HScribe 5
November 2011
Medica 2011 Presentation
NEW HScribe 5 Key Features & Benefits
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Scalable Solutions: Simple to complex system configurations
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From standalone to a network of workstations that can schedule patients, import recordings,
review, and generate results – all within a shared database
Supports one of the smallest traditional Holter recorders on the market to an
advanced High Fidelity 12-lead Holter recorder
Multiple scanning choices support traditional as well as advanced Holter review
Superior accuracy with Mortara’s VERITAS™ algorithms provides rapid results
Web-based Holter data transfer enables fast turnaround time for remote sites
Bidirectional interface for HL7 or DICOM® automatic orders, data export and billing
Patient monitoring data import for full Holter reporting
User roles and permissions ensure patient data security
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Appropriate tasks can be assigned to each user by the system administrator
Physicians can electronically sign reviewed reports
Audit trails provide regulatory requirements reporting (support HIPAA compliance)
HScribe 5 Holter Analysis System
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Schedule
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Schedule New Patients
• Find existing demographics
• Filter criteria for search
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Hookup
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User Preferences
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System Settings
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Exit
H3+, H12+ CF card, Web
Server, & Surveyor Data
Worklist
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Edit/Modify Patient Data
Prepare recorder with data
Import Recordings
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Review Orders
Imported recordings in wait
Edit, Review, Sign, Export
Find stored Holter exams
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Search Database
New HScribe 5 Modality Manager
The HScribe 5 Holter Analysis system is available
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As a single workstation system that can support up to 4
networked client workstations that can
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Import, review and edit recordings
Review and edit recordings
Import recordings
Roles and User Permissions for
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Exam Groups
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In a distributed configuration where the Modality Manager
resides on a redundant (RAID) server with at least one or
more networked client workstations that can
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Import, review and edit recordings
Review and edit recordings
Import recordings
Patient demographics
Holter Recordings
Archive/Restore
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Separate Holter exam types
Separate User access
Separate report formats and lists
Search and Schedule
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IT and Clinical Administrators
Clinical Coordinators
Holter Clinicians
Physicians (optional electronic sign)
Individual recordings only
Patient demographics only
All patient data with exams
Audit Trails
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Support for HIPAA compliance
First Impression - What’s New?
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New and improved analysis processes and updated VERITAS™ algorithm for Holter
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Dynamic channel switching for all recorded leads (not locked to specific leads)
Each beat is checked for signal quality (lower threshold for noisy beat rejection)
48-Hour recordings are analyzed and reviewed as a single recording
New updated look and feel
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Color-coded waveform (instead of beat background)
Light or Dark background chosen by the user
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Ability to customize the display
• Right/Left Split
• Top/Bottom Split
Beat Editing and Identification
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New ability to insert and delete beats
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New automatic labels
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Ventricular Escape Beat
Unknown Beat
Atrial Paced Beat
Dual Paced Beat
New ‘user-added’ labels
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User may insert a beat label anywhere in the waveform
User may delete an erroneous beat label (T wave, pacer spike, etc.) preserving the
surrounding RR intervals for all calculations
An entire region can be excluded from the analysis
Aberrant
Bundle Branch Block
Fusion
Interpolated
Beat labels on display
QT/QTc Analysis Feature
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Mortara Linear, Bazett, or Fridericia setting choices for QT correction
RR prior, RRc, or RR16 setting choices for RR intervals used with QTc
QT/QTc trending with minimum, mean, and maximum reporting
QT/QTc trends displayed together with heart rate and RR interval trends
A Second Glance - What’s New?
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New analysis features
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New Bigeminy and Trigeminy detection plus other rhythm identification
User-defined rhythms – a label for any rhythm event is possible on a per patient basis
Ventricular and Supraventricular Tachycardia settings and identification
Min/Mean/Max Heart Rate calculated on Normal only or all beats (user-defined)
Expanding on the familiar…
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Expanded “Profile” selections grouped for easy review
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General: Diary Events, HR, RR, Pauses, ST, RR Variance, QT/QTc Analysis, User Defined
Rhythm: Diary Events, HR, Supraventricular Ectopy, Ventricular Ectopy, User Defined
Paced: Diary Events, HR, Atrial, Ventricular, Dual Paced beats, Pacer Failures, User Defined
All: Everything in one display
More Intuitive
Intuitive “Prospective” Scanning
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Stop settings are always
displayed
Superimposition and paging
simultaneous or paging only
Choose any recorded channels
with ability to display all 12leads in the page view
Review & Edit - Histograms
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New Histograms Tab
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RR interval for all beats
Supraventricular Prematurity by %
Pacer Spike  QRS  Pacer Spike
Ventricular Runs (3 or more)
Supraventricular Runs (3 or more)
Supraventricular beat navigation and prematurity %
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No more (confusion with) Supraventricular Templates
Immediate recalculation after a label change
No need to rescan when adjusting prematurity %
Review & Edit – Final Report Strips
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New Strips Tab
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New ability to navigate (hyperlink) to the ECG view by clicking on the strip listing
Same ability to add auto-strips
Improved ability to edit/delete saved strips
Final Report Preparation
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New Summary Tab
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All summary values are editable in this display
Check boxes allow the user to include/exclude sections in the final report output
Summary items with a value and time appear with hyperlinks
Conclusion entry with free-text or a choice of user defined templates and acronyms
Customizable demographics and institution logo
Option to add electronic signature: “Signed By [Physician Name]”
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New HScribe 5 Modality Manager