Work with attached cardiac files

Cardiac monitoring is a useful, noninvasive diagnostic tool to monitor the wide array of patient conditions. A cardiac file contains the data from a cardiac monitor used on a patient. These files help medical professionals detect arrhythmias, myocardial ischemia, and QT-interval measurements in real time.

In the EHR module, you can view and download cardiac monitor files attached to a patient's record.

Note: You must install the appropriate proprietary cardiac monitor or defibrillator viewer on your computer to view proprietary files.  You can view the printed/graphical image from the monitor or defibrillator from within the EHR module, without downloading it.

1. (If you have not done so already) Access the EHR module in the ESO Suite.

   1. Do one of the following.

      • (If you are already working in the ESO Suite) Click the Home icon in the upper left corner of the screen.

        

      • (If you have not yet logged in) Log in to the ESO Suite.

        1. In a web browser, go to https://www.esosuite.net/EsoSuite.

           The ESO Suite login screen appears.

        2. Enter your user name, password, and agency name, then click Let's Go.

           If MFA multi-factor authentication is enabled, the Multi-factor authentication dialog box appears, displaying one or more methods you can use to verify your login credentials. The number of methods that appear in the dialog box depends on what MFA methods your ESO Suite administrators enabled in the Admin module.

           Click graphics to open them.

           Information on enabling MFA and specific MFA methods is available in the Admin module online help, in Configure multiple-factor authentication.

           Note: If your ESO Suite administrators have disabled MFA ("opted-out"), this dialog does not appear.

        3. (If the Multi-factor authentication dialog box appears) Depending on which buttons appear in the dialog box, verify your login in one of the following ways.

           With an authenticator application.

           1. Click MFA verification via authenticator app.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the authenticator application installed on your device.

              

           2. Open your authenticator application and note the authentication code currently displayed.

           3. Enter the authentication code displayed in the authenticator application.

           4. Click Log In.

           With a text message (SMS short message service).

           1. Click MFA verification via SMS.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the phone number recorded in your PM records and identified with MFA codes.

              

           2. Enter the authentication code sent to your MFA-registered phone number.

           3. Click Log In.

           With an email message.

           1. Click MFA verification via email.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to your agency or department email address, recorded in your PM records.

              

           2. Enter the authentication code sent to your agency or department email address.

           3. Click Log In.

      The ESO Suite landing screen appears.

      Click graphics to open them.

      Note: If MFA multi-factor authentication is enabled, you can access and manage your MFA options through the PM module, on the Settings > Account page, as described in Manage a user account. If your agency or department has enabled MFA but has not purchased the full-featured version of the PM module, you can access your own MFA settings by clicking Change my Multi-Factor Authentication settings on the landing screen, then using the Settings > Account page that appears. If your agency has not enabled MFA, the Change my Multi-Factor Authentication settings link does not appear on the landing screen.

   2. On the top side of the home screen, click EHR.

      Tip: If your screen or browser window is too narrow to display all your agency's ESO Suite module icons, an options icon appears on the right side of the icon bar. If you click the options icon, a menu appears containing additional module icons.

      The EHR screen appears, displaying a list of patient records in the EHR module. The most-recent records appear at the top of the list.

      

      Different record status icons can appear in the list.

      Icon	Status
      	Unlocked/Draft The patient record exists in the ESO Suite database, and all crew members listed in the patient record may edit all fields in the record. ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager can edit non-clinical fields.
      	Mobile The patient record exists on the mobile device, and has not been synchronized with the ESO Suite database. ESO Suite administrators, personnel with security roles of either EHR Supervisor or EHR Manager, and all crew members listed in the patient record can only access a print view of the record. Once the Mobile record synchronizes with the ESO Suite database. the record reflects its current status.
      	Locked The patient record exists in the ESO Suite database, and is locked. Only non-clinical fields can be edited by crew members listed in the patient record, ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager.

2. Find the patient record you want to work with.

   Information on searching for a record is available in Search for a patient record.

3. Depending on what screen you are on in the EHR module, do one of the following.

   If you are here	Do this
   On the list of patient records	From the record's list item menu, choose Cardiac Monitor Files. Tip: You can tell if a patient record has cardiac monitor file attachments by checking to see if the heart icon in the patient's listing has a number beside it.
   In an opened patient record	From the menu in the upper right corner of the screen, choose Cardiac Monitor Files.

   The Cardiac Attachments dialog box appears.

   

4. Do any of the following.

   View a cardiac attachment.

   1. From the attachment's list item menu, choose View Attachment.

      Note: You must install the appropriate proprietary cardiac monitor or defibrillator viewer on your computer to view proprietary files. You can view the printed/graphical image from the monitor or defibrillator from within the EHR module, without downloading it.

      

      The graphical contents of the EKG electrocardiogram cardiac file appears.

      

   2. Click anywhere on the screen away from the cardiac file image to close the attachment view.
   Download an attachment.

   • From the cardiac attachment's list item menu, choose Download.

     

     The file downloads to the default download location on your computer.