Paperless Ophthalmology:Electronic Medical Record

Cologne · Berlin · Fort Lauderdale · Louisville · Oklahoma City · Singapore

EMR

EMR for Eye Care Professionals

The ifa group is the leading international provider for electronic medical record (EMR/EHR) and picture archive and communication systems (PACS) in ophthalmology. Every day more than 10.000 eye care professionals and their teams around the world use the famous software with the “red dot”. The EMR and PACS applications are available in 10 languages and are installed in more than 20 countries around the world. Every day ifa systems manage more than 200.000 patient cases and more than 80 million patient visits are stored in local and wide area ifa networks for more than 20 years.

Electronic Medical Record (EMR) and Picture Archive and Communication Systems (PACS)

ifa united i-tech Inc., 1850 SE 17th Street, Suite 107, Fort Lauderdale, FL 33316, USAwww.ifa4emr.com

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Connectivity with Guarantee

The quality of professional EMR/EHR software can be measured by its ability to integrate with equipment and other systems. For this reason, a qualifi ed software must include import and export interfaces to all kind of ophthalmic instruments, practice management systems (PMS) and hospital information systems (HIS). The most important standards are HL7 and DICOM. The IHE project for eye care, initiated by the American Academy of Ophthalmolgy (AAO), has the goal to evaluate and support these standards. The ifa PREMIUM EMR is 100% IHE compliant.

The ifa Premium EHR (V6) is certifi ed accord-ing to do ONC (US Government) requirements for the IHE incentive program (stimulus).

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EMR dedicated to Ophthalmology

Structured data for „meaningful use“ are the key for success. The ifa group of companies provides „turnkey solutions“ based on compatible data sets for all subspecialties in ophthalmology (such as cataract and refractive surgery, retinal diseases, glaucoma, pediatric ophthalmology, oculoplastics etc.). The unique ifa data model supports international open standards (such as IHE Eye Care with DICOM and HL7, SNOMED and LOINC terminology.

ifa united i-tech Inc., 1850 SE 17th Street, Suite 107, Fort Lauderdale, FL 33316, USAwww.ifa4emr.com

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Over 18.000 software features for professional eye care

Connectivity with 450+ Instruments and Systems

Autorefractor/ Keratometer/ TonometerNidek RKT-7700Nidek TONOREF IIOculus Park-1Reichert RK600Topcon TRK-1P

AutorefractorCanon R-10/20/22/30/50/F10Canon RK3/RK5Hoya AR 550Humphrey HAR-420/500/510/ 525/540/580/580 S/585/590/595Kowa KA-1000Nidek AR 20/310A/330A/360A/510A/530A/600/660/700/800/ 820/1000/1200 MNikon NR-5000/5100/5500/8000Nikon SpeedyNikon RetinomaxPlusoptix A08/A09/S04/S09Rodenstock PR-60Rodenstock RA-303Rodenstock RX-202/502/520/900Shin-Nippon RC 380Shin-Nippon QR-007 NShin Nippon EZRef 8000Tomey TR-1000/3000Tomey RT-7000Topcon RM-A-2000/3300/6000/6300/ 7000/7300/8000/RM-8800Welch Allyn SureSight Hand- AutorefractorZeiss Humphrey Acuitus

Kerato-RefractometerAlcon Handheld KeratometerCanon RF-1/10Canon RK-1/F1/2/3/5Grand Seiko GR-3100KHumphrey AcuitusHumphrey HAK-420Humphrey HARK-595/597-599Huvitz MRK-3100 P/HRK-7000Kowa KW-2000Nidek ARK-30/510A/530A/560A/700/ 700A/760/900/2000Nidek KM-500Nikon NRK-8000/10000Nikon Retinex K-Plus Hand-Ker.Nikon Retinomax2/Retinomax3Nikon Speedy-KOptikon Keratron ScoutPotec PRK-5000Reichert RK700Rodenstock CX 500/520Shin Nippon ACCUREF 8001/K 9001Tomey RC-1000/5000Tomey RC-3000Tomey RC-4000Tomey TC-5000Topcon KR 7000/7000 S/7000 P/7500/ 8100/8100 P/8800

Auto PhoropterBlock Diamant PhoropterHoya MDR 650Huvitz HDR-7000Huvitz CDR-3100MÖLLER-WEDEL VISUTRON 307/308/ Plus/900+Nidek RT-1200/2100/5100Nikon OT-8-ANikon Remote VisionRodenstock Phoromat/Phoromat 200ShinNippon DR-900Tomey TAP-1000Topcon BV-1000Topcon CV 2000/2500/3000/5000Zeiss Optophor

HIS SystemsCERNERChipsoftDICOM SRDICOM VLHiscomHL7McKessonNormaSAPTietoEnator (iMedOne)Vitodata VitomedAll IHE-comptabile HIS

LensmeterGrand Seiko GL-7000Hoya AL 3100-3300Humphrey LA-306/310/316/320/322/ 330/332/340/350/360/370Huvitz CLM-3100/CLM-3100 P/ CLM-4000Huvitz HLM-700/7000Luneau L70Nidek 500 USBNidek LM-500/600/770/820/850/870/ 970/990/1000/1800Nikon NL-2Nikon Speedy 1Oculus VL-3000Reichert AL-200/500/700Reichert LensChekRodenstock LensmasterRodenstock PSBM-12Rodenstock AL-900/4600Shin-Nippon SLM-3000/4000/5000/6000Tomey TL 900/1000/1000 A/3000/ 3000 A/3000 BTopcon LM-1500Topcon CL-100/1000/200/200P/ 2000/2500/2800Topcon EZ-200

Visual FieldHaag-Streit OCTOPUS 300/301/311/500/ 2000/1-2-3/101/900Humphrey HFA 605/606/610/611/620/ 630/635/640/730/740/750 i/IiiMedmont M700Oculus TAP 2000 CT/CCOculus TwinfieldOculus CenterfieldOculus EasyfieldRodenstock PerimatRodenstock PeristatOphtimus Ring PerimeterReichert Foresee_PHPSW: PeritrendSW: Peridata for WindowsSW: Haag-Streit Eye Suiteifa HFA Print SoftwareZeiss / Humphrey / Welch-Allyn FDTZeiss Matrix

NCTCanon TX-10/TX-FCanon T2Kowa KT-500/800Leica AT 550/555Leica NT-3000Medicel IOPenNidek NT-400/NT-510/NT-530/NT-530PNidek NT-1000/2000/2000 M3/3000/4000Nidek RKT 7700Nidek TonoRefIIReichert AT 550/555Reichert ORAReichert Xpert/Xpert plusReichert 7Reichert PT-100Rodenstock NCT 400Tomey FT-1000Tomey FZ-1000Topcon CT 20/40/60/80/80A

CL SystemsCL-Data

WinLens

KLV

Galifa

Eye-Office

Lensdata

Image Systems/Soft-wareAngioimage 2000 (2 mp)

Angioimage 5000 (5 mp)

bon Optic DigiPro/DigiPro2

bon Optic DigiPro2Lite

bon Optic EyeImage

bon Optic EyeTopV2

Canon CF-1

Canon Fundus Camera

CCS Pawlowski analySIS

CCS Pawlowski WinStation

CSO Phoenix

EOS_Health

Eyetec EyeSputnik

Haag-Streit SDO

Haag-Streit EyeSuite

Heidelberg Eye Explorer

Heidelberg Retina Tomograph

Heidelberg Retina Flowmeter

Heidelberg Retina Angiograph

Heidelberg SL-OCT

IMEDOS VisualiS

Kowa Fundus Camera

Kowa FM-600

LDT TopSS XL 2020

LDT TopSS ICG

LDT Angioscan

LDT GDx/GDx Access/Access VCC

Kowa VK-2

Nidek F-10 Digital Ophthalmoscope

Nidek AFC-210/AFC-230

Nidek NAVIS-lite

Nidek NM-200 D

Nidek NAVIS-EX

Nidek OPD-Station

Oculus ImageCam

Oculus Pentacam

OIS Winstation

Optos optomap

Rhinetec Endo.-Microscope

Roland Consult EasyVEP

ROLAND CONSULT RETImap

ROLAND CONSULT DARKadaptometer

ROLAND CONSULT RETIscan21

ROLAND CONSULT RETI-port

ROLAND CONSULT RETIcompact

ROLAND CONSULT RETIcom

Reichert ReichertCaptureSW

Talia RTA 5.x

Talia RTA

Tomey EP-1000

Tomey Microscope EM-1000/3000

Tomey Integrate-Software

Tomey DRS

Topcon TRC NW-6/NW-7/NW-8/NW-200

Topcon TRC-50DX

Topcon ImageNET2000

Topcon IMAGEnet i-base

Topcon IMAGELink

Topcon Non Mydriatic Fundus Camera

Topcon Electrophysiology EP-1000

Topcon Specular Microscope SP-3000 P

Topcon TopConnect

Zeiss Fundus Camera

Zeiss Visupac light

Zeiss Visupac (Hiko)

Zeiss GDx

Zeiss FF 450+

Zeiss Visucam pro NM

Zeiss Forum

Video Slit Lamps Analog/DigitalEyeSputnik

Haag-Streit (new models)

Haag-Streit SL BX, BQ, BP

Haag-Streit SL BM V, BC

Rodenstock SL

Topcon VS

Zeiss SL 120/130/160

OMEGA Video Ophthalmoscope

Meditron Video System

Topcon DC-1/-3/-10

Topcon DV1

Zeiss VISUPAC Acquire

Ultrasound Systems (biometer/pachym-eter)Bio-/Pachymeter

4Optics OCP

Alcon OcuScan RxP

Alcon OcuScan (software)

B-scan systems with video port

Ellex eyecubed

Haag-Streit LENSTAR LS 900

Heidelberg OCP

M + C - I 3 system

Mediconsult I-Scan

Nidek A-/B-Scan US 2500/20

Nidek Echoscan US-4000/500

Nidek NT-530P

Oculus Pachycam

Quantel AXIS II

Quantel Pocket Pachy

Quantel Medical CineScan (video port)/CineScan S (video port)

Quantel Medical Compact II (video port)

Quantel Medical Aviso (video port)

Reichert REFLEX_UBM

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-1000/UD-6000

Tomey SP-100/3000

Tomey IS-500 A/B-Scan

Tomey AI-510 A/B-Scan

SLORodenstock SLO (video port)

Zeiss CLSC (video port)

Orthoptics SystemsOculus Synoptometer

Screening InstrumentsOculus Binoptometer 2

Oculus HMC Anomaloscope

Oculus Mesotest 2

OphthalmometerRubin Ophthalmometer

Haag-Streit OM-900

Patient EducationDiomed Digital

Eyemaginations 3D-Eye Office

Eyemaginations_LUMA

ProCompliance PICS

VueCare Media

Cornea TopographyBausch & Lomb Orbscanbon Optic EyeTop, EyeTop-H, Eye Top-SHaag Streit CTK922Nidek OPD Scan IINidek ARK-10000Oculus KeratographOculus EasygraphOptikon Keratron/Keratron ScoutRodenstock KeratographSchwind AMARISTomey RT-6000/7000Topcon CA-100Topcon CA-200Topcon Corneal AnalyserZeiss ATLAS Model 9000Biometer, OpticalTomey AL-100Zeiss IOL-Master (serial & SPIF)

QS Software SurgeryDataGraphDios MP (for OP)Softhalmos

EC-Cash SystemsThales Artema HybridThales MCT 5500

Internet Applicationse-mediad ECPP (Eye Care Patient Portal)e-mediad D2DC (Doctor to Doctor Communicator)Webscheduler integration.AGCo-Management integration.AGMedCenter integration.AG

PharmastudyProjekt XChange (Pfizer)

Refraction SystemsMarco Epic 5100/2100/1200Nidek COS-5100/2100/1200

PMS (Practice Management Software)CompulinkNextgenCentricityMedisoftRLISYSMillbrookRISEManagement PlusMedManagerMDSAll IHE-compatible PMS

OCT (Optical Coher-ence Tomography)Zeiss Cirrus HD-OCTZeiss Stratus OCTZeiss Visante OCTHeidelberg Spectralis HRA+OCTHeidelberg SL-OCTOTI Spectral OCT/SLOOptopol CopernicusOptopol Copernicus_HROptovue RTVue-100Topcon 3D OCT-1000

TonometerMedicel IOPenPascal Tonometer (Bluetooth)

OR SoftwareZeiss CALLISTO eye

Professional EHR / EMR Requirements

Function Essential Desirable ifa functionality

Clinical Documentation

1 Enable entry & storage of all ophthalmology-specific data required to support AAO Preferred

Practice PatternsTM

X X

2 Organize ophthalmology-specific elements separately (e.g., past ocular history, ocular medications) X X

3 Conform or map to vendor-neutral standard terminologies (e.g., SNOMED CT, ICD) to represent

Problem Lists

X X

4 Conform or map to RxNorm to represent Medications X X

5 Conform or map to vendor-neutral standard terminologies (e.g., SNOMED CT) to represent:

– Diagnoses and procedures

– Allergies and clinical findings

X

X

X

X

6 Enable physicians and technicians to keep multiple records open simultaneously and securely in

different rooms, with easy re-authentication

X X

7 Provide tools for incorporating color drawing, including ocular templates X X

8 Analyze clinical workflow before and after EHR implementation X X

9 Exchange full set of ophthalmic clinical data with EHRs from other vendors X X

10 Link clinical documentation to billing and charge capture and integrate with practice management X X

11 Allow physician to easily review patient information before entering room X X

Ophthalmic Vital Signs and Laboratory Studies

12 Record visual acuity and refractive discrete elements in accordance with DICOM Supplement 130 X X

13 Record intraocular pressure (IOP) as a discrete data element X X

14 Display and graph visual acuity and IOP over time X X

Medical and Surgical Management

15 Electronically associate all pre-op, operative, and post-op documents X X

16 Support documentation of office-based and operating room procedures X X

17 Allow physican to generate operative report at time of surgery X X

Ophthalmic Measurement and Imaging Devices

18 Conform to vendor-neutral standards (e.G., DICOM) for receipt and representation of data from all

ophthalmic instruments and devices

X X

19 Conform to vendor-neutral standards and profiles for ordering ophthalmic imaging and measure-

ment studies (e.g., DICOM Modality Worklist and IHE Eye Care Workflow)

X X

20 Document completion and interpretation of ophthalmic imaging and measurement studies X X

21 Request, retrieve, display and communicate all imaging and measurement data generated by

ophthalmic instruments in a standard vendor-neutral format (e.g., DICOM)

X X

22 Manage all ophthalmic imaging data in vendor-neutral format (e.g., DICOM), or provide tight

integration with external PACS in vendor-neutral format

X X

EHR requirements for ophthalmologists are now defined by the AAO

Below are the special requirements that the AAO now recommends for electronic health record systems (EHRs) in ophthalmology. Naturally, certification by the Office of the National Coordinator for “meaningful use” as an EHR system is already essential. These additional items are classified as either “Essential” for current systems or as “Desirable” for current systems but eventually essential for future systems. The ifa PREMIUM EMR is 100% compliant with these requirements.