Welch Allyn RScribe User Manual

Welch Allyn RScribe User Manual

12-lead electrocardiograph system
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®
Welch Allyn
RScribe™
12-LEAD electrocardiograph SYSTEM
USER MANUAL
Manufactured by Welch Allyn, Inc. Skaneateles Falls, NY U.S.A.
CAUTION: Federal law restricts this device to sale by or on the order of a physician.

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Summary of Contents for Welch Allyn RScribe

  • Page 1 ® Welch Allyn RScribe™ 12-LEAD electrocardiograph SYSTEM USER MANUAL Manufactured by Welch Allyn, Inc. Skaneateles Falls, NY U.S.A. CAUTION: Federal law restricts this device to sale by or on the order of a physician.
  • Page 2 Welch Allyn, Inc. Welch Allyn is a registered trademark of Welch Allyn, Inc. AM12, RScribe, WAM, and ELI are trademarks of Welch Allyn, Inc. SCF (Source Consistency Filter) is a copyright of Welch Allyn, Inc. Microsoft and Windows are registered trademarks of Microsoft Corporation. Adobe and Acrobat are registered trademarks of Adobe Systems Incorporated.
  • Page 3: Table Of Contents

    TABLE OF CONTENTS NOTICES ................................. 4 ’ ............................ 4 ANUFACTURER ESPONSIBILITY ............................ 4 ESPONSIBILITY OF THE USTOMER ............................. 4 QUIPMENT DENTIFICATION ..........................4 OPYRIGHT AND RADEMARK OTICES ............................. 4 THER MPORTANT NFORMATION EU U : ........................... 4 OTICE TO SERS AND ATIENTS WARRANTY INFORMATION ...........................
  • Page 4 TABLE OF CONTENTS USING RSCRIBE ..............................43 ..............................43 CHEDULE AN EXAM ..............................43 TART A RESTING EXAM STAT ECG ............................43 CQUIRING A EXAM ....................43 EVIEWING AND SIGNING AN EXAM AND PRINTING A REPORT ............................... 43 TIME ISPLAY ECG ..............................
  • Page 5 TABLE OF CONTENTS ................................85 ERVICE ..............................86 ONFIGURE ORKFLOW ............................... 87 REFERENCES ..87 CRIBE WILL PRESENT THE DEFAULT SETTINGS ON ANY OF THE WORKSTATIONS THAT THE USER LOGS INTO ............................88 EPORT ONFIGURATION ............................89 SSIGNMENT ABLE Page | 3...
  • Page 6: Notices

    Failure to do so may cause undue failure and possible health hazards. Equipment Identification Welch Allyn, Inc. equipment is identified by a serial and reference number on the back of the device. Care should be taken so that these numbers are not defaced. Software equipment is accompanied by an identification card;...
  • Page 7: Warranty Information

    Welch Allyn or an authorized distributor or representative of Welch Allyn, and (ii) all risk of loss in transit. It is expressly agreed that the liability of Welch Allyn is limited and that Welch Allyn does not function as an insurer.
  • Page 8 BE THE REPAIR OR REPLACEMENT OF DEFECTIVE PRODUCT/S TO THE EXTENT THAT THE DEFECT IS NOTICED AND WELCH ALLYN IS NOTIFIED WITHIN THE WARRANTY PERIOD. IN NO EVENT, INCLUDING THE CLAIM FOR NEGLIGENCE, SHALL WELCH ALLYN BE LIABLE FOR INCIDENTAL,...
  • Page 9: User Safety Information

    Inadequate knowledge or training could result in increased risk of harm to users, patients and bystanders, or damage to the device. Contact Welch Allyn service for additional training options. To maintain designed operator and patient safety, peripheral equipment and accessories used that can come in direct patient contact must be in compliance with UL 60601-1, IEC 60601-1, and IEC 60601-2-25.
  • Page 10 24. Test RScribe functions after each Microsoft critical and security update with a simulator prior to patient use. 25. Damaged or suspected inoperative equipment must be immediately removed from use and must be checked/repaired by qualified service personnel prior to continued use.
  • Page 11: Caution

    Windows 7 Professional Service Pack 1, Windows 8.1 Professional, and Windows 10 Pro operating systems. The RScribe software has also been tested with Windows Server 2008 R2 Service Pack 1 and Windows Server 2012 R2. Although it is unlikely that Windows updates and security patches affect RScribe functionality, Welch Allyn recommends turning automatic Windows update off, and periodically running it manually.
  • Page 12: Notes

    14. The WAM will automatically turn off after being disconnected from the patient. This will happen regardless of RScribe battery/AC power state. 15. A thick baseline presentation on the display while using the WAM may be due to the WAM being turned off, having no battery, not being paired correctly, operating out of range, or due to a calibration error.
  • Page 13 USER SAFETY INFORMATION If not specifically indicated otherwise, personal computer equipment used with the device can be regarded as: - Class I (if the computer has a three-prong power inlet) or class II (if it has a two-prong inlet) - Ordinary equipment. - Equipment not suitable for use in the presence of a flammable anesthetic mixture.
  • Page 14: Equipment Symbols And Markings

    Allyn for delivery within 7 calendar days. Consult directions for use (DFU). A copy of the DFU is available on this website. A printed copy of the DFU can be ordered from Welch Allyn for delivery within 7 calendar days...
  • Page 15: Package Symbol Delineation

    EQUIPMENT SYMBOLS AND MARKINGS Package Symbol Delineation This side up Fragile Keep Dry Keep Away from Heat Acceptable Temperature Range Page | 13...
  • Page 16: General Care

    GENERAL CARE Precautions  Turn off the device before inspecting or cleaning.  Do not immerse the device in water.  Do not use organic solvents, ammonia based solutions, alcohol, or abrasive cleaning agents which may damage equipment surfaces. Inspection Inspect your equipment daily prior to operation.
  • Page 17: Electromagnetic Compatibility (Emc)

    See the appropriate EMC table for recommended separation distances between the radio equipment and the device. The use of accessories, transducers, and cables other than those specified by Welch Allyn may result in increased emissions or decreased immunity of the equipment.
  • Page 18 ELECTROMAGNETIC COMPATIBILITY (EMC) Guidance and Manufacturer’s Declaration: Electromagnetic Emissions The equipment is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the equipment should ensure that it is used in such an environment. Emissions Test Compliance Electromagnetic Environment: Guidance...
  • Page 19 ELECTROMAGNETIC COMPATIBILITY (EMC) Guidance and Manufacturer’s Declaration: Electromagnetic Immunity The equipment is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the equipment should ensure that it is used in such an environment. IEC 60601 Test Compliance Emissions Test...
  • Page 20 ELECTROMAGNETIC COMPATIBILITY (EMC) Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Equipment The equipment is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the equipment can help to prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the equipment as recommended in the table below, according to the maximum output power of the communications equipment.
  • Page 21: Regulatory Radio Compliance

    Interference Handbook This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402. Stock No. 004-000-0034504. Welch Allyn is not responsible for any radio or television interference caused by unauthorized modification of the devices included with this Welch Allyn product, or the substitution or attachment of connecting cables and equipment other than specified by Welch Allyn.
  • Page 22: Industry Canada (Ic) Emissions

    ELECTROMAGNETIC COMPATIBILITY (EMC) Industry Canada (IC) Emissions RF Radiation Hazard Warning Using higher gain antennas and types of antennas not certified for use with this product is not allowed. The device shall not be co-located with another transmitter. Cet avertissement de sécurité est conforme aux limites d'exposition définies par la norme CNR-102 at relative aux fréquences radio.
  • Page 23: European Union

    Šiuo Welch Allyn deklaruoja, kad šis WLAN device atitinka esminius reikalavimus ir kitas 2014/53/EB Direktyvos nuostatas. Spanish Por medio de la presente Welch Allyn declara que el WLAN device cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 2014/53/CE...
  • Page 24 ELECTROMAGNETIC COMPATIBILITY (EMC) Swedish Härmed intygar Welch Allyn att denna WLAN device står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 2014/53/EG. Page | 22...
  • Page 25: Introduction

    ECGs on patients during routine visits. The patient populations for which the device will be used may be healthy or diseased of any age. ECG’s are taken with the patient in the supine position. The RScribe is intended to be used by a licensed health care practitioner in a hospital, medical clinic and offices of any size, including Clinical Research Organizations.
  • Page 26: Indications For Use

    When so configured, the database resides on a server supporting a number of networked client workstations. The RScribe Review software offers authorized users with the ability to schedule new exams when not linked to an external scheduling system, view reports, enter conclusions, and generate printed or electronic reports for completed exams.
  • Page 27: Acquisition Module Types

    LED Indicators The WAM incorporates frequency-hopping technology in the 2500 MHz frequency range with 40,000 Hz ECG acquisition and is operated by two buttons located on the front of the device when used with RScribe: Power On/Off Acquiring a 12-lead ECG NOTE: Rhythm button is non-functional for use with RScribe.
  • Page 28: Lead Fail

    The AM12 is available for a traditional wired connection with direct USB connection and 40,000 Hz ECG acquisition. The 12-Lead ECG button can be used to acquire a 12-lead ECG at the patient’s side. NOTE: Rhythm button is non-functional for use with RScribe. Lead Fail Lead fail is done automatically through visual communication with the LEDs located on the front of the WAM and AM12.
  • Page 29: Rscribe Software Installation Process

    If asked, allow the program to make changes to the computer by clicking Yes. The Exam setup window will appear prompting you to install Welch Allyn PDF, click Install. The RScribe V7.x.x Setup window will appear, click Next to continue.
  • Page 30 There are four installation choices that simplify the installation process. Standalone: Choose the standalone option if you are loading a single RScribe application with the Database Server functionality included on a single computer. Server: This option allows for installations using...
  • Page 31 INTRODUCTION Set Database Location: Selection of this button allows you to Browse to a location for the RScribe application and database other than the local default (C:\) directory, beneficial when it is necessary to define the application and database locations on a different data drive.
  • Page 32 If a path is entered here, the temporary data will be copied to a central (local) folder on the server. This method can only be used for Holter workstations and is not applicable to RScribe. Logon Mode: This setting can be set to either Local or Active Directory depending on the user preference. If Local is selected, the Modality Manager Service will maintain its own local listing of user/password pairs for logging onto the system.
  • Page 33: Feature Activation

    Welch Allyn Technical Support will return an activation code that can be typed or copied and pasted into the white space above the "Activate License" button. Select the Activate License button to activate the software. You can activate the software at any time after installation with the Modality Manager Activation Tool.
  • Page 34: Rscribe Login And Main Display

    Admin” user. Double-click on the name to open the role privileges and check all functions. Click OK  Exit  Exit and start up RScribe again. If you don’t do this, most icons are grayed and unavailable. Page | 32...
  • Page 35: Rscribe Program Icons And Descriptions

    RScribe default acquisition criteria, defining archive directories, and so on. System Configuration Use to close the RScribe application and return to the desktop. Exit Use to minimize or exit the application and return to the desktop.
  • Page 36: User Roles And Permissions

    INTRODUCTION User Roles and Permissions RScribe supports a workflow-oriented setup for defining user roles and controlling user access to the various operations. Role assignments are comprised of a set of permissions for each user type (e.g. IT administrator, clinical administrator, ECG Tech, and so on).
  • Page 37: Rscribe Workstation Specifications

    Printing Device HP M501dn Windows printer with HPUPD PCL 5 driver or equivalent Optional Function Welch Allyn VERITAS resting ECG interpretation algorithm with age and gender specific criteria; connectivity with bidirectional communication On-Screen Tools Time and amplitude calipers; 40 Hz and 150 Hz noise filters; various lead...
  • Page 38 100 Mbps connection or better Input Devices Standard keyboard and mouse *Specifications subject to change without notice. Requirements for RScribe as a Citrix XenApp Requirements* Client Machines that will run Windows 7 Professional 64-bit or Windows 10 Pro Operating System...
  • Page 39: Wam Specifications

    INTRODUCTION WAM Specifications Feature Specification* Instrument Type 12-lead wireless acquisition module for resting ECG Input Channels 12-lead signal acquisition and transmission ECG Leads Transmitted I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6 WAM Transmission Protocol Bidirectional and frequency hopping;...
  • Page 40 INTRODUCTION Radio Compliance Table for:  WAM / UTK Argentina Ente Nacional de las Comunicaciones (ENACOM) H-22661 (WAM) H22622 (UTK) Australia Australian Communications and Media Authority (ACMA) Radio Compliance Mark (RCM). Brazil Agência Nacional de Este equipamento opera em caráter Telecomunicações (ANATEL) secundário, isto é, não tem direito a Modelo: WAM...
  • Page 41 INTRODUCTION Date of approval: 13-SEP-2018 UTK: Approval number: MR 17488 ANRT 2018 Date of approval: 13-SEP-2018 Oman Telecommunications Regulatory Authority WAM : R/6168/18 D172250 UTK: R/6164/18 D172250 Paraguay Comisión Nacional de NR:121/2019 (WAM) Telecomunicaciones NR:122/2019 (UTK) Pakistan Pakistan Telecom Authority Philippines National Telecommunications WAM: ESD-18-18399C...
  • Page 42: Wam And Am12 Accessories

    Cable Extension USB Type A-TO-A 6FT Manuals Part Number Description 9515-XXX-51-CD PHYSICIAN'S GUIDE ADULT & PEDIATRIC UM ON CD 9515-217-50-CD RSCRIBE USER MANUAL PDFS ON CD 9515-217-50-ENG RSCRIBE USER MANUAL ENGLISH 9516-217-50-ENG RSCRIBE SERVICE MANUAL 9515-166-50-CD ELI LINK USER MANUALS ON CD Contact your dealer or go to www.welchallyn.com for more information.
  • Page 43: Rscribe Network Operation In A Distributed Configuration

    The RScribe network capabilities leverage a common database across multiple networked RScribe workstations where exams will be conducted and RScribe Review stations where acquired exams can be reviewed and edited. A distributed configuration is comprised of a dedicated server and a number of networked client RScribe workstations and RScribe Review Stations sharing the same database.
  • Page 44 Customer is responsible for installation and maintenance of AV software.  AV software updates (software and definition files) should not be applied during active use of the RScribe application. AV patch updates and system scans should be scheduled for time periods when the system is not actively in use or should be performed manually.
  • Page 45: Using Rscribe

    Start a resting exam The patient is connected to the RScribe through the data acquisition module, data is collected and one or more 10 second ECGs are saved for analysis and further processing. An exam may fulfill an order or can be an ad-hoc exam, in which case a patient must be selected from the database or a new patient created with demographic data entered.
  • Page 46: Recording An Ecg

    USING RSCRIBE Recording an ECG RScribe can acquire single or multiple ECGs in real time, retrospectively, or in a timed sequence. Prepare the patient for best conductivity between the skin surface and the electrode. Place the electrodes on the patient according to lead placement guidelines. Ensure that the proper lead wire is firmly and correctly attached to each electrode.
  • Page 47 USING RSCRIBE Timed ECG Capture RScribe can automatically acquire ECGs at preset time intervals for future review and processing on the full disclosure screen. Automatic acquisition may be as frequent as every 20 seconds or once per a 60-minute period (dependent on the amount of full disclosure time set by the administrator).
  • Page 48: Pairing Wam With Rscribe

    Select the ECG button Connecting the Acquisition Module The AM12 connects to a USB port on the PC for signal acquisition. The RScribe will automatically detect the AM12 once it’s connected to the USB port. The WAM communicates via the UTK (Universal Transmitter/receiver Key) connected to an active USB port on the PC.
  • Page 49: Mwl/Patients

    ECG exams and to view the existing schedule. When RScribe is linked to an external scheduling system, this information arrives from institution entered orders. When the icon is selected, a split window appears with two selectable tabs (MWL and Patients) on the left and Patient or Order Information fields on the right, dependent on the selected tab.
  • Page 50: New Order

    MWL/PATIENTS New Order A New Order button allows a Patient ID or name search of patient information in the database allowing addition of a new order in the MWL list. A blank search field will list all patients in the database. When the patient does not exist in the database, Cancel the Patient Information search and select the Patients tab to enter a new patient.
  • Page 51 MWL/PATIENTS Patients Text that is entered in the search field will be used to search through the patient demographics in the database to display any patients that start with matching text in the Last Name, First Name, or Patient Patients’ columns include Patient ID, Last Name, First Name, and Date of Birth.
  • Page 52: Record An Ecg

    RECORD AN ECG Patient Preparation Before attaching the electrodes, assure the patient fully understands the procedure and what to expect.  Privacy is very important in assuring the patient is relaxed.  Reassure the patient that the procedure is painless and that the electrodes on their skin are all that they will feel.
  • Page 53 RECORD AN ECG For accurate V-lead placement, it is important to locate the 4 intercostal space Because patients vary with respect to body shape, it is difficult to palpate the 1 intercostal space with accuracy. Thus, locate the 2 intercostal space by first palpating the little bony prominence called the Angle of Lewis, where the body of the sternum joins the manubrium.
  • Page 54: Patient Demographic Entry

    In addition to the default patient ID format, RScribe also supports custom ID formats for each group through use of ELI Link. Refer to the ELI Link Administrator Manual, Part number 9515-166-50-ENG, for instructions on Custom...
  • Page 55 Age will be automatically calculated. RScribe will remember list items such as Indications, Medications, Procedure Type, and Referring Physician as they are entered. The added items will be available for future selection. Enter text or choose items from the drop-down menu and then click on the green checkmark to enter.
  • Page 56: Ecg Acquisition, Printing, And Storage

    Real-Time Heart Rate When a patient is connected to the RScribe, his/her heart rate is displayed in real time. The HR is the average ventricular rate measured over the patient’s last five beats. NOTE: If a lead fail occurs or swapped leads are suspected, a red message is visible next to the HR, indicating the leads off or possibly misplaced, for both limb lead and chest lead fault conditions.
  • Page 57 RECORD AN ECG Timed Capture Status Values in the lower-right area of the ECG display indicate the time remaining until the next timed ECG capture and the total number of 10-second 12-lead ECGs that are currently captured and saved. Full Disclosure ECG Single lead ECG or three (3) lead ECG (configurable) is accumulated and displayed along the bottom area of the display.
  • Page 58: Acquire Ecgs

    Best 10 Seconds Selection When the BEST 10 icon is selected, RScribe automatically selects the best quality10 seconds of acquired ECG available from within the full disclosure ECG buffer. ECG acquisition can also be captured by pressing the ECG button on the WAM or AM12 acquisition module when Best 10 capture has been set up.
  • Page 59 Timed ECG Recording RScribe automatically acquires ECGs at preset time intervals for future review and processing on the full disclosure screen. Automatic acquisition is based on the amount of full disclosure time set by the administrator. It may be set as frequent as every 20 seconds or as infrequently as once per a 60-minute period.
  • Page 60 RECORD AN ECG Median Beats and Median Lead Zoom panels can be shown or hidden by toggling the small arrow buttons in the upper-right corners. The global measurement and interpretation panels can be shown or hidden by toggling the small arrow button the upper-left corner.
  • Page 61 ECGs are automatically saved to the database upon acquisition. If the current user has permission to review, the RScribe program will automatically restart in Review mode after ending the ECG acquisition session, with the first ECG captured in the session selected. When multiple timed ECGs are captured, they can be edited using the exam search functions.
  • Page 62: Context Menus

    Refer to the System Settings section in this manual to change the default settings. NOTE: Some of the described menus may not be present if they were locked by the administrator in the RScribe configuration settings. Context Menus in Captured ECG Context Menus in Real-time ECG Change Lead Format ...
  • Page 63 CONTEXT MENUS 3 + 3 Lead Format – Select Leads  Right mouse click while the cursor is over the captured ECG waveform  Select Waveforms  Select Lead Format  Select: 3+3  Select from: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, or V6 NOTE: 3+3 lead format requires a lead selection for each of the three leads presented.
  • Page 64 Select from: None, 50 Hz, or 60 Hz NOTE: RScribe removes 60 Hz or 50 Hz interference. The setting you select depends on the line frequency in your country. For example, use the 60 Hz setting in the U.S. If the setting is correct but you still see mains interference, check the electrode connections, mains interference sources like transformers or motors close to the patient, and the connection to the safety ground of the computer.
  • Page 65 Select from: Best 10 or Last 10 NOTE: Defines whether or not the RScribe will automatically capture the 10 seconds ECG with the lowest noise level from the full disclosure buffer, or the last 10 seconds of data when the ECG button is selected.
  • Page 66  Select QTcF on or off NOTE: Welch Allyn VERITAS calculates by default the QTc with a linear correction method for average RR-interval similar to the Framingham method. In addition it is possible to display and print the QTc corrected with the Bazett or Fridericia correction methods.
  • Page 67: Exam Search

    Copy Offline button that allows an existing exam to be copied to an external drive using a browser for review at another RScribe system.  Open Offline button that allows an RScribe system user to open an exam from another system by browsing to the location of the copied exam. Page | 65...
  • Page 68: Advanced Search

    EXAM SEARCH  Transmit button allows the exam results to be sent to the ELI Link destination defined in the system configuration settings. This selection is only enabled when the selected exam(s) has the associated export status enabled in the Workflow Config settings. ...
  • Page 69: Edit A Resting Ecg Report

    EXAM SEARCH Edit a Resting ECG Report When a report is selected from the Exam Search list by a user with review and signing permissions, it is presented on the screen similar to the one shown below. The Sign and Review button icons are not present for those without appropriate permissions.
  • Page 70 EXAM SEARCH This method can be used for the PR-interval, QRS duration, and QT duration editing Double-click in the Median Lead Zoom window. Measurement calipers are now active in this window. Drag the calipers to the desired position. Involved and related interval measurements will be automatically recalculated.
  • Page 71: Report Print Preview

    EXAM SEARCH Editing Patient Information Use the ID button icon at the right to edit patient and exam demographic information. Only height, weight, admission ID, medications, notes, referring physician, location and acquisition date/time can be edited. Printing the Report Use the Print ECG button icon to the right to print the ECG in the currently displayed format on the default Windows printer.
  • Page 72: Icon Tool Bar

    EXAM SEARCH Icon Tool Bar Use the printer icon to open a Windows’ printer dialog and choose defined printers with properties, print range, and number of copies. To print the report, select OK. Use the magnifying glass icon to choose Auto to fit the window or a percentage size for display. Use the page icons to select a single-page or two-page preview.
  • Page 73: System Settings

    The IT and Clinical Administrator can select the System Configuration icon to enter the RScribe administrative functions. All other users can enter this menu to access the Export Service Log task only.
  • Page 74: New User

    New Users are added. The name entered in the Display Name field will appear on the RScribe display when that user logs in. The login password is entered and repeated. Roles for this user, Personnel that will populate drop- down lists for this user, and Groups that this user will have access to are checked.
  • Page 75: Modality Settings

    Modality Settings define all RScribe modality specific default values that do not change on a daily or patient-to- patient basis. Most of these settings can be modified within the RScribe modality for a single exam, but most of these default conditions will rarely need to change. The Modality settings may be "Locked" by the administrator, meaning that the setting will not be available from within the modality.
  • Page 76: Waveforms Tab

    SYSTEM SETTINGS Waveforms Tab Waveforms Gain  To change default ECG gain:  Position the left mouse key over the Gain  Select Gain  Select from: 2.5 mm/mV, 5 mm/mV, 10mm/mV, or 20 mm/mV  Gain displays and prints at the bottom of the ECG Anti-aliasing ...
  • Page 77 Select from: None, 50 Hz, or 60 Hz NOTE: RScribe removes 60 Hz or 50 Hz interference. The setting you select depends on the line frequency in your country. For example, use the 60 Hz setting in the U.S. If the setting is correct but you still see mains interference, check the electrode connections, mains interference sources like transformers or motors close to the patient, and the connection to the safety ground of the computer.
  • Page 78: Acquire Tab

    SYSTEM SETTINGS Acquire Tab This Tab is for the default settings of the real time acquisition function of RScribe. Main Auto Print  Select Auto Print  Choices: On, Off NOTE: Defines whether or not RScribe will automatically print an unconfirmed ECG after a timed or manual capture.
  • Page 79: Full Disclosure Tab

    SYSTEM SETTINGS Full Disclosure Tab This Tab is for the default settings of the full disclosure buffer at the bottom of the acquisition screen. Speed  Select Speed  Choices: 5, 10, 25, 50 mm/s Lead Format  Select Lead Format ...
  • Page 80 SYSTEM SETTINGS Print Lead  Select Print Lead  Choices: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 NOTE: Use Print Lead to select the lead printed on full disclosure printouts. Buffer Size  Select Buffer Size ...
  • Page 81: Resting Ecg Tab

    SYSTEM SETTINGS Resting ECG Tab This Tab is for the default settings of the captured ECG waveform and printouts. Speed  Select Speed  Choices: 25, 50 mm/sec Lead Format  Select Lead Format  Choices: 3+1, 6, 3+3, 12, 6+6 3 + 1 Lead Format - Lead ...
  • Page 82  Choices: On, Off NOTE: Welch Allyn VERITAS calculates by default the QTc with a linear correction method for average RR-interval similar to the Framingham method. In addition it is possible to display and print the QTc corrected with the Bazett or Fridericia correction methods.
  • Page 83: Cfd Configuration

    SYSTEM SETTINGS CFD Configuration A long, custom, or short format for displayed items and report contents can be uniquely defined per Group. Select the CFD Configuration button to display the Custom Format Definition Template drop-down list. Choose the Long, Custom, or Short template for the selected group and then click the Save Changes button, or the Discard Changes button to cancel any changes.
  • Page 84: Eli Link Configuration

    SYSTEM SETTINGS ELI Link Configuration RScribe supports the ability to exchange information with DICOM systems, import orders from XML files, and export PDF and XML results to an external system via ELI Link. Available connectivity options are dependent on the RScribe system activated features. Refer to the ELI Link Administrator Manual, part number 9515-166-50- ENG, for information regarding installation and configuration of the ELI Link gateway service.
  • Page 85: Unlock Exams

    SYSTEM SETTINGS Note: If orders are used with RScribe in XML format and setup through ELI Link, XML order refresh must be checked in ELI Link or orders will not appear in the worklist in RScribe. Unlock Exams RScribe internally tracks transitioning exams preventing the same exam to be processed by two or more users.
  • Page 86 SYSTEM SETTINGS Recover Archived Exams Administrative users can restore exams from the archive location to the RScribe database through selection of Archive Recovery tab. Once selected, a window will open allowing a search of the Archive Name or the Archive Label.
  • Page 87: Audit Trail Logs

    Service Logs All RScribe users have access to Export Service Logs. Selection of the button creates a Win-7 zipped file that can be sent to the desktop containing a copy of the system logged events. The file named EMSysLog.xml.gz can be e-mailed to a Welch Allyn service representative for troubleshooting purposes.
  • Page 88: Configure Workflow

    The resting ECG exam is either scheduled by a user or an external scheduling system has sent an order. ACQUIRED The resting ECG exam is completed at the RScribe system and is ready for editing of measurements and select demographics if needed.
  • Page 89: User Preferences

    “Credentials supplied are not valid.” When the signing physician has been set up as an Attending Physician under Personnel, the printed name will appear in the RScribe final report on the signature line following the Electronically Signed by: field label. User Preferences Select the User Preferences icon to open the window.
  • Page 90: Report Configuration Tool

    Report Configuration Tool RScribe final reports can be configured with the practice name prior to using the system. The practice name is printed at the bottom of each ECG report. In addition, the system can be set up to add or omit a 10 s 12-lead rhythm strip to each ECG report.
  • Page 91: User Role Assignment Table

    SYSTEM SETTINGS User Role Assignment Table Schedule Patient IT Admin Clinical Admin Prepare Report Procedure Hookup Main Screen Schedule / Orders Start a Resting Exam Exam Search Yes - Filter Yes - No Yes - No Status Yes - No Yes - Filter User Preferences Acquired and...
  • Page 92 SYSTEM SETTINGS Main Screen Schedule / Orders Start a Resting Exam Exam Search Yes - Filter Yes - No Yes - No Status User Preferences Acquired and Status Filter Filter Edited only Yes - Service Yes - Service Yes - Service Yes - Service Yes - Service System Configuration...

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