
Schedule
This tab contains a list of all the patient's medications. You can add, edit, or delete
medications.
This tab contains a list of all the patient's insurers. You can add, edit, or delete
insurers.
This tab contains all scheduled, canceled, completed, or missed appointments.
You add, edit, or delete appointments and view and edit patient scheduling
preferences.
This tab contains a list of allergy, pharmacy, and CardioVoice information.Miscellaneous
Editing a patient's demographic information
You can edit an existing patient's demographic information, IDs, codes and comments.
1. In the patient record, click the Patient Information tab.
2. Click the Demographics subtab.
3. Click Edit.
4. In the Edit Patient dialog box, make changes to the patient's demographic data. You cannot change the
system-generated Paceart System patient ID.
5. Click Save.
Field and button definitions for the Edit Patient dialog box
This is a list of fields and buttons and their definitions.
Title:
*Last Name:
First Name:
MI:
Suffix:
Date of Birth:
Gender:
Field and button definitionsDialog box fields and buttons
The patient's title or salutation. The value must be one
of the following values: Dr., Miss, Mr., Mrs, Ms., Prof.
The patient's surname (family name). Required field.
The patient's first given name (e.g. primary forename
or primary personal name).
The first letter of the patient's second given name
(secondary forename, secondary personal name,
patronymic, or matronymic).
The suffix of the patient's name. For example, Sr.
(senior).
The patient's date of birth.
The patient's gender. The value must be one of the
following values: Male, Female, Other.
Paceart Optima System | Paceart System Patient Records | 27
Field and button definitionsDialog box fields and buttons
Status:
Marital Status:
Language:
Location of Care:
Email:
Remote Follow-up Service:
Transmitting Automatically
Address:
Address:
A single character field used to represent the patient's
current status. These values are defined by your clinic
and your workflow, for example you could use "A" for
active.
The patient's marital status.
The patient's preferred language.
The patient's primary location of care. This can be
changed on specific appointments and encounters.
The patient's email address.
The patient's remote follow-up service.
Indicates that the device automatically transmits data
using wireless telemetry.
The first line of the patient's street address.
The second line of the patient's street address.
City:
State/Province:
Zip/Postal Code:
Country:
Phone 1:
Type:
Phone 2:
Type:
The city associated with the patient's street address.
The state or province associated with the patient's
street address.
The zip or postal code associated with the patient's
street address.
The country associated with the patient's street
address.
The patient's primary or preferred phone number.
The type of phone associated with Phone 1. Available
options are Home, Mobile, Work, Fax, Pager, and
Other.
The patient's secondary phone number.
The type of phone associated with Phone 2. Available
options are Home, Mobile, Work, Fax, Pager, and
Other.
28 | Paceart Optima System | Paceart System Patient Records
Field and button definitionsDialog box fields and buttons
Default:
Paceart:
Patient Comments
Private Patient Comments
Codes
Deceased:
The patient's ID number from a previous version of
Paceart or from an external system such as an
electronic medical record (EMR).
The automatically generated Paceart ID number. This
is created when a new patient is added to Paceart and
is not editable.
Comments about the patient. Press F9 to look up a
quick phrase.
Additional comments about the patient that can be
viewed only within the Paceart System. These
comments appear on the Edit Patient dialog box and
read-only Patient Overview subtab, but are not printed
on reports. Press F9 to look up a quick phrase.
The patient's code(s) as defined by your clinic. A
patient can have multiple codes. Codes can be used
for classifying or grouping patients.
Indicates whether or not the patient is deceased.
Date of Death:
Cause of Death:
If the patient is deceased, the date of the patient's
death.
If the patient is deceased, the cause of the patient's
death.
Adding or editing a patient's diagnosis
You can add or edit a patient's diagnosis to the patient's record on the Add Patient Diagnosis or Edit Patient
Diagnosis dialog box. A patient can have up to twenty active diagnoses.
If the diagnosis is related to a device, or an implant diagnosis, you must edit the device details to change the
diagnosis. Although it is listed on the Diagnoses tab, you cannot edit it there.
1. In the patient record, click the Patient Information tab.
2. Click the Diagnoses tab.
3. Determine which action to take.
•To add a diagnosis, click Add.
•To edit a diagnosis, select the diagnosis and click Edit.
The Add Patient Diagnosis or the Edit Patient Diagnosis window is displayed.
Paceart Optima System | Paceart System Patient Records | 29
4. Enter or edit the diagnosis. To search for an existing diagnosis click the [...] button.
5. Select Active if it is an active diagnosis.
6. Enter or edit comments about the patient's diagnosis in the Comments field. Press the F9 key to enter aquick phrase in the Comments field.
7. The Display Order section shows you how the diagnoses will be listed on reports. To change the displayorder of the diagnoses, select the diagnosis and use Move Up and Move Down to move the diagnosis.
8. To save the information and add another diagnosis, click Save and Add Another. Otherwise, click Save
to save the information and close the dialog box.
The updated diagnosis information is displayed on the Diagnoses tab.
Field and button definitions for the Add or Edit patient's diagnosis
This is a list of fields and buttons and their definitions.
Field and button definitionsDialog box fields and buttons
*Diagnosis:
Active:
Comments:
Display Order:
Move Up
Move Down
Save
The patient's diagnosis. Required field. You may have
up to twenty active diagnoses.
Shows if the diagnosis is active or inactive.
Miscellaneous comments.
Allows you to change the order the diagnoses will be
listed in on reports.
Moves the selected item up in the list box.
Moves the selected item down in the list box.
Saves all changes.
30 | Paceart Optima System | Paceart System Patient Records
Field and button definitionsDialog box fields and buttons
Save and Add Another:
Saves the information that is displayed and redisplays
the window with unpopulated fields so you can add
another.
Selecting a diagnosis
Use the [...] button by any Patient Diagnosis or Diagnosis field to search for and select a diagnosis.
1. Click the [...] button next to the Diagnosis or Patient Diagnosis field.The Select Diagnosis dialog box opens.
2. Type the search criteria in the Search String field.
3. Click Search.The items that match your search criteria are displayed in the Results list.
4. Select a diagnosis from the Results list.
5. Click Select.
The diagnosis you selected is displayed in the field.
Field and button definitions for the Select Diagnosis dialog box
This is a list of fields and buttons and their definitions.
Field and button definitionsDialog box fields and buttons
Search String:
Text box for entering whole or partial keywords.
Search
Code
Description
Coding System
Comments:
Invokes the search.
The code assigned to the diagnosis.
The description of the diagnosis.
The coding system of the diagnosis.
Comments about the diagnosis.
Adding or editing a patient's provider
You can add or edit a patient's provider on the Add Patient Provider or Add Patient Provider dialog box.
If the provider is related to a device, such as an implanting provider, you must edit the device details to change
the provider. Although it is listed on the Providers tab you cannot edit it there.
1. In a patient record, click the Patient Information tab.
2. Click the Providers tab.
3. Determine which action to take.
•To add a provider, click Add.
•To edit a provider, select the provider and click Edit.
The Add Patient Provider or the Edit Patient Provider window is displayed.
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