Midmark IQmark Digital ECG PDA, IQmark Digital SpiroPDA Operation Manual
OPERATION MANUAL
Part Number: 3-100-1049 Revision 3.0 ©2005 Brentwood Medical Technology Corp.
IQmark Diagnostic PDA
Diagnostic PDA Operation Manual
Diagnostic PDADiagnostic PDA
IQmark Digital ECG PDA
IQmark Digital SpiroPDA
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©2005 Brentwood Medical Technology Corp.
IQmark Diagnostic PDA
Diagnostic PDA Operation Manual
Diagnostic PDADiagnostic PDA
Table Of Contents
I GENERAL INFORMATION ............................................................................................................2
AD
BS
ESCRIPTION .................................................................................................................................... 2
YSTEM REQUIREMENTS................................................................................................................... 3
IQmark Digital ECG Module Requirements......................................................................................... 3
IQmark Digital Spirometer Handle Requirements................................................................................ 4
PC Requirements .................................................................................................................................. 5
Pocket PC Device Requirements........................................................................................................... 5
CG
ETTING STARTED............................................................................................................................ 6
II SOFTWARE INSTALLATION ........................................................................................................ 7
AP
REPARING FOR INSTALLATION ........................................................................................................ 7
NSTALLING THE SOFTWARE............................................................................................................. 8
BI
III IQMARK PDA OPERATION.........................................................................................................12
AO
BS
CS
DR
VERVIEW ...................................................................................................................................... 12
TARTING THE IQMARK PDA APPLICATION................................................................................... 13
ELECTING A PATIENT ................................................................................................................... 14
EGISTERING A NEW PATIENT ....................................................................................................... 16
Storing New Patients........................................................................................................................... 18
Patient Data Requirements For Spirometry ....................................................................................... 18
EV
FE
GP
HT
IEWING PATIENT DATA ................................................................................................................ 19
NTERING VITAL SIGNS .................................................................................................................. 20
RINTING REPORTS FROM POCKET PC DEVICE .............................................................................. 21
RANSFERRING DATA TO THE IQMARK DIAGNOSTIC WORKSTATION DATABASE.......................... 23
Docking Bay Transfer......................................................................................................................... 23
Wireless Network Transfer.................................................................................................................. 23
IC
JS
ONFIGURING THE IQMARK PDA APPLICATION ............................................................................ 24
UGGESTIONS FOR EASIER OPERATION .......................................................................................... 26
Registering New Patients In IQmark Diagnostic Workstation ........................................................... 26
Dealing With Large Databases........................................................................................................... 26
Using Transcriber And Patient Search Auto Update Together........................................................... 27
IV USING ECG ...................................................................................................................................... 28
AC
OLLECTING ECG DATA................................................................................................................ 28
Preparing for ECG Acquisition .......................................................................................................... 29
Color ................................................................................................................................................... 31
Filters.................................................................................................................................................. 32
Gain .................................................................................................................................................... 33
ERFORMING A STAT ECG ........................................................................................................... 34
BP
CR
EVIEWING ECG TEST.................................................................................................................... 35
V USING SPIROMETRY.................................................................................................................... 38
AC
BC
CP
DP
EP
OLLECTING SPIROMETRY DATA.................................................................................................... 38
ALIBRATING THE SPIROMETER...................................................................................................... 40
ERFORMING AN FVC TEST............................................................................................................ 41
ERFORMING A VC TEST ................................................................................................................ 47
ERFORMING AN MVV TEST .......................................................................................................... 49
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VI IQMARK SYNC APPLICATION OPERATION ......................................................................... 51
RINTING OPTIONS ......................................................................................................................... 54
AP
ELECTING SYNCHRONIZATION METHODS ..................................................................................... 55
BS
CC
DU
HANGING THE DATABASE ............................................................................................................ 55
SING IQMARK SYNC WITH THE IQMARK DATA MANAGEMENT SYSTEM ..................................... 56
VII WIRELESS NETWORK OPERATION.................................................................................... 57
AS
YSTEM REQUIREMENTS................................................................................................................. 58
BG
CS
DS
EU
ETTING STARTED.......................................................................................................................... 58
ETTING UP IQMARK SYNC FOR NETWORK OPERATION ................................................................ 59
ETTING UP IQMARK PDA FOR A WIRELESS NETWORK ............................................................... 60
SING IQMARK PDA ON A WIRELESS NETWORK.......................................................................... 60
Dealing With Interruptions In The Network Connection.................................................................... 60
Recovering From Interruption Of Network Service............................................................................ 61
VIII SYSTEM MAINTENANCE........................................................................................................ 62
ROUBLESHOOTING GUIDE............................................................................................................. 62
AT
IQmark Digital ECG/IQmark PDA Problems .................................................................................... 62
IQmark PDA Patient Search Screen Problems................................................................................... 65
IQmark SpiroPDA / IQmark PDA Problems ...................................................................................... 66
IQmark Sync/PC Problems ................................................................................................................. 68
BC
USTOMER SERVICE AND CONTACT INFORMATION........................................................................ 71
Warranty ............................................................................................................................................. 71
Return Goods Authorization ............................................................................................................... 71
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IQmark Diagnostic PDA
Diagnostic PDA Operation Manual
Diagnostic PDADiagnostic PDA
A Word of Thanks
Thank you for purchasing the IQmark PDA. We trust our product will enable you to
reduce the time your staff spends on performing and managing ECG and Spirometry
reports. Both modalities are available from Midmark Diagnostics Group.
We believe you will be pleased with the user-friendly operation of our product and with
your results. As your partner in health care, we look forward to working with you in the
coming years as we develop even more sophisticated diagnostic technology for the
medical field. Your thoughts, questions and comments about our product are welcomed.
Midmark Diagnostics Group: Phone (800) 624-8950 or (310) 530-5955
Notice
The information in this manual is subject to change without notice.
Midmark Diagnostics Group shall not be liable for technical or editorial omissions made
herein, nor for incidental or consequential damages resulting from the furnishing,
performance, or use of this guide.
This document may contain proprietary information protected by copyright. No part of
this document may be photocopied or reproduced in any form without prior written
consent from Brentwood Medical Technology Corp.
IQmark is a registered trademark of Midmark.
SpiroPDA is a registered trademark of Midmark.
Windows and Microsoft are registered trademarks of Microsoft Corporation.
Pocket PC is a registered trademark of Microsoft Corporation.
Pentium is a registered trademark of Intel Corporation.
iPAQ is a registered trademark of HP Computer Corp.
©2005 Brentwood Medical Technology Corp.
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Diagnostic PDA Operation Manual
Diagnostic PDADiagnostic PDA
I General Information
A Description
The IQmark Physician’s Diagnostic Assistant (PDA) allows clinical personnel to connect
an IQmark Digital ECG PDA or IQmark Digital SpiroPDA module to a hand held device
(Pocket PC device) running Microsoft Pocket PC. With the IQmark PDA, you can
collect ECG data or Spirometry reports from patients in a mobile environment.
Once collected, the IQmark PDA analyzes the report(s) and allows you to print directly
from the Pocket PC device to an infrared or Bluetooth enabled printer (as long as your
Pocket PC device has that wireless capability). You can also use the IQmark PDA to
acquire data and the transfer it to a computer via a docking station. The following figure
illustrates one way this product can be used (non-wireless).
Docking Bay I/F
Pocket PC Device
RS-232
RS-232
Patient Cable
Disconnect ECG or Spirometer
module and insert Pocket PC into
its docking bay.
Pocket PC Device
ECG and spirometry files are transferred to the
Windows PC where they are automa tically
analyzed and stored in the IQmark Diagnostic
Workstation Database.
Windows PC
User carries the Pocket PC and the IQmark
Digital ECG or Spirometer module from patient
to patient collecting ECG or spirometry reports.
Reports are stored as files in the memory of the
Pocket PC.
IQmark PDA Operation Environment
The IQmark PDA is an application that runs on the Pocket PC device. A second software
component called the IQmark Sync application runs on a Microsoft Windows personal
computer (PC) platform. Both applications are included in the IQmark PDA package.
The IQmark Sync program transfers the ECG and Spirometry files you collected on your
Pocket PC device and stores the reports in the database of the IQmark Diagnostic
Workstation application on your personal computer (PC). It also transfers the patient list
from the IQmark Diagnostic Workstation to the IQmark PDA.
After the reports are transferred, you can use the IQmark Diagnostic Workstation
application to review, edit, print, email, and manage ECG and Spirometry reports. Please
refer to the IQmark Diagnostic Workstation Operation manual for additional information.
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Diagnostic PDA Operation Manual
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B System Requirements
The IQmark PDA application uses the IQmark Digital ECG module to acquire ECG data
and the IQmark Digital Spirometer handle to acquire Spirometry tests. Once acquired,
the IQmark PDA application analyzes the results.
IQmark Digital ECG Module Requirements
The IQmark PDA is compatible with IQmark Digital ECG modules with a serial number
of 415000 or higher. This version of the IQmark Digital ECG module has a power switch
as shown in the following figure and is often referred to at the IQmark Digital ECG PDA
module.
Power switch
If your IQmark Digital ECG module does not have a serial number of 415000 or higher
and does not have a power switch as shown above then it will not work with the IQmark
PDA Pocket PC software application.
Please contact Midmark Diagnostics Group Customer Service if you do not have the
correct version of the IQmark Digital ECG module.
Customer Service Telephone Numbers: 800-624-8950, ext 2 or 310-530-5955, ext 2
©2005 Brentwood Medical Technology Corp.
IQmark Digital ECG PDA Module
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IQmark Digital Spirometer Handle Requirements
The IQmark PDA is compatible with IQmark Digital Spirometer handles with a RS232,
DB9 connector (COM Port connector) and model number of 51xxxx (where xxxx is the
serial number).
Spirometer handles with the Brentwood by Midmark rectangular label are NOT
compatible with the IQmark PDA. Your Spirometer handle must have the Midmark
Diagnostics Group rectangular label AND have a model number of 51xxxx to be
compatible with the IQmark PDA.
Spirometer Midmark Diagnostics Group label Brentwood by Midmark label
Handle Compatible (Model # 51xxxx) Not Compatible
If your IQmark Digital Spirometer handle does not have the model number 51xxxx, it
will not work with the IQmark PDA Pocket PC software application. The IQmark PDA is
NOT compatible with IQmark Digital Spirometer handles with a USB connector or
model numbers 03xxx, 50xxxx or 52xxxx.
The new version of the IQmark Digital Spirometer has a power switch built into the
handle. There is no external On/Off switch. The user turns the handle ON by inserting
the mouthpiece into the handle. The LED will light and the Spirometer will be on when
the mouthpiece is inserted into the handle correctly.
NOTE: The power in the handle will always be on whenever the mouthpiece is in
place. Please remove the mouthpiece after testing or calibration to assure
longer life for the batteries.
Please contact Midmark Diagnostics Group Customer Service for additional information
about the correct version of the IQmark Digital Spirometer handle.
Customer Service Telephone Numbers: 800-624-8950, ext 2 or 310-530-5955, ext 2
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PC Requirements
The IQmark Sync application runs on the same personal computer as the IQmark
Diagnostic Workstation software. The IQmark Diagnostic Workstation Operation
Manual specifies the minimum hardware and software requirements for the PC.
Pocket PC Device Requirements
The IQmark PDA software runs on the Microsoft Pocket PC 2003 or Windows Mobile
2003 Second Edition operating systems or later. Midmark Diagnostic Group has tested
and certified the operation of this software on the following Pocket PC devices:
HP/Compaq iPAQ Model 38xx series
HP/Compaq iPAQ Model 39xx series
HP/Compaq iPAQ Model 55xx series
HP iPAQ Model 2215
HP iPAQ Model 41xx series
HP iPAQ Model 54xx series
Toshiba Model e800
Toshiba Model e805
If your Pocket PC device does not appear in the above list you should contact Midmark
Diagnostic Group. New Pocket PC devices are frequently introduced and it may be that
we have tested this software on that device. A serial cable designed specifically for the
Pocket PC device must be available to connect to our devices.
The minimum requirements for the Pocket PC device are as follows.
Item Specification/Description
Operating System Microsoft Pocket PC 2003 or Windows Mobile 2003 Second
Edition (or later).
Serial Port Speed 115 Kbaud. Serial port may be built into the Pocket PC device or
available with an add-on PC Card serial adapter.
Serial Cable A serial cable must be available to connect the Pocket PC device to
the appropriate IQmark device (ECG or Spirometer). This cable
should be available from the Pocket PC device manufacturer.
RAM Memory 32 MB or greater
CPU Intel StrongArm 206 MHz, an equivalent or newer
Software .NET Compact Framework
Storage Cards Optional. SD (Secure Digital) cards or CF (Compact Flash) cards.
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C Getting Started
Before using this product you must install the necessary software on your PC and your
Pocket PC device.
The installation program will install the IQmark Sync application on your PC and then
give you the option of installing the IQmark PDA application on your Pocket PC device.
Section II describes the installation procedures.
After you have completed the installation you are ready to start using the IQmark PDA
application to collect ECG or Spirometry files. Section III describes how to use the
IQmark PDA application.
Unless you plan to use your Pocket PC device with a wireless local area network, the
IQmark Sync application will automatically run on your PC when you insert the Pocket
PC device into its docking bay. Upon completion of the file transfer, you can use the
IQmark Diagnostic Workstation product to review, edit, print and manage ECG and
Spirometry reports.
There are several optional configuration settings available in IQmark Sync that can be
changed to customize its operation. See the section on IQmark Sync Application
operation for addition information.
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II Software Installation
A Preparing For Installation
Before installing the IQmark PDA application it is important that you perform the tasks
described in this section.
Microsoft ActiveSync must be installed in order to use this software. ActiveSync comes
with your Pocket PC device. Please refer to the setup instructions provided with your
Pocket PC device.
After ActiveSync is installed, your Pocket PC device must have a partnership with the
computer. Please refer to the setup instructions provided with your Pocket PC device to
establish this connection.
The ActiveSync status must display Connected, Synchronized before you install IQmark
PDA. If the ActiveSync status is not ready, please refer to your ActiveSync Operation
Manual.
This application requires that the IQmark Diagnostic Workstation Software version 7.0
(or later) be installed on the PC on which you intend to install this software. The
installation program will not allow you to install the IQmark PDA software if the IQmark
Diagnostic Workstation is not present.
If you wish to create ECG reports, you will need the IQmark Digital ECG PDA module.
If you wish to create Spirometry reports, you will need the IQmark Digital SpiroPDA
handle. If you do not have either of these modules, please contact your local Midmark
Diagnostics Group representative.
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B Installing The Software
NOTE: Close all Windows programs before running this software installation.
Once the installation program starts, it should not be interrupted until
completion. The approximate installation time is two minutes.
1. Insert the IQmark PDA Installation CD into the CD-ROM drive. The CD
automatically starts the installation program.
2. If the installation program does not start automatically, double-click My Computer
on the desktop, and double-click the CD-ROM icon to start.
The installation program displays a message box indicating that it is preparing to install
the software and then the following dialog box appears.
3. Click the Next button. The installation program will install the software on your
computer and the following dialog will appear.
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4. Make sure your Pocket PC device is docked and synchronized. Click the Install
button to start the installation. The program will start to install files to the computer
and display the following screens.
If the Pocket PC device is not connected, it will display the following:
If it is connected, it will display the following:
Click Yes to select the default directory. Click No if you do not want to install the
IQmark PDA software on your Pocket PC device at this time. You can install the
software later by selecting IQmark PDA Setup from the Start menu.
Start Æ Programs Æ Midmark Diagnostics Æ IQmark PDA Setup.
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If you selected Yes, the IQmark PDA program will be installed on your Pocket PC
device. Check to see if your Pocket PC device requires any additional steps.
5. Click the Finish button.
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IQmark Sync – Synchronization Screen
After the installation is complete, IQmark Sync will automatically launch. If it does not,
turn off the power to the Pocket PC device (without removing from the docking station),
wait five or six seconds, and then turn power back on again. This will cause the IQmark
Sync application to transfer the patient data stored in the IQmark Diagnostic Workstation
database to the Pocket PC device memory. After this is complete you are now ready to
use the IQmark PDA application.
NOTE: IQmark Sync cannot complete its synchronization tasks if you have not
established a synchronization partnership between your Pocket PC device
and Microsoft ActiveSync.
If you have not established an ActiveSync partnership with your Pocket
PC device, ActiveSync will prompt you to do so when you connect your
Pocket PC device to your computer. Set up a partnership according to the
instructions presented by the Microsoft ActiveSync program.
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III IQmark PDA Operation
A Overview
Using the IQmark PDA application on your Pocket PC device requires the following
steps.
1. Start the IQmark PDA application (see Section B).
2. Select a patient from the database (see Section C). If you cannot find a patient then
register a new patient (see Section D).
3. Perform an ECG test.
• Prepare the patient for an ECG. See the patient hookup diagram in “Preparing For
ECG Acquisition” in Section IV-A.
• Connect the Pocket PC device to the IQmark Digital ECG module. Turn the ECG
module on. Tap on the ECG button to start ECG acquisition.
• Save the ECG for the patient by tapping the Save button. The ECG file will be
stored in the memory of the Pocket PC device.
• Exit from ECG Screen by tapping the OK button. You can now perform ECGs for
other patients if you want to.
4. Perform a Spirometry test.
• Connect the IQmark Digital Spirometer handle to the Pocket PC device.
• Attach a new mouthpiece to the Spirometer handle. This will turn the unit on.
• Start the SpiroPDA program by tapping the Spiro button.
• Perform FVC, VC or MVV on the patient.
• Tap the OK button at the top of the screen. Then tap Yes to save the Spirometry
report.
5. After collecting one or more ECG files or Spirometry reports, place the Pocket PC
device into its docking bay and transfer the report files to the database of the IQmark
Diagnostic Workstation (See Section H).
6. Use the IQmark Diagnostic Workstation to over-read, print, email and manage ECG
and Spirometry reports.
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B Starting the IQmark PDA Application
To start the IQmark PDA application on your Pocket PC device tap on the Start menu in
the upper left-hand corner of the screen, then select IQmark PDA. (If it is not listed here,
tap on the Start menu, select Settings, select Menus, and scroll down the list of programs
until you see IQmark PDA. Tap next to it to place a check mark in the box next to it.
Click the OK in the upper right hand corner to close.) The application will start and the
Patient List Screen will appear.
You can also start the application by tapping Start Æ Programs Æ IQmark PDA.
Patient List Screen
The opening screen of the program is the Patient List Screen. The Room For: number
depends on the amount of free memory in your Pocket PC device.
If you wish, you can set up the Pocket PC device so that you can start the IQmark PDA
with one of the customizable buttons on your Pocket PC device. To do this, tap Start Æ
Settings then tap the Buttons icon in the Settings screen. Select the button you wish to
use from the button list. Then select IQmark PDA from the Button assignment combo
box. Tap OK in the upper right-hand corner of the screen.
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C Selecting A Patient
The Patient List Screen shown is the opening screen of the application. From this screen
you can select a patient and perform a new test for that patient. The first time you open
the program and tap on Search, it will take a few seconds to load the patient database.
Once the database is loaded, search times for other patients will be quicker. To display
the entire patient list, tap on Search without entering any information.
To select a specific patient, enter the first few letters of the patient’s last name in the
Name box at the top of the screen. The patient list should update as you enter characters
in the edit box. If it does not, then tap the Search button with the pointing device.
Scroll the patient list up or down until you see the patient you want. Select the patient by
tapping on that patient’s name in the Name column. Once you have selected a patient,
you can perform the following actions.
• Start an ECG for that patient by tapping ECG.
• Start a Spirometry test for that patient by tapping Spiro.
• View the patient’s data by tapping View (If you are using the on-screen keyboard
as the input device, you will have to hide it in order to see the View button).
• Enter vital signs information by tapping Vitals.
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Patient List Screen
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Patient List Screen Controls
Control Description
Name Text box for entering the last name of a person to search for.
There are two ways to use this field. If Patient Search Auto Update is
enabled (see Configuring The IQmark PDA Application), then the
software searches the patient database and updates the patient list each
time you enter or delete a character. If Patient Search Auto Update is
disabled you must tap the Search button after entering the patient’s last
name (or the first few characters of the last name).
Search
When you tap Search with the pointing device the software searches the
database for patients whose last name matches the Name edit field.
If the Name edit field is empty, Search returns the entire list of patients.
Note: Displaying the entire list of patients may take a long time if there
are many patients in the database.
List Box Displays the last name, first name (plus middle initial) and patient ID
number of patients stored in the database.
ECG Starts ECG acquisition for the currently selected patient. See section on
Collecting ECG Data.
Spiro Starts Spirometry so you can test patients or perform sensor calibration.
See section on Using Spirometry.
New Patient Displays the Patient Data Dialog so you can enter the name, ID number
and other data for a new patient. See Registering A New Patient.
Vitals Displays Vital Signs Dialog so you can enter vital signs data (BP, pulse
and temperature and smoking history) for the selected patient.
View Displays the Patient Data Dialog for the currently selected patient. See
Viewing Patient Data.
Delete Deletes tests stored on the PDA.
Send Sends tests stored on the PDA.
Not Sent Displays number of tests acquired on the PDA not sent to the Workstation
database.
Stored Indicates the number of report files stored on your Pocket PC device.
Room For Indicates the number of report files that can be stored on your Pocket PC
device. Typically between 100 and 300 report files can be stored,
depending on how much memory is available in your device.
Taskbar Controls
New Click on New to start a new ECG or Spirometry test, or to enter a new
patient, or to enter new vitals.
STAT-ECG Starts a new ECG without selecting a patient.
Settings Displays the Settings Dialog so you can configure the application. See
Configuring The IQmark PDA application.
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D Registering A New Patient
You can register a new patient in the event that the patient is not already in the database.
To register a new patient, tap the New Patient button in the Patient List Screen with the
pointing device. The following screen will appear.
New Patient Data Screen
Enter the data for the new patient. The application will save the data when you tap one of
the following buttons:
• ECG
• Spiro
• Vitals
• New Patient
• Settings
• Cancel
• OK
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New Patient Data Screen Controls
Control Description
Last, First,
MI
Text boxes for entering the patient’s last name, first name and middle
initial (MI).
Used for identification. Providing complete information facilitates easier
retrieval of patient data at later dates.
ID For entering the patient identification number. Letters and numbers may
be used.
Sex Select Male or Female.
Required for the ECG analysis logic. Required for Spirometry predicted
equations and interpretation.
DOB For entering the patient’s date of birth. The patient’s age is calculated
from the date of birth. You must enter the DOB. The ECG analysis
program uses the age as input for its diagnostic logic. Required for
Spirometry predicted equations and interpretation.
To enter DOB, tap on the down arrow, then hold the stylus on the year.
This will display a box to enter the year. Now tap on the month and select
from the list. Finally, select the date and the calendar will close.
Ht. For entering the patient’s height. Required for Spirometry predicted
equations and interpretation.
Wt. For entering the patient’s weight. Patient weight is optional.
Race Select the patient’s race from the drop down list. Required for Spirometry
predicted equations and interpretation.
ECG Starts ECG acquisition for the currently displayed patient. See Collecting
ECG Data. See Section IV-A.
Spiro Starts Spirometry so you can test patients or perform sensor calibration.
See the section on Using Spirometry.
Vitals Displays the Vital Signs Dialog so you can enter vital signs data (height,
weight, blood pressure, pulse and temperature for the currently displayed
patient.
New Patient Saves the current patient data and clears the display fields so you can enter
data for a new patient.
Settings Displays the Settings Dialog so you can configure the application. See
Configuring The IQmark PDA application.
Cancel Returns to the Patient List Screen without saving.
OK Returns to the Patient List Screen.
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Storing New Patients
When you enter a new patient, the software stores the data in the database in the Pocket
PC device. The application will save new patient data until you dock the Pocket PC
device to the PC (see Transferring Data To The IQmark Diagnostic Workstation). At that
time, the new patient data will be sent to the IQmark Diagnostic Workstation database
and cleared from the Pocket PC device memory.
If you did not perform an ECG or Spirometry test for a newly registered patient (on the
Pocket PC device), that patient’s data will not be transferred to the IQmark Diagnostic
Workstation database on your personal computer.
Patient Data Requirements For Spirometry
If you plan to perform Spirometry, the following patient data must be entered.
• Race
• Date of birth (Age)
• Sex
• Height
A simple way to remember this information required for a Spirometry test is to use an
acronym:
RASH – Race, Age, Sex, Height
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Entering Date of Birth
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E Viewing Patient Data
To view a patient’s data, select the patient from the Patient List Screen and tap View. The
View Patient Data screen shown below will appear.
View Patient Data Screen
If the selected patient is from the IQmark Diagnostic Workstation database on your PC,
then all of the data fields will be read only and you cannot change the patient’s data. If
the selected patient is one that you registered with the IQmark PDA program on the
Pocket PC device (i.e. a new patient), you can change or correct the patient data. The data
will be saved when you tap OK at the top right of the screen.
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