Remote Viewing Service (Clinical Web Portal)

Remote Viewing Service (Clinical Web Portal)

This web based service allows consultants to view what is going on in each of the birth suite rooms from their smartphone/ tablet or laptop. 
The remote viewing service (Clinical Web Portal) runs as a web application on a web server within the Hospital's network. 

Important Patient Safety Notes

  1. ALWAYS check with the onsite caregiver that the patient information being reviewed remotely is for the correct patient. Check names, dates of births and also check features of the CTG to ensure that remote user is viewing the correct information.
  2. TAKE CARE when interpreting fetal monitoring remotely on devices that render the CTG on small displays. The limited resolution of the remote display and its physical size may subtly misrepresent the tracing. Subtle features may be less apparent on these smaller displays.
  3. ALWAYS discuss the nature of the fetal heart rate monitoring with the local care giver and arrive at a joint interpretation. NEVER rely on the remote clinical data to form a diagnosis in isolation from the information presented local to the patient.
  4. DO NOT access patient records unless you have a good clinical reason to do so. All access to patient records is logged and if unauthorised patient record access discovered, your rights to use this service may be revoked. As a user of the Clinical Web Portal you are responsible for maintaining patient data confidentiality when viewing case notes on your device. Please refer to the Caldicott Principles of Patient Confidentiality for further guidance.
This service is intended for use by obstetricians and midwives ONLY and is NOT to be used to reduce or replace bedside care, nor in isolation from bedside monitoring.

Accessing Clinical Web Portal

Depending on your Hospitals network security, accessing Clinical Web Portal normally requires two steps:
1. VPN access to the Hospital's internal network
2. Authentication by Guardian Username and Password (can be via passthrough to Hospital's Active Directory)

Logging in to the Clinical Web Portal

Access the link to the Clinical Web Portal as provided to you by your Hospital to open on your device, then type in your login name and password and choose [Login].

Viewing a currently admitted Woman’s Record

A ‘chalkboard’ of currently admitted women in room number order will be displayed. Touch or click on the patient of interest to view their CTG, partogram (if enabled for your hospital) and notes. 


The chosen woman’s current CTG will then be loaded. Choose [Show Menu] to list the available views available for display:
CTG; Partogram (if enabled for your Hospital); Notes; or Chalkboard (to choose another admitted woman).

When using a handheld touchscreen device, the CTG view can be scrolled left and right by dragging or flicking your finger across the screen; rotating the screen into landscape mode will rotate the view; pinching will shrink the image; and spreading your fingers apart will zoom in.

Retrieving an archived Woman’s Record

After logon, Search, Print & Logout icons will be displayed at the top right of your device’s screen (Printing from tablets or smart phones will require a compatible printer application e.g. AirPrint for Apple iOS devices). Choosing the Search icon will display the patient demographic search screen. Type in the patient identifier you wish to search by and click on the related [Search] button to display all possible matches.
Please note that on smart phone screens you may need to scroll down to see all of your search results.


Viewing an archived Woman’s Record

Once you have chosen the woman’s record you wish to access, their clinical notes are grouped into Woman, Baby(s) & Reporting views. Navigating through patient notes varies depending on your chosen device/ OS as follows:
  • MS Windows & Apple OSX computers: Notes groups are arranged in tabs across the top of the screen. Selecting a tab will display a list of available note categories for that group (Woman’s note categories shown below with demographic details displayed by default). Your chosen category will be highlighted in orange & any available information displayed to the right of screen.
  • Tablets & Smartphones: Demographic details for the chosen patient are displayed by default. To navigate to other note groups and categories, touch on the menu icon displayed at the top left of your devices screen.This will display the notes navigation menu. Choosing a category from this menu will subsequently display any available information & minimise the menu back to the menu icon.
NOTE! The tabs available at your Hospital may be different to those in this guide e.g. you may only have access to demographics and labour record. Other tabs will only be displayed if your Hospital is documenting the woman’s complete obstetric record in Guardian and/ or Athena.

Device Compatibility

These features have been tested and confirmed as functional on the following devices, operating systems and web browsers:
  • PC running Windows 7, 8, 8.1, 10 using either Firefox, Google Chrome, IE 10, 11*, Edge
  • Apple Mac running OSX Yosemite, El Capitan, Sierra using either Safari or Google Chrome*
  • Apple iPhone running iOS 8.1.2 or later using Safari + AirPrint compatible printer*
  • Apple iPad running iOS 8.1.2 or later using Safari + AirPrint compatible printer*
  • Samsung Galaxy smartphones running Android 4.2.2 or later using Google mobile browser (printing not tested)**
  • These features have been tested and confirmed as NOT functional on the following devices & operating systems:
  • PC running Windows XP Professional
  • Apple Mac running OSX Lion or older
These features have not been tested and therefore CANNOT be guaranteed as functional on the following devices & operating systems:
  • PC running Windows Vista
  • Smartphone running Windows phone
  • Printing from Android devices (To date we have not tested the printing feature from Android devices as there is no Operating System wide facility (such as AirPrint on Apple devices) to allow this.
  • Print Feature Output Quality cannot be guaranteed due to the wide range of devices and printers available on the market today. This is further complicated by the target printer’s margin and paper size settings.
The Central Station plays a critical role in forwarding information it has collected centrally onto the web server via the K2BroadcastRelay service so that it can be viewed remotely.
Further information on the infrastructure required can be seen here: Infrastructure Requirements: Web Server

Version 4.1.50613.2 (ECO 135-18)

Active Directory Authentication
Issue fixed that could cause Active Directory authentication to fail for non-multi domain sites. All of the DC components will now be used from the LDAP settings path, rather than just the initial setting ER24294
When sites are using the multi-domain Active Directory model, the domain box will be filled with the DC name ER24357
Version 4.1.50215.1 Bug Fix
Fixed an issue introduced in 4.1.50215.1 where the DC was not populating for the login name for AD users.

Version 4.1.50215.1 New Features / Changes

Search 
The ability to pass a hospital ID in via a specific URL has been added. When a user is logged in and the URL is called with a hospital ID this will load the search page and run the search for that specific patient ER22118
Chalkboard / Case View
INFANT support has been updated and will now display the concern ladder as well as alert lozenges on the CTG ER22222
New configuration options have been introduced that determine the behaviour of confidentiality mode on the Chalkboard and individual Case View (i.e. the pseudonym Mrs Flowers). The option to override confidentiality mode can now be set up within the Web Config file, causing the patient name to be displayed ER22771

Version 4.1.50215.1 Bug Fixes

Chalkboard
Disconnected rooms will now be promptly cleared from the display ER23151
Where a patient is not admitted and trace is being anonymously collected, the chalkboard will now display "Not Assigned" ER23114
Fixed issue which would cause a duplicate room row to appear when a trolley was assigned to a room ER21114
Deleted rooms will no longer be displayed on the Chalkboard ER5294
Individual Case Display
The CTG display is now refreshed if a gap is detected ER23000
The Partogram tab is now hidden for sites that do not have the Partogram enabled in the Clinical Model ER23099
Fixed issue that could cause Break and Connect labels to overlap ER23010
UI presentation has been improved for both CUI and non-CUI display modes for both mobile and desktop ER23059, ER23020
Fixed issue which could cause the CTG display to disappear when orientating a mobile device between Portrait and Landscape ER22779
Search - Issue fixed that would cause text highlighting to not function when selecting text for copying ER22118

Version 4.1.30215.1 New features

A timeout value can be specified in Web.Config that will expire the user's session after a period of inactivity. Users have an option to renew the session or logout. Automatic logout occurs after no response received for a period of time

Version 4.1.30215.1 Bug fixes

Other minor fixes and enhancements

    • Related Articles

    • Infrastructure Requirements - Web / Application Server

      The web server hosts the Clinical Web Portal (browser based Athena and remote surveillance), PAS listener and other interface services, along with deployment locations for the K2 software.  Whilst it is possible for these services to be hosted on the ...

    • Portal Mounting Considerations

      A gallery of existing implementations can be viewed here: Portal installation gallery The K2MS Portal can be either mobile cart or wall mounted. Please consider the points below before deciding on your preferred solution: Wall Mounting Advantages ...

    • Troubleshooting K2MS Bedside Portal (P3 2017 onward)

      Issue / Problem Tips to try before contacting Support Access Issues   User gets message that the bedside portal “cannot connect to database” - Check that the yellow network cable is plugged into the bedside portal and into the network wall port. - ...

    • P3 Bedside Portal Technical Manual

      Please find attached: - P3 technical manual - Philips fm30 serial interface cable wiring diagram - Ethernet cable wiring diagram - Portal ARTG certificate

    • K2MS Portal (P3- 2016 onward)

      A medical panel PC designed and manufactured by K2MS. The K2MS Portal is a certified medical device that uses a Microsoft Windows® embedded operating system for reliable and stable hosting of the K2MS Guardian, K2MS INFANT, and K2MS Athena software ...