INFORMATION TECHNOLOGY

Can we provide our own server hardware?

Yes, utilize your preferred vendor for servers, Epiphany will provide specifications based on your testing volume.


How many concurrent users does Cardio Server support?

Cardio Server is scalable from 3 to 250 concurrent users. A concurrent user is not a seat license as with some systems.  Concurrent users apply to anyone accessing the application simultaneously.


Can Cardio Server run in our Citrix environment?

Yes, Cardio Server is compatible with Citrix but we do not require a Citrix environment.


Is Cardio Server compatible with Microsoft .Net architecture?

Yes, Cardio Server is compatible with Microsoft.Net but we do not require it.


Is Cardio Server a pure web, true thin client application?

Yes, Cardio Server is web-browser based.  There is no client.  All functions such as reading, editing, and printing can be done from any PC on your network subject to user privileges.   No downloadable applets are required and all terminals on the network have full functionality.


What does it mean to be "pure web"?

Pure web means Cardio Server runs in a standard web browser environment without ActiveX, Flash, or .Net.  Pure web means interventionalists read STEMI with the previous ECGs on an iPhone.


Is Cardio Server available with mirrored dual redundant server technology with automatic failover?

Yes; for users concerned with an enterprise wide critical system failure, a dual redundant server installation with automatic failover is often considered a necessity.


Can we use our existing VPN technology for remote access to Cardio Server?

Yes; VPN is an excellent way to provide physicians and others access to their ECG data from home or office.


Can we use our existing SAN, NAS, tape, etc. backup system with Cardio Server?

Yes; simply add Cardio Server to your regular backup procedures.


Can we use our existing SAN for the live database storage?

Yes.


Does Cardio Server support Active Directory for single sign on and authentication?

Yes.


Is LDAP based authentication compatible with Cardio Server?

Yes.


Is our preferred virus protection plan compatible with Cardio Server?

Yes, Cardio Server is a web application running on your infrastructure.



What database program does Cardio Server use?

Cardio Server utilizes File Maker Pro Sever 8 Advanced edition, which is XML, ODBC, and JDBC compliant.


How much system administrator support is required by Cardio Server?

Cardio Server requires little day-to-day maintenance.  Chief maintenance tasks include patch management, backup oversight, virus protection maintenance and periodic log review.  Note that these recommended practices are generally no different than standard support for any other server – Cardio Server does not require specialized “care and feeding.”


Can Cardio Server take orders from and send results (including waveforms) to our HIS?

Yes, in most cases.  Cardio Server has its own, internally developed HL7 tool that allows us to customize inbound and outbound HL7 messages to your specifications.  Currently deployed interfaces include: Meditech Magic and Client Server, Cerner, McKesson, Siemens, GEMMS, EPIC, Opus, MedWinSys, Duke University Browser, Lumedx Apollo.  The interfaces continue to grow; our web site maintains an up-to-date listing.


Can I view ECG data within my cardiology PACs system?

Yes, in most cases.  Cardio Server supports a Web API link and other technologies to receive requests from cardiology PACs to display 12-lead ECGs and other reports within the PACs viewer.


What is a Web API (application interface)?

A Web API is the interface that an application provides in order to allow requests for services to be made of it by other computer programs, and/or to allow data to be exchanged between them.  In the case of Cardio Server, a Web API could be used to access ECGs from your PACS.


Is an extra computer required to interface to third-party cardiographs such as GE, Philips, Burdick, etc.?

No, all of Cardio Server's interface modules are fully integrated into our application.


 
 
CUSTOMER SUPPORT AND IMPLEMENTATION

Have any GE MUSE or Philips TraceMaster customers switched to Epiphany?

Yes, we have migrated over two million ECG's from MUSE and TraceMaster.

 

 

How many companies are involved in producing, delivering, and supporting Epiphany products?

One.  Epiphany is responsible for the development, implementation, and support of our products.


Does Epiphany provide 24/7 support?

Yes, with staff on both coasts.


Are upgrades, updates, new versions etc. included in the support agreement?

Yes, Epiphany is the only provider in the ECG management market that keeps your application current for as long as you maintain the software-support agreement.  Third-party license upgrades such as Microsoft Operating systems are the user's responsibility.


Do you have local support for our installation?

Yes and no.  If you provide your own server hardware, then your IT department is the front line of hardware support and Epiphany provides secure, remote-software support.  If Epiphany provides your server hardware, then Dell supports your hardware locally and, as above, Epiphany provides remote-software support.  Our entire application can be remotely installed and entirely rebuilt in the event of a catastrophic failure.  We support systems in Alaska, Florida, Canada, Australia and Europe from our engineering facility in Durham NC.


 
 
CLINICAL

Does Cardio Server only store ECG data?

No, Cardio Server manages data from twelve different modalities including: resting ECG, 12-lead ECGs from bedside monitoring, Holter, stress testing, event monitoring, pacemaker follow-up, cardiac rehab, defibrillators, PFT, ambulatory blood pressure, oximetry, EEG, non-invasive vascular.  We are eager to add other modalities that you may require.


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 4 million ECGs or more.


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.


Can you interface to my existing Quinton QStress, GE CASE, Philips StressVue, CH2000, etc. stress testing system?

Yes, we interface to all major suppliers of stress systems.  Check our website for the current list of interfaces.


Can you accept reports from my Del Mar, Zymed, Rozinn, etc. Holter system?

Yes, we interface to all major suppliers of Holter systems.  Check our website for the current list of interfaces.


Can Cardio Server take 12-lead ECG data from my bedside monitors?

Yes, we are compatible with Philips, Spacelabs, GE, and Siemens bedside monitoring.


What tools does Cardio Server offer to encourage on-line interpretation?

Cardio Server provides the most comprehensive editing functions in the industry including: drop down menus with check boxes, free text, acronyms or abbreviations, voice recognition support, and electronic calipers.  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 let each reading physician customize their own list for each supported modality.


Did you develop your own 12-lead ECG interpretive algorithm?

No, Epiphany utilizes the University of Glasgow algorithm which has a 25-year history and is considered to be one of the three best ECG algorithms in the world.  The other two algorithms that would be included in the top three are GE and Philips.  The University of Glasgow algorithm is utilized by many vendors including: Siemens, Heartlab, Cardiac Science (Burdick and Quinton), and others.


Whose 12-lead ECG interpretive algorithm do you use?

Epiphany utilizes the University of Glasgow algorithm which has a 25-year history and is considered to be one of the three best ECG algorithms in the world.  The other two algorithms that would be included in the top three are GE and Philips.  The University of Glasgow algorithm is utilized by many vendors including: Siemens, Heartlab, Cardiac Science (Burdick and Quinton), and others.


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, it is a standard part of the University of Glasgow algorithm.


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, Marquette, HP, Burdick, etc.)?

Yes, serial comparison works with legacy cardiographs without interfering with the original interpretations and measurements from those devices.


As we buy or and upgrade existing equipment will Cardio Server be compatible and be able to take advantage of the new features?

This is more a question for your equipment and device suppliers.  If they are open in design, if they update their export functions to include the new features, and if they continue to export their data, then we will continue to be compatible.  Cardio Server currently accepts data from over 50 devices, in 12 different modalities, from over 30 vendors.  If this issue has been raised by a competitor, doesn't that speak volumes about their attitude regarding open architecture?


Can Cardio Server send orders to cardiographs?

Yes and no, this is more a question for your equipment and device suppliers.  Epiphany can send orders via wireless and direct connection to our Cardio WiFi.  We also have the orders format for Mortara and Schiller 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" and not a real ECG management system?

Cardio Server is a real ECG management system as evidenced by its management features.  Cardio Server stores the raw ECG file, provides workflow, allows physician on-line editing, supports automatic printing and report distribution, offers electronic calipers, and tallies procedures for management reporting.


Is Cardio Server a read-only system or can I edit my files?

Cardio Server provides the most comprehensive editing functions in the industry including drop down menus with check boxes, free text, acronyms or abbreviations, voice recognition support, and electronic calipers.  Cardio Server accommodates unique favorites for each physician in each modality.


Does Cardio Server store the raw ECG file or just a picture (PDF) of the 12-lead ECG?

Cardio Server stores the raw ECG file in its original format, in our binary format, and as a vector-scalable PDF.


Can Cardio Server provide on-line 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 on-line 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, GE, Philips, Siemens, Heartlab, and Cardiac Science all use Datamed.  The patient monitoring divisions 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 TraceMaster.


 
 
EPIPHANY CARDIOGRAPHY PRODUCTS, LLC

Does Cardio Server have 510(k) FDA registration?

Yes, Cardio Server received its 510(k) registration as a Class ll device in November, 2005.  Click here to view our letter of acceptance.  A copy of the registration is also 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 at Duke University in 2001.


How many employees does Epiphany have?

Our staff includes direct and contract employees numbering over 40 and growing.


Does Epiphany own the license to Cardio Server?

Yes.


 
 
OTHER INQUIRIES

Have a question not answered by our FAQ?  Click here to contact us.  We will respond to your inquiry as soon as possible.


 
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