This guide provides a step-by-step procedure for performing an ABPM test using Welch Allyn CardioPerfect with LEMR integration to MedicalDirector Clinical. CardioPerfect is only compatible with Welch Allyn branded ABPM devices.
If you have already programmed the recorder, and the patient has come back to import the results from the device, go to the Download Data from the Recorder section. Otherwise, always start at the Program the Recorder section below.
The instructions below are designed for LEMR version 2023.10.9.1642 and later. If instructions for earlier versions are required, please contact LEMR Support.
1. Open the patient’s file in MedicalDirector Clinical.
2. Open the LEMR widget using the icon on the right side of the window and ensure the patient's height and weight information is up to date. If the height and weight data is out of date or not filled in on the widget, it is best to update this information in the MD Toolbox on the Weight tab. It is recommended to pin the sidebar open until the completed test is imported into MD Clinical. The widget is not active when the sidebar is hidden.
The “pin” button will keep the sidebar open.
3. Click on Start ABPM.
4. Select the target LEMR Client (if prompted)
5. LEMR Client should then ask if you would like to start the scheduled test. Choose CardioPerfect.
Note: If LEMR Client does not appear, click on the LEMR Client icon at the bottom of the screen or open LEMR Client from the desktop icon.
Then click on Sync Now at the lower left side of the LEMR Client window.
6. On-screen instructions to connect your Welch Allyn ABPM device to your computer will appear on the screen.
Start by connecting the round plug into the side of the ABPM device.
WARNING - Be gentle with the round plug on the side; the small pins inside can easily be damaged!
Line the two red dots up before pushing the cable into the socket. Gently push it directly in until there is a satisfying click sound, and it locks into place – do not rotate the plug!
7.After connecting the device to the computer, turn on or restart the deviceby using the gray power button until you see “co” on the screen.
8. Select your device type and then proceed by clicking “OK”.
9. CardioPerfect will communicate with the device before and after a prompt asking if you want to start a new test.
10. The ABPM Programming Finished window will appear. Review the message on screen then click OK.
11. Disconnect your Welch AllynABPM device from your computer, place the ABPM cuff on the patient and the recorder into the pouch.
Follow the instructions printed on the cuff for placement. The pressure tube must go up and over the shoulder. Also make sure the cuff is 2 to 3cm from the arm joint. Also make sure you can fit two fingers between the cuff and the patient’s arm.
12. Press the Patient button on the device to start the first test – the automatic schedule will begin after this first manual test is complete.
Follow this procedure when the patient returns after 24 hours of testing.
Ensure the Welch Allyn ABPM device is connected to your computer and is displaying “co”.
If the device is not connected, please follow the previous 7 and 8 steps.
1. In MedicalDirector Clinical,open the patient’s file where the ABPM report will be imported.
2. Open the LEMR widget using the icon on the right of the window.
3. Click on Start ABPM.
4. Select the target LEMR Client (if prompted).
5. LEMR Client should appear asking if you would like to start the scheduled test that you had recently programmed.
Choose “Yes” to continue.
Note: If LEMR Client does not appear, click on the LEMR Client icon at the bottom of the screen or open LEMR Client from the desktop icon.
Then click on Sync Now at the lower left side of the LEMR Client window.
6. You will then see CardioPerfect open with the correct patient. Proceed by clicking on the “Read measurements” button and select your device type.
7. You will then see this prompt containing patient details asking if you want to read the test. Proceed with “OK”.
The test will then shortly be imported automatically into LEMR Client.
8. When the LEMR Client window pops up, the test should be made ready for MedicalDirector Clinical to collect - the test icon will go from an uploading icon to a circled tick.
9. The report will automatically import into the Documents tab (or the ECG Toolbox if set in widget settings) in MedicalDirector Clinical.
