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Epiphany Healthcare Blog

Epiphany Supports Modality Worklists with Your Devices

Posted by Allison Fawber on April 10, 2017 at 2:16 PM

Epiphany’s Cardio Server supports modality worklists. Why would one want modality worklists as a feature? With modality worklists, patient demographics and order information from the EMR can be securely transferred between cardiograph, stress, Holter, PFT, & CPET devices and Cardio Server. The use of modality worklists improves workflow through the elimination of manual data entry.

Without modality worklists:

  • Orders (in HL7 format) come into Cardio Server from the EMR.
  • Technician prints a list, grabs a cardiograph, and heads out to perform studies.
  • Studies (we’ll use ECGs as an example) are performed with the technician scanning the patient’s wristband for the demographics or filling out key fields on the cardiograph correctly. 
  • Studies are exported out of the cardiograph to Cardio Server.
    • If the patient’s wrist band is scanned, demographics are always correct and the study, with the correct demographics, goes into the Unconfirmed queue for an MD to read.
    • If the manual demographic entry is accurate, the study goes into the Unconfirmed queue for an MD to read.
    • If the manual demographic entry is not accurate (typos), the study goes into the Preliminary queue for clerical staff to correct the typo and reconcile with the order.  Then it is promoted to the Unconfirmed queue for an MD to read. 

Now, if the cardiograph (or other device) supports modality worklists:

  • Orders (in HL7 format) come into Cardio Server from the EMR. 
  • The cardiograph (or other device) queries Cardio Server for the all the orders in the hospital, orders for a given department (i.e., ICU or 4th floor), or a certain patient. These options vary by cardiograph or other device vendor.
  • The technician sees the patient name on the screen of the cardiograph.
  • The technician asks the patient if he is John Doe with DOB of dd/mm/yyyy.
  • The technician selects John Doe on the screen and his demographics populate the ECG perfectly. Study is performed.
  • The technician exports the study into Cardio Server where it always goes to the Unconfirmed queue for an MD to read. 

Modality Worklist - Blue .png

Modality worklists take the human element out of the workflow process; therefore, the reading MDs can view the Unconfirmed studies more quickly. Epiphany’s support of modality worklists helps make your workflow more efficient.

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Topics: holter, ECG, modality worklist, Stress tests, PFT reports

10 Requirements for a Multi-Modality ECG Management System

Posted by Russ DeRemer on March 23, 2016 at 3:30 PM

As you seek to achieve interoperability, the many diagnostic test results performed in a Cardiology or Cardiopulmonary Department need to find their way into the hospital’s EHR. Simply importing a PDF test result to an ECG Management System fails to take advantage of the many benefits available when managing 12-lead ECG data and other diagnostic test results. If you are looking for a multi-modality ECG management system, please consider these factors:

  1. modality_circle_toEHR.pngSupport 12-lead ECG data from cardiographs, defibrillators, and bedside patient monitoring coming from multiple vendors.
  2. Manage the following modalities: Holter, stress test, PFT, event monitoring, patient-monitoring, pacemaker follow-up, ICD management, cardiac rehab, sleep studies, ambulatory blood pressure, EEG, and more
  3. With network access, allow physicians to view, edit, confirm, and digitally sign all diagnostic tests results using a standard web browser.
  4. Management and research reporting available for all modalities. 
  5. Accept diagnostic test results from any vendor that shares its data and formats.  
  6. Receive waveforms and additional digital data such as XML or HL7 exports from devices to support editable reports and structured reporting, i.e., support interoperability. 
  7. Connect to the EHR with HL7 interfaces including ADT, Orders, Results, and Billing messaging.
  8. Provide enhanced bi-directional communication including modality worklists via DICOM, XML, and other worklist formats.
  9. Workflow requirements, including email notification, faxing, network printing, and generating billing messages are supported for all modalities. 
  10. Single-click access from CVIS system to ECG Management System using Web API.

Upgrading or implementing a new ECG Management System in your hospital is a significant investment of dollars and time. Maximize the return from this effort: Manage many types of diagnostic test results, share one set of HL7 interfaces across multiple modalities, and move towards meaningful use.

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Topics: stress, 12-lead ecg data, holter, managing ECG data, ECG management, diagnostic test results, multi-modality

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