BTL Cardiopoint: User'S Manual

BTL CARDIOPOINT
USER’S MANUAL
CONTENTS
1 GENERAL CHARACTERISTICS ....................................................................................................................... 4
1.1 Modules ......................................................................................................................................................... 4
1.2 Intended Use ................................................................................................................................................. 5
1.3 User Profile ................................................................................................................................................... 5
1.4 Operating EnviroNment ................................................................................................................................. 5
1.5 Patient Profile ................................................................................................................................................ 5
2 SAFETY PRECAUTIONS ................................................................................................................................... 5
3 USED SYMBOLS ............................................................................................................................................... 5
4 INSTALLATION.................................................................................................................................................. 6
4.1 Hardware Requirements ............................................................................................................................... 6
4.2 Supported Operating Systems ...................................................................................................................... 6
4.3 Software Installation ...................................................................................................................................... 7
4.4 Software Update.......................................................................................................................................... 18
4.5 User Accounts Management ....................................................................................................................... 19
4.6 Licensing ..................................................................................................................................................... 19
5 USER INTERFACE .......................................................................................................................................... 20
5.1 Main Screen ................................................................................................................................................ 20
5.2 Card ............................................................................................................................................................ 23
6 OPERATIONS WITH EXAMINATIONS ............................................................................................................ 24
6.1 Recording .................................................................................................................................................... 24
6.2 BackUp........................................................................................................................................................ 25
6.3 Export .......................................................................................................................................................... 26
6.4 Import .......................................................................................................................................................... 27
6.5 Sharing an Examination .............................................................................................................................. 27
7 PDF INTERFACE ............................................................................................................................................. 28
7.1 System Requirements ................................................................................................................................. 28
7.2 Installation ................................................................................................................................................... 28
7.3 BTL CardioPoint Settings ............................................................................................................................ 28
7.4 PDF Interface Communication Settings ...................................................................................................... 29
8 DICOM PLUGIN ............................................................................................................................................... 32
8.1 General Information..................................................................................................................................... 32
8.2 Software License ......................................................................................................................................... 32
8.3 Installation ................................................................................................................................................... 32
8.5 DICOM Communication Settings................................................................................................................. 35
9 HL7 PLUGIN..................................................................................................................................................... 40
9.2 System Requirements ................................................................................................................................. 40
9.3 Software License ......................................................................................................................................... 40
9.4 Installation ................................................................................................................................................... 40
9.6 HL7 Communication Basic Settings ............................................................................................................ 43
9.7 HL7 Communication Advanced Settings ..................................................................................................... 47
9.8 One-way HL7 Communication..................................................................................................................... 51
10 BTL CARDIOPOINT NETCONSULT ............................................................................................................... 52
10.2 Installation ................................................................................................................................................... 52
10.3 User Interface .............................................................................................................................................. 54
10.4 Diagnostic Center ........................................................................................................................................ 56
10.5 Acquisition Center ....................................................................................................................................... 60
10.6 BTL CardioPoint NETconsult Anonymization .............................................................................................. 64
11 BTL FLEXI WIFI ............................................................................................................................................... 65
11.1 Installation of BTL Flexi WiFi ....................................................................................................................... 65
11.2 BTL CArdioPoint Tools for BTL Flexi Wifi .................................................................................................... 68
12 ADVANCED SETTINGS ................................................................................................................................... 69
13 MANUFACTURER ........................................................................................................................................... 70
BTL CARDIOPOINT – USER’S MANUAL I PAGE 3 OF 72

1 GENERAL CHARACTERISTICS
BTL CardioPoint is a software system designed for multiple cardiology and spirometric examinations. Moreover,
BTL CardioPoint serves as a joint patient database, provides functionality to support teamwork and a possibility of
integration with third party systems. BTL CardioPoint is widely used by cardiologists, pneumologists as well as
general practitioners.
1.1 MODULES
The BTL CardioPoint-Holter software, together with a compatible Holter recorder, serves
as a system for recording and evaluating ambulatory ECG. BTL CardioPoint-Holter is capable
of recording up to 12 ECG leads; it also supports multi-day recordings. After the ECG acquisition, it
is possible to review and evaluate the record. The software provides functions such as various ECG
signal screens, a well-arranged set of statistics and useful tools for fast record reviewing. All
examination data including a medical report are digitally stored in the unified patient database and
can be opened or printed anytime later.
The BTL CardioPoint-Ergo software is a software module for stress-test examinations. It is

designed for recording and evaluating ECG waveforms. Optionally, automatized blood pressure or
SpO2 measurement or breath-by-breath gas analysis can be performed if an appropriate
compatible device is connected. All examination data including a medical report are digitally stored
in the unified patient database and can be opened or printed anytime later.
The BTL CardioPoint-Spiro software, together with a compatible pneumotachograph, is a system

designed for spirometry examinations such as Forced Vital Capacity (FVC), Slow Vital Capacity
(SVC) or Maximum Voluntary Ventilation (MVV). Extended spirometric examinations such
as bronchodilation and bronchoprovocation tests are available as well. The software allows its user
to choose from a number of predictive norms, to choose the required spirometric parameters or to
define a new protocol for tests with medication. The software provides its users with a detailed and
well-arranged analysis, automatic interpretation and serial comparison of records in trends. All
examination data including a medical report are digitally stored in the unified patient database
and can be opened or printed anytime later.
The BTL CardioPoint-ABPM software, together with the compatible ABPM recorder, serves
as a system for ambulatory non-invasive blood pressure measurements and consequent evaluation
of the measured data. The software allows its user to define measuring intervals and select
a suitable standard for data evaluation. When the data is recorded, it is possible to review it, edit it
and evaluate it according to the selected standard. The software displays the data in a well-
arranged layout. All examination data including a medical report are digitally stored in the unified
patient database and can be opened or printed anytime later.
The BTL CardioPoint-ECG software, together with a compatible ECG device, serves as a system
for recording and evaluating resting ECG. It displays and records the ECG in real-time, it also
processes already recorded ECG signals, both from an ECG device or from another workstation.
The software provides functions such as automatic or manual ECG measurements, serial
comparison with other ECG records, diagnostic interpretation suggestions or a report editor. All
examination data including a medical report are digitally stored in the unified patient database
and can be opened or printed anytime later.

1.2 INTENDED USE
BTL CardioPoint is intended for acquisition, processing, recording, storage, analysis and presentation of
examination-related data.
1.3 USER PROFILE

BTL CardioPoint shall be used by medically educated personnel. The user shall be familiar with all safety
precautions, operating procedures and maintenance instructions given in the User’s Manual.
1.4 OPERATING ENVIRONMENT

BTL CardioPoint is intended to be used primarily in hospitals, but it can also be used in clinics, medical Centers or
anywhere the resting ECG test, stress testing, holter ECG monitoring, spirometric examination or ambulatory
blood pressure monitoring is performed. BTL CardioPoint is not intended for home use.
1.5 PATIENT PROFILE

BTL CardioPoint can be used on all adult or paediatric patients without limitation of age, gender, weight, height,
etc. The limitations for patients regarding the requirements of individual ancillary devices shall apply.
2 SAFETY PRECAUTIONS
Read the User’s Manual carefully and become familiar with all its safety requirements
and operating procedures before using the product. It is not allowed to use the product in any
manner other that is in accordance with the User’s Manual. It is prohibited to use the product
in a way that is not in accordance with the Intended use.
Before using this product, please read the User's Manual carefully for the particular module.
Use only original BTL accessories and compatible devices. Do not use any device
or accessories other than those approved by BTL.
No modification of the product is allowed.
Classification of BTL CardioPoint according to MDD 93/42/EEC depends on the compatible device that is
connected.
3 USED SYMBOLS
Follow the instructions for use (User’s Manual)
Caution
CE mark

4 INSTALLATION
4.1 HARDWARE REQUIREMENTS

To ensure stable operation of BTL CardioPoint, it is necessary to use a PC which meets at least the minimum
requirements. Recommended requirements guarantee comfort during the operation.
System requirements for the Holter module
Minimum Recommended
Intel i7 or Intel Xeon quad-core 3.5
CPU Intel Core i3 2.6 GHz dual-core
GHz
RAM 1 GB 8 GB
Graphics card Intel HD Graphics 4000 Intel HD Graphics 4000
Display 15” and 1600 x 900 resolution 22” and 1920 x 1080 resolution
Free space on HDD 11 GB SSD 100 GB and more
DVD-ROM Drive No Yes
System requirements for the Ergo, Spiro, ABPM and ECG module
Minimum Recommended
CPU Intel Atom 1.8 GHz dual-core Intel Core i3 2.6 GHz dual-core
RAM 1 GB 3 GB
Graphics card Any Intel HD Graphics 4000
Display 8” and 1600 x 900 resolution 22” and 1920 x 1080 resolution
Free space on HDD 11 GB 20 GB or more
DVD-ROM Drive No Yes
Number of USB 2.0 and 3.0 ports used
USB ports Minimum Recommended

Holter 2 2
ABPM 1 1
Spiro 1 1
Ergo 3 5
ECG 2 2
4.2 SUPPORTED OPERATING SYSTEMS

BTL CardioPoint is compatible with the following operating systems.
Supported OS x86 x64
Windows XP No No
Windows Vista No No
Windows 7* Yes Yes
Windows 8 Yes Yes
Windows 10 Yes Yes
* Valid from version Windows 7 SP1.

4.3 SOFTWARE INSTALLATION
The BTL CardioPoint software can be installed in two ways – as a Local installation or a Network installation –
depending on the size of the medical facility and the need for data sharing. Local installation is suitable for small
offices with a single computer and no data sharing. Unlike Network installation which is intended for multiple
computers with the possibility of sharing data within the BTL CardioPoint network. For Network installation, please
contact an authorized BTL service.
4.3.1 LOCAL INSTALLATION

For proper installation of BTL CardioPoint, log into a computer as an administrator.
To perform a Local installation, insert the BTL CardioPoint installation DVD into a DVD drive or mount the .iso file
as a virtual drive and run the Setup application.
(A) First, check that the PC is prepared by closing all other applications and confirm by clicking on the “Next >”
button.
(B) Confirm the license agreement and continue.

A B
(C) Option “Local only” is preselected automatically, click on the “Next >” button.
(D) Select the “Install” option and click on the “Next >” button.
C D

(E) Select the “Local only” option and click on the “Install” button to start the installation process.
E
(F), (G) Click on the “Next >” button to proceed.

F G
(H), (I) To proceed with the application installation, click on the “Next >” button.
H I

(J) To start the installation of the application, click on the “Install” button.
(K) At least one department must be added. Add a Department by clicking on the “plus” button.
J K
(L) Department name must be filled in. Other contact information can be filled in optionally (filled in information
may be shown on the report). Continue by clicking on the “Save” button.
(M) Continue by clicking on the “Next” button.

L M

(N) At least one user must be added, and one user must be administrator. An administrator has the rights to e.g.
Manage Accounts, Delete examination or View User Activity. To add a user, click on the “plus” button. Each user
name must be unique.
(O) “Login” and “Last Name” must be filled in (filled in information will be shown on the report).
N O
(P) Continue by clicking on the “Next” button.
(Q) By clicking on “export logins”, you can export logins with temporary passwords to a .txt document which you
can print or send by email to other users. Click on the “Finish” button.
P Q

(R) Adobe Reader installation starts if there is no Adobe Reader installed on your computer, otherwise the
installation won’t be performed.
(S) To finish the installation, click on the “Finish” button.

R S
4.3.2 NETWORK INSTALLATION – SERVER

For proper installation of BTL CardioPoint, log into a computer as an administrator.
In the case of Network Installation, you can use login using the Active Directory service.
To perform the installation, insert the BTL CardioPoint installation DVD into a DVD drive or mount the .ISO file
(A) First, check that the PC is prepared by closing all other applications and confirm by clicking on the “Next >”
button.
(B) Confirm the license agreement and continue.

A B

(C) Choose “Network” and click on “Next”. (D) Choose Install and click on “Next”.
C D
(E) Choose “Network - main computer” (The main computer is the server. In one network, it is possible to have
one server and several next PCs) and click “Install”.
(F) To start the MySQL installation, click on “Next >”.

E F
(G) Choose the path where the server will be located. To continue the installation, click on “Next”.
(H) Choose the path where the server data will be located. To continue the installation, click on “Next”.
G H
(I) Choose the “Advanced Installation” option and click on “Next >”.

(J) To continue the installation, click on “Next >”.
I J
(K) Choose the path where the program files will be located and click on “Next >”.
(L) Choose the path where CardioPoint data will be located and click on “Next >”.
K L
(M) Choose Additional install options and click on “Next”.
(N) Choose the path where the Connection String File will be located and click on “Next”.
M N

(O) Choose the path where the CDS folder will be located and click on “Next”.
(P) Choose from BTL CardioPoint login (described in 4.3.1 Local Installation) or Active Directory Domain
Services (available only for network installation) and click on “Next”.
O P
(Q) The local administrator has the rights to e.g. edit another user, delete a patient or view user activity. The login
name is filled in automatically (it is transferred from the domain settings). To continue the installation, click on
“Next”.
(R) By clicking on “Test connection”, you can check the connection to the Active Directory. To continue the
installation, click on “Next”.
Q R

(S) Click on “Search” to locate Active Directory groups. If none is displayed, please contact your IT administrator.
(T) User attributes such as Last name or First name are filled in automatically if they were found in the Active
Directory. You can fill in the rest.
S T
(U) A summary of your settings is shown here.
(V) The Adobe Reader installation starts if there is no Adobe Reader installed on your computer, otherwise the
installation won’t be performed.
U V
(W) To finish the installation, click on the “Finish” button.

W

4.3.3 NETWORK INSTALLATION – NEXT PC
Before you start the installation, you need the connection string file from the SERVER. To export the connection
string file, please open the “Export Connection String – Database Engine” application on the SERVER PC and
export the file.
For proper installation of BTL CardioPoint, log in to a computer as an administrator.
In a Network Installation, you can use the login from the Active Directory service.
To perform the installation, insert the BTL CardioPoint installation DVD into a DVD drive or mount the .iso file
The installation is the same as the NETWORK – SERVER installation (4.3.1) until point E.
(A) In the following box, please choose “Network – next computer” and click on “Next”.
(B) Choose the path where the program files will be located and click on “Next”.
A B

(C) Choose the path where the BTL CardioPoint data will be located and click on “Next”.
(D) Choose the path to the connection string file which you exported from the MAIN PC and click on “Next”.
C D
(E) Choose Additional install options and click on “Next”.
(F) The Adobe Reader installation starts if there is no Adobe Reader, otherwise the installation won’t be
performed.
E F
(G) To finish the installation, click on the “Finish” button.

G

4.4 SOFTWARE UPDATE
BTL CardioPoint can be updated to the newer version without the need of its previous uninstallation.
To perform an update, insert the BTL CardioPoint installation DVD into a DVD drive or mount the .iso file as a
virtual drive and run the Setup application.
(A) If BTL CardioPoint is installed, the Update option is preselected; otherwise, choose Update and proceed
by clicking on the “Next” button.
(B) When the update is finished, click on “Finish” to close the setup.
A B
NOTE: If a BTL CardioPoint network consisting of a Main PC + Next PCs is updated, it is necessary to update all
the PCs in the network. The up-to-date software license has to be installed in BTL CardioPoint. An examination
recorded on BTL CardioPoint of an older version can be opened in the latest BTL CardioPoint version.

4.5 USER ACCOUNTS MANAGEMENT
After the installation, it is possible to manage users or departments in User accounts management (“Settings >
Manage Accounts”). There are two types of logins (authentication methods) and two types of user roles.
4.5.1 AUTHENTICATION METHODS

4.5.1.1 CARDIOPOINT LOGIN
The BTL CardioPoint Login is authentication method defined by user name and password in BTL CardioPoint
database. The list of such users is managed by user in Administrator Role.
4.5.1.2 ACTIVE DIRECTORY LOGIN
Active Directory Login authenticates users from Windows Active Directory. Such user has same username and
password for Windows and BTL CardioPoint and other systems. Windows administrators can manage BTL
CardioPoint users easily by defining specific groups of users in Active Directory. These users are allowed to log
into BTL CardioPoint. It is recommended to use Active Directory for hospitals and larger organizations. For more
details about Active Directory ask your Windows IT Administrator.
There are some restrictions regarding Active Directory logins. Active Directory Login is supported only in a
network installation. Active Directory users are not allowed to be in Administrator role. If the Active Directory
Service is not available, it is not possible to log in BTL CardioPoint.
4.5.2 USER ROLES

4.5.2.1 ADMINISTRATOR ROLE
A user in the Administrator Role is allowed to manage accounts, view user activity, delete patient. User is allowed
to change the password to the current login account or any other account if this user is a local administrator in
Windows as well.
4.5.2.2 USER ROLE
A user in the User Role is allowed to do anything else except what is restricted by Administrator Role.
4.6 LICENSING
BTL CardioPoint is secured with a software license. For proper use, required protection must be present in the
PC. To get information about the protection for each particular module, please refer to the User's Manual of that
module.
4.6.1 HARDWARE PROTECTION

Hardware protection differs for each module. Hardware protection is always delivered with the device.
4.6.2 SOFTWARE LICENSE

The Software license is a file defining which BTL CardioPoint modules are purchased and
therefore should work with no restrictions. When the license file is obtained, download the license
to the PC and load the license by double-clicking on the file. Dialog window “License was loaded
successfully.” appears.
4.6.3 CONTENT OF LICENCE FILE

Client name which is automatically added in the header of examination reports.
Information about which modules are registered, and only those are shown in BTL CardioPoint by default.
However, unregistered modules can be viewed, but a label and watermark “Unregistered” are present.
Software edition of registered modules.

5 USER INTERFACE
A description of the user interface is necessary for understanding how to work with card indexes, patients and
examinations.
5.1 MAIN SCREEN

The main screen of BTL CardioPoint is called Patient List, and it is displayed when BTL CardioPoint is launched.
The Patient List provides user with the possibility to work with patient data and examination data.
Patient List is divided into the following parts:

(A) Steps where the user can switch between:
All Patients, Patient Details (for selected Patient from section D), Patient Examinations (for selected Patient from
section D).
(B) Patient List Filter where patients can be filtered by:
Card Index, Examination Status, Examination Type, Date of examination.
If any filter is on, only patients with existing examinations matching the chosen filter option will be shown in the
patient list.
(C) Icons in the bottom panel
In the bottom panel, the user can:
Create a new Patient, edit an existing Patient, start or load Examinations for a Selected Patient, open
Examination, refresh Patient List, share selected Examination. (For more information about icons that start
examinations from the bottom panel, see Chapter “Operations with Examinations”).
NOTE: The user should avoid using the invalid characters (such as: <; >; “; /; \; ?...) in creating new patient name.
Otherwise, these characters will be deleted in the app. This also applies to third-party applications (such as: HIS,
plugins).
(D) Patient List where Patients are displayed according to selected filters.
The User can:
Select a specific Patient, see the Patient info of the selected Patient, search Patients in the header under labels
(Surname, First name, etc...).

5.1.1 EXAMINATION LIST
The Examination list can be accessed by double-clicking on the selected patient. It shows a list of all existing
examinations and general information for the selected patient.
In the Examination list, there is also a summary of basic information about the particular examination – type of
examination, its ID, status, date and time when the examination was started, and its access type.
5.1.2 EXAMINATION STATUS

Examination status represents a stage of processing. It is displayed in the Examination list.
The statuses “New”, “Ordered”, “Recording” and “Recorded” change automatically according to the progress of
the recording. The statuses “Partially processed” and “Approved” are selected by the user when closing the
examination.
Ordered – The Examination has been ordered from another 3rd party system and it is assigned to a specific
patient. To initiate the examination recording, open this examination by double-clicking. If the examination has the
“Ordered” status, the “Recording” status will follow and the “New” status is skipped.
New – The New examination window was opened, but the recording has not yet been started. Some information
about the examination or about the patient could have already been entered.
Recording – The Examination is being recorded. Examination data have not yet been transferred to the PC.
Recorded – The Examination has been recorded and loaded into BTL CardioPoint, but the evaluation has not yet
been performed. It is possible to view the examination record.
Partially processed (1/2) – The Examination has been pre-processed. The “Partially processed” status is
available for the Network installation only.
Approved – The Examination is completely processed and approved. No further action is necessary.
5.1.3 EXAMINATION ACCESS TYPE

The Examination access type expresses its location in the data storage. Access type is displayed in the
Examination list.

Local installation
When BTL CardioPoint is installed as Local, the following examination access types are displayed.
The Examination is present in the computer.
The Examination is compressed and present in the computer.
The Examination was archived and moved to a selected storage medium. It is accessible only
when the storage medium is available.
The Examination was deleted and is no longer available.
Network installation
There are more rules regarding the examination access type in a Network installation.
The Examination is present in the current PC and is only accessible from the current PC.
The Examination is present in another PC in the BTL CardioPoint network. The Examination
cannot be opened in the current PC.
The Examination is shared and is accessible by any PC in the BTL CardioPoint network.
The Examination was archived and moved to a selected storage medium. It is accessible only
when the storage medium is available.
The Examination was deleted and is no longer available.

5.2 CARD
Patients can be sorted and stored in more groups that are represented by card indexes. User can separate
groups of patients, for example adults and children. To manage Card indexes, go to (“Tools > Manage card
indexes”). It is possible to create, rename or delete a Card index. Also, a default Card index where new patients
are added can be set.
A Patient can be moved from one Card index to another by selecting the patient in the Patient list and using the
menu (“Patient > Move to …”).
A Patient can be deleted from the Card index by an administrator. ( “Patient->DELETE”)
DEMO Patient
The patient database contains a DEMO patient that will allow you to access any module of BTL CardioPoint even
without having the license file (or hardware key). If you select the DEMO patient, BTL CardioPoint will only display
a simulated signal even if the device is connected to a patient and a real signal is displayed on the device.

6 OPERATIONS WITH EXAMINATIONS
6.1 RECORDING
A detailed description of icons that start examinations from the bottom panel:
To start a Holter recording for a selected patient, click on the “New Holter” button
or press F6 key on a keyboard. For more information about the Holter module, please
use the BTL CardioPoint-Holter User’s Manual.
To load a recorded Holter examination, click on the “Load Holter” button or press the
F4 key on a keyboard. For more information about the Holter module, please use the
BTL CardioPoint-Holter User’s Manual.
To start a new ECG recording for a selected patient, click on the “New ECG” button
or press the F7 key on a keyboard. For more information about the ECG module,
please use the BTL CardioPoint-ECG User’s Manual.
To start a new Ergo recording for a selected patient, click on the “New Ergo” button
or press the F8 key on a keyboard. For more information about the Ergo module,
please use the BTL CardioPoint-Ergo User’s Manual.
To start a Spiro recording for a selected patient, click on the “New Spiro” button
or press the F9 key on a keyboard. For more information about the Spiro module,
please use the BTL CardioPoint-Spiro User’s Manual.
To start an ABPM recording for a selected patient, click on the “New ABPM” button
or press the F11 key on a keyboard. For more information about the ABPM module,
please use the BTL CardioPoint-ABPM User’s Manual.
To load a recorded ABPM examination, click on the “Load ABPM” button or press the
F10 key on a keyboard. For more information about the ABPM module, please use the
BTL CardioPoint-ABPM User’s Manual.
To start an emergency ECG recording, click on the “Emergency ECG” button or press
the F12 key on a keyboard. For more information about the ECG module, please use
the BTL CardioPoint-ECG User’s Manual.

6.2 BACKUP
When the data are intended to be archived, it is possibility to perform a backup. Examination data can be backed
up from BTL CardioPoint to a selected location in a PC (preferable to an external storage with sufficient free
space) or to an external drive. Back up your data daily in order to prevent data loss.
The examinations can be backed up using the “Backup” tool (in the menu “Tools > Backup” or click on the
“Backup” icon located in the main window).
By default, examinations that were not opened for at

least 14 days are chosen to be backed up. The
number of days can be changed. The number of
examinations which will be backed up is changed
according to the time period. A target medium and a
location must be selected.
In the “More settings” menu, it is possible to set clean

up options separately for each module. By default,
examination data are deleted while examination
reports remain in the CDS folder. If examination
reports should also be deleted, the “Delete PDF report
as well” must be ticked. The backup process continues
by clicking on the “Backup” button.
In the confirmation dialog window that appears,

examinations which are not intended to be backed up
may be optionally unmarked. The backup process is
started by clicking on the “Backup” button.

6.3 EXPORT
6.3.1 EXPORTING A SINGLE EXAMINATION
A single examination can be exported by selecting the examination in the Examination list and using the menu
(“Examination > Export…”).
A new dialog window appears. The type of export and a destination folder must be selected to complete the
export.
6.3.2 EXPORTING MULTIPLE EXAMINATIONS

Multiple examinations can be exported from the menu (“Examination > Export Wizard…”). It is possible to export
chosen examinations or the entire card index.
Select whether examination data or just reports will

be exported.
Select “Multiple examinations” and click on the

“Next” button.
Select a path to export the file. It is optionally

possible to anonymize the examination
(recommended).
Select examinations which are intended to be

exported. It is possible to select examinations which
were created in a specific period of time
or examinations from a selected module, or it is
possible to select any examinations from the list by
ticking them.

Select a destination folder and finish the export by
clicking on the “Next” button.
6.4 IMPORT
A single examination can be imported by double-clicking on the chosen MEWZIP file. Alternatively, import can be
started in the menu (“Examination > Import…”).
When importing an examination, the action must be confirmed by clicking on the “Import” button.
6.5 SHARING AN EXAMINATION

A single examination can be shared from the Examination list using the “Share” button. Only examinations with
the “Local” status can be shared.

7 PDF INTERFACE
The BTL PDF Interface Plugin is an extension of the BTL CardioPoint for patient examination records (MewZip)
and examination report (PDF, SVG) back-up.
7.1 SYSTEM REQUIREMENTS

Minimum
RAM 1 GB
See System requirements for a
Other
particular BTL CardioPoint module
7.2 INSTALLATION
The BTL PDF Interface Plugin is installed automatically in the main BTL CardioPoint installation.
7.3 BTL CARDIOPOINT SETTINGS

Communication between the BTL PDF Interface Service and BTL CardioPoint must be enabled
in the BTL CardioPoint.
To set up the BTL PDF Interface Communication, enable the Administration settings. In the displayed Setup tab
on the BTL CardioPoint toolbar, click on “Edit Networking settings”.
Enable the BTL PDF Interface communication.
IP Address: Hostname/IP Address of the BTL

PDF Interface Service.
Port: This is port of the BTL PDF Interface
service where the requests from BTL
CardioPoint are sent. Unless necessary, do not
change this communication port.

7.4 PDF INTERFACE COMMUNICATION SETTINGS
This part of the User manual contains the addresses of essential settings of the PDF Interface communication.
For setting up the PDF Interface communication, go to the file where the BTL PDF Interface Service was installed
(by default: c:\Program Files (x86)\BTL\Plugins\PDFInterfaceService\), and open the PDF Interface Service
Monitor.
7.4.1 APPLICATION SETTINGS – BTL CARDIOPOINT COMMUNICATION

The BTL CardioPoint Communication tab in the Application settings supports communication in the direction
from BTL CardioPoint to the BTL PDF Interface Service.
Server Port: This is the port where BTL PDF

Interface Service listens to BTL CardioPoint.
NOTE: The Server Port must correspond to the Port

in the Networking settings in chapter 7.3 BTL
CardioPoint Settings. By default, it corresponds and
there is no need to modify it.
7.4.2 APPLICATION SETTINGS – GLOBAL SETTINGS

In the Global settings tab in the Application settings, the user can set up the processing of examinations by
the BTL PDF Interface Service according to the examination status in the BTL CardioPoint.
When setting up the PDF Interface communication, it

is possible to check “Logging Enabled”
to clear/control the shortcomings of the PDF Interface
message behaviour.
NOTE: During normal operation, it is recommended

to disable logging.
Checking “Any” will set up processing examinations

with any examination status.
Checking “Custom” will unlock an examination status

table where the user can specify the processing of
exact statuses, in which the examination status
Results and Report will be send to a 3rd party
system.
E.g.: If the examination status “APPROVED” is

checked. Examination results and a PDF report are
sent only if the examination is marked
in BTL CardioPoint as Approved.

7.4.3 PDF
In the PDF tab, the user can customize the PDF report export, such as the PDF report name, the destination
directory path to store PDF reports
Enable the PDF report export.
By “File Name Format” the user can name the PDF

report by choosing the parameters from the table
below.
7.4.4 SVG
The PDF Interface Plugin allows the user to store the examination report in the SVG format. For more information
please contact your vendor.
7.4.5 MEWZIP
In the MewZip tab, the user can customize the MewZip (examination record) export, such as the destination
directory path to store MewZips or anonymization settings.
Enable the MewZip export.
In the Anonymization Template, the user can choose

between “NONE” and “FULL” Anonymization
“NONE” Anonymization: No patient data in the

consulted examination are anonymous
“FULL” Anonymization: Patient data (i.e., patient

name, date of birth, family anamnesis, etc.) are made
anonymous.

7.4.6 SERVICE MANAGEMENT
The Service management tab on the toolbar consists of essential manipulations with the BTL PDF Interface
Service.
Pending requests (in the direction from BTL

CardioPoint to storage file) are gathered in the
Outgoing Client Queue.
Requests that could not be processed correctly are

gathered in the Failed Client Request.The “Reset All
Settings to Default” button clears all user settings
and returns them to default values.
The User can save their own settings by clicking on

the “Save” button. This feature is available only if the
BTL PDF Interface Service is stopped. There is a
button for Saving the settings and Closing the
application. The User can also close the application
by clicking on the “Close” button.
Start (turn on)/Stop (turn off) the BTL PDF Interface

Service.

8 DICOM PLUGIN
The BTL DICOM Plugin is an extension of BTL CardioPoint for communication between the BTL CardioPoint
software and a PACS system.
8.1 GENERAL INFORMATION

This tutorial provides instructions for the BTL DICOM Plugin installation and the BTL DICOM Service
configuration. For detailed information about communication specifications, see the DICOM Conformance
Statement for BTL CardioPoint.
NOTE: For the BTL DICOM Plugin installation and the BTL DICOM Service configuration, advanced knowledge
about DICOM communication is required.
8.2 SOFTWARE LICENSE

Users of the BTL CardioPoint software are asked to register their new product. Please ask your
vendor to supply you with the license file. Without a software license BTL CardioPoint processes only
requests in the direction from BTL CardioPoint to a PACS System.
8.2.1 SYSTEM REQUIREMENTS

Minimum
RAM 4 GB
See System requirements for a
Other
particular BTL CardioPoint module
8.3 INSTALLATION
BTL CardioPoint must be installed before the BTL DICOM Plugin installation. For successful installation, please
check chapter 4 Installation.
In the next step, run the BTL CardioPoint Setup.
(A) Check that the PC is prepared by closing all unnecessary applications and confirm by clicking on the “Next >”
button.
(B) Read the license agreement and continue with the installation by clicking on the “I Agree” button.
A B

(C) To install the BTL DICOM Plugin, select Advanced. (D) Click on the Dicom Plugin.
C D
8.3.1 DICOM PLUGIN INSTALLATION

(A) To continue with the BTL DICOM Plugin installation, select the “Next” button.
(B) Read and accept the terms in the License Agreement by clicking on the “Next” button.
A B
(C) Choose the installation folder for the BTL DICOM Service.
(D) To start the BTL DICOM Service after installation, select the check-box. To start the installation process, click
on the “Install” button.
C D
(E) After successful installation, close the Setup window by clicking on the “Finish” button.

E
NOTE: After the installation, it is necessary to ensure that the DICOM service will be operated under a user who
is eligible to write to and access the CDS folder (See chapter 4 Installation, step K) Otherwise, the accessibility of
the worklist orders might be limited within the BTL CardioPoint network.

Communication between the BTL DICOM Service and BTL CardioPoint must be enabled in the BTL CardioPoint.
To set up the DICOM Communication, enable the Administration settings. In the displayed Setup tab on the BTL
CardioPoint toolbar, click on “Edit Networking settings”.
Enable the DICOM communication.
IP Address: Hostname/IP Address of the BTL

DICOM Service.
Port: This is port of the BTL DICOM service
where the requests from BTL CardioPoint are
sent. Unless necessary, do not change this
communication port.

8.5 DICOM COMMUNICATION SETTINGS
This part of the User manual contains the addresses of essential settings of the DICOM communication. For
setting up the DICOM communication, go to the file where the BTL DICOM Service was installed in step C of
chapter 8.3.1 DICOM Plugin Installation8.3.1, and open DICOM Service Monitor.

from BTL CardioPoint to the BTL DICOM Service.
Application Settings / the BTL CardioPoint

Communication tab allows setting the port for
communicating with BTL CardioPoint. Default
values are set in BTL CardioPoint and the Dicom
Service Monitor.
NOTE: The Server Port must correspond to the

Port in the NET System settings in chapter 8.4 BTL
CardioPoint Settings. It is not recommended to
change the default value of this communication
port.
8.5.2 APPLICATION SETTINGS – DICOM COMMUNICATION

Application Settings / Dicom Communication. The
default AE Title is CARDIOPOINT and the default
communication port is 105. It is possible to edit the
AE Title of service, Port for communication and
Outgoing message charset.

In the Global settings tab in the Application settings, the user can set up the processing of examinations by
the BTL DICOM Service according to the examination status in BTL CardioPoint.
Checking “Any” will set up the processing

of examinations with any examination status.
Checking “Custom” will unlock an examination

status table where processing of exact statuses can
be specified, in which the examination status Results
and Report will be send to a 3rd party system.

checked, examination results are sent only if the
examination is closed in BTL CardioPoint and
marked as Approved.
8.5.4 PACS ARCHIVE

The PACS Archive tab supports communication in the direction from the BTL DICOM Service to a PACS system.
PACS Archive: The User can enable one-way

communication towards a PACS system and set AE
Title, IP Address, Port and Timeout.
The User can also verify correct settings of the

PACS Server communication by clicking on “Test
Connection”.
NOTE: It is possible to set the communication only in the direction from the BTL CardioPoint to PACS System
without software license. In this case the communication with the Worklist Server (8.5.5 Worklist Server) must be
disabled.

8.5.5 WORKLIST SERVER
The Worklist Server tab supports communication in the direction from the BTL DICOM Service to Worklist
Server.
Worklist Server: The User can enable

communication between Worklist Server and
BTL DICOM Service and set AE Title, IP
Address, Port and Timeout.
The User can also verify correct settings of the

Worklist Server communication by clicking on
“Test Connection”.
Periodic Worklist Request means how often

the DICOM Service ask to Worklist Server for
work to do.
Examination type location is custom specification

of some dicom tag which contains examination
type for CardioPoint to create as an examination.
Using the sliders, user can define to process

examinations created in the chosen days.
8.5.6 DICOM – EXPORT FORMAT

The DICOM tab allows setting the Export format priority.
MultiframeTruecolor, SecondaryCaptureImage and

Encapsulated PDF are supported export formats.
The User can enable/disable supported export

formats and also change the order of supported
formats by adjusting their priority using the Up/Down
button.
Supported transfer syntax: Implicit VR Little Endian,

Explicit VR Little Endian, Explicit VR Big Endian and
JPEG Baseline. Check to enable the syntax.

8.5.7 DICOM – PROCEDURE CODES
Procedure codes define the pairing of each

examination type in BTL CardioPoint with the
examination types defined by a third party system. It
is necessary to ensure that the codes in each system
correspond.
8.5.8 FILE EXPORT

The File export tab enables exporting DCM files to the output path. This feature is optional and default export is
through the DICOM communication.
Enable DCM file export and its output path.
Enable export to JPG and its output path.

The Service management tab on the toolbar consists of essential manipulations of the BTL DICOM Service.
In service management, it is possible to Start

or Stop the DICOM Service.
NOTE: When the Service is stopped, it is

possible to change the settings in other tabs.
It is possible to reset all settings to Default,

Save changes and Close the Monitor.

9 HL7 PLUGIN
The BTL HL7 Plugin is an extension of BTL CardioPoint for communication between the BTL CardioPoint
software and third party systems using HL7 messages.

This user manual provides instructions for the BTL HL7 Plugin installation and the BTL HL7 Service configuration.
For detailed information about communication specifications, see the HL7 Conformance Statement for BTL
CardioPoint.
NOTE: For the BTL HL7 Plugin installation and the BTL HL7 Service configuration, advanced knowledge about
the HL7 communication is required.
9.2 SYSTEM REQUIREMENTS

Minimum
RAM 2 GB
Java Version 1.7
See the System requirements for the
Other
particular BTL Cardiopoint module
9.3 SOFTWARE LICENSE

Users of the BTL CardioPoint software are asked to register their new product. Please ask your
vendor to supply you with the license file. Without a software license BTL CardioPoint processes only
requests in the direction from BTL CardioPoint to a third party system.
9.4 INSTALLATION
BTL CardioPoint must be installed before the HL7 Plugin installation. For successful installation, see chapter
4 Installation.
button.
A B

(C) To install the BTL HL7 Plugin, select Advanced. (D) Click on the HL7 Plugin.
C D
9.4.1 HL7 PLUGIN INSTALLATION

(A) To continue with the BTL HL7 Plugin installation, select the “Next” button.
(B) Read and accept the terms of the License Agreement by clicking on the “Next” button.
A B
(C) Choose the installation folder for the BTL HL7 Service.
(D) The BTL HL7 Service is started automatically after installation if the check-box is ticked. To start
the installation process, click on the “Install” button.
C D
(E) After successful installation, close the Setup window by clicking on the “Finish” button.

E
NOTE: After the installation, it is necessary to ensure that the HL7 service will be operated under a user who is
eligible to write to and access the CDS folder (See chapter 4 Installation, step K). Otherwise, accessibility of the
worklist orders might be limited within the BTL CardioPoint network.

This part of the User manual covers settings of the HL7 communication in BTL CardioPoint.
To set up the HL7 Communication, enable the Administration settings. In the displayed Setup tab
on the BTL CardioPoint toolbar, click on “Edit Networking settings”.
Enable the HL7 communication.
IP Address: Hostname/IP Address of

the BTL HL7 Service.
Port: This is port of BTL HL7 service where the
requests from BTL CardioPoint are sent. Unless
necessary, do not change this communication
port.

9.6 HL7 COMMUNICATION BASIC SETTINGS
This part of the User manual covers essential settings of the HL7 communication. For setting up
the HL7 communication, go to the file where the BTL HL7 Service was installed in step C of chapter 9.4.1 HL7
Plugin installation, and open HL7 Service Monitor.

from BTL CardioPoint to the BTL HL7 Service.
Server Port: This is the port where BTL HL7 Service

listens to BTL CardioPoint.
NOTE: The Server Port must correspond to the
Port in the NET System settings in chapter 9.5 BTL
CardioPoint Settings. By default, it corresponds and
there is no need to modify it.
The “Reset All Settings to Default” button clears all

user settings and returns them to default values.
The User can save their own settings by clicking on

the “Save” button. This feature is available only if
the BTL HL7 Service is stopped. There is a button
for Saving the settings and Closing the application.
The User can also close the application by clicking
on the “Close” button.
9.6.2 APPLICATION SETTINGS – HL7 V2 COMMUNICATION

The HL7 v2 Communication tab in the Application settings supports communication in the direction from a 3rd
party system to the BTL HL7 Service.
Port: This is the port where the BTL HL7 Service

listens to requests from a 3rd party system.

In the Global settings tab in the Application settings, the user can set up processing examinations by
the BTL HL7 Service according to the examination status in BTL CardioPoint.
Checking “Any” will set up processing examinations

with any examination status.
Checking “Custom” will unlock an examination

status table where the user can specify the
processing of exact statuses, in which the
examination status Results and Report will be send
to a 3rd party system.

checked. Examination results and a PDF report are
sent only if the examination is marked
in BTL CardioPoint as Approved.
9.6.4 HL7 V2 – COMMUNICATION WITH A 3RD PARTY SYSTEM

The HL7 v2 tab allows to set communication in the direction from the BTL HL7 Service to a 3rd party system.
Host: Hostname/IP Address of the 3rd party system

server.
Port: This is the port that the BTL HL7 Service uses
to send messages to the 3rd party system.

9.6.5 HL7 V2 – ORDER RESULT
In the Order results tab in HL7 v2, the user can set up Report options.
Setting up Report options allows the user to

determine the way the Report is sent to the third
party system.
9.6.6 HL7 V2 – ORDER RESULT – REPORT NAMING

In the Order Result – Report Naming tab in HL7 v2, the user can set a name for the examination.
“Generate unique name” is the default feature of

HL7 which names the examination using an
alphanumeric code.
By checking “Custom name”, the user can name
the examination by choosing the parameters from
the table below.

9.6.7 IDENTIFIER SETTINGS
The Identifier settings specify the terminology between BTL CardioPoint, the BTL HL7 Service and a third-party
system.
Identifier settings\Examination type
Procedure codes define the pairing of each

examination type in BTL CardioPoint with the
examination types defined by the third-party
system.
NOTE: Ensure the procedure codes correspond to

the third-party system.
9.6.8 MESSAGE BEHAVIOUR

In the Message behaviour tab, it is possible to extend message options.
By default, an examination can be ordered by an

ORM/OMG message. (Detailed information about
ORM/OMG messages is in the HL7 Conformance
Statement for BTL CardioPoint.
The User can extend the message behaviour to

creating and updating patient information by
sending an ORM/OMG message.

The Service management tab on the toolbar consists of essential manipulations with the BTL HL7 Service.
Pending requests (in the direction from BTL

CardioPoint to a 3rd party system) are gathered in
the Outgoing Client Queue.
Requests that could not be processed correctly are

gathered in the Failed Client Request.
Start (turn on)/Stop (turn off) the BTL HL7 Service.
9.7 HL7 COMMUNICATION ADVANCED SETTINGS

This part of the User manual covers the extended settings of the HL7 communication. For setting up this part
of the HL7 communication, advanced knowledge about the HL7 communication is recommended.
If the BTL HL7 Service is stopped, the folder with

pending requests can be opened.
If the BTL HL7 Service is stopped, the folder with

failed requests can be opened to see which requests
were not processed correctly. Failed requests can
be deleted by clicking on the “Clear” button.

Receive Timeout: The interval of time when
a connection can remain inactive and during which
no application messages are received.
Send Timeout: The interval of time provided for a

writing operation to be completed before
the connection drops.
9.7.3 APPLICATION SETTINGS – HL7 V2 COMMUNICATION

Network Timeout: The interval of time where
both sender and receiver can remain inactive
before the connection is dropped.
Character set for incoming messages can be

changed via the dropdown menu.

By checking “Process unordered examination”, it is
possible to send an examination result of an
examination that was not ordered from the 3rd party
system, but was instead initiated in BTL
CardioPoint. For detailed information, please see
chapter 9.8 One-way HL7 Communication.
By checking “Report examination workflow actions”,

a notification about the examination statement is
sent to the 3rd party system.
9.7.5 HL7 V2 – COMMUNICATION

Mode: Original and Enhanced mode can be chosen
by opening the dropdown menu.
Network Timeout: The time interval when both

sender and receiver can remain inactive before the
connection is dropped.
Character set for outcoming messages from

the BTL HL7 Service -> 3rd party system can be
changed by opening the dropdown menu.
Open the dropdown menu to change the version of

the HL7 standard.
Open the dropdown menu to choose between

ORM/OMG order message types.

9.7.6 HL7 V2 – ORDER RESULT
Report content can be edited in the order result tab.
9.7.7 MISCELLANEOUS
When setting up the HL7 communication, it is
possible to check “Logging Enabled” to clear/control
the shortcomings of the HL7 message behaviour.
NOTE: During normal operation, it is recommended

to disable logging.

9.8 ONE-WAY HL7 COMMUNICATION
This part of the User manual covers the one-way HL7 communication in the direction from BTL CardioPoint to a
3rd party system. The unordered examinations recorded without previous order from the 3rd party system are
characteristic for this type of communication.
This type of HL7 communication is intended for situations, where the examination is initiated via a BTL-08 unit
and later imported to BTL CardioPoint through RS232/USB/Wifi/LAN or initiated directly via BTL CardioPoint. (For
detailed information about examination imports please see the BTL CardioPoint ECG User Manual.)
It is recommended to check the “Any” examination

status in the Global Settings tab to process the
unordered examination.
To send this unordered examination to it, it is

necessary to check “Process unordered
examination”.
NOTE: To send the unordered examination, it is necessary to have a 3rd party system adapted for accepting
ORU messages without an examination order message.

10 BTL CARDIOPOINT NETCONSULT
BTL CardioPoint NETconsult is an extension of BTL CardioPoint enabling consultating a recorded examination
with other specialists. This consultation network consists of two main parties – Acquisition Center (requester of
the consultation) and Diagnostic Center (consultant).

This user manual provides instructions for the BTL CardioPoint NETconsult Plugin installation and the BTL
CardioPoint NETconsult Service configuration.
10.2 INSTALLATION
BTL CardioPoint must be installed before the BTL CardioPoint NETconsult installation. For successful BTL
CardioPoint installation, see chapter 4 Installation.
NOTE: To install BTL CardioPoint NETconsult, it is necessary to install BTL CardioPoint as a Network installation.
If there is a network installation in the form of a Main + Next PCs, it is necessary to install the BTL CardioPoint
NETconsult plugin on all PCs.
button.
A B
(C) To install the BTL CardioPoint NETconsult plugin, select Advanced.

(D) Click on BTL CardioPoint NETconsult.
C D

10.2.1 BTL CARDIOPOINT NETCONSULT PLUGIN INSTALLATION
(A) To continue with the BTL CardioPoint NETconsult plugin installation, select the “Next” button.
(B) Read and accept the terms of the License Agreement by clicking on the “Next” button.
A B
(C) Choose the installation folder for the BTL CardioPoint NETconsult service.
(D) Choose the storage folder for consultation reports (Main PC only).
C D
(E) If the check-box is ticked, the BTL CardioPoint NETconsult service is started automatically after installation.
To start the installation process, click on the “Install” button.
(F) After successful installation, close the Setup window by clicking on the “Finish” button.
E F
NOTE: After the installation it is necessary to ensure that the BTL CardioPoint NETconsult service will be
operated under a user who is eligible to write to and access the CDS folder (See chapter 4 Installation, step K).
Otherwise, accessibility of the worklist orders might be limited within the BTL CardioPoint network.

10.3 USER INTERFACE
Description of the BTL CardioPoint NETconsult user interface is necessary for understanding how to work with
the card index, patients and examinations.
NOTE: This chapter only includes general information about the BTL CardioPoint NETconsult user interface. For
more information about the user interface of the particular party of the consultation network, see chapter
10.4 Diagnostic Center or 10.5 Acquisition Center.
10.3.1 MAIN SCREEN

The BTL CardioPoint NETconsult main screen is called Consultation worklist and is displayed by clicking on the
step, which appears after the BTL NETconsult plugin is installed / appropriate software license is loaded.
The Consultation list is divided into the following parts:
(A) BTL CardioPoint NETconsult step. By choosing this step, the user can see the consultation main screen.
(B) The Consultation list filter is where consulted examinations can be filtered by:
 Consultation status
 Priority status
 My consultation
If any filters are on, only consulted examinations matching the chosen filter option will be shown in the
consultation work list.
(C) Icons from the bottom panel can be used to operate with consulted examinations. For more information
about icons of the particular party of the BTL CardioPoint NETconsult network, please see chapter
10.4 Diagnostic Center or 10.5 Acquisition Center.
(D) The Consultation list is where consulted examinations are displayed according to selected filters. The
consultation list includes basic information about consulted examinations, such as information about the patient,
examination type and consultation status.
(E) Consultation detail is where the user can find extended information about consulted examinations.

10.3.2 CONSULTATION LIST
The consultation list can be accessed by clicking on the displayed BTL CardioPoint NETconsult step. It displays a
list of all the existing consulted examinations.
In the consultation list, there is summarized basic information about the patient of the consulted examination –
surname, first name, patient ID, age, gender, examination type and consultation status of the consulted
examination.
10.3.3 CONSULTATION STATUS
The consultation status represents a stage of processing. The statuses Requested, In Process, Finished,
Accepted or Cancelled are changed according to the process of consultation.
Requested In Process Finished Accepted
Cancelled
Requested – New examination which was ordered for consultation by the Acquisition Center.
In Process – Consulted examination which is currently being worked on by the Diagnostic Center.
Finished – Consulted examination which was processed by the Diagnostic Center. The consulted examination
was sent back to the Acquisition Center.
Accepted – The Acquisition Center accepts the consulted examination from the Diagnostic Center.
Cancelled – The Acquisition Center cancelled its consultation request.

10.4 DIAGNOSTIC CENTER
A place where the Acquisition Center sends the recorded examination for consultation with other specialists. Each
Acquisition Center may have only one Diagnostic Center.

Minimum
RAM 8 GB *
CPU Intel i7 or Intel Xeon quad-core 3.5 GHz
Free space on HDD 100 GB and more
Upload speed 20 Mbps
Download speed 20 Mbps
Availability 24 hour/day (at least 16)
The Version of BTL CardioPoint NETconsult must
Compatibility be the same as the version in the Acquisition
Center
See System requirements for the particular BTL
Other
Cardiopoint module
10.4.2 BTL NETCONSULT COMMUNICATION SETTINGS

This part of the User’s manual covers the essential settings of the BTL CardioPoint NETconsult communication in
the Diagnostic Center. For setting up the BTL CardioPoint NETconsult communication, go to the file where the
BTL CradioPoint NETconsult service was installed in step C of chapter 10.2.1 BTL CardioPoint NETconsult
plugin installation, and open NETconsult Service Monitor (Main PC only).
10.4.2.1 NETWORK ENTITIES – LOCAL APPLICATION
In the Local Application tab in the Network Entities, the user can set up the communication data about the
Diagnostic Center’s Main PC.
AE Title: The username of the Diagnostic Center’s

Main PC.
Port: On this port, the Diagnostic Center listens to the

Acquisition Center.

10.4.2.2 NETWORK ENTITIES – ACQUISITION CENTER LIST
In the Acquisition Center List tab in the Network Entities tab user adds communication data about the
Acquisition Center. The Acquisition Centers in the list do not see each other’s work.
AE Title: The username of the Acquisition Center.
IP Address: Hostname/IP Address of the Acquisition

Center’s Server PC.
Port: On this port, the Diagnostic Center sends

messages to the Acquisition Center.
Test Connection: After the BTL NETconsult Service

configuration in both parties of the consultation
network, the user can verify the correctness of the
configuration by clicking on the “Test Connection”
button.
NOTE: The BTL CardioPoint Service has to be

running.
10.4.2.3 SERVICE MANAGEMENT
The Service Management tab on the toolbar consists of essential manipulations with the BTL CardioPoint
NETconsult Service.
Pending requests in the direction from the

Diagnostic Center to the Acquisition Center
are gathered in the Outgoing Client Queue.
Pending requests in the direction to the

Diagnostic Centre from the Acquisition
Centre are gathered in the Incoming Server
Queue.
Requests that could not be processed

correctly are gathered in the Failed Client
Request.
Start (turn on)/Stop (turn off) the BTL

CardioPoint NETconsult Service.

10.4.3 DIAGNOSTIC CENTER MAIN SCREEN
The Diagnostic Center step is called Consultation Worklist and it appears after the BTL CardioPoint
(A)
NETconsult plugin is installed.
The Consultation list of the Diagnostic Center is called Consultation Worklist and displays all the
(B)
examinations that were sent for consultation to the Diagnostic Center from the Acquisition Center.
Priority defines the importance of the consulted examination. Red colour means high priority, and the
(C) consulted examination is placed on a high level in the consultation list. Grey colour means normal priority
of the consultation, and the consulted examination is placed on a low level in the consultation list.
(D) This window includes contact information about the applicant for the consultation.
(E) Medical Findings and Conclusion include the applicant’s statement about the recorded examination.
The User can open the consulted examination by using the “Open Examination” icon or
(F)
by double-clicking on the examination in the Consultation list.
(G) The User can see the examination PDF report without opening an examination.
(H) By using the “Assign to me” icon, the user adds a consultation to their worklist.
To update the changes in the consultation worklist, the user can click on the “Refresh
(I)
Worklist” icon.

10.4.4 CONSULTATION WORKFLOW
10.4.4.1 NOTIFICATION IN THE CONSULTATION WORKLIST
When a new consultation request from the Acquisition Center comes to the Consultation Worklist, the user is
notified by a flashing CardioPoint icon on the Windows taskbar.
NOTE: To see the flashing CardioPoint icon, the CardioPoint application must be opened / opened in the
background.
Each new consultation in the Consultation Worklist is displayed highlighted in bold.
10.4.4.2 CONSULTATION PROCESSING
By clicking on the “Open examination” icon on the bottom line or by double-clicking on the consulted examination,
user can start processing the consultation. For more information on how to work with the recorded examination,
please see the appropriate User’s manual for the specific BTL CardioPoint module.
10.4.4.3 CONSULTATION FINISHED
After the examination is consulted in the Diagnostic Center, the consultant sends a consultation back to the
Acquisition Center by clicking on the “Finish consultation” button in the examination Close Form.

10.5 ACQUISITION CENTER
The Acquisition Center is a client of the Diagnostic Center who requests consultations of their recorded
examinations. Each Acquisition Center may have only one Diagnostic Center.

Minimum
RAM 4 GB
CPU Intel Core i3 2.6 GHz dual-core
Free space on HDD 11 GB
Upload speed 5 Mbps
Download speed 5 Mbps
Availibility 4 hours/day (at least 1)
The Version of BTL CardioPoint NETconsult must
Compatibility be the same as the version in the Diagnostic
Center
See System requirements for the particular
Other
BTL Cardiopoint module
NOTE: The BTL NETconsult network can work on a local area network or VPN. For information on further
possibilities, please contact our sales representative in your sales district / BTL company.
10.5.2 SOFTWARE LICENCE

To display the BTL CardioPoint NETconsult Consultation Worklist for the Acquisition Center, software
users have to register their new product. Please ask your vendor to supply you with the license file.
Without the AC software license, only the Diagnostic Center consultation worklist is available. After
the license expiration date, it is possible to finish in-process consultations, but it is not possible to
send new consultation requests.
10.5.3 BTL NETCONSULT COMMUNICATION SETTINGS

This part of the User manual covers the essential settings of the BTL CardioPoint NETconsult communication in
the Acquisition Center. To set up the BTL CardioPoint NETconsult communication, go to the file where the BTL
CradioPoint NETconsult Service was installed in step C of chapter 10.2.1 BTL CardioPoint NETconsult plugin
installation, and open the NETconsult Service Monitor (Server PC only).
10.5.3.1 NETWORK ENTITIES – LOCAL APPLICATION
In the Local Application tab in the Network Entities, the user can set up the communication data about the
Acquisition Center Main PC.
AE Title: The username of the Acquisition Center’s

Server PC.
Port: On this port, the Acquisition Center listens to the

Diagnostic Center.
NOTE: The port number must correspond to the port

number of the Acquisition Center in the Acquisition
Center list in the Diagnostic Center (See chapter
10.4.2 BTL NETconsult Communication Settings).

10.5.3.2 NETWORK ENTITIES – DIAGNOSTIC CENTER
In the Diagnostic Center tab in the Network Entities, the user adds communication data about the Diagnostic
Center.
AE Title: The username of the Diagnostic Center.
IP Address: Hostname/IP Address of the Diagnostic

Center Server PC.
Port: On this port, the Diagnostic Center listens to the

Acquisition Center.
NOTE: The port number must correspond to the port

number of the Diagnostic Center in the Local
Application tab in the Diagnostic Center (See chapter
10.4.2 BTL NETconsult Communication Settings).
Test Connection: After the BTL NETconsult Service

configuration in both parties of the consultation
network, the user can verify the correctness of the
configuration by clicking on the “Test Connection”
button.
NOTE: The Communication has to be enabled and the

BTL CardioPoint Service has to be running.
10.5.3.3 SERVICE MANAGEMENT
The Service Management tab on the toolbar consists of essential manipulations with the BTL CardioPoint
NETconsult service.
Pending requests in the direction from the

Acquisition Center to the Diagnostic Center
are gathered in the Outgoing Client Queue.
Pending requests in the direction to the

Acquisition Center from the Diagnostic
Center are gathered in the Incoming Server
Queue.
Requests that could not be processed

correctly are gathered in the Failed Client
Request.
Start (turn on)/Stop (turn off) the BTL

CardioPoint NETconsult service.

10.5.4 ACQUISITION CENTER MAIN SCREEN
The Acquisition Center step is called Requested Consultations and it appears after the BTL CardioPoint
(A)
NETconsult plugin and the appropriate license are installed.
The Consultation list of the Acquisition Center displays all the existing examinations that were sent for
(B) consultation to the Diagnostic Center from the Acquisition Center. Consulted examinations are displayed
according to the worklist filter.
Priority defines the importance of the consulted examination. Red colour means high priority and the
(C) consulted examination is placed on a high level in the consultation list. Grey colour means normal priority of
the consultation and the consulted examination is placed on a low level in the consultation list.
This window includes contact information about the consultant who processes the consultation in the
(D)
Diagnostic Center.
Medical Findings and Conclusion include the applicant’s and consultant’s statement about the recorded
(E)
examination.
The User can open the consulted examination by using the “Open Examination” icon or
(F)
by double-clicking on the examination in the Consultation list.
(G) The User can see the PDF report of the examination without opening an examination.
By clicking on the “Accept” icon, the user accepts the conclusion from the specialist in
(H)
the Diagnostic Center.
By clicking on the “Cancel Request” icon, the user cancels their consultation request.
(I) The User can cancel their consultation request until a consultant in the Diagnostic Center
does not start working on the consultation.
To update changes in the consultation worklist, the user can click on the “Refresh
(J)
Worklist” icon.

10.5.5 CONSULTATION WORKFLOW
10.5.5.1 CONSULTATION REQUEST
After the examination is recorded, there are three options how to send the examination for consultation to the
Diagnostic Center.
(1) Recorded examination Close Form
When closing a recorded examination, the user can

send the examination for consultation to the Diagnostic
Center by clicking on the “Send to consultation” button
on the “Consultation” tab in the examination Close
Form.
In the same tab, the user can choose priority of the

consulted examination and if they want to send the
examination as anonymised.
(2) The “New Consultation” icon from the bottom line
The User can send the examination for consultation to the Diagnostic Center by clinking on
the “New Consultation” button on the bottom line of the Examination list.
(3) Menu Examination on the BTL CardioPoint toolbar
The User can send the examination for consultation to

the Diagnostic Center by clicking on “New
Consultation” in the Examination menu on the BTL
CardioPoint toolbar.
10.5.5.2 NOTIFICATIONS IN THE NETCONSULT AC WORKLIST
When the Diagnostic Center finishes working on the consultation and the consulted examination is sent back to
the Acquisition Center to Requested Consultations, the user is notified by a flashing CardioPoint icon on the
windows taskbar.
NOTE: To see the flashing CardioPoint icon, the CardioPoint application must be open / open in the background.
Each finished consultation in Requested Consultations is displayed highlighted in bold.

10.6 BTL CARDIOPOINT NETCONSULT ANONYMIZATION
10.6.1 ACQUISITION CENTER
10.6.1.1 BTL CARDIOPOINT NETCONSULT SERVICE MONITOR
On the Export Settings tab, the user can set up data anonymization.
In the Anonymization Template, the user can choose

between “NONE” and “FULL” Anonymization
“NONE” Anonymization: No patient data in the

consulted examination are anonymous
“FULL” Anonymization: Patient data (i.e., patient name,

date of birth, family anamnesis, etc.) are made
anonymous.
10.6.1.2 CONSULTATION REQUEST
In the recorded examination Close Form, the user can

set up consulted data anonymization by checking
“Send anonymised patient data”.
10.6.1.3 CONSULTATION LIST AND CONSULTATION DETAIL
In the Acquisition Center, the user can see the patient name after the data anonymization in the Consultation
detail.
10.6.2 DIAGNOSTIC CENTER

10.6.2.1 CONSULTATION LIST
In the Diagnostic Center, the anonymized patient is displayed with the surname “Anonym” and an anonymized
first name same as in the Acquisition Center’s Consultation detail.

11 BTL FLEXI WIFI
BTL Flexi WiFi is a type of communication between BTL Flexi ECG device and BTL CardioPoint software. BTL
Flexi ECG device communicates with BTL CardioPoint via WiFi network. During the installation of BTL
CardioPoint the BTL Flexi Server Service is automatically installed. This service provides the option of auto-print
and auto-import of ECG records from the BTL Flexi device.
11.1 INSTALLATION OF BTL FLEXI WIFI

Recommendation: For a proper and easy configuration of BTL Flexi WiFi, please contact an IT administrator. The
following information will be required:
 Is it possible to use the hostname resolving method in the local network?

o If not, you will need to know the IP address of the BTL CardioPoint server PC.
o If yes, you will need to know the hostname of the BTL CardioPoint server PC.
 Due to the auto-print option, it is needed to have access to a user account

with printing rights.
11.1.1 SETTING UP THE BTL FLEXI SERVER SERVICE
Before setting up the BTL Flexi WiFi, it is necessary to change the user which is logged in the BTL Flexi Server
Service.
In order to do it, please follow these steps:
- Open the Windows Task Manager (Ctrl + Shift +

Esc).
- Go to the “Services” tab and select “Open

Services” (Windows 10) or “Services...” (Windows 7).
- Find “BTL CardioPoint Flexi Server Service”.
- Right click on “BTL CardioPoint Flexi Server

Service” and select “Properties”.

- Select the “Log On” tab and fill in the credentials
of a user which has rights to use a local printer.
- Click “Apply” and then “OK”.
- Then this Windows message will appear.
- Click ”OK”.
- Right click on “BTL CardioPoint Flexi Server

Service” and then click on “Restart”.

11.1.2 SETTING UP THE BTL FLEXI WIFI IN THE BTL CARDIOPOINT SOFTWARE
For setting up BTL Flexi WiFi, please follow these steps:
- Open the BTL CardioPoint software.
- Go to “ECG” and click on “Connect devices...”
- Click on the “WiFi setup” button.
- Fill in the name of the network where BTL

CardioPoint is connected to or click the WiFi symbol,
to display a list of available networks.
- Choose the security type of the network.
- Fill in the password of the network.
- Fill in the address of the BTL CardioPoint server

PC. The Hostname or the IP address.
- Click on “Next” to continue.
NOTE 1: If a hostname is used to identify the server and if the connection between BTL Flexi and BTL
CardioPoint can’t be established using the WiFi mode, use the IP address of the computer with
BTL CardioPoint Server instead of the hostname.
NOTE 2: If the IP address is used to identify the server, it is necessary to assign a static IP adress to the
computer with BTL CardioPoint Server.
- Select the Department that will be printed on the final

report.
- If the Auto-print option is selected, all the ECG

examinations recorded with BTL Flexi will be
automatically printed on the selected printer.
- Select the printer where each recorded ECG

examination, with BTL Flexi, will be printed.
- Click on “Apply” to save the settings and update

them in the device.
Once this process is finished, BTL Flexi will be updated. It will be automatically connected to the WiFi network
and ready to send all the records to the BTL CardioPoint Server.

11.2 BTL CARDIOPOINT TOOLS FOR BTL FLEXI WIFI
11.2.1 BTL FLEXI WIFI MANAGER
In this window it is possible to edit the BTL Flexi WiFi settings.
Only users with administrator rights can edit these settings.
To edit the BTL Flexi WiFi settings, please follow these steps:
- Go to ECG and click on “Manage WiFi

mode” (BTL Flexi).
- Click on WiFi setup.
- Click on this button to open the

Department printer settings.
- Click on this button to open the report

settings.
11.2.2 ECG CONNECTIONS

To open the ECG Connections window, please follow these steps:
- Go to ECG and click on “Connect devices”.

- BTL Flexi is chosen as the default device.
- FW update is available for this device.
- BTL Flexi is ready or busy.
- BTL Flexi is offline.

12 ADVANCED SETTINGS
For below listed tasks, please contact an authorized BTL service.
 Importing multiple examinations

 Sharing multiple examinations
 GDT Plugin – bidirectional communication interface mostly used with Ambulatory Information Systems.
 Layout – BTL CardioPoint allows rearranging the layout of components according to the used workflow
and user needs

13 MANUFACTURER
BTL Industries Ltd.
161 Cleveland Way
Stevenage
Hertfordshire
SG1 6BU
United Kingdom
E-mail: sales@btlnet.com
For service, please contact our service department at service@btlnet.com.
th
Date of last revision: 18 September 2019
ID: 590-80MANEN02105
© All rights reserved. No part of this manual may be reproduced, saved or transferred by any means including
electronic, mechanical, and photographic without the prior written approval from BTL Industries Limited.

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BTL CARDIOPOINT

BTL CARDIOPOINT – USER’S MANUAL I PAGE 3 OF 72

The BTL CardioPoint-Ergo software is a software module for stress-test examinations. It is

The BTL CardioPoint-Spiro software, together with a compatible pneumotachograph, is a system

BTL CARDIOPOINT – USER’S MANUAL I PAGE 4 OF 72

1.3 USER PROFILE

1.4 OPERATING ENVIRONMENT

1.5 PATIENT PROFILE

No modification of the product is allowed.

Follow the instructions for use (User’s Manual)

BTL CARDIOPOINT – USER’S MANUAL I PAGE 5 OF 72

4.1 HARDWARE REQUIREMENTS

System requirements for the Holter module

Number of USB 2.0 and 3.0 ports used

USB ports Minimum Recommended

4.2 SUPPORTED OPERATING SYSTEMS

* Valid from version Windows 7 SP1.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 6 OF 72

4.3.1 LOCAL INSTALLATION

(B) Confirm the license agreement and continue.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 7 OF 72

(F), (G) Click on the “Next >” button to proceed.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 8 OF 72

(M) Continue by clicking on the “Next” button.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 9 OF 72

(P) Continue by clicking on the “Next” button.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 10 OF 72

(S) To finish the installation, click on the “Finish” button.

4.3.2 NETWORK INSTALLATION – SERVER

(B) Confirm the license agreement and continue.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 11 OF 72

(F) To start the MySQL installation, click on “Next >”.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 12 OF 72

(M) Choose Additional install options and click on “Next”.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 13 OF 72

BTL CARDIOPOINT – USER’S MANUAL I PAGE 14 OF 72

(U) A summary of your settings is shown here.

(W) To finish the installation, click on the “Finish” button.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 15 OF 72

For proper installation of BTL CardioPoint, log in to a computer as an administrator.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 16 OF 72

(E) Choose Additional install options and click on “Next”.

(G) To finish the installation, click on the “Finish” button.

BTL CARDIOPOINT – USER’S MANUAL I PAGE 17 OF 72

BTL CARDIOPOINT – USER’S MANUAL I PAGE 18 OF 72

4.5.1 AUTHENTICATION METHODS

4.5.1.2 ACTIVE DIRECTORY LOGIN

4.5.2 USER ROLES

4.5.2.2 USER ROLE

4.6.1 HARDWARE PROTECTION

4.6.2 SOFTWARE LICENSE

4.6.3 CONTENT OF LICENCE FILE

BTL CARDIOPOINT – USER’S MANUAL I PAGE 19 OF 72

5.1 MAIN SCREEN

Patient List is divided into the following parts:

BTL CARDIOPOINT – USER’S MANUAL I PAGE 20 OF 72

5.1.2 EXAMINATION STATUS

5.1.3 EXAMINATION ACCESS TYPE