Clinical Vision 4 Dialysis Machine Interface
User Manual
Clinical Vision Dialysis Machine Interface
User Manual
1. INTRODUCTION ....................................................................................................... 3
2. BACKGROUND ......................................................................................................... 3
3. DEFINITION OF TERMS .......................................................................................... 3
3.1
3.2
3.3
3.4
3.5
THIRD PARTY INTERFACE ...................................................................................................................... 3
DIALYSIS MACHINE DATA INTERFACE SOFTWARE ................................................................................ 3
EXPORT FILE ......................................................................................................................................... 3
DIALYSIS MACHINE INTERFACE PATIENT ID ......................................................................................... 3
DIALYSIS STATION ................................................................................................................................ 4
4. PREPARING TO USE THE DIALYSIS MACHINE INTERFACE .......................... 4
4.1
4.1.1
4.1.2
4.1.3
4.1.4
CONFIGURING THE DATABASE ............................................................................................................... 4
EQUIPMENT .............................................................................................................. 4
PROVIDER ................................................................................................................ 5
DIALYSIS STATIONS ................................................................................................. 5
DIALYSIS MACHINE ID NUMBER ............................................................................. 5
5. USING THE DIALYSIS MACHINE INTERFACE................................................... 6
5.1
STARTING THE INTERFACE FOR A PATIENT’S DIALYSIS SESSION ............................................................. 6
6. FAQ............................................................................................................................ 10
6.1 EVENTS CAUSING DATA TO BE SENT FROM THE PHOENIX DIALYSIS MACHINE TO THE EXALIS
SOFTWARE AND POSTED IN CLINICAL VISION. ...............................................................................................10
6.2 WHAT SHOULD I DO IF I START THE INTERFACE AND DO NOT SEE DATA FOR MY PATIENT ON THE
INTERFACE POSTING SCREEN? ........................................................................................................................10
6.3 WHAT IF I ENTER THE WRONG STATION FOR A PATIENT ON THE INTERFACE CHECK SCREEN. ................10
6.4 HOW DO I FIND THE PATIENT’S DIALYSIS MACHINE ID NUMBER? .........................................................11
6.5 WHAT IF I ASSIGN THE PATIENT TO THE WRONG STATION? ...................................................................11
6.6 WHAT IF I HAVE TO CHANGE TO DIALYSIS MACHINE IN THE MIDDLE OF A TREATMENT?.......................11
6.7 WHAT IF I HAVE TO CHANGE THE PATIENT TO A NEW STATION IN THE MIDDLE OF A TREATMENT? .......11
6.8 WHAT IF THE PATIENT HAS TWO DIALYSIS TREATMENTS ON THE SAME DAY? .......................................12
6.9 WHAT IF I PAUSE A PATIENT TREATMENT TO CHANGE A CLOTTED DIALYZER? .....................................12
6.10 IF A PATIENT IS RUNNING ON A STATION THAT IS DIFFERENT FROM THE ONE THEY ARE SCHEDULED ON
DO I NEED TO UPDATE THE PATIENT’S SCHEDULE? .........................................................................................12
6.11 WHAT IF PATIENT DATA WAS ADDED TO THE WRONG FLOWSHEET?.....................................................12
7. TROUBLE SHOOTING FROM TOOL BAR .......................................................... 13
8. TROUBLE SHOOTING FROM THE DIALYSIS EQUIPMENT IN CV ............... 14
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1. Introduction
The purpose of this document is to describe the procedure for the end user to
successfully use and troubleshoot the Exalis Dialysis Machine Data Interface to
Clinical Vision.
2. Background
In Renal Dialysis Units a number of dialysis machines are available for the
purpose of dialyzing patients. These machines are able to provide an electronic
record of the treatment provided. They can also be polled for data packets via a
connected PC, which is referred to as a data concentrator. The data concentrator
provides a console for monitoring and controlling the network of dialysis
machines. The information is generally fed to an external database system for
display and analysis; Clinical Vision is one such suitable external database. The
data provided consists of real time treatment records for the patients currently
being dialyzed. On more sophisticated systems, such as Clinical Vision, the
external database or client systems can request or solicit information as well as
accept data in an unsolicited mode.
3. Definition of terms
3.1
Third Party Interface
Third Party Interface will allow Third Party Software ( Clinical Vision) to
access real-time dialysis machine information.
3.2
Dialysis Machine Data Interface Software
This software is intended to be used in dialysis units to handle data related
to hemodialysis. The dialysis software is installed on its own networked
PC.
3.3
Export File
Dialysis machine interfaces exports data to an external application by
creating export files in a HL7 format. The export files are stored in a
folder common to both a third party interface and Clinical Vision. Clinical
Vision can read these files and import the data they contain to the patient
record.
3.4
Dialysis Machine Interface Patient ID
This is an up to three digit numeric value entered at the dialysis machine.
This number is recorded in Clinical Vision (Patient-Identity-ID numbers)
and used to identify records coming from the concentrator.
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3.5
Dialysis Station
The individual stations or locations in the Dialysis Unit. Dialysis stations
are set in Clinical Vision in the Location Master-Location.
3.6
Dialysis Machine
The Phoenix Dialysis Machine
Cobe Dialysis Machine
Fresenius H Machine
4. Preparing to use the dialysis machine interface
4.1
Configuring the database
4.1.1
Equipment
Individual Dialysis Machine information must be entered in Clinical
Vision. Under the entity of Equipment and Vendors, select the task bar
labeled Dialysis Equipment. To enter a new machine select File from
the Tool Bar and then select Add New Subject, this will start the new
entity wizard and complete the following fields. Mandatory fields are
Name and Type of machine and the active start date.
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4.1.2
Provider
Provider information must be completed in the provider master before
starting the interface.
4.1.3
Dialysis Stations
Dialysis Stations must be entered in Clinical Vision prior to using a
dialysis machine interface. The importance of this is that the port
information that belongs to the dialysis interface is entered here.
Interface Type and Port ID
4.1.4
Dialysis Machine ID Number
All dialysis patients need to have a Dialysis Machine ID Number
entered before starting the interface. The Dialysis Machine ID Number
is entered as a patient identifier and only needs to be entered one time.
Identification numbers are entered under the Task of Renal
Registration-Identifications Numbers.
Patient ID Number
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5. Using the dialysis machine interface
5.1
Starting the interface for a patient’s dialysis session
Step 1
Step 2
Step 3
Step 4
Select Scheduled Events
Select the appropriate HD Service scheduled for today
Click  to add a new HD Service Entry
Complete All Required entries INCLUDING THE INTERFACE
CHECK
Note: The interface check screen is where you tell Clinical Vision to look
for machine readings for your patient.
Step 5 Enter the Station Assigned and the Machine Assigned for this
treatment.
Step 6 The patient Identifier will pre fill. If the patient does not have an
identifier click Add Patient Identifier and add .
Hemodialysis Service Details showing completed Interface Check box:
Completed Interface Check
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Step 7 Click the “Start Interface” button.
Dialysis machine readings collected for the patient up to this point are
displayed.
Start Interface Button
Click to add
readings to
patient’s
flowsheet
Step 8 Click “Add” to send the readings to the patient’s flowsheet. Click
“Yes” at the prompt “Add Dialysis Readings to Flowsheet?”:
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Confirm
adding
readings
A pop-up message will inform you when machine readings have posted to the flowsheet:
Reading have successfully been
added to patient’s flowsheet, click
OK
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You can click on “View HD Flowsheet” to confirm that the readings posted to the
patient’s flowsheet:
.
Click to View the
patient’s flowsheet
with machine
reading posted
Save and PIN this information
Machine Reading will now automatically post to the patient’s flowsheet for this treatment
If there is a problem or the data posted looks incorrect, click on View Machine Data to
see the raw data entered into the tables:
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6. FAQ
6.1
Events causing data to be sent from the Phoenix Dialysis Machine to the
Exalis Software and posted in Clinical Vision.

6.2
What should I do if I start the interface and do not see data for my patient
on the interface posting screen?

Select start interface from the service record or the interface check
screen.
 Select view machine data, this allows you so view all machine data
being collected, find your patient’s reading, if present here try start
interface again.
If readings are to visible in the machine reading section of Clinical
Vision
 Verify in HD Service Record that your patient has been assigned to
the correct station.
 Verify your patient’s machine ID number is correct at the dialysis
machine and enter has been pressed
 Verify a machine ID has been entered in the equipment-dialysis
machines information.
 Update any of this information and attempt to start interface again.
 Verify data for your patient is visible at the Gambro Exalis PC
 If data is visible at the Gambro Exalis PC please call Clinical
Vision Support at 1-800-888-1140
 If no data at the concentrator, check your connectors to the wall
and at the back of the dialysis machine.
 If readings are still not visible, contact your Gambro Exalis
Interface support person for additional diagnostics.
6.3
What if I enter the wrong station for a patient on the interface check
screen.
 Clinical Vision will warn the user that the ID entered does not
match to patient number that data from that station.

Correct the patient’s ID at the machine and press the start interface
button again.
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6.4
How do I find the patient’s dialysis machine ID number?

6.5
What if I assign the patient to the wrong station?

6.6
If a patient’s station has been incorrectly identified in the Interface
check ,return to the Interface check and update the station and
press the start interface button again.
What if I have to change to dialysis machine in the middle of a treatment?





6.7
In Clinical Vision go to Patient-Identity-ID Numbers to either view
or insert a patient’s dialysis machine ID number
Change the machine in accordance to your facility policy.
Be sure to view the dialysis machine reading posted to the patient’s
flowsheet record and refresh the screen data as needed. This will
ensure you have all the patient’s reading collected up to the current
date/time.
Enter the patient’s machine ID in the new dialysis machine.
Take the patient’s blood pressure to ensure that a least one record
is pending in the interface from the new machine.
Go HD Treatment then click “Start Interface”, review displayed
readings and press ADD to flowsheet”. This will post entries to the
flow sheet and start the interface connection for this patient’s
treatment.
What if I have to change the patient to a new station in the middle of a
treatment?





Change the patient’s location according to your facilities policy.
Be sure to view the dialysis machine reading posted to the patient’s
flowsheet record and refresh the screen data as needed. This will
ensure you have all the patient’s reading collected up to the current
date/time.
Go to HD Treatment, Interface Check and update the record to
reflect the correct station.
Save the entry, click “Start Interface” and review displayed
readings.
If correct click ADD to flowsheet. This will post entries to the flow
sheet and start the interface connection for this patient’s treatment.
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6.8
What if the patient has two dialysis treatments on the same day?

6.9
The dialysis interface will post reading based on patient ID and
location entered in Service Interface check. For an additional
treatment, enter a new service for and start the interface as
described in section 5.1
What if I pause a patient treatment to change a clotted dialyzer?
The interface logic is designed to assign attributes based on the following
rules.
 All entries before first blood sensed posted as "Pre".
 First blood sensed posted as "Start".
 All subsequent entries of blood senses posted as "Interdialytic".
 Last blood sensed is posted as "Stop".
 All entries after blood sensed are posted as "Post"
 Entries between "Start" and "Stop" with no blood sensed are
posted as "Suspended.
Thus entries made while the dialyzer is being changed will post as
“Suspended” and the next blood sensed entry will start posting as
“Intradialytic”.
6.10
If a patient is running on a station that is different from the one they are
scheduled on do I need to update the patient’s schedule?

6.11
NO-The interface looks to location/station entered in the Pre-HD
Summary Screen to make the connection.
What if patient data was added to the wrong flowsheet?

If you have added the flowsheet data to the wrong patient click the
delete button to remove the merged data from the patient’s record
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7. Trouble shooting from Tool Bar
7.1
DIALYSIS SESSION-will display the dialysis sessions/services that have
been started in Clinical Vision for a selected date or date range. This is a
quick review that allows a user to verify if patient have been linked to the
interface.
Selected patient and data that has been
posted to their flowsheet.
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8. Trouble Shooting From the Dialysis Equipment in CV
Navigate to Equipment & Vendors – Dialysis Equipment – Machine Data –
Unposted Machine Data. Data that has not already been posted to a patient’s
record can be viewed here.
Use this tool to:
 Find treatments that have not been started in CV;
 View data coming from the machine interface to verify patient ID numbers
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Reassign Machine Data:
1. View defined:
Mach ID:Each dialysis
machine is assigned as part of
its setup an unique identifier.
This value is part of the
interface machine reading
header record.
PatID: This is the value
entered as an identifier in the
dialysis machine by the
dialysis nurse.
Patient: A patient has been found in
CV4 matching the identifier entered
by the nurse in the dialysis machine.
This machine reading has been
associated to the patient listed for
posting to a HD service. No name in
this column would mean there is no
patient in CV4 matching the identifier
entered by the nurse.
1
Port ID: Each station in a dialysis
unit is assigned a unique port id.
This value is part of the interface
machine reading header record.
Station:Based on the port id
provided in the interface
machine reading header record a
station has been found in CV4.
This is the name it has been in
CV4. The machine reading has
been associated to this station
for posting to a HD service. A
blank here would indicate either
this interface does not require a
port id or no dialysis station was
found in CV4 matching this port
id.
Machine: Based on the
machine identifer in the
machine reading header
record a corresponding
machine has been found in
CV4. This is the name it
has been given in CV4. The
machine reading has been
associated to the machine
listed for posting to a HD
service. A blank here would
indicate either this interface
does not require a machine
id or a dialysis machine
does not exist in CV4
matching the machine
identifier in the interface
header record.
A blank here would indicate
no entry exists in
CV4 with a machine id
matching the identifier
included in the machine
reading header record.
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2. Scenarios in which data needs to be reassigned:
 no patient identifier or the wrong patient identifier was entered by
the dialysis nurse to begin a patient’s dialysis session
 the correct patient identifier was entered by the dialysis nurse to
begin a dialysis session but the identifier has never been entered in
CV4.
 this is a new patient at the facility and the patient was not entered
in CV4 until the dialysis session ended
 a new dialysis machine is being used and the machine has never
been entered in CV4.
3. How to reassign machine data:
Machine data will usually be reassigned because the user did not enter a
patient identifier or entered the wrong patient identifier at the beginning
of a dialysis session. Rarely will machine data need to be reassigned
because a new machine was used that had not yet been entered in CV4.
1. Begin by filtering to the data that needs reassigning. This can be done
by using any of the filters on the view. This example is using the
patient identifier.
2. Additional filtering can also be applied for date, machine etc until
the desired readings are displayed.
3. Click the “Reassign Machine Data” button.
4. The reassign view is presented displaying the machine readings to be
reassigned.
5. The select column indicates all the readings are marked to be reassigned.
6. Additional filtering can be applied. Removing the check in the first
column of a reading will exclude that reading from being re-assigned.
7. It is possible to reassign the patient or the machine. Both patient and
machine may be reassigned.
8. To reassign the patient, select the ellipsis and pick the correct patient.
9. To reassign the machine, select the ellipsis and pick the correct
machine.
10. Click the “Reassign Machine Data” button and the readings will be
reassigned.
11. If the wrong patient/machine was reassigned merely repeat steps 8/9.
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12.The changes will not be effective until pinned and saved.
13.The machine readings may now be posted to the correct patient’s HD
service.
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