ecardio Cardiology Suite

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1 ecardio Cardiology Suite

2 evisit Cardio evisit Cardio is one of the main components of ecardio suite, the Cardiology Information System developed by Exprivia in order to provide a unique platform for the entire health care facility able to meet the requirements of all outpatient, instrumental and departmental specialties through the use of cutting-edge technologies and solutions. The innovative features of flexibility and integration with diagnostic equipment of evisit Cardio allowed the creation of several specialized reporting forms that meet the different needs of each specialty in Cardiology. evisit Cardio combines into a single reporting environment the needs of different specialties through the management of a single folder, in which the compilation of information in the various specialized fields and in various diagnostic and clinical steps (anamnesis, registration and execution of procedures, reporting) is performed by several professionals (administrative staff, nurses, sanitary technicians and doctors) which refer to the Cardiology Unit. All patient information is shared among the operators in a single computerized management tool. evisit Cardio takes charge of the entire workflow starting from the management of worklists coming from Booking Systems, Emergency and Order Entry to the generation and publication of the report. evisit Cardio allows you to produce custom reports through easily customizable print layouts and offers many additional features including: access to the worklist by doctor/ surgery / service; digital signature; printing the recipe; management of valuable materials and consumables (e.g. stents, probes, etc.); sterilization of endoscopic probes process management. Specialized modules evisit Cardio has the following specific modules: Cardiology Visit; Reporting and clinical documentation in Echocardiography: Transthoracic, Transesophageal and Echo Stress; Specialized reporting for ECG and Holter examinations. Specialized reporting for outpatient Cardiology; specialized reporting in Electrophysiology and Arrhythmia. Doppler reporting form Measurement of cardiac chambers with biplane method by MedStation C0476

3 Relazione finanziaria semestrale al 30 giugno 2016 Fast compilation reporting forms Through integration with the diagnostics, evisit Cardio allows imports directly on reporting masks the measurements made during the instrumental examination by cardiovascular ultrasound, angiography systems, ECG DICOM Structured Report format or other formats, also proprietary. Structured reporting allows data saving under logics that enable the automatic generation of the draft report; its content can be completed by typing it manually, with the aid of the speller. The import of the previous examination, such as medical history, ensures the preparation of the report in an accurate and fast way. Structured information associated with the reports can also be used for statistical and epidemiological processing. The sending of worklists to compatible DICOM diagnostics, complete the application. Recording procedures of Electrophysiology and Electrostimulation Specialized reporting for Echocardio, ECG, Holter Echocardio: In addition to the collection of clinical data via SR, a graphical environment with Bulleye, Longitudinal and Transversal views extends and completes the reporting views. Supported by MedStation viewer for viewing images, you can make measures importable in the report. In response to acquisition of multiple data via SR or in manual mode, the physician will choose the most satisfactory result. ECG: integrated with the viewing environment, you can view multiple paths to allow a detailed comparison. You can also apply the massive signature; the doctor reports all treatments and only later he deals with signature. Through a powerful set of presets, the structured report is generated with a simple click in more than 95% of cases. Holter - Visit - Stress: evisit Cardio manages multiple types of stress tests, such as stress tests with various methodologies (cycle ergometer, platform and medication), as well as follow-up visits for accurate data collection for comparisons in follow-ups. The recording of the procedure allows you to trace the procedural data enabling various actors to save the events that can be recalled at any time by a doctor, for an experience of complete and accurate reporting. Traceability and materials management is an integral part of this form.

4 ecathlab Reporting form for Hemodynamics and Interventional Angiography ecathlab is the information system for the complete management of the procedures of hemodynamics and interventional angiography, that combines ease of use and speed of execution of the various procedures, automating and streamlining the work of administrative personnel and technicians, and providing clinicians with an ergonomic reporting environment perfectly integrated with PACS solution by Exprivia. ecathlab is a software component of ecardio suite, developed by Exprivia Healthcare IT for the computerization of the Cardiology and Cardiac Surgery services with the aim of providing a single platform capable of meeting the requirements of all ambulatory, instrumental and departmental specialist activities, through the use of advanced technologies and solutions. ecathlab is perfectly integrated with the multimodal reporting workstation MedStation and with the other components of e4cure suites by Exprivia, and offers to the physician a complete reporting experience. Thanks to its ergonomy and effectiveness, ecathlab allows time saving for the benefit of a greater attention to the diagnostic investigation or to the interventional procedure. ecathlab has been designed following the guidelines of GISE so that the collected data are compatible with its dataset. Features ecathlab combines into a single reporting environment the needs of different specialties through the management of a single folder, in which the compilation of information in the various specialized fields and in various diagnostic and clinical steps (anamnesis, registration and execution of procedures, reporting) is performed by several professionals (administrative staff, nurses, sanitary technicians and doctors) which refer to the cardiology unit. All patient information is shared among the operators in a single computerized management tool. The intervention phases are divided according to the normal flow of the intervention itself: preexamination assessment, recording of the procedure and compilation of the report. Each phase is traced and is supported by structured documents, which allow the inclusion of free text notes, to provide maximum flexibility.

5 Relazione finanziaria semestrale al 30 giugno 2016 ecathlab has the following components: form for close medical history and pre-procedure evaluation; form for intervention diary; reporting form; specific module for tracking of post-procedure complications; form for stock management with devices traceability. The flexibility of the design tools provided by Exprivia, allows to increase the specificity of models oriented to a pathological form, providing an implementation detail that follows the clinical needs with maximum adherence. Graphical support coupled with representation of intervention phases (pre-, procedure and post- ) allows an accurate tracking of operations, while preserving the needs of visual and compiling immediacy. All the functionalities in support of the service, such as CUP and document repository integration, digital signature, HL7 and DICOM integration and warehouse integration are guaranteed. Thanks to the graphic pattern, it is easier to computerize and report vascular surgery.

6 eward Cardio-CCh The medical record that supports Cardiology and Cardiac Surgery eward for the patient's clinical data management eward is the electronic medical record that supports medical and nursing personnel in the management of hospitalized patient during their care pathway. eward derives from the need to provide a tool for organic and structured management of the patient's hospitalization data, ensuring the support of clinical and healthcare processes and, at the same time, optimizing patient care through sharing and recovery of clinical data. The solution provides all the tools to ensure the management of the entire patient's diagnostic, therapeutic and care pathway in the ward, which normally includes information about clinical assessment (medical history) and nursing (survey of nursing needs), physical examination, integrated clinical diary (medical and nursing), requests management of outpatient services and of diagnostic and specialized tests, (e.g. laboratory, pathology, radiology, etc.), drug prescriptions and biometric measurements, management of nursing activities and management of the discharge letter and of the various clinical / administrative documents related to hospitalization. The medical record of Cardiac Surgery eward has been designed with the aim to provide a unique platform to healthcare facilities, able to meet the requirements that are common to all hospital wards and able to configure and specialize according to the specific needs of single departments. eward Cardio-CCh, realized in collaboration with Gruppo Villa Maria, is one of the specializations capable of handling departments and operational units involved in the path of the "Heart Cycle", covering the entire spectrum of diagnostic and therapeutic activities, such as the compilation of physical examination and medical history, drugs prescription, delivery of care, parameters detection, preparation of the entire clinical documentation including the discharge letter. The solution has all the tools to ensure the management of the entire diagnostic and therapeutic-care process of patients subjected to interventions in Cardiac Surgery including the collection of all the information necessary to perform statistical studies and surveys on the cases treated, and in particular on the actions taken. The solution includes a series of modules with strong "business" characterization (definition of therapeutic plan, management of administrations and surveys, medical and nursing diary, etc.), and a set of customizable modules for the management of specialized medical history, of all the operating data with related report, of Euroscore calculation, of CEC management, etc..

7 Relazione finanziaria semestrale al 30 giugno 2016 The eward workspace provides clinical operators with an environment for the management of their work and allow them to scroll through the list of hospitalized patients. The workspace is realized in a patient-centric mode and provides the caregiver an environment for managing the delivery of care to the individual patient. eward Cardio-CCh: single tool for Cardiac Surgery patients In addition to all the features already present in the standard version of eward, the Cardio-CCh version stands out for some features typical of this specialization: Continuity of care and sharing information between the operational units involved (Hemodynamics, Cardiology, Operating Theatre, Intensive Care, Rehabilitation). Specialized medical history compilation for Cardiac Surgery patients in addition to the general medical history. Inserting data regarding the intervention with details on the type of surgical access, hybrid procedure, intraoperative complications, related surgery report. Gathering of summary data on pre- and intraoperative anesthesia and intensive care. Management of data related to Extracorporeal Circulation CEC for the benefit of the Perfusionists with details on patient data, scheduling, materials, checklists, CEC behavior, etc.. Calculation of Euroscore I and II and Logistics for calculating the operative risk. Extraction and feeding of the main regional and national registers of Cardiac Surgery. Extracting data for scientific studies. Ergonomy and ease of use eward Cardio-CCh guarantees a use in all scenarios related to "Heart Cycle", while moving or at the bedside, with the benefit of mobile devices such as tablet PCs, or in the doctor's office in Hemodynamics as in the ICU or Operating Room, with ability to share reports of analytical laboratory or instrumental diagnostics. For the activities of compilation of patient's data (general and specialized medical history, physical examination, investigations and nursing care), and of planning of therapies and filling out diaries, eward Cardio-CCh can be used from a fixed workstation, that allows you to navigate easily in the pharmaceutical handbook and access to patients clinical documentation. For activities of dosing and detection of vital signs, eward Cardio-CCh supports operators through mobile workstations, which are best suited to the nature of nursing, typically delivered on site or at the bedside.

8 ecardio Information system for Cardiology and Heart Surgery ecardio is the Cardiology Information System developed by Exprivia in order to provide a unique platform for the entire health care facility able to meet the requirements of all outpatient, instrumental and departmental specialties through the use of cutting-edge technologies and solutions. Innovative ecardio typical features of flexibility and integration with diagnostic equipment have enabled the realization of a set of specializations in Cardiology covering a wide range of biometric sources, reporting environments, documentation requirements and specialty automation. ecardio is therefore a complete and comprehensive suite, perfectly integrated within a single application, with extremely high levels of customization potential and further specialization. Components of ecardio suite evisit Cardio: form for outpatient reporting and clinical documentation with modules for Echocardiography, Cardiology Visit, ECG and Holter. Structured reports such as Electrophysiology, Arrhythmology and Electrostimulation complete the application. ecathlab: form for the reporting of Hemodynamics and Interventional Angiography able to manage, in a unique environment, different specialties and diagnostic-clinical steps in charge to the various professionals belonging to the cardiology unit. eward Cardio/CCh: departmental folder specialized in Cardiology and Cardiac Surgery able to manage patient's clinical data and the entire diagnostic and therapeutic care process and to support the medical and nursing staff of the ward. Features Web architecture characterized by high scalability and usability. An advanced environment integrated with diagnostic equipment that allows to extend the PACS system to the processing of biometric signals (such as ECG, Holter etc.), to acquire by non-dicom diagnostics (such as endoscopes, laparoscopes, etc.), to automatically import measures calculated by the equipment. A set of operational tools of outpatient and specialized interest, such as the management of materials (e.g. catheters, endoscopic probes, stents and consumables), the creation of dematerialized recipes, the request for services and consultancies. A departmental electronic medical record, natively integrated with outpatient and instrumental specialties, oriented to the use by the medical and nursing staff while moving, with the help of trucks with touchscreen monitors and mobile devices. A management of structured anamnesis, both general and specialized, integrated with all ecardio modules and e4cure suite. A set of forms dedicated to Cardiac Surgery that realize clinical documentation of the entire patient journey (with tracking of key data and events in the cardio surgical path with extension to the documentation of extracorporeal circulation), with generation of the relative regional flows. The software eward - efolder 2.1 C, and subsequent releases, is a certified Medical Device (93/42/CEE) of class I. The e4cure MedStation 5 C earchive eris evisit 1.9 suite, and subsequent releases, is a certified Medical Device (93/42/CEE) of class IIA. Exprivia Healthcare IT - Reg.Office Via Alcide Degasperi Trento, Italy T info@exprivia.it / V

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