1. Mortara Instrument, Inc.
E. Roider
ELI LINK Service Training
March 2010

2. ELI Link- What is it? What is ELI Link?
ELI Link is a FREE product from Mortara Instrument that allows Electrocardiograph users to transmit their ECG’s to an EMR system/Standalone computer for reviewing/storage.
The Electrocardiograph(s) must be configured with at least ONE connectivity option.
The ECG’s can be stored in the following formats:
ELI (Mortara Unipro format)
XML
Mortara XML
PDF

3. ELI Link Output Folder Location PDF Options Comm Input Options
XML Orders Configuration Options (Non-DICOM)
Import folder to convert Unipro files to Output folder filetypes
Codepage used for different languages
1252 For: English & Western European Languages
1250 For: Central & Eastern European Languages including Polish, Hungarian and Czech.

4. ELI Link – DICOM Configuration
Output Folder Location
PDF Options
Comm Input Options
DICOM Configuration Options
Import folder to convert Unipro files to Output folder filetypes
Codepage used for different languages
1252 For: English & Western European Languages
1250 For: Central & Eastern European Languages including Polish, Hungarian and Czech.
More about DICOM later in Presentation!

5. Ways to connect
There are four ways that ECG’s can be transmitted to ELI Link
1. Direct Connect (RS232 Serial Port Connection)-Must use Mortara cable
2. LAN
3. WLAN
4. Modem
ECG Import
Another way to send ECGs into ELI Link

6. Requirements A computer running Microsoft® Windows
XP Professional
Server 2008
Windows 7
Depending on transmission mode the following will be required:
RS232 Serial Port
RS232 Download Cable
Network Interface Card (NIC Card)
Network Switch / Router / Access point
Network Cables
Modem
RS232 Port
Modem to computer cable
Telephone Cable

7. Installing ELI Link Key points to consider
Eli Link is installed by double-clicking on the Setup icon.
Select ‘EVERYONE’, as opposed to ‘Just Me’
Prepare to enter a key if enabling DICOM communication (A command Prompt window will be displayed to enter the key)
Ensure that the server/CPU is rebooted after installation to COMPLETE the installation
There are two paths that ELI Link can be installed into depending on what version is being installed:
C:\Program Files\Mortara Instrument Inc\ELI Link
C:\Mortara Instrument Inc\ELI Link
Older versions of ELI Link are called MGATE, and most MGATE versions are installed to the following path:
C:\Program Files\Mortara Instrument Inc\MGate

8. Installing ELI Link
Make sure you set the UAC settings to Never Notify. This setting must be left at Never Notify for Eli Link to install properly and to operate as designed.

9. ELI Link Status Information
After a reboot of the computer there will be a Mortara Logo on the Task bar…
Mortara Logo
If you place the cursor over the logo you can determine if ELI Link is running

10. Accessing ELI Link Configuration
Right click on the Mortara Logo to access the following options:
Display Configuration
Displays the configuration screen
Start ELI Link
Starts the ELI Link Service if it has been stopped
Stop ELI Link
Stops the ELI Link Service
Exit
Displays the following message:

11. About ELI Link Custom ID’s
ELI Link allows the user to create their own custom ID (CID) for printing and demographic entry.
If a CID is created there are 2 parts that need to be created:
Print Format
LCD Format
Note: Both formats must be created!
Reasons for the two different formats…
The electrocardiograph printer has a limited space for printing the demographic information
The LCD has a larger space for entering information
NOTE: ELI Link allows only 1 Custom ID format!

12. Accessing the Custom ID Print/LCD
From the ELI Link Configuration screen select the Custom ID Print or LCD button

13. Default ELI Link Custom ID ‘Print’
Note the Row and Column format…

14. Custom ID ‘LCD’

15. Making changes to the Custom ID
Start with changing the Print custom format. Changes to the Print format will trickle to the LCD custom format
If a field needs to be added select the Add Field button
If a field needs to be removed select the Remove Field button
Notes:
1. The following fields MUST be present in a CID:
Patient Last Name
Patient ID
Patient Age
Patient Gender
Note: Labels can be changed
2. Certain field options have specific lengths that must be adhered to…
Examples:
DOB: 10 characters
Patient Gender: 7
Patient Age: 3
There are more…

16. CID Field Lengths ** - Field lengths MUST be this size!
Last Name (20)
Weight (3)**
Location (7)
First Name (20)
Date of Birth (10)**
Room Number (5)
Middle Name (7)
Medication 1 (20)
Diagnosis (23)
ID Number (23)
Medication 2 (20)
Reason Code (4)
Secondary ID Number (23)
Systolic BP (3)**
Comment (20)
Social Security Number (11)
Diastolic BP (3)**
Note 1 (23)
Age (3)**
Referring Physician (23)
Note 2/LCD Request (23)
Gender (7)**
Attending Physician (23)
Race (17)**
Overreading Physician (23)
Height (3)**
Technician (7)
Entries in red are required fields
Maximum values listed in ( )
** - Field lengths MUST be this size!

17. Creating a Custom ID Step 1 Planning. Plan what the CID should contain
What Fields are needed
Remember the 4 required fields
What labels do you want for the fields
How long should the Field data lengths be?
Remember certain fields require a specific length
Map out what the printout will look like.
Map out what the LCD should like
Note: Both the Printout and LCD formats are mapped using a row and column format for the field name and the data location.
NOTE: Data entry on the electrocardiograph, once the CID has been downloaded, will follow the Custom ID Print format and not the LCD format.

18. Creating a CID ‘Print’ Format
Step 2 Clear the existing CID
Delete the existing fields by highlighting the field then selecting the Delete Field button

19. Creating a CID ‘Print’ Format
Step 3 Start adding the fields
Start adding fields that you want
Remember the 4 required fields for any CID

20. Creating a CID ‘Print’ Format
Adding Fields window B A C D H E F G
Select a field type from the drop down list.
Enter a Label for the field
Enter the Row that the label will placed on
Enter a Column for the Label to be placed
Enter the Row that the will placed (Should be same row as the label)
Enter a Column for the data is to be placed
Enter the Data Length (refer to table CID Field Lengths)
Select the OK button

21. Creating a CID ‘Print’ Format, cont.
When the OK button is selected the Custom ID Print window will display the information.

22. Completed CID ‘Print’
When done entering all the field information select the OK Button

23. Creating a CID ‘Print’ Format, cont.
When done entering all the field information select the OK Button and the following message will be displayed:
To accept the changes select OK. To reject the changes select Cancel
Note: Selecting the Cancel button will return you to the Custom ID Print window.

24. Creating a CID ‘LCD’ Format
From the ELI Link Configuration screen select the CustomID LCD button

25. Creating a CID ‘LCD’ Format, cont.
Add Field button missing
The Custom ID LCD window will be displayed.
Note that the displayed format matches the Custom ID Print format and that there is not an Add Field button.

26. Creating a CID ‘LCD’ Format, cont.
If the LCD format matches what is required select the OK button.
If the LCD format does not match requirements use the Edit field button to move the field and field data to the desired location.
For example: The end user wants the MR# entered first, then the Given name, First name.
Also note that the WGT data field goes past the 30 column position.
In this case the DOB field and the Age field will need to be moved temporarily to make room for the MR#

27. Modifying a CID ‘LCD’ Format
Move the DOB and Age fields…

28. Modifying a CID ‘LCD’ Format, cont.
Move the MR# field up…

29. Modifying a CID ‘LCD’ Format, cont.
Replace the DOB and Age field…

30. Modifying a CID ‘LCD’ Format, cont.
Move the HGT & WGT fields…
If all changes have been made select the OK button
NOTE: Data entry on the electrocardiograph, once the CID has been downloaded, will follow the Custom ID Print format and not the LCD format.

31. Transmission to ELI Link via RS232
Make sure ELI Link is running and configured for RS232 transmissions
Make sure that RS232 cable is connected to the PC running ELI Link
Connect cable to the electrocardiograph
Make sure the electrocardiograph is configured for RS232 transmission
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer

32. Transmission to ELI Link via LAN
Make sure ELI Link is running and configured for LAN transmissions
Make sure that a network cable is connected to the PC running ELI Link
Connect the LAN cable to the electrocardiograph
Make sure the electrocardiograph is configured for LAN transmission
For Static Networks
IP Address
Default Gateway
Subnet Mask
Host IP (IP Address of ELI Link Computer)
For DHCP
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer

33. Transmission to ELI Link via WLAN
Make sure ELI Link is running and configured for LAN transmissions
Make sure that a network cable is connected to the PC running ELI Link
Make sure the electrocardiograph is configured for LAN transmission
For Static Networks
IP Address
Default Gateway
Subnet Mask
Host IP (IP Address of ELI Link Computer)
Security Settings
For DHCP
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer

34. Transmission to ELI Link via MODEM
Make sure ELI Link is running and configured for modem transmissions
Make sure that RS232 cable is connected to the modem and the PC running ELI Link
Connect telephone cable to the electrocardiograph
Make sure the electrocardiograph is configured for modem transmission
Telephone number (telephone number of modem connected to ELI Link PC)
Select the ECG to transmit
Transmit the ECG
Verify ECG is in the correct directory on the ELI Link computer

35. ELI Link Troubleshooting
ECG wont transmit to ELI Link
Check configuration of ELI Link
Are the correct folders set up on the system?
Are folder permissions set up correctly?
Check the transmission mode of ELI Link and the electrocardiograph, are both configured correctly?
Is ELI Link running?
Check the ELI Link log files (located in the C:\Program Files\Mortara Instrument Inc\ELI Link\Log Files directory)

36. Sample ELI Link Log File
Error due to folder not existing

37. ELI Link Troubleshooting, cont.
B. Custom ID does not download to unit
Have the Print and LCD formats been created?
Check the configuration of ELI Link
Check the configuration of the electrocardiograph

38. DICOM What Is DICOM? What does DICOM do?
DICOM stands for: Digital Imaging and Communications in Medicine
DICOM is a standard
What does DICOM do?
DICOM allows devices (electrocardiographs in our case) to communicate to a storage device to store images (ECGs) for retrieval and later annotation
DICOM also allows Mortara to download Worklists (orders)

39. ELI Link – DICOM Configuration
DICOM Storage and Worklist Server Settings
Worklist Filter Settings

40. DICOM Server Settings Storage Side Worklist Side
Used to test communications to Servers

41. ELI Link DICOM Worklist Filter Configuration Window
ELI Link can be configured for multiple Sites (ER, CCU, etc.) and multiple Query Codes)
For orders to work Site number must match a defined site.
Common filter entries are:
Patient ID (Example: <QC>*)
Modality (Example: EKG)
Current Patient Location
Scheduled Procedure Days Back (Example: 2)
Scheduled Procedure Days Forward (Example: 3)
Saved changes here require the re-download of the Custom ID to ALL electrocardiographs

42. DICOM Troubleshooting
ECG not able to transmit
Transmit fail on cart
Can ELI Link connect to the Storage and MWL (Worklists) servers?
Echo test
Is ELI Link running
Check ELI Link status
Is cart configured for DICOM?
Check Comm Protocol option on cart this MUST be set to DICOM
ECGs transmit but are not available for viewing

43. ELI-Link Support: EU Support: Mortara Instrument Germany
Kaninenberghöhe 50
45136 Essen
Germany
Tel:
Fax:
Service Manager: Michael Kallus
World Headquarters:
Mortara Instrument, Inc.
7865 North 86th Street
Milwaukee, WI
U.S.A.
Tel:
Fax:
Service Manager: Dave Winum