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Turnkey Print to PDF

Kiran Weber

Spacelabs ICS virtual print services allows documents to be sent from ICS Clinical Access to the EMR. Spacelabs ICS virtual print services is a virtual printer that will be setup in the hospital network. Every clinical access user will need access to this printer to be able import documents into the EMR

 

The following document types in ICS Clinical Access are supported:

  • WAVEFORMREPORT
  • COMPRESSEDWAVEFORM
  • PRIORITYEVENTREPORT
  • HISTOGRAM
  • SUMMARYREVIEW
  • ALARMREPORT
  • WAVEFORMALARM
  • SAVEDEVENTREPORT
  • TWELVELEAD
  • TRENDREPORT

 

Document transfer to EMR/EHR can be set to the following:

  • Cold Feed - A report is generated in PDF Format and is picked up by a facility's EHR and placed in the patient's medical record.
  • HL7 - A unsolicited observation message is sent to the facility's EHR and placed in the patient's medical record.

Option 1.

Cold Feed Document Integration

. The printer will save a pdf to folder selected by hospital in order for an import process managed by the hospital to import the documents into the EMR. The hospital can specify a naming scheme for the files using the following variables.

  • Report Type
  • MRN
  • Encounter
  • Date Printed 
  • Page Count

Additionally, the following variable may be available to specific report types.

  • Patient Name
  • Unit
  • Bed
  • Date Captured
  • Heart Rate
  • Respiration
  • Sweep Speed

Example File Name:

{report type}~{mrn}~{encounter}~{date captured}~{page count}.pdf
WAVEFORMREPORT~123456810~~2018-10-16_14-04-20~1.pdf

Option 2.

HL7 Document Integration

The report format can be configured to be sent via file link or encapsulated PDF. Below are examples for both:

 

Example Message with Link to File
MSH|^~\&|SPACELABS||EPIC||2018||ORU^R01| |P^T|2.3||||||
PID||111|222|||||||||||||||333
PV1|444|
OBR|1|||SPACELABSSAFENSOUND||||2018|||||||||||||||||||||||
OBX|1|TX|ICSC||\\Server\Spacelabs\ICSC~PatientID1~PatientID2~DateTime.pdf||||||F

 

Example Message via Encapsulated PDF
MSH|^~\&|SPACELABS||EPIC||2018||ORU^R01| |P^T|2.3||||||
PID||111|222|||||||||||||||333
PV1|444|
OBR|1|||SPACELABSSAFENSOUND||||2018|||||||||||||||||||||||

OBX|1|ED|ICSC||^application^pdf^Base64^JVBERi0xLjcKCjEgMCBvYmogICUgZW50

cnkgcG9pbnQKPDwKICAvVHlwZSAvQ2F0YWxvZwogIC9QYWdlcyAyIDAgUgo+Pgpl

bmRvYmoKCjIgMCBvYmoKPDwKICAvVHlwZSAvUGFnZXMKICAvTWVkaWFCb3ggW

yAwIDAgMjAwIDIwMCBdCiAgL0NvdW50IDEKICAvS2lkcyBbIDMgMCBSIF0KPj4KZW

5kb2JqCgozIDAgb2JqCjw8CiAgL1R5cGUgL1BhZ2UKICAvUGFyZW50IDIgMCBSCiAg

L1Jlc291cmNlcyA8PAogICAgL0ZvbnQgPDwKICAgICAgL0YxIDQgMCBSIAogICAgPj4

KICA+PgogIC9Db250ZW50cyA1IDAgUgo+PgplbmRvYmoKCjQgMCBvYmoKPDwKIC

AvVHlwZSAvRm9udAogIC9TdWJ0eXBlIC9UeXBlMQogIC9CYXNlRm9udCAvVGltZXM

tUm9tYW4KPj4KZW5kb2JqCgo1IDAgb2JqICAlIHBhZ2UgY29udGVudAo8PAogIC9M

ZW5ndGggNDQKPj4Kc3RyZWFtCkJUCjcwIDUwIFRECi9GMSAxMiBUZgooSGVsbG8s

IHdvcmxkISkgVGoKRVQKZW5kc3RyZWFtCmVuZG9iagoKeHJlZgowIDYKMDAwMDA

wMDAwMCA2NTUzNSBmIAowMDAwMDAwMDEwIDAwMDAwIG4gCjAwMDAwMD

AwNzkgMDAwMDAgbiAKMDAwMDAwMDE3MyAwMDAwMCBuIAowMDAwMDAw

MzAxIDAwMDAwIG4gCjAwMDAwMDAzODAgMDAwMDAgbiAKdHJhaWxlcgo8PAo

gIC9TaXplIDYKICAvUm9vdCAxIDAgUgo+PgpzdGFydHhyZWYKNDkyCiUlRU9G||||||F

 

OBX - Observation/Result

Elem.nr.
Field Name
Content
1 Set ID - OBX "1"
2 Value Type "ED" for encapsulated data and "TX" for text data
3 Observation Identifier In case of Car Seat Study: "ICSC".
5.2 Observation Value "application".
5.3   "pdf".
5.4   "Base64".
5.5   Bade64 String.
11 Observation Result Status "F" for final results.

 

OBX.3 Will be one of the following:

  • WAVEFORMREPORT
  • COMPRESSEDWAVEFORM
  • PRIORITYEVENTREPORT
  • HISTOGRAM
  • SUMMARYREVIEW
  • ALARMREPORT
  • WAVEFORMALARM
  • SAVEDEVENTREPORT
  • TWELVELEAD
  • TRENDREPORT

What You Can Do

Turnkey Print to PDF Waveform Installation

Step 1.

Download the setup file here.

https://download.safensound.io/VPS.exe

 

Step 2.

Run the setup file on the Spacelabs Print server. Accept all defaults

 

Step 3.

If using HL7 enter the appropriate ip and port when prompted. If not using HL7 then close the dialog.

 

Step 4.

When setup is complete you will want to share the printer on the network. The printer is called "Waveform Printer" and you can share it by right clicking on the printer --> printer properties -->sharing --> then give it a name to be shared as.

 

Step 5. (only needed if 32bit workstations will be using turnkey printing)

Add the 32bit print drivers by right clicking on the printer --> printer properties -->sharing --> additional drivers --> then browse to "C:\Program Files (x86)\Spacelabs Virtual Print Services\driver\X86" and select "WaveformPrinter.inf".

 

Step 6.

Add a scheduled task to run the pdfwrite script every 5 minutes.

  1. Create a Scheduled Task through the Task Scheduler
  2. Name the task Spacelabs Print Sent Reprocess
  3. Set it to run whether user is logged in or not
  4. Set it to run with the highest privileges
  5. Add a new trigger
  6. Begin the task: On a schedule
  7. Daily, recur every 1 day
  8. Repeat task every 5 minutes
  9. Make sure enabled is checked

 

Turnkey Print to PDF Waveform Operations

 

This chart show a typical workflow for the print to PDF process

 

Default Folder Structure of C:\Program Files (x86)\Spacelabs Virtual Print Services:

  • "Error" is for prints that error

If you print anything that is not from clinical access it will go to the error folder (like a test print).By default the error print will stay in the error folder for 7 days. You can find the error folder at "C:\Program Files (x86)\Spacelabs Virtual Print Services\error".

  • "Manual Reprocess" is where you can drop pdf’s to be reprocessed. For example if they accidentally have c:\SLReports selected instead of the printer then you can manually copy all the saved pdf’s to this folder to processed.
  • "log" is where the logs are stored
  • "prints" is the default folder for prints.
  • "driver" contains a copy of the printer drivers.
  • "HL7/out" is hl7 messages waiting to be processed
  • "Hl7/archive" is for hl7 messages that were successful

 

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