Clinical

Can Cardio Server manage other modalities besides ECG data?
Yes, Cardio Server manages data from 23 different modalities including: resting ECG, 12-lead ECGs from bedside monitoring, Holter, stress testing, PFT, event monitoring, pacemaker follow-up, cardiac rehab, defibrillators, ambulatory blood pressure, EEG, non-invasive vascular, and more. We are eager to add other modalities that you may require.

What device manufacturers can Epiphany accept data from?
Epiphany communicates with over 260 devices from over 80 vendors. Check our compatibility page for the current list of interfaces.

If one of our modalities is not currently supported, will you add it to your integration library?
Yes, we are always looking to expand the list of modalities and vendors that we have integrated. Just introduce us to your vendor and encourage them to work with us to create an interface. We do the rest.

How many ECGs can you store in Cardio Server?
ECG storage is a function of disc space on your servers; you can add space as you desire. Cardio Server can manage millions of ECGs with standard network technology.

What tools does Cardio Server offer to encourage online interpretation?
Cardio Server provides the most comprehensive editing functions in the industry including: drop-down menus with favorite check boxes, free text, macros, voice-recognition support, electronic calipers, and Intelligent Serial Comparison. Different favorites lists may be created for each physician in each reported modality.

Can our physicians have their own unique custom favorite interpretive phrase list?
Yes, we find physicians utilize around 50 or so interpretive phrases most of the time. We enable each reading physician to easily customize their own list for each supported modality.

Can we use speech recognition software?
Yes, and many of our customers use Dragon NaturallySpeaking medical software.

Does Cardio Server support scanning in of previous ECGs and other diagnostic tests?

Yes, the PDF Naming Wizard enables Cardio Server to import PDFs of diagnostic test results that are randomly named and convert them into well-named exams with patient demographics, modality designations, date and time stamps, and physician interpretations. Once the studies are confirmed, they can be sent to your EHR.

Can Epiphany help determine our current workflow needs?
Yes. Epiphany offers a free workflow analysis utilizing the latest in Lean healthcare initiatives and tactics, process flow charting, and business plan development. This analysis will give you a clear understanding of your current process and assist with your ability to diagnose areas for improvement. Leveraging Epiphany’s ability to support multiple diagnostic modalities through one bi-directional interface to your EHR can represent significant cost savings and enhance productivity.

Can we interface multiple ECG vendors simultaneously across multiple hospitals, clinics, and physician practices?

Yes, and we support modality worklists with all the major ECG vendors.

Can you transfer the 12-lead ECG interpretive algorithm statements from my cardiograph into Cardio Server?
Yes, if you are transferring ECGs with interpretations from a manufacturer's cardiographs, the statements and measurements pass through to Cardio Server without modification.

Does Epiphany's analysis criteria match the algorithm from third-party cardiographs?
Yes, Epiphany displays the interpretive statements and measurements generated by your existing cardiographs.

Does Cardio Server offer serial comparison reporting for 12-lead ECGs?
Yes, Epiphany’s Intelligent Serial Comparison provides additional information to the reading physician on changes between the current ECG and the most recent tracing as confirmed by the reading physician.

Will Epiphany's serial comparison reporting for 12-lead ECGs work with my migrated ECG data?
Yes, migrated ECG data is received in Cardio Server as though it was originally processed by Epiphany.

Will Epiphany's serial comparison reporting for 12-lead ECGs work with my existing cardiographs (GE, Philips, Mortara, Cardiac Science, Schiller, Nihon Kohden etc.)?
Yes, serial comparison works with legacy cardiographs without interfering with the original interpretations and measurements from those devices.

As we buy and/or upgrade existing equipment, will Cardio Server be compatible and be able to take advantage of the new features?
If your vendors are open in design, and update their export functions to include the new features, then we will continue to be compatible. Cardio Server currently accepts data from over 260 devices, in 23 different modalities, from over 80 vendors.

Can Cardio Server send orders to cardiographs?
Yes. We support modality worklists for GE, Philips, Mortara, Welch Allyn, Cardiac Science, Schiller, and Nihon Kohden cardiographs. If you prefer another vendor for cardiographs, please encourage them to demonstrate open architecture and share their order formats with us. We are eager to work with all the major suppliers.

Are the current interpretive analyses and measurements from our cardiographs utilized/displayed in Cardio Server?
Yes, Epiphany displays the interpretive statements and measurements generated by your existing cardiographs.

Can Cardio Server display ECGs in our preferred format such as 3x4 with a rhythm strip, 6x2, or 12x10, etc.?
Yes, the format saved by your cardiograph is presented in Cardio Server.

Is Cardio Server just an "electronic, paper-storage database" or does it provide real ECG data management?
Cardio Server is a comprehensive ECG and diagnostic test result data management system. Cardio Server stores the raw ECG file, enhances workflow, allows physician online editing, supports automatic printing, email notification and report distribution, offers electronic calipers, and provides management tools for data analysis.

Does Cardio Server store the raw ECG file or just a picture (PDF) of the 12-lead ECG?
The raw ECG files are kept for a short period of time, we render the PDF file as needed in real-time.  We store the raw ECG data in our binary format.

Can Cardio Server provide online electronic calipers that function with ECGs from my existing cardiographs?
Yes, since we transfer the raw ECG file to Cardio Server, new measurements can be made with our online calipers.

If sometime in the future, we decide to replace Cardio Server, can our ECGs be migrated to another ECG management System?
Yes.

Does Epiphany utilize Carl Osborne's Datamed format translators from Engineering Solutions Inc.?
Yes, for some vendors' 12-lead ECG data we utilize Datamed format translators. Datamed translators are fully integrated into Cardio Server and do not require additional hardware. By the way, customers of GE, Philips, Siemens, Heartlab, and Cardiac Science also use Datamed. The patient monitoring customers for GE and Philips are two of the largest users for Datamed because it allows Philips' patient monitoring to export to MUSE and GE patient monitoring to export to Philips IntelliSpace ECG.

About Epiphany Healthcare 

Does Cardio Server have 510(k) FDA registration?
Yes, Cardio Server received its 510(k) registration as a Class ll device in November, 2005. A copy of the registration is available upon request.

Can a software-only application for ECG management receive a 510(k) from the FDA?
Yes, the first sentence of Cardio Server's 510(k) registration states that it is available as a software-only application.

How long has Cardio Server been in clinical use?
Cardio Server was first deployed for use in 2001.

How many employees does Epiphany have?
Our staff numbers over 70 and growing.

Does Epiphany own the license to Cardio Server?
Yes.

Common Misconceptions

Is it true that one company's resting-ECG algorithm is somehow superior to another company's algorithm?
We discuss computerized-ECG findings with physicians every day. The one question that we always ask is, “How often do you agree with the interpretative statements coming from the cardiographs?” We, of course, hear the occasional extremes “never” or “95% of the time.” The most common answer, however, regardless of the cart manufacturer is, “60 to 75% of the time we agree with the computerized interpretation.”

When you transfer ECGs with interpretations from a cardiograph to Cardio Server, the original statements and measurements pass through to Cardio Server without modification. If you like your current algorithm you will still see the same data.

Is it true that transferring from carts to an ECG management system other than that of the cart manufacturer will void your cart warranty?
No. Epiphany has many sites with carts transferring to Cardio Server without voiding the warranty.

Can Cardio Server accept wireless transfer from MAC 5000/5500 cardiographs?
Yes. We have hundreds of GE carts transmitting ECGs wirelessly to Cardio Server.

Can I purchase Silex, wireless modems for my MAC carts from Epiphany?
Yes. The modems come with instructions for installation by Biomed, telephone support, and the original Silex warranty.

Why do the competitors say that Epiphany is either going out of business or going to get acquired?
We have heard a variety of rumors and misinformation over the last 15 years. This can happen when you displace older, staid companies in a monopolized market niche. We believe that robust competition benefits the end users with more features at better prices. We are growing, business is strong, and our customers are benefiting.

How does Epiphany import device data?
Most of our modality imports have both alpha/numeric feeds and waveform-PDFs. Supported formats include DICOM, XML, HL7, and PDF. When we receive the alpha/numeric data, we post it into editable fields. This is so much more than simply taking a PDF in for storage.

When we get only a PDF, we are doing much more to support our customers. Our PDF Import Tool allows the importation of any PDF to Cardio Server where we create a new modality in the database and populate all demographics with an ADT or orders feed. Our tool provides you flexible workflow including a cover page for physician interpretation, forms, acronyms, electronic signature, HL7 messaging into the EMR, automated messenger functions, and administrative reporting.

Other Inquiries 

Have a question not answered by our FAQs? Contact us. We will respond to your inquiry as soon as possible.