electronic ophthalmic surgery management
DESCRIPTION
The brochure "Electronic Ophthalmic Surgery Management" gives an overview of our EMR features for ophthalmic surgeons.TRANSCRIPT
ifa systems AG ifa united i-tech Inc. ifa systems Latinoamérica Augustinusstr. 11 1850 SE 17 St., Suite 107 Alfonso Ugarte 235, Ofc. 108 50226 Frechen Fort Lauderdale Barranco – Lima Germany FL 33316, USA Peru [email protected] [email protected] [email protected] www.ifasystems.com www.ifa4emr.com www.ifasystemslatinoamerica.com
Electronic Ophthalmic Surgery Management
(EOSM)
Contents
1. Patient History Record (medical status & history, review of systems, family & social history ....... 3
2. Interfaces (diagnostic equipment, administration systems) ........................................................... 4
3. Consent Forms (surgery and anesthesia) ........................................................................................ 6
4. Anesthesia Documentation (questionnaire, pre-op & post-op anesthesia order) ......................... 7
5. Surgery Documentation (pre-op record, intra-operative note, post-op record) ............................ 8
6. Nurse Documentation (pre-op assessment, intra-operative record, post-op record) .................... 9
7. Surgery Report .............................................................................................................................. 10
8. Data Export (clinical trials, surgery registries) ............................................................................... 11
9. OR Planning Chart ......................................................................................................................... 12
10. Attachments .............................................................................................................................. 13
10.1. ifa EyeDraw ........................................................................................................................ 13
10.2. ifa4iPad .............................................................................................................................. 13
10.3. Interface List (extract) ....................................................................................................... 14
The OP record can be fully integrated into the
clinical EMR: Dashboard
1. Patient History Record
Using ifa’s SmartScreen technology, a user can easily enter all relevant patient surgery information.
The user is then able to generate meaningful data (e.g. based on SNOMED terminology) and can
export it utilizing the query function for reports, clinical trials, disease registries, and other outcome
databases.
The structured data formats are available for:
Past medical history
Past ocular history
Family history
Allergies and risks
Medication history
Social history
The user selects terms from "pick lists" associated with
standard codes such as ICD or SNOMED and their
compatible terms with clinical modifiers for precise documentation.
2. Interfaces
The connectivity guarantee is important for any paperless ophthalmic OR. Interfaces are designed for
data import from ophthalmic equipment and for exchanging data with administration systems
(HIS/Hospital Information Systems and PMS/Practice Management Systems).
Equipment Interfaces
More than 450 diagnostic devices and digital systems
can be connected with the ifa surgery management.
The interfaces are based on exclusive agreements
with the leading vendors for ophthalmic technology.
Examples:
IOL Master (Zeiss Meditec)
Pentacam (Oculus)
Orbscan (Alcon)
HRT (Heidelberg Engineering)
Image systems (e.g. Topcon, OIS, Kowa, Canon etc.)
Autorefractor/keratometer (Topcon, Nidek, Canon, Humphrey etc.) The up to date list is available on our website www.ifa4emr.com.
HL7 Interfaces:
Demographic data
Diagnosis codes
CPTM codes
Reports CDA
DICOM :
Images
Structured Reports
HIS and PMS Interfaces
The clinical OP management can be connected with the existing administration system (Hospital
Information System/Practice Management System). The bi-directional interfaces are based on the
international HL7 standard (www.hl7.org).
The ifa system imports all relevant demographic data from the HIS/PMS, stores it within the surgery
record, and then exports all relevant information (e.g. diagnoses, procedure codes etc.) for billing
and documentation purposes.
The ifa surgery management is also designed to communicate
with the integrated image database or professional PACS.
DICOM is the standard format for the integration of all kind of
BLOBS (binary large objects) incl. surgery videos (e.g. AVI files).
Signature pads support the paperless ASC
3. Consent Forms
Consent forms management depends on the relevant legal requirements. All documents are stored
as MS Word files which can be modified by merging the patient data from the medical record: name,
date of birth, treatment plan, type of procedure etc.
The merged documents can be printed, signed by the
patient and the surgeon, and imported as a scanned
object into the EMR.
If the legal requirements allow a digital signature the
patient can sign on an electronic pad (without printing
the consent document).
The system provides samples of various consent forms.
Within the customization service all relevant consent
documents can be stored and mapped to the merging functionality by the ifa consultants.
The iPad allows mobile computing in the OR
4. Anesthesia Documentation
The ifa surgery management provides a tool to generate all types of data fields. The user can choose
checkboxes or multiple choice codes. E.g. anesthesia questionnaires can be created for the pre-
anesthesia evaluation. Data fields can be structured for e.g.:
Allergies (medications, food, latex)
Current medications
Problems (heart, blood pressure, kidney, liver, neurology etc.)
Anesthesia history
Type of anesthesia
Postanesthesia evaluation (level of consciousness, status cardiopulmonary etc.)
The other alternative is the use of existing paper
forms which are scanned and imported into the surgery record. Furthermore combinations
(structured data and scanned documents) can be generated within the customization process.
The integration of the IOL Master is an example for safe and professional device
integration.
5. Surgery Documentation
The documentation requirements for surgical procedures in ophthalmology are complex and
changing depending on new equipment, innovative implants and emerging technologies. Therefore,
the ifa software allows for users to define data structures and vocabularies when required.
Predefined data structures can be provided for:
Cataract Surgery
Vitreous Surgery
Retina Surgery
Glaucoma Surgery
Refractive Surgery
Plastic and Orbital Surgery
The structured data concept can be also used to
generate surgery plans for the OR (see OP plan).
6. Nurse Documentation
For the nurse report (NR) the user can choose between two alternatives:
Digital codes (structured templates with the EMR)
Scanned paper form
The solution depends on the workflow and the preferred data
use. If users require searchable NR information, ifa recommends
digital code storage. If the NR is stored because of legal
requirements, the scanning process with paper forms is more
convenient. The scanner interface is also specifically designed
for small, fast-scanning devices (e.g. Fujitsu ScanSnap).
Surgeons can concentrate on procedures and reduce paperwork.
7. Surgery Report
The surgery notes are generated automatically by merging pre-defined text reports with the
individual patient and procedure data. The basic text is a MS Word document with structured
merging features.
Within the customization process the existing user
reports are evaluated and preset for the electronic
workflow. If required, the surgery reports can be
completed with scanned documents (nurse reports,
anesthesia reports, device printouts, graphical
documents and drawing documents).
The surgery reports can be directly printed and/or sent
by email with the relevant data protection features.
8. Data Export
The ifa software suite offers comprehensive data export functionality. Quality outcome databases,
registries and clinical trial projects can directly import data from the surgery EMR. The data structure
is SNOMED compatible making it extremely useful for international projects.
The interface for the EUREQUO project which is used on
an international level has also been integrated into the
surgery management. This registry for cataract and
refractive surgery allows for a comparison of the user’s
data with surgeons from other countries. The reports
have been developed by experts based on data outcome
studies by the ESCRS (European Society for Cataract and
Refractive Surgery). More information:
www.eurequo.org.
All EMR versions are available for the iPad
9. OR Planning Chart
The surgery management software generates the complete plan for the OR. Users can customize the
layout for the different procedures or surgeons. The system imports the patient related data from
the EMR and integrates the clinical data (VA, refraction etc.) into the OR plan.
The flexibility of the tool makes it simple and efficient,
and the plan can be printed or displayed on a computer
screen (e.g. in the preparation area).
Additionally, a tablet PC (such as the Apple iPad) further
enhances immediate access to the OR plan or any other
procedure-related information.
10. Attachments
10.1. ifa EyeDraw
The EyeDraw tool allows all types of drawings for ophthalmic surgery management.
10.2. ifa4iPad
All functions are also designed for pad computers like the Apple iPad and for touchscreen
technology.
10.3. Interface List
EcMR for Cataract and Refractive
Surgery
Biometer, Ultrasound, Cornea Topography and Multi Function Devices
• Biometer, Optical
• Tomey AL-100
• Zeiss IOL-Master
• Ultrasound Systems
(biometer/pachymeter)
• Bio-/Pachymeter
• 4Optics OCP
• Alcon OcuScan RxP
• Alcon OcuScan (software)
• B-scan systems with video port
• Haag-Streit AXIS II PR (serial interface)
Heidelberg OCP
• M + C - I 3 system
• Mediconsult I-Scan
• Nidek A-/B-Scan US 2500/20
• Nidek Echoscan US-4000/500
• Oculus Pachycam
• Quantel Pocket Pachy
• Quantel Medical CineScan (video port)
• Quantel Medical Compact II (video port)
• Quantel Medical Aviso (video port)
• Technomed E-Z Scan B5500/ E-Z Scan
AB5500
• Technomed PacScan 300 A/300 P/300 AP
• Teknar/Mentor B-Scan III Plus
• Teknar/Mentor A/B-Scan III Plus
• Teknar/Mentor Image 2000
• Tomey AL-100 Biometer/AL-2000/-3000
• Tomey UD-6000
• Tomey SP-100/3000
• Tomey IS-500 A/B-Scan
• Tomey AI-510 A/B-Scan
ifa offers a broad range of device connectivity
EcMR for Cataract and Refractive
Surgery
Cornea Topography (examples)
• Bausch & Lomb Orbscan
• bon Optic EyeTop,
EyeTop-H, Eye Top-S
Haag-Streit Keratograph
• Nidek OPD Scan II
• Oculus Keratograph
• Oculus Easygraph
• Optikon Keratron/Keratron
Scout
• Rodenstock Keratograph
• Tomey RT-6000/7000
• Zeiss ATLAS Model 9000
• Oculus Pentacam
EcMR for Cataract and Refractive
Surgery
Refraction Devices (examples)
• Autorefractor/Keratometer/
Tonometer:
– Nidek RKT-7700
– Nidek TONOREF II
– Oculus Park-1
– Topcon TRK-1P
• Autorefractor:
– Canon R-10/20/22/30/50/F10
– Canon RK3/RK5
– Hoya AR 550
– Humphrey HAR-420/500/510/
525/540/580/580 S/585/590/595
– Nidek AR-310A/330A/600/660
/700/800/820/1000/1200 M
– Nikon NR-5000/5100/5500/8000
• Autorefractor:
– Nikon Speedy
– Nikon Retinomax
– Plusoptix S04
– Rodenstock PR-60
– Rodenstock RA-303
– Rodenstock RX-202/502/520/900
– Shin-Nippon RC 380
– Shin-Nippon QR-007 N
– Shin Nippon EZRef 8000
– Tomey TR-1000/3000
– Tomey RT-7000
– Topcon RM-A-2000/3300/6000/6300/
7000/ 7300/ 8000/RM-8800
– Welch Allyn SureSight Hand-
– Autorefractor
– Zeiss Humphrey Acuitus
EcMR for Cataract and Refractive
Surgery
Kerato-Refractometer (examples)
• Alcon Handheld Keratometer
• Canon RF-1/10
• Canon RK-1/F1/2/3/5
• Grand Seiko GR-3100K
• Humphrey Acuitus
• Humphrey HAK-420
• Humphrey HARK-595/597-599
• Huvitz MRK-3100 P/HRK-7000
• Nidek AR 530A/510A
• Nidek ARK-
510A/530A/560A/700/700A/
760/900/2000
• Nidek KM-500
• Nikon NRK-8000/10000
• Nikon Retinex K-Plus Hand-Ker.
• Nikon Retinomax2
• Nikon Speedy-K
• Potec PRK-5000
• Rodenstock CX 500/520
• Shin Nippon ACCUREF 8001/K
9001
• Tomey RC-1000/5000
• Topcon KR 7000/7000 S/7000
P/7500/
• 8100/8100 P/8800