Review and Editing of Previous Reports, Cohort Reporting, Help and Operator’s Manual
The User Menu Options screen, Figure 6.2, supports user access and editing of previously created reports, compilation of Patient Report statistics into Excel based cohort reports, help and display of this manual. These functions are described in the following sections.
Previous Reports – PDFs
Clicking on the “Open Report (.pdf)” button will display a list of previous studies, Figure 9.1.
Figure 9.1. Select / Display previous final reports.
The selection window includes the prescribing physician. If the record has been over read, the over reading physician’s name and record status (e.g. Abnormal) are shown. Filters are also available to support rapid access to specific patients. For example if Dr. Jones is over reading tests ordered by Dr. Smith that have not yet been over read, entering the Prescriber name and Status of Unconfirmed, and clicking Filter, will present the updated filtered list of pending tests.
NOTE: For tests completed using Cardea SOLO™ ADX S400 software versions prior to Version 3.x, the Prescribing, Reviewer and Status information is not available and they will be blank in the display.
Double clicking on a name, or highlighting a name and clicking “Accept” will retrieve and open the associated previous PDF report. Clicking the column headers, e.g. Last Name or Date of Test, will sort the list.
Quick Patient Status Summary
- The Select / Display functionality in Section 9.1 above also supports rapid compilation of summary data and creation of an Excel report. Use the filters to select the relevant tests and click on the Recording Start Date column header to organize by date.
- Next, Select the tests to be compiled. You can select individual items by holding down Ctrl key and clicking each test of interest. Alternatively, select a group by first selecting a test, scrolling to the last test of interest, and hold down the Shift key and click on the last test – all tests between the first and last test are highlighted. Once the tests of interest have been highlighted, Right-click on any of the selected tests and select “Copy to Clipboard” from the pop-up menu.
- Open Excel, place the cursor where you want the table to be pasted, and select Paste (or Ctrl-v).
Previous Reports – Full Disclosure ECG
- Clicking the “Open TraceViewer” button will present a patient report selection window, see figure 8.1 above.
- Selecting a patient record will next display the full disclosure information in TraceViewer, see Section 7.1 ECG Trace Review above.
- Additional rhythm strips can be added to / deleted from the final report and beat classifications can be edited, following the instructions in Section 7.1 above.
- The PDF report will automatically be updated and displayed if changes have been made.
- Setting Beats To Noise. Beats that are marked as Noise and automatically processed following closure of TraceViewer can only be restored by re-processing the patient’s Sensor Electronics Module. Refer to Section 6.
Edit Demographics
The “Edit Demographics” button presents the patient selection window, see Figure 9.1 above. Following selection of the patient record the demographic screen is presented, filled-in with the information entered during initial processing, See Section 6.2.3. All fields and diary entries can be edited, added or removed. Clicking the “Done” button updates the ECG analysis and the associated updated final PDF report is displayed.
Over-Reading and Confirming Diagnosis
- Clicking the “Edit Dx” button will present the Select Patient report window, see Figure 9.1 above.
- Selecting a patient record will next display the associated report PDF and the Edit Dx window, see Section 7.3 Edit Dx above.
- The Initial Findings and Clinical diagnosis or notes may be entered or edited.
- False postitive findings of atrial fibrillation or ventricular tachycardia can be deleted. And, the status of the findings (Normal, Borderline, Abnormal) can be set. See Section 7.3 above.
- Clicking “Update” will update the PDF with the specified changes. The Software will return to the Select Patient window for confirming additional patient reports.
Operator’s Manual
Clicking the “Operator’s Manual” button on the User Menu Options screen will retrieve and open this manual.
Help About
Clicking the “Help About” button on the User Menu Options screen will display System information and Cardiac Insight contact information. The following screen will be displayed.
Figure 9.2. Help About screen.
- Cardea SOLO™ ADX S400 software version is displayed as Version 4.1.0.7. If a Smart Cable is connected to the PC, firmware release level is shown as Rev 19.
- If Electronics Module is inserted in the Smart Cable cradle, firmware release level of the electronics is displayed as Rev 001.001.20. Cardiac Insight may request this information in case of Service or Support call.
- Selecting the End User License Agreement link displays the agreement accepted during the installation process (see section 2.4).
- Should you need help, or have any questions, click on the Contact Us hyperlink to view contact information for Cardiac Insight. The PC must be connected to the Internet.
- The Cardiac Insight URL is: http://www.cardiacinsightinc.com/contact-us/
- The Toll-free phone number is: 866-554-3751.
Cohort Reporting
- Clicking the Excel Summary button, Figure 6.2 above, presents the Patient Selection window (See Section 8.1 above).
- The standard Windows commands are available for selecting patients: CTRL-Click adds the selected patient to the growing selection; Shift-Click selects all the patients from the last click to the current click.
- The filter buttons can be used to narrow the list to patients with specific characteristics.
- Following selection of the patient folders, click the “Accept” button. The System will next display the available Excel templates.
- Select the appropriate template. The System will extract the fields from all the selected patient records, fill-out the Excel template and prompt you with the Windows File Save tool.
- The available reporting data fields and descriptions are listed below.
| Field Name | Description |
|---|---|
| LastName | Patient’s Last Name |
| FirstName | Patient’s First Name |
| PatientID | Patient ID / Medical Record Number |
| Gender | Gender |
| DOB | Date of Birth |
| Weight | Patient Weight |
| Height | Patient Height |
| DateFormat | Date Format |
| Units | Units of measure |
| SensorID | Sensor Serial # |
| RecordingStartDate | Recording Start Date |
| RecordingStartTime | Recording Start Time |
| RecordingEndDate | Recording End Date |
| RecordingEndTime | Recording End Time |
| Interpretation | Physician’s diagnosis |
| SummaryFindings | Findings created by S400 |
| EditedSummaryFindings | S400 Finding post physician review and edit |
| RecordStatus | Unconfirmed, Normal, Borderline or Abnormal |
| ConfirmationDate | Date record was confirmed |
| ConfirmingDr | Confirming / Over reading physician |
| ConfirmingDrID | Confirming physicians EMR ID |
| OrderNumber | EMR Order Number |
| SlumberSleep | Nominal time patient goes to sleep |
| SlumberWake | Nominal time patient wakes up |
| PrimaryIndication | Reason for test |
| PrescribingClinician | Prescribing Clinician |
| PrescribingClinicianID | Prescribing Clinician’s EMR ID |
| ReferringPhysician | Referring Physician |
| Location | Location or Name of the clinic |
| ReportTitle | Report Title |
| WearTime | Duration of wear (days, hours, minutes) |
| WearTimeMin | Duration of wear in minutes |
| PercentAnalyzable | Percent of the record that could be analyzed |
| PatientTriggers | Number of patient event button presses |
| NSPercent | NSR Percentage of the recording |
| NSAvgHR | NSR Average Heart Rate |
| NSAvgMaxHR | Maximum HR during NSR |
| NSAvgMinHR | Minimum HR during NSR |
| NSAvgHRAwake | Average NSR HR during awake |
| NSMaxHRAwake | Maximum NSR HR during awake |
| NSMinHRAwake | Minimum NSR HR during awake |
| NSAwakeBradPercent | Percent of NSR record with HR < 50 during awake |
| NSAwakeTachPercent | Percent of NSR record with HR > 100 during awake |
| NSAwakePVCPercent | Percent of the total # PVC beats / # total beats, during awake NSR |
| NSAwakePACPercent | Percent of the total # PAC beats / # total beats, during awake NSR |
| NSAwakeBiTriPercent | Percent of # PVC beats in Bi/Trigeminy / # total beats, during awake NSR |
| NSAwakePauseCount | Number of pause events during awake NSR |
| NSAwakePauseAveDur | Average pause duration during awake NSR |
| NSAwakePauseLongDur | Longest pause during awake NSR |
| NSAvgHRSleep | Average NSR HR during sleep |
| NSMaxHRSleep | Maximum NSR HR during sleep |
| NSMinHRSleep | Minimum NSR HR during sleep |
| NSSleepBradPercent | Percent of NSR record with HR < 50 during sleep |
| NSSleepTachPercent | Percent of NSR record with HR > 100 during sleep |
| NSSleepPVCPercent | Percent of the total # PVC beats / # total beats, during sleep NSR |
| NSSleepPACPercent | Percent of the total # PAC beats / # total beats, during sleep NSR |
| NSSleepBiTriPercent | Percent of # PVC beats in Bi/Trigeminy / # total beats, during sleep NSR |
| NSSleepPauseCount | Number of pause events during sleep NSR |
| NSSleepPauseAveDur | Average pause duration during sleep NSR |
| NSSleepPauseLongDur | Longest pause during sleep NSR |
| AFPercent | Percent of the record characterized as Atrial Fibrillation (AF) |
| AFAvgHR | Overall average heart rate during AF |
| AFAvgMaxHR | Maximum HR during AF |
| AFAvgMinHR | Minimum HR during AF |
| AFAvgHRAwake | Average HR during awake AF |
| AFMaxHRAwake | Maximum HR during awake AF |
| AFMinHRAwake | Minimum HR during awake AF |
| AFAwakeBradPercent | Percent of record with HR < 50 during awake AF |
| AFAwakeTachPercent | Percent of record with HR > 100 during awake AF |
| AFAwakePVCPercent | Percent of the total # PVC beats / # total beats, during awake AF |
| AFAwakePauseCount | Number of pause events during awake AF |
| AFAwakePauseAveDur | Average pause duration during awake AF |
| AFAwakePauseLongDur | Longest pause during awake AF |
| AFAvgHRSleep | Average HR during sleep AF |
| AFMaxHRSleep | Maximum HR during sleep AF |
| AFMinHRSleep | Minimum HR during sleep AF |
| AFSleepBradPercent | Percent of record with HR < 50 during sleep AF |
| AFSleepTachPercent | Percent of record with HR > 100 during sleep AF |
| AFSleepPVCPercent | Percent of the total # PVC beats / # total beats, during sleep AF |
| AFSleepPauseCount | Number of pause events during sleep AF |
| AFSleepPauseAveDur | Average pause duration during sleep AF |
| AFSleepPauseLongDur | Longest pause during sleep AF |
| PauseTotalCount | Total # pauses |
| LongestPause | Longest pause |
| NumberOfHeartBlocks | Number of 2nd degree Heart Block episodes (Mobitz II) detected |
| NumberOfCompleteHeartBlocks | Number of Complete Heart Blocks (3rd Degree) detected |
| NumberOfWenckebachHeartBlocks | Number of 2nd degree Heart Block episodes (Mobitz I) detected |
| HBLongestDurationSeconds | Longest episode duration of Mobitz II |
| CHBLongestDurationSeconds | Longest episode duration of Complete Heart Block 3rd Degree |
| WHBLongestDurationSeconds | Longest episode duration of Mobitz I |
| HBBurden | Mobitz II Burden |
| CHBBurden | Complete Heart Block Burden |
| WHBBurden | Mobitz I Burden |
| SVTAwakeCount | Number of SVT events during awake |
| SVTAwakeAveHR | Average SVT HR during awake |
| SVTAwakeAveDur | Average SVT duration during awake |
| SVTSleepCount | Number of SVT events during sleep |
| SVTSleepAveHR | Average SVT HR during sleep |
| SVTSleepAveDur | Average SVT duration during sleep |
| SVTNumEpisodes | Number of SVT episodes |
| VTNumEpisodes | Number of VT episodes |
| VTAwakeCount | Number of VT events during awake |
| VTAwakeAveHR | Average VT HR during awake |
| VTAwakeAveDur | Average VT duration during awake |
| VTSleepCount | Number of VT events during sleep |
| VTSleepAveHR | Average VT HR during sleep |
| VTSleepAveDur | Average VT duration during sleep |
| PACIsoCnt | Total number of isolated PACs in the record |
| PACCoupletsCnt | Total number of PAC couplets in the record |
| PACTripletsCnt | Total number of PAC triplets in the record |
| PACTotalBurden | Total PAC burden (# PACs / Total # beats) |
| PVCIsoCnt | Total number of isolated PVCs in the record |
| PVCCoupletsCnt | Total number of PVC couplets in the record |
| PVCTripletsCnt | Total number of PVC triplets in the record |
| PVCNSTotalBurden | Total PVC burden (# PVCs / Total # beats) during NSR |
| PVCAFTotalBurden | Total PVC burden (# PVCs / Total # beats) during AF |
| SVTPACBurden | Percent of SVT beats / Total # beats |
| VTPVCBurden | Percent of VT beats / Total # beats |
| PVCMaxDayCnt | Maximum number of PVCs in any 24 hour period. |
| PVCMaxHrCnt | Maximum number of PVCs in any 1 hour period. |
| VBiGemPercent | Total bigeminy PVC burden (%) |
| VBiGemLongest | Longest bigeminy duration |
| VTriGemPercent | Total trigeminy PVC burden (%) |
| VTriGemLongest | Longest trigeminy duration |
| VBiTriGemTotalPercent | Total percent of ventricular Bi & Trigeminy. |
| AwakeBeats | Total # of beats detected during awake |
| SleepBeats | Total # of beats detected during sleep |
| AtrialGemBurden | Atrial Geminy Burden (%) |
| STDeviation | Maximum ST Deviation |
| STDuration | Maximum ST Duration |
| STNumEpisodes | Number of ST episodes |
| NumberOfRToRIntervals | Number of valid RR intervals |
| RatioSVE1EventsToRRIntervals | Percent of record with isolated PACs |
| RatioSVE2EventsToRRIntervals | Percent of record with PAC couplets |
| RatioSVE3EventsToRRIntervals | Percent of record with PAC triplets |
| RatioVE1EventsToRRIntervals | Percent of record with isolated PVCs |
| RatioVE2EventsToRRIntervals | Percent of record with PVC couplets |
| RatioVE3EventsToRRIntervals | Percent of record with PVC triplets |
Custom Excel templates can be readily constructed using the Master Template, located in the program installed folder (e.g. C:\Program Files\Cardiac Insight\CARDEA SOLO™ ADX S400\Excel Templates\Master Template.xlsx). The Master Template contains all of the above data field definitions and descriptions. The first 7 fields are shown in the below.
Figure 9.3. Example of the Master Template first few columns.
CARDEA SOLO™ ADX S400 looks up data using field names in row 1. Row 2 describes each field. Delete unnecessary fields and rearrange columns. Hide the first row. Save the new template in Excel Template folder with a new name, without overwriting Master Template.
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