Medical Dynamics Master Database 

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Intelligent management and control of Clinical Data.

Cardio-Fusion is a new and unique way to bring together patient data:

Cardio-Fusion provides a “Data Warehouse” for all your information needs.  A proprietary “Fusion” process monitors each department in the network.  When cases are completed the patient’s information is brought to a central point, interpreted into a common set of data elements (or data points).  The information is also stored in it’s original form.  Storing the information in original form provides a perfect “audit trail”. 

Cardio-Fusion Provides the following functionality:

1.                  Accepts patient case files from Stress, ECG, Holter, Cath, Thoracic Surgery, Rehab, Special Procedures, Inventory, EP, and other departments.  The case data must be provided in a common industry standard format and deposited in a location Cardio-Fusion can physically access (must be located on the Hospital Network and Cardio-Fusion must have permission to access it.  File formats currently in production:

a.                  ASCII

b.                  XML

c.                  HL7

d.                  Binary

e.                  Direct SQL or MS Access communication

f.                    Excel, Lotus, Dbase and other standards.

g.                  Other formats created by IS departments may involve some custom programming

2.                  Accepts HL7 ADT messages held in a common pool for all departments on the Data Wheel to reference.  Significant cost savings to the Hospital can occur by eliminating numerous HL7 ADT interfaces to the departments.

3.                  Interfaces developed over  the last 10 years and in production include:

a.         Quinton QCath   CSV files

b.         Quinton XML import for Stress is complete

c.         Marquet/GE Maclab, Midas and Maclab 7000

d.         Siemens

e.         Mennen

f.          Camtronics/ADAC

g.         Witt

h.         HL7 ADT, Reporting and others

i.          Gould

J.         Outbound interfaces include Hospital IS, HBOC Lawson, ACC, STS, and various State registries and associations.

Cardio-Fusion Connectivity

The Cardio-Fusion Data Wheel provides the following connectivity:

Cardio-Fusion Workflow

1.         Departments perform a procedure or procedures on a patient.  When complete they “Discharge” a file with case information to a location designated by IS or the Hospital.  This usually occurs automatically under control of the instrument (Stress, QCath etc.) they performed the procedure with. 

2.         Cardio-Fusion continuously “POLLS” all departments on the Data Wheel setup until a new file is found.  When found, Cardio-Fusion initiates a special loader which analyzes the data and deposits it in the Cardio-Fusion SQL server in a common query accessible format. 

3.         The collected data is then checked for “Re-Distribution” needs.  If required, the data is then “DISTRIBUTED” to other databases or Hospital locations using various “DATA DISTRIBUTORS” (Cardio-Fusion components).

4.         Reports can be generated using the reporting facility.  The complete patient experience with all departmental encounters can be displayed.  Various PDF final reports along with various image files may be displayed and reported on. 

Additional Comments

►  Cardio-Fusion only needs a high-end workstation to perform polling and loading processes. 

      ►  Access by network to all departments should be available

► Each department must be capable of discharging an industry standard case file to the prescribed network location.  Custom file imports are available if needed. 

► A Cardio-Fusion compatible loader will be available for loading each department’s files.  Many of these are standard Medical Dynamics offerings.  Others are available as options. 

► The Hospital IS department can provide SQL Server licensing (Available form Meddyn if necessary), a properly functioning network, a Server with sufficient capacity for Cardio-Fusion, and daily data backups.     

Overall Outcomes Analysis:

Cardio-Fusion provides the capability of merging any medical data furnished in numerous diverse formats (see below) into a common data collection and querying database.  It uses the Medical Dynamics “Data Wheel” concept to “Poll” various interfaces.  If data is found, the central data warehouse is updated.  References to DICOM, PDF and XML files associated with case data are maintained when referenced in the patient case file.  Once the Data is in the Cardio-Fusion Data Warehouse it can be sent to other departments (QA, Purchasing, Reporting) by a unique data distribution process.  You can tell the Data Distributor (through a simple setup process) to send selected patient information or summary information from the central hub to various Hospital databases.  Usually this is done with simple network transfers but can be in the popular HL7 format.