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. Yes, Cardio Server is compatible with Citrix but we do not require a Citrix environment. Yes, Cardio Server is compatible with Microsoft.Net but we do not require it. 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. 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. Yes; for users concerned with an enterprise wide critical system failure, a dual redundant server installation with automatic failover is often considered a necessity. Yes; VPN is an excellent way to provide physicians and others access to their ECG data from home or office. Yes; simply add Cardio Server to your regular backup procedures. Yes. Yes. Yes. Yes, Cardio Server is a web application running on your infrastructure.
Cardio Server utilizes File Maker Pro Sever 8 Advanced edition, which is XML, ODBC, and JDBC compliant. 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.” 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. 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. 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. 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. 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. 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. 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. 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. Yes, we interface to all major suppliers of stress systems. Check our website for the current list of interfaces. Yes, we interface to all major suppliers of Holter systems. Check our website for the current list of interfaces. Yes, we are compatible with Philips, Spacelabs, GE, and Siemens bedside monitoring. 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. 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. 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. 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. Yes, Epiphany displays the interpretive statements and measurements generated by your existing cardiographs. Yes, it is a standard part of the University of Glasgow algorithm. Yes, migrated ECG data is received in Cardio Server as though it was originally processed by Epiphany. Yes, serial comparison works with legacy cardiographs without interfering with the original interpretations and measurements from those devices. 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? 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. Yes, Epiphany displays the interpretive statements and measurements generated by your existing cardiographs. Yes, the format saved by your cardiograph is presented in Cardio Server. 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. 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. Cardio Server stores the raw ECG file in its original format, in our binary format, and as a vector-scalable PDF. Yes, since we transfer the raw ECG file to Cardio Server new measurements can be made with our on-line calipers. Yes. 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. Yes, the first sentence of Cardio Server's 510(k) registration states that it is available as a software-only application. Cardio Server was first deployed for use at Duke University in 2001. Our staff includes direct and contract employees numbering over 40 and growing. 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. |