Citrix App Ipad

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If you wish to then use your iOS device strictly as a keyboard or a touchpad for maneuvering around your external display you simply need to enable Presentation Mode under External display (This option is Disabled by default)
Settings > Display Options > Presentation Mode
NOTE: The Presentation mode option only becomes available when External Display is enabled.
Citrix App IpadExternal display is not recommended on anything lower than an iPad-Air or iPhone 5c due to the amount of processing power required by the device.
Auto-Fit Screen - The Auto-fit Screen setting crops the session screen to the display size of iPhone. On iPad, Auto-fit Low/Medium/High will adjust the resolutions as 768x1024/1152x1536/1536x2048 and make applications and desktops fit the screen.
Settings > Display Options > Auto-fit Screen (on iPhone)
Settings > Display Options > Auto-fit Low/Medium/High (on iPad)

Extended Keyboard - is the ability to use all windows key combinations in your Citrix session that the iOS virtual keyboard does not provide for example the key combination Shift + F2 which is commonly used to break out of seamless windows and requires the use of the Windows function keys F1, F2, F3, etc…
Each individual keyboard combination can be enabled or disabled through the extended keyboard option. (Most of these combinations are Disabled by default)
Settings > Keyboard Options > Extended Keys

Use Custom Keyboards - this option is available for users who would like to use a full physical keyboard rather than the virtual keyboard of the iOS device and is typically connected with the devices Bluetooth pairing option. (This option is Disabled by default)
Settings > Keyboard Options > Use Custom Keyboards

NOTE: This feature when enabled since it is an external device as noted by the above pop-up message is less secure than using the iOS devices virtual keypad so please keep that in mind.
Audio - If your organization enables audio for mobile devices, listen to audio from meetings, training sessions, and webinars with applications in Receiver by enabling the Audio setting. This setting lets you listen only. Receiver for iOS does not offer bi-directional audio.
Setting > Audio
Session Sharing - is the ability for a single user session to host multiple applications. This option is always set to enabled as it usually provides a better user experience.
helpful if you needed to disable session sharing just for a specific iOS user and not all users. (This option is Enabled by default)
Settings > Advanced > Session Sharing

Auto-add favorites - The option creates a shortcut for any application that is launched by the user for easy access the next time they launch their Citrix receiver it will be listed as a favorite for receiver so they do not have to browse to find the application again. (This option is Enabled by Default)
Settings > Advanced > Session Sharing > Auto-add favorites
WorkSpace control - allows users to roam from 1 device to another and have their existing session follow them. While the iOS receiver does not support all of the functions of WorkSpace control it does support the following (These options are Disabled by default)
Settings > Advanced > WorkSpace Control

AppWhich has the following 2 options:
  • Reconnect during account logon
  • Reconnect during refresh
Reconnect during account logon - will automatically reconnect the user to their existing session from a different device upon logon.
Reconnect during refresh - Will automatically reconnect a user to an existing session if it exists during a refresh on a different device logged in with the same user account.
Caffeine - allows the iOS device not to go into a sleep mode which the Citrix receiver is in use, so for example if the user is idle for 'X' amount of time the iOS device will not shut the screen off. (This option is

Citrix Workspace App Ipad Mouse

Disabled by default)
Settings > Advanced > Caffeine
Smartcard Support
This setting is for in-session smartcard recognition. Receiver for iOS 7.x provides support for SITHS smart cards for in-session connections only.
Settings > Advanced > Enable Smart card
Smartcard Support for authentication - allow users to connect to a Citrix environment using their company's smartcard accompanied by a pin number. This feature while available is only supported by the following products and configurations : (This option is Disabled by default )
NOTE: The option has to be configured during the setup of the account for the iOS device, if not selected you must create the account again to add smartcard support.
  • iOS 7.1 support
  • SHA2 certificate support
  • Support for single FQDN access implementation
Supported readers:
  • Precise Biometrics Tactivo for iPad Mini Firmware version 3.8.0
  • Precise Biometrics Tactivo for iPad (4th generation) and Tactivo for iPad (3rd generation) and iPad 2 Firmware version 3.8.0
  • BaiMobile® 301MP and 301MP-L Smart Card Readers

Supported VDA Smart Card Middleware:
  • ActiveIdentity
Supported smartcards:
  • PIV cards
  • Common Access Card (CAC)
Supported configurations:
  • Smartcard authentication to NetScaler Gateway with StoreFront 2.x and XenDesktop 5.6 and later or XenApp 6.5 and later.
Note: Customers using FIPS NetScaler devices should configure their systems to deny SSL renegotiations. For details, see How to configure the -denySSLReneg parameter.
The Citrix X1 mouse - is the only mouse that will allow you to smoothly operate your virtual windows sessions. It supports right click, left click, scrolling , all the typical mouse operations now available in a Citrix session.
Once you have purchased the device and paired it to your iOS device using Bluetooth the next thing you need to do is enable it in Citrix Receiver. (This option is Disabled by default)
Settings > Citrix X1 Mouse
Once enabled start your Citrix session and you will now be able to use the Citrix X1 mouse with your applications even a published desktop.
NOTE: For full details on this product and how to buy 1 refer to the following document.
Citrix X1 Mouse
iOS Receiver Logging - this option is avalible to help Citrix technical support troubleshooting issues with the Citrix iOS receiver when connecting to a XenApp/XenDesktop environment. (this option is Disabled by default)
NOTE: There is an existing article that goes into detail on how to set this up so I will only be showing the location where it can be enabled if needed.
For full details please review
CTX136380 - How to Enable and Collect Advanced Logs for Receiver for iOS

Citrix App Delivery

Settings > Support > Log Options

Yes, I know what you’re thinking. You’ve been able to “use” Epic on your iPad for years now using the Citrix app. But you clearly have not been able to use Epic in a functional way. You could pull up patient charts, review labs and phone calls, but the process was cumbersome, complicated, and painful. You probably ride to use Epic’s own native apps, but those aren’t the most functional for charting. If you made any attempt to actually document using the Citrix app — good luck, that was near impossible.

My at home set up is a Mac desktop and an iPad. I don’t like carrying around a laptop. For years I dreamed of the ability to pull out my iPad to finish a patient chart or see how a patient was doing in a quick way. If I was at home, I’d have to go to my desktop. Not a big deal, but not the ideal workflow. I gave up on being able to do this on my iPad years ago. That all changed when Apple recently updated iPad OS and gave it trackpad support. Trackpad and mouse support is critical because clicking on screens in Epic via touch is nearly impossible. There are some additional caveats and tips you’ll need if you want to use your iPad to chart in Epic.

The most important caveat to all of this. You can only use this set up if your hospital IT team has given you the ability to remote access your electronic health record using Citrix, something most providers have access to.

What you need:

iPad: Any iPad that supports iPad OS 13.4 or later

Bluetooth mouse and keyboard: You can use a generic bluetooth mouse or trackpad, and bluetooth keyboard. I use Apple’s Magic Keyboard since it allows me to easily remove my iPad easily because of the magnets built in. It also has a great trackpad built right into the keyboard.

Citrix app: Citrix has several iPad apps, you need to make sure you get the right one. You need to use Citrix Workspace, the app with the blue icon. iPad app link

Steps and Tips on how to use this setup:

Citrix App Store

If your hospital makes you use two factor authentication, do not use safari. I have found that downloading the Citrix file using safari doesn’t work well at this time. Instead, when I use Chrome on my iPad I haven’t had any issues downloading the unique Citrix file through two factor authentication. Important note here, when the file gets downloaded on your iPad, you will need to click the “open in” button. If you don’t see Citrix Receiver showing up automatically, scroll the icons to the right until you see the “more” icon. When you click this, you should be able to add “Workspace”. The below pictures are examples:

If you don’t have two factor authentication, use the same credentials that you hospital IT team has given you for a remote setup on your computer at home. Put this information directly into Citrix Workspace and Epic should launch.

Once Epic launches something that helps is to change your screen size based on your preference and iPad size. The way to do that is to click the overlying top arrow within the Citrix app. When you do this, a pull down menu appears, and you click on “display”. Epic is now optimized for a 17 inch screen. If you want the same 17 inch experience you get at work or at home, you’ll need to go with auto-fit medium (1770 x 1230). Free download netflix for macbook. Personally, that is too small for me. I opt for the 15 inch experience at 1400 x 900 (custom resolution option). The below pictures show how this looks.

Once you have optimized the screen size to your liking, login to Epic and you’re ready to go. You will find the trackpad / mouse option to be a game changer. I’m not going to show screenshots of my actual Epic hyperspace environment as Epic does not allow people to do that unsanctioned.

The below are some tips as well as limitations I’ve found in my experience with this setup.

* Instead of using the trackpad to scroll down, use the arrow keys, much faster
* Keyboard shortcuts like Control Z or Control B don’t work. You need to use the note editor options that Epic has built in
* You don’t have the ability to use the microphone of your iPad, which is puzzling to me. You can use your home microphone on your desktop or laptop Citrix Workspace but can’t on the iPad. This was the biggest limitation to me because I use Dragon dictation heavily when documenting, and I’m hoping in a future upgrade this is enabled.

Conclusion

Citrix App Download

It’s nice to be able to quickly spin up Epic at home with my iPad. For me I’m still missing the microphone support so I can use dragon dictation. However, for checking up on patients and completing a few charts I have found this setup to be useful. Don’t hesitate to reach out on twitter if you have any questions on this setup.