SWP-0098 Telehealth Cart

Transcription

1 Prepared by: AFHCAN Alaska Native Tribal Health Consortium Division of Health Information & Technology 4000 Ambassador Drive, 3rd Floor Anchorage, AK Telephone: (907) Fax: (907) SWP-0098 Telehealth Cart Document Version: 1 Applicable to: Telehealth Cart Software version: tconsult v6.1.0 Effective Date: 5/16/2012 Purpose: Scope: Audience: Copyright 2012 Alaska Native Tribal Health Consortium. All rights reserved.

2 Telehealth Cart Imaging and Software Configuration Additional Resources for Telehealth Cart Imaging and Software Configuration Imaging Windows Configuration Monitor Screen Resolution HP 5700 CPU Elo Touchscreen Configuration Sound Configuration SetupUser Account Camera Configuration Network Configuration On-Board Wired Connection (Ethernet cable) PCI Wireless Connection (HP5000 CPU Cisco) Wireless Network Connection (HP5700 CPU Ralink) Printer Installation Hewlett Packard directly connected printers Network Printer as a TCP/IP Port User Account Configuration Auto Logon for AFHCANUser Account Configuration Sound Configuration AFHCANUser Account Final User Configuration Cart Prerequisite Software Installation and Configuration Capturing the Telehealth Cart Image to a Backup Capsule Additional Resources for Capturing the Telehealth Cart Image to a Backup Capsule Capturing the AFHCAN Telehealth Cart Image Using Paragon Software v Restoring the AFHCAN Telehealth Cart Image Using Paragon Software v Capturing the AFHCAN Telehealth Cart Image Using Paragon Software v Restoring the AFHCAN Telehealth Cart Image Using Paragon Software v Resizing Hard Disk Partitions for RP Acronyms and Abbreviations for Resizing Hard Disk Partitions for RP Prepping the Hard Drive Using Paragon Hard Disk Manager Completing the Final Steps Client Software v6.x Installation Additional Resources for Client Software v6.x Installation Acronyms and Abbreviations for Client Software v6.x Installation Minimum System Requirements Installation of tconsult Cart Software Peripheral Configuration Video Otoscope Configuration Page 1 of 78

3 5.2 Dental Camera Configuration Audiometer and Tympanometer Configuration Scanner Configuration Stethoscope Configuration Generic Video Configuration Digital Camera Configuration Client Software v6.x Upgrade Client Software Upgrade Process Peripheral Configuration Uninstalling Client Software Page 2 of 78

4 Telehealth Cart Imaging and Software Configuration 1. Additional Resources for Telehealth Cart Imaging and Software Configuration Capturing the Telehealth Cart Image to a Backup Capsule 2. Imaging Insert the Telehealth Cart Image Boot Disk CD 1 of 1 into the CD-ROM/DVD drive Restart the Workstation. FOR HP When prompted during boot, press F10 to enter BIOS setup o Under Security menu, select and open Device Security Change USB Port to Device Hidden Save and exit BIOS Paragon Hard Disk Manager will proceed to boot. Allow it to completely boot before proceeding the status bar on the bottom of the screen will disappear. Remove the boot CD and insert the last image data disk, for example it may be disk 5 of 5 or DVD 2 of 2. Select and double-click Simple Restore Wizard from the menu o Welcome to the Simple Restore Wizard will appear click Next to continue o What to Restore click on the browse button and double-click CD/DVD o Select Archive highlight Disk.pbf and click Open o What to Restore click Next to continue o Image Properties click Next to continue o Select the Destination click Next to continue o Restore Summary click Next to continue o A prompt to insert CD1 will display follow the prompts and proceed to image the workstation o When imaging is complete, the screen will reflect All operations have been finished click Close to continue o Completing the Simple Restore Wizard click Finish to continue o Remove the CD/DVD from the drive o When returned to the main menu, select and double-click on Reboot the computer During system restart, enter the BIOS setup again and return USB Port to Device Available save and exit. FOR HP Paragon Hard Disk Manager will proceed to boot. Allow it to completely boot. Remove the boot CD and insert the last image data disk, for example it may be disk 5 of 5 or DVD 2 of 2. Delete all partitions, and highlight Basic Disk 0. From the File Menu Bar, select Wizards and click on Select Simple Restore o Welcome to the Simple Restore Wizard will appear click Next to continue o What to Restore click on the browse button and double-click Z o Select Archive highlight Disk.pbf and click Open o What to Restore click Next to continue o Image Properties click Next to continue o Select the Destination click Next to continue o Restore Summary click Next to continue o Completing the Simple Restore Wizard click Finish to continue o Click Apply, and Yes for Applying changes o A prompt to insert CD1 will display follow the prompts and proceed to image the workstation o When imaging is complete, the screen will reflect All operations have been finished click Close to continue o Remove the CD/DVD from the drive. Click on General from the File Menu and select Exit Windows will now proceed to boot the following parameters will now be configured: o License Agreement select the I accept radio button and click Next to continue Page 3 of 78

5 o o o Computer Name and Administrator Password Enter the appropriate computer name only do NOT enter a new password, then click Next to continue Date and Time Settings change any incorrect settings and click Next to continue The system will complete its configuration and restart. 3. Windows Configuration Once restarted, logging in as setupuser/password will allow the system to finalize its initial configuration. Wait for the command prompt window to disappear before proceeding. Depending on the hardware components and date of build, on first login, the system may prompt for driver installation for the various components. If prompted, select No, Not this Time, and then proceed to accept all default settings as the install wizard progresses through the option windows. Should a Windows Warning appear such as that in Figure 1, click on Continue Anyway. Figure 1 Windows Logo Warning If prompted to replace existing files, respond Yes to all prompts. Should there be any messages stating that the hardware cannot be installed, click on Cancel. Install the appropriate drivers from D:\AFHCAN Software\Drivers\ or the manufacturer s provided media if applicable. 4. Monitor Screen Resolution HP 5700 CPU The new AFHCAN Telehealth Carts have an HP 5700 CPU installed. Older carts may have their original HP 5000 CPUs replaced with the newer HP 5700 CPUs. The display resolution needs to be set to 1024 X 768. To set the screen resolution, do a right-mouse click on the desktop and select Properties. Click on the Settings Tab and drag the arrow under Screen resolution until 1024 X 768 pixels is selected. Click OK to retain the new setting. Page 4 of 78

6 5. Elo Touchscreen Configuration Figure 2 Setting the Screen Resolution Follow these steps to calibrate and configure the Elo Touchscreen Double-click on the Elo icon on the Taskbar Figure 3 Elo Icon on Task Bar When the Elo Touchscreen Properties window appears, on the General tab, click on the Align button and follow the directions on the screen. Figure 4 Align Button Following alignment, select the Mode tab and verify/set the following: Page 5 of 78

7 o o o Mouse button emulation mode Mouse Emulation Options Show tool tray utility Drag delay pointed at 3 rd tick from left. Figure 5 Mode Tab Settings for Elo Monitor Configuration Select the Sound tab, and UNCHECK the Beep on touch checkbox. Click OK to finish. 6. Sound Configuration SetupUser Account Figure 6 Uncheck the Beep on Touch Checkbox Note: These steps will also be completed later in this document when logged on as AFHCANUser. Click Start and select Control Panel and then select Sounds and Audio Page 6 of 78

8 Figure 7 How to Open Sounds and Audio Click on the Audio tab, set the following: o Sound playback use the SoundMAX Digital Audio Note: If a 5700 CPU, use Realtek HD audio output o Sound recording use imic USB audio system o Midi music playback leave at default Click OK to finish. 7. Camera Configuration Figure 8 Audio Tab for Sounds and Audio Device Property When a camera is first turned on by pressing a large button at the front of the camera docking station (Kodak) or power on the camera itself (Canon), the system may display a dialog box asking what action to take. Click on cancel to close the box. Note: This section does NOT apply if there is a Fuji Finepix E550 camera attached to the cart. Click on Start Control Panel Scanners and Cameras. Depending on the camera installed onto the cart, do a right mouse click on V1233 Kodak Camera or Canon PowerShot SD970 IS and select properties. Click on the Events tab and ensure the Take No Action radio button is selected. Page 7 of 78

9 Click on OK to close the properties dialog box. 8. Network Configuration Figure 9 Taking No Action Setting for Cameras The steps listed below establish the proper IP address based on either DHCP or static assignment for the subnet the workstation will reside on based on organizational requirements. Follow the steps in the appropriate section to configure the network connection for the NIC that is being utilized. By default, most NICs (wireless and Ethernet cable) are disabled during the imaging process. Enable and configure ONLY the NIC that will be utilized. On an HP5700 CPU with fire wire, disable the 1394 Net Adapter that may be visible within Network Connections. To enable a NIC, double-click on the Network Connections icon on the desktop and do a right-mouse click on the appropriate connection. Select Enable. 8.1 On-Board Wired Connection (Ethernet cable) Within the Network Connections window, right-click on On-Board Wired Connection, and select Properties. If the cart will NOT be a member of any domain, uncheck the following: o Client for Microsoft Networks o File and Printer Sharing for Microsoft Networks Page 8 of 78

10 Figure 10 Network Connection Properties Dialog Box Double-click on Internet Protocol (TCP/IP). Organization-specific configuration requirements will determine whether the settings will utilize DHCP (obtaining an IP address automatically the default setting), or if these settings need to be configured manually. In either case, click on the use the following DNS server address radio button and enter *. *If joining a domain, a DNS entry may be entered, but is not recommended for security purposes. Figure 11 DHCP Assigned IP Address If assigning a static IP address, click on the Use the following IP address radio button and enter the appropriate IP address, subnet mask, and default gateway entries as determined by organizational IT staff (see Figure 12 as an example DO NOT USE this IP address). Page 9 of 78

11 Figure 12 Static Assigned IP Address 8.2 PCI Wireless Connection (HP5000 CPU Cisco) Within the Network Connections window, right-click on PCI Wireless Connection, and select Properties. If the cart will NOT be a member of any domain, uncheck the following: o Client for Microsoft Networks o File and Printer Sharing for Microsoft Networks Figure 13 Network Connection Properties Dialog Box If the organization will be utilizing CISCO Wireless Access Points, Cisco Aironet Desktop Utility will be used to configure the wireless profile. Click on the Wireless Networks Tab and remove the checkmark from Use Windows to configure my wireless network settings. Page 10 of 78

12 Figure 14 Wireless Networks Tab Double-click on Internet Protocol (TCP/IP). Organization-specific configuration requirements will determine whether the settings will utilize DHCP (obtaining an IP address automatically the default setting), or if these settings need to be configured manually. In either case, click on the use the following DNS server address radio button and enter *. *If joining a domain, a DNS entry may be entered, but is not recommended for security purposes. Figure 15 DHCP Assigned IP Address If assigning a static IP address, click on the Use the following IP address radio button and enter the appropriate IP address, subnet mask, and default gateway entries as determined by organizational IT staff (see Figure 16 as an example DO NOT USE this IP address). Page 11 of 78

13 Figure 16 Static Assigned IP Address Click OK to close all windows and return to the desktop. Right-click the Aironet Desktop utility on the task bar at the bottom right of the desktop, then select Open Aironet Desktop Utility. Select the Profile Management tab and click the New. Button to add a new profile. Figure 17 Adding a New Wireless Profile Enter the following information: o Profile Name : Enter the appropriate profile name based on organizational requirements. o Client Name : Enter the computer name o SSID1 : Enter the appropriate wireless network name based on organizational requirements. Figure 18 Naming the Wireless Profile Click on the Security tab and select the WPA/WPA2 Passphrase radio button. Once the radio button is selected, click on the Configure button. Page 12 of 78

14 Figure 19 Selecting WPA/WPA2 Passphrase Enter the appropriate passphrase based on organizational requirements and click OK. Figure 20 Entering the WPA/WPA2 Passphrase Clicking OK from step 9 returns to the Profile Management tab. Click the Activate button to start the newly created profile. Figure 21 Highlighting New Profile and Clicking on Activate Select the Current Status tab to ensure the profile is authenticated and view the signal strength between the client and the wireless access point with which it is associated. Figure 22 Viewing Signal Strength from Current Status Tab Once complete, close the window. 8.3 Wireless Network Connection (HP5700 CPU Ralink) Within the Network Connections window, right-click on Wireless Network Connection, and select Properties. If the cart will NOT be a member of any domain, uncheck the following: o Client for Microsoft Networks o File and Printer Sharing for Microsoft Networks Page 13 of 78

15 Figure 23 Network Connection Properties Dialog Box If the organization will be utilizing wireless, Ralink Utility will be used to configure the wireless profile. Click on the Wireless Networks Tab and remove the checkmark from Use Windows to configure my wireless network settings. Figure 24 Wireless Networks Tab Double-click on Internet Protocol (TCP/IP). Organization-specific configuration requirements will determine whether the settings will utilize DHCP (obtaining an IP address automatically the default setting), or if these settings need to be configured manually. In either case, click on the use the following DNS server address radio button and enter *. *If joining a domain, a DNS entry may be entered, but is not recommended for security purposes. Page 14 of 78

16 Figure 25 DHCP Assigned IP Address If assigning a static IP address, click on the Use the following IP address radio button and enter the appropriate IP address, subnet mask, and default gateway entries as determined by organizational IT staff (see Figure 26 as an example DO NOT USE this IP address). Figure 26 Static Assigned IP Address Click OK to close all windows and return to the desktop. Double-click the Ralink Desktop utility on the task bar at the bottom right of the desktop, Figure 27 The R+ Ralink Icon on Task Bar Select the Profile button at the top left and click the Add. button to add a new profile. Page 15 of 78

17 Figure 28 Adding a New Wireless Profile Under System Config enter the following information: o Profile Name : Enter the appropriate profile name based on organizational requirements. o SSID : Enter the appropriate wireless network name based on organizational requirements. Figure 29 Naming the Wireless Profile Click on the Auth.\Encry. Tab. Using the drop-down arrow to the right of Authentication>> select the WPA-PSK. Page 16 of 78

18 Figure 30 Selecting WPA-PSK Authentication Enter the appropriate WPA Preshared Key based on organizational requirements. Figure 31 Entering the WPA Preshared Key Use the drop-down arrow to the right of Encryption>> and then select AES. Figure 32 Selecting Encryption Level Click on OK. Highlight the profile and select Activate. Page 17 of 78

19 Once complete, close the window. 9. Printer Installation Figure 33 Viewing Signal Strength after Activating New Profile Hewlett-Packard Deskjet Printers were originally packaged with the first AFHCAN Telehealth Carts. Some are still in use and connected directly to the cart. This section of the document is split into two sub-sections: 1.) directly connected printers, and 2.) networked printers. 9.1 Hewlett Packard directly connected printers From the desktop, double-click the Install HP Printers icon. The HP Install Network Printer Wizard will start. Should the Help dialog box appear in the right window pane, close the Help dialog box by clicking the X, and click Next to continue. Figure 34 HP Install Network Printer Wizard Connection type leave the radio button at the default selection ( Wired ) and click Next to continue. Page 18 of 78

20 Figure 35 Connection Type Dialog Box Identify Printer select the Specify a printer by address radio button. Click Next to continue. Figure 36 Identifying the Printer by Address Specify Printer New Print Server: The print server must be reset to default settings for this step. Select the Hardware Address radio button, and enter the MAC address from the label on the print server for the printer being installed. Click Next to continue. Figure 37 Selecting Hardware Address for a New Print Server Specify Printer Existing Print Server: Select the IP Address radio button as shown in Figure 37 and enter the IP address for the print server of the printer being installed. Click Next to continue. The wizard will proceed to locate the printer on the network. Figure 38 Searching for the Printer Network Printer Configuration select the Let me configure. Radio button and click Next to continue. Page 19 of 78

21 Figure 39 Network Printer Configuration If needed, click the Change Settings. button to enter site-specific addresses. Figure 40 Network Settings TCP/IP settings enter the appropriate addresses (Note: Figure 41 is an example, do not use these addresses). Click OK to continue. Figure 41 TCP/IP Settings The updated addresses are now reflected. Click Next to continue. Figure 42 Changed TCP/IP Settings Driver options select the Install a driver from radio button, again, if it appears, close the Help dialog box to the right of the window, and click Next to continue. Page 20 of 78

22 Figure 43 Driver Options Browse to D:\AFHCAN Software\Drivers\HP Printers and select the appropriate folder for the model of printer being installed. Browse within that folder and open the XP folder. In the example shown in Figure 44, a DeskJet 990 is being installed. Figure 44 Locating the Drivers folder The appropriate.inf file will be displayed. Highlight the display.inf file and click Open to continue. Figure 45 Highlighting the.inf File Drivers from Disk the printer being installed will be reflected in the txt box. Click Next to continue. Page 21 of 78

23 Figure 46 Selecting the Driver Printer Name use the default printer name and click Next to continue. Figure 47 Using the Default Printer Name Sharing - select the Not Shared radio button (default) and click Next to continue. Figure 48 Do Not Share Option Summary click Install to continue. The wizard will proceed to install the drivers. Page 22 of 78

24 Figure 49 Installing the Printer Drivers Completing the wizard will display a summary of actions. Leave the Print a test page. check box checked and click Finish to print a test page. Figure 50 Completing the Printer Installation Wizard 9.2 Network Printer as a TCP/IP Port This section applies to connecting a networked printer device. Clicking on the Start button, select Printers and Faxes. Double-click on Add a Printer. Figure 51 Adding a Networked Printer Click Next on the Welcome to the Add Printer Wizard. Page 23 of 78

25 Figure 52 Add Printer Wizard Accept the default of Local printer attached to this computer, but remove the checkmark from Automatically detect and install my Plug and Play printer. Click on Next. Figure 53 Choosing Local or Network Printer On the Select a Printer Port page, click on Create a new port, then select Standard TCP/IP Port from the drop-down list at Type of Port. Click on Next. Figure 54 Selecting Printer Port The Add Standard TCP/IP Printer Port Wizard will start. Click Next. Page 24 of 78

26 Figure 55 TCP/IP Printer Port Wizard Enter the IP Address of the printer and enter a name for the printer in the Port Name box, then click on Next. Figure 56 Adding Port to Networked Printer Click Finish to return to the Add Printer Wizard. Figure 57 Finishing the Add TCP/IP Printer Port Wizard Select the name of the Manufacturer, and then select the appropriate software driver. Click on Next. Page 25 of 78

27 Figure 58 Selecting Printer Software Driver Enter a name for the printer and set as the default printer. Click on Next. Figure 59 Entering a Name for the Printer Accept the default of Do not share this printer. and click on Next. Figure 60 Do Not Share This Printer Allow the test page to print, and click on Next. Page 26 of 78

28 Click on Finish to close the Add Printer Wizard. Figure 61 Allowing Test Page to Print Figure 62 Completing the Add Printer Wizard 10. User Account Configuration User passwords and accounts require modification. o Right-click on My Computer and select Manage. o Expand Local Users and Groups, and click on the Users folder Figure 63 Locating Local Users and Groups within Computer Management o The SetupUser and OSBA passwords must be secured. Check with the local IT office or contact AFHCAN for passwords. To change a password, right-click on SetupUser in the right pane and select Set Password. Page 27 of 78

29 o Figure 64 Setting a User Password Click on Proceed when the warning is displayed. o Figure 65 Warning on Resetting of Passwords Enter and confirm the secure password and click OK. Figure 66 Enter and Confirming the New Password o Enter the OSBA account passwords using the same steps as used for the SetupUser account (steps 2 4). o Delete the HelpAssistant user account o When finished, Close the computer management window and return to the desktop. 11. Auto Logon for AFHCANUser Account Configuration The AFHCANUser account auto logs on when the workstation is turned on. This section configures the auto logon. From the desktop, click on the Start button in the lower left corner, then select Run. Enter control userpasswords2 as shown in the example and click OK. Page 28 of 78

30 Figure 67 Run Command Dialog Box Highlight AFHCANUser, uncheck the Users must enter a user name checkbox, and click OK. Figure 68 Setting User Account Parameters When prompted, click OK again to exit. Do NOT enter a password. Figure 69 Automatically Log On Dialog Box Restart the workstation. The system will restart to the desktop as AFHCANUser. 12. Sound Configuration AFHCANUser Account Click Start and select Control Panel and then select Sounds and Audio Page 29 of 78

31 Figure 70 How to Open Sounds and Audio Click on the Audio tab, set the following: o Sound playback use the SoundMAX Digital Audio Note: If a 5700 CPU, use Realtek HD audio output o Sound recording use imic USB audio system o Midi music playback leave at default Figure 71 Audio Tab for Sounds and Audio Device Properties Click OK to close the Sounds and Audio Devices Properties dialog box Log off as AFHCANUser 13. Final User Configuration Log on as SetupUser. Right-click on My Computer and select Manage Expand Local Users and Groups, and click on the Users folder Page 30 of 78

32 Figure 72 Locating Local Users and Groups within Computer Management Right-click on AFHCANUser and select Properties Select the Member Of tab and click Add Figure 73 Selecting Properties for a Given User Figure 74 Adding a User to a Group In the Select Groups window text box, enter Users and click OK Figure 75 Selecting Groups The AFHCANUser Properties window will re-appear. Highlight Administrators and click Remove Page 31 of 78

33 Figure 76 Removing Groups Click OK to close the window and return to the Computer Management window. Close the Computer Management window. 14. Cart Prerequisite Software Installation and Configuration The AFHCAN Telehealth Cart is almost complete in its configuration. This next section installs the necessary Cart Tools needed for the tconsult Cart Client software, checks to ensure the Adobe EULA (license) has been accepted, and configuration of the Startup4 shell for tconsult software. Double-click Cart_Build_1.51.exe from the source location i.e., USB Thumb drive, CD-ROM or other location. The Welcome.. window will appear. Click Next Figure 77 AFHCAN Cart Installer Wizard Ensure Cart Tools is checked and click Install Page 32 of 78

34 Figure 78 Installing Cart Tools When the Serial Number Tool window appears, enter the serial number from the label on the front of the CPU, or enter the name of the host workstation, and click Save Figure 79 Entering Serial Number The cart install will complete. Click Finish to exit. Figure 80 Completing the AFHCAN Cart Installer Wizard Click on Start All Programs Adobe Reader 7.0 Page 33 of 78

35 Accept the Adobe Reader License Agreement Figure 81 Opening Adobe Reader Figure 82 Accepting the Adobe Reader License Close the Adobe application by clicking the X in the upper right hand corner. Page 34 of 78

36 Figure 83 Adobe Reader Window Note: If the License Agreement window as shown in Figure 82 does not appear, the License has already been accepted. Close the Adobe Reader Window. Configure the Startup4 Shell. This shell is the familiar screen on startup that the AFHCANUser account sees at auto logon. Clicking on the Telemedicine button will start the AFHCAN tconsult Cart Client software after it is installed. For now, it is necessary to configure the Telemedicine Button to point it to the correct file and location. Click on Start Run and enter Startup4.exe, then click on OK Figure 84 Starting the Startup4 Shell As the shell begins to load, click on the More. Button in the upper right corner. Figure 85 AFHCAN Shell By default, AFHCAN does not have a password. Leave the password field blank and click on OK Page 35 of 78

37 Click on Configure Main Buttons Figure 86 Password Window Figure 87 Configure Main Buttons With Telemedicine shown in the Button Text file, enter with double quotes C:\Program Files\AFHCAN Telehealth Client\tConsult.exe in field labeled Path: Figure 88 Entering the Path for the Telemedicine Button Click on the Save button To close the Startup4 shell, click on Ctrl + Alt + Del and select Task Manager. From the Applications Tab highlight Form1 and click on End Task. Page 36 of 78

38 Figure 89 Windows Task Manager Window The AFHCAN Telehealth Cart Imaging and Configuration is now complete. It is highly recommended capturing this image and configuration prior to loading the tconsult Cart Client software. Please proceed to SWP-0037 Capturing the AFHCAN Telehealth Cart Image to a Backup Capsule document. End of procedure Page 37 of 78

39 Capturing the Telehealth Cart Image to a Backup Capsule 1. Additional Resources for Capturing the Telehealth Cart Image to a Backup Capsule Telehealth Cart Imaging and Software Configuration 2. Capturing the AFHCAN Telehealth Cart Image Using Paragon Software v7.0 Once an AFHCAN Telehealth Cart has been successfully imaged and configured, but before the installation of the tconsult Cart Client and Update Client software, the technician should take a few minutes to capture the configured image. This section details those steps necessary to successfully capture that image. Logon as SetupUser Click on Start All Programs Deployment Manager Hard Disk Manager Hard Disk Manager Figure 1 - Opening the Deployment Manager Highlight the Partition to be Backed-up Page 38 of 78

40 Figure 2 - Selecting the Drive Partition Select Partition from the File Menu, and click on Create an image of partition. Figure 3 Creating an Image of the Hard Disk Uncheck both Split image and Set names automatically. Use the Drop-down arrow to the right of the word Drive to select the Backup Capsule (Hdd0/Partition2). Enter a name for the Image File, then click OK. Page 39 of 78

41 Figure 4 Selecting the Backup Capsule Click Apply in the upper left corner of the Toolbar. Click on Yes to apply the changes. Figure 5 Applying the Action Page 40 of 78

42 Figure 6 Applying the Changes 3. Restoring the AFHCAN Telehealth Cart Image Using Paragon Software v7.0 Should it ever be necessary to re-image the CPU of the AFHCAN Telehealth Cart, having captured an image of a configured cart will reduce the amount of time necessary to recover the CPU to a state where the tconsult software is ready to be installed. Login as SetupUser Click on Start All Programs Deployment Manager Hard Disk Manager Hard Disk Manager Figure 7 - Opening the Deployment Manager Highlight the Partition to be restored, for example Primary C:, then select Partition from the File Menu, and click on Restore hard disk from partition. Page 41 of 78

43 Figure 8 - Selecting the Drive Partition Click on the drop down arrow to the right of the Look in and select Non mounted partitions. Figure 9 Selecting the Non Mounted Partitions Double-click on Hdd 0\Partition 2 to expand the list of available images and highlight the image that has been configured. Click on Open. Figure 10 Selecting the Image Page 42 of 78

44 If the C:\drive has been selected to be restored, click Yes to the warning about restoring to a bootable partition. Figure 11 Warning Dialog Box One If the D:\drive has been selected to be restored, click Yes to the Warning. At the review dialog window, click on OK Figure 12 Warning Dialog Box Two Figure 13 Restoring Partition Review Window Click Apply in the upper left corner of the Toolbar. Page 43 of 78

45 Figure 14 Applying the Action Click on Yes to apply the changes. Figure 15 Applying the Changes Again if C:\ is the partition to be restored, it will be necessary to click on Reboot to commence the restore process. Figure 16 C: Drive Partition Needs a Reboot 4. Capturing the AFHCAN Telehealth Cart Image Using Paragon Software v8.5 Later images of our cart build use Paragon Software v8.5. Though the process is the same, the overall look and feel is a bit different than v7.0. Page 44 of 78

46 Logon as SetupUser Click on Start All Programs Paragon Deployment Manager Hard Disk Manager Hard Disk Manager Figure 17 Starting Paragon Deployment Manager Highlight the Partition to be backed-up, and then click on Back up hard disks or selected partitions from the left pane. Figure 18 Selecting Hard Disk to Capture The Paragon Backup Wizard will open. Click on Next. Page 45 of 78

47 Figure 19 Welcome Screen of the Backup Wizard Ensure a checkmark is in front of the drive to be captured, and place a check mark in front of Change backup settings. Click on Next. Figure 20 Selecting the Hard Drive to be Backed-up Page 46 of 78

48 Remove the checkmarks from Set image file names automatically and Enable image splitting, then click on Next. Figure 21 Changing Backup Image Options Choose the backup destination to Save data to the Backup Capsule then click on Next. Figure 22 Selecting the Backup Destination Enter a name that is indicative of the image and then click on Next. Page 47 of 78

49 Figure 23 Naming the Image File The comment field is normally left blank, but the technician can enter information here if desired. Figure 24 Comment Field A summary window will open. Review, and if any changes are needed, click the Back button to make the change. If no changes are needed, then click on Next. Page 48 of 78

50 Click on Finish to close the Backup Wizard. Figure 25 Backup Summary Dialog Window Click on Apply to start the capture. Figure 26 Completing the Backup Wizard Page 49 of 78

51 Click on Yes to apply the changes. Figure 27 Applying the Change Figure 28 Applying the Changes 5. Restoring the AFHCAN Telehealth Cart Image Using Paragon Software v8.5 Restoring a hard disk using Paragon Software v8.5 is the same process as v7.0 but with the use of a Wizard. This section will detail the steps to restore a hard disk image using the Restore Wizard. Logon as SetupUser Click on Start All Programs Paragon Deployment Manager Hard Disk Manager Hard Disk Manager Page 50 of 78

52 Figure 29 Starting Paragon Deployment Manager Highlight the Hard Drive to be restored, and then click on Restore hard disks or partitions from the left pane. Figure 30 Selecting Hard Disk to Restore The Restore Wizard will start. Click on Next. Page 51 of 78

53 Figure 31 Restore Wizard Click on the drop down arrow to the right of the Look in and select Backup Capsule on Hard Disk 0. Highlight the Archive or image file to restore and then click on Next. Figure 32 Selecting Archive Image to Restore Select which Hard Disk will be restored, then click Next. Page 52 of 78

54 Figure 33 Selecting the Hard Disk to be Restored At the Restore summary window, click on Next. Figure 34 Restore Summary Dialog Box Click on Finish to complete the Restore Wizard. Page 53 of 78

55 Click on Apply to begin the Restore. Figure 35 Completing the Restore Wizard Click on Yes to apply the changes. Figure 36 Selecting Apply to Begin the Restore Page 54 of 78

56 Figure 37 Applying the Changes If C:\ is the partition to be restored, it will be necessary to click on Restart the computer to commence the restore process. Figure 38 Accepting System Restart End of procedure. Page 55 of 78

57 Resizing Hard Disk Partitions for RP Acronyms and Abbreviations for Resizing Hard Disk Partitions for RP5000 Acronym Meaning HP OS Hewlett Packard Operating System 2. Prepping the Hard Drive This section details the steps to move folders from the D:\drive to the C:\drive. Log onto the system using the SetUpUser account. Stop the tconsultdataservice* by using Computer Management Services. This method allows the system to finish any transactions, and avoids loss of data. *Depending upon the version of tconsult Cart client software is installed, this may be the AFHCANDataService. Verify the size of the C:\drive by opening Windows Explorer and viewing the properties of the Local Disk (C:). If there is a minimum of 500 Mb free space, copy D:\AFHCAN Software and D:\ATS folders to the C:\drive. If the C:\drive is full, copy the folders to a USB thumb drive, or call AFHCAN Customer Support at who can assist the technician in freeing up hard drive space. 3. Using Paragon Hard Disk Manager This section will detail the steps to resize the hard drive partitions using Paragon Hard Disk Manager software. Click on Start All Programs Deployment Manager Hard Disk Manager Hard Disk Manager When the Hard Disk Manager application opens, do a right mouse click on Primary D: located in the left pane. Select Delete. Figure 1 Deleting a Partition Select the Do not ask volume label next time checkbox as shown in Figure 2, and then click on OK. Page 56 of 78

58 When prompted Are you sure?, click Yes. Figure 2 Verifying the Deletion of a Partition Figure 3 Confirming the Deletion of a Partition Click on Apply in the upper left tool bar. A reboot may be necessary in order to complete the deletion of the D:\drive, as the partition may still be in use. Click on reboot. After logging back into the cart with the SetUpUser account, Paragon Hard Disk Manager will start up and return to the Paragon Hard Disk Manager Deployment dialog. Do a right mouse click on Primary C: in the left pane, and select Resize/Move Figure 4 Resizing/Move a Partition In the New Size field, increase the partition size from 7996 to 17996, and then click on OK. Page 57 of 78

59 Figure 5 Setting the New size of a Partition Right click on Primary, free located in the left pane and select Create. Figure 6 Creating the Partition Click the OK button when the Create Partition window opens. Figure 7 Confirming the Creation Size of a Partition Using the drop down arrow at System type, select NTFS as the system type and click on OK at the Format the primary partition 1 dialog box. Page 58 of 78

60 Figure 8 Formatting the Partition with NTFS Click Yes when the Hard Disk Manager warning is displayed. Figure 9 Confirming the Formatting of a Partition In the left pane, right click on Primary, free and click on Mount. Assign the drive letter D: and click on OK. Figure 10 Mount the Partition Page 59 of 78

61 Figure 11 Assigning the Drive Letter to a Partition Click on Apply in the upper left tool bar. Click Yes to apply changes. When complete, click Close and close the Paragon Hard Disk Manager Application. 4. Completing the Final Steps Figure 12 Formatting and Assigning the Drive Letter to a Partition Now that the C:\drive has increased in size, this section copies the D:\ drive files and folders copied to the original C:\drive (or thumb drive) back to the new smaller D:\drive, and assigns the proper permissions. Using Windows Explorer, right click on the D: drive, select Sharing and security, and select the Security tab. Remove all group or user name entries EXCEPT the SYSTEM and Administrators, and then click on OK. Page 60 of 78

62 Figure 13 Setting Permissions to the D:\ drive. Continue using Windows Explorer to move the ATS and AFHCAN Software folders from the C:\drive (or from the thumb drive see Step 5 under Prepping the Hard Drive) to the D:\ drive. Select Yes to all when prompted about moving read only files. Reboot the system. End of procedure. Page 61 of 78

63 Client Software v6.x Installation 1. Additional Resources for Client Software v6.x Installation Establishing an Authoritative Time Source 2. Acronyms and Abbreviations for Client Software v6.x Installation Acronym Meaning WCF OS VSM Windows Communication Foundation Operating System Vital Signs Monitor 3. Minimum System Requirements.NET Framework 4.0 Windows XP SP3 Adobe Reader > = to Version 7.0 with License Accepted 4. Installation of tconsult Cart Software Log in to the Telehealth Cart, desktop or laptop with an administrator account. Insert the tconsult Cart software installation disk into the CD-ROM and run ClientSetup_build_6.x.x.x.exe to start the Install Shield Wizard. At the Welcome Screen, click on Next. Figure 2 Welcome Screen to tconsult Cart Software Installation Note: All pictures are representative and do not necessarily reflect the actual 6.x version number of the software being installed. Click on I Agree to accept the License Agreement. This Install Shield Wizard will proceed to the install Location. Accept the Default destination folder as shown in Figure 2. Page 62 of 78

64 Figure 2 tconsult Cart Install Location For security reasons, it is highly recommended that the Data be in a separate partition than that of the OS. On a Telehealth cart, the hard drive is partitioned into two drives (C and D). By default the installation will suggest placement of the Data Directory to the D:\drive. If installing on a customers laptop/desktop with only a C:\drive, accept the Data Directory in that location. Enter the IP address of the tconsult Server. Figure 3 tconsult Cart Data Directory Location Page 63 of 78

65 Figure 4 Entering the IP Address of the tconsult Server Enter the IP Address of the Time Server. If an organization using a Domain Time Server as the Authoritative Time Source, enter the IP address of that server. The tconsult Server may also be an Authoritative Time Source if setup and can be used as well. This will be determined by each organization. Note: If the tconsult Server and the tconsult Cart are out of sync greater than 5 minutes, providers will be unable to log in on that host box. Figure 5 Entering the IP Address of the Time Server The installation of the Version 6.x.x.x software will commence. While tconsult Cart is installing, several DOS windows will open and close around the install progress box that is seen in Figure 6. Page 64 of 78

66 Figure 6 tconsult Cart Installation Click on Finish when the Setup Wizard has completed. Figure 7 Completion of tconsult Cart Installation 5. Peripheral Configuration Once tconsult Cart software has been installed, it is necessary to configure any attached peripherals within the software setup utility. This section outlines the steps necessary to configure the peripherals for use with the tconsult Cart software. Click on Start All Programs tconsult tconsult Cart Configuration. The tconsult Cart Configuration window will open. The software will perform a system check to verify a valid certificate has been installed. Click Plugins then click Add Plugins for the select plugin window to open as shown in Figure 8. Page 65 of 78

67 Figure 8 tconsult Cart Configuration Add Plugin The select plugin page is used to make personalized changes to the client based on what device(s) may be attached to the Telehealth cart, desktop or laptop. Patient, Forms, ECG and Spirometer all offer the same configuration settings and are covered in this example. Only the Patient Settings window will be shown, but is representative of the other device configurations. Options: o o o Figure 9 Configuring Patient Settings Show images on button if there is an image available and this checkbox is checked, the image will be displayed to the left of the text. Button color is used to change the color of the button but is typically left at default. Alternate button text is used to change the text on the button but is typically left at default. 5.1 Video Otoscope Configuration Click the Spectrim Plugin from the select plugin... window and click OK. The Spectrim Settings window will open. Page 66 of 78

68 Enter Video Otoscope into the Alternate Text box under Options. Select NTSC as the Video Format under Extra Settings. Select SVideo1 as the Source from the dropdown menu under Extra Settings. Click Save to retain configuration settings. Complete configuration shown below in Figure 10. Figure 10 Configuring Video Otoscope 5.2 Dental Camera Configuration Click the Spectrim Plugin from the select plugin... window and click OK. The Spectrim Settings window will open. Enter Dental Camera into the Alternate Text box under Options. Select NTSC as the Video Format under Extra Settings. Select Composite as the Source from the dropdown menu under Extra Settings. Click Save to retain configuration settings. Complete configuration shown below in Figure 11. Page 67 of 78

69 Figure 11 Configuring Dental Camera 5.3 Audiometer and Tympanometer Configuration The Audiometer and Tympanometer offer the same configuration settings and are covered in this example. Only the Tympanometer Settings window will be shown, but is representative of the Audiometer configurations. o Click the Tympanometer Plugin from the select plugin... window and click OK. The Tympanometer Settings window will open. o By default, the Ear Scan COM Port is set to use COM2. o o Click Save to retain configuration settings. Complete configuration for the Tympanometer and Audiometer are shown below in Figures 12 and 13. Figure 12 Configuring Tympanometer Page 68 of 78

70 Figure 13 Configuring Audiometer 5.4 Scanner Configuration Click on the Scanner plugin on the left side of the tconsult Cart Configuration Utility and the Scanner Settings window will open. Select the appropriate driver for your scanner using the dropdown menu under Extra Settings. If you have an Epson Model 1640, 4490 or 4990 we recommend using the Twain 5driver. To test the driver, place a page to be scanned into the scanner and click on the Test link located to the right of the Scanner drop down menu. A thumbnail image will appear the box under the Test link. Click Save to retain configuration settings Complete configuration for the Scanner is shown below in Figure 14. Figure 14 Configuring Scanner Page 69 of 78

71 5.5 Stethoscope Configuration Click on the Stethoscope plugin on the left side of the tconsult Cart Configuration Utility and the Stethoscope Settings window will open. Select the appropriate device using Device drop down. For USB Stethoscopes select TRUSB for serial Stethoscopes select TR1EF. If using a serial Stethoscope, the appropriate COM port will need to be selected from the Port drop down menu under Extra Settings. Click Save to retain configuration settings. Complete configuration for the USB Stethoscope is shown below in Figure Generic Video Configuration Figure 15 Configuring Stethoscope Click the Generic Video Plugin from the select plugin... window and click OK. The Generic Video Settings window will open. If there is a Generic Video device detected it will be listed in the Video Device drop down box under Extra Settings. Select the appropriate device. The video output will display in the black box located under the Video Size drop down menu. The Video Size drop down is used to adjust resolution. Click Save to retain configuration settings. Complete configuration for Generic Video is shown below in Figure 16. Page 70 of 78

72 Figure 16 Configuring Generic Video 5.7 Digital Camera Configuration There is no configuration required for the digital camera Camera must be on and detected by the PC to work with tconsult Software. End of procedure. Page 71 of 78

73 Client Software v6.x Upgrade 1. Client Software Upgrade Process This section details the steps to manually upgrade the tconsult Cart Software on a telehealth cart, desktop or laptop. Log in to the cart, desktop or laptop using an administrative account. Insert the tconsult Cart Software installation disk into the CD-ROM and run the ClientSetup_build_6.x.x.x executable to start the InstallShield Wizard. Click on Yes to begin the upgrade process when presented with the warning dialog box as seen in Figure 1. Figure 3 Upgrade Warning Box Note: Images are representative of the process and may not necessarily reflect the actual version of software that is being installed; however, the step by step instructions are correct. At the Welcome Screen, click on Next. Figure 2 Welcome Screen to tconsult Cart Software Installation Click on I Agree to accept the License Agreement. This InstallShield Wizard will proceed to the Install Location. Accept the Default destination folder as shown in Figure 3. Page 72 of 78

74 Figure 3 tconsult Cart Install Location For security reasons, it is highly recommended that Data be in a separate partition than that of the OS. The InstallShield will automatically determine where the previous version stored the Data. On a Telehealth cart, the default installation will suggest placement of the Data Directory be retained on the D:\drive. If installing on a customers laptop/desktop with only a C:\drive, accept the Data Directory in that location. Figure 4 tconsult Cart Data Directory Location Enter the IP address of the Telehealth Server. Page 73 of 78

75 Figure 5 Entering IP Address of tconsult Server Enter the IP Address of the Time Server. If an organization is using a Domain Time Server as the Authoritative Time Source, enter the IP address of that server. The tconsult Server may also be an Authoritative Time Source if set up and can be used as well. This will be determined by each organization. Note: tconsult Server and tconsult Cart now use Windows Communication Foundation (WCF) for user authentication. WCF is dependent on the Windows Time between tconsult Server and tconsult Cart being in sync of each other within 5 minutes, otherwise providers will be unable to log in on the cart. Figure 6 Entering the IP Address of the Time Server The installation of the Version 6.0.x.x software will commence. While the tconsult Cart is installing, several DOS windows will open and close around the install progress box that is seen in Figure 7. Page 74 of 78

76 Figure 7 tconsult Cart Installation Click on Finish when the Setup Wizard has completed. Figure 8 Completion of tconsult Cart Installation 2. Peripheral Configuration As part of the upgrade process, the peripheral configuration file is saved from the previous version. In this section, the configuration file is verified. Click on Start All Programs tconsult tconsult Cart Configuration. The tconsult Cart Configuration window will open. The software will perform a system check to verify that a valid certificate has been installed. Click on Plugins then click on Add Plugin to ensure that the cart peripherals are configured. Page 75 of 78

77 Figure 9 tconsult Cart Configuration Settings 3. Uninstalling Client Software Should it become necessary to ever uninstall tconsult Cart Software, this section details the steps necessary to accomplish this. Begin by clicking on Start All Programs tconsult Uninstall Click on Yes to uninstall the tconsult Cart software. Figure 10 tconsult Cart Uninstall Verification The uninstaller will proceed to remove the tconsult Cart software. Page 76 of 78

78 When complete, click on OK. Figure 11 tconsult Cart Uninstall Figure 12 tconsult Cart Uninstall Complete Screen Cleanup of the hard drive: To complete the uninstall, remove the following folders: o C:\Documents and Settings\All Users\Application Data\AFHCAN o D:\ATS* *This may be on the C:\drive if the host box was never partitioned into more than one drive. End of procedure. Page 77 of 78