The leading software

The Leading EMR Software for Eye Care worldwide

www.ifasystems.com

ifa4emrwww.ifa4emr.com

ifa4emr

ifa systems AG ifa united i-tech Inc. ifa systems iberia S.L. Augustinusstr. 11 b 1850 SE 17th St. Ste. 107 Cami de Can Manuel 24 50226 Frechen, Germany Ft. Lauderdale, FL 33316, USA 07120 Son Espanyol - Espana phone: +800-43222557 phone: +1-888-4432367 phone: +34-971-438555 www.ifasystems.de www.ifa4emr.com www.ifasystems.es

What you will find inside

This brochure will provide you with detailed information about the most important functions of the

ifa electronic connected medical records system (EcMR).

Here are the highlights:

The ifa company and story

Patient Manager – the patient record navigator and browser

Form Generator – a component to help design your input routines

SmartScreen – the unique customizable user interface for data input

Drawing Tools – two comprehensive ways to graphically document findings

Diagnostic Assistance – ifa data automatically links findings to diagnoses

Trend Graphs – a program module to graph IOP and VA over time

ifaImage – the powerful archiving and capture system for all types of imaging

PeriData – visual field management and analysis

Electronic Record Sample #1 – brief history and examination

Electronic Record Sample #2 – comprehensive history and examination

Automatic Letter Writing – application interface to WORD for letter writing

Special Word Processing Functions – consent forms and ASC documentation

Integration to Diagnostic Instruments – partial list of manufacturers and connected products


Connecting eye care professionals is our business

With over 20 years of experience in the ophthalmic industry, the ifa

team has demonstrated its dedication and commitment to the eye

care professional. We are consistently ahead of the pack. We set

industry standards. We have two decades of proven expertise in the

integration of diagnostic instruments, imaging devices and

administration systems to create a totally connected eye care

practice. And now, ifa systems can connect you to the internet and to

the future.

Let us show you the information technology world for eye care.

ifa systems worldwide

20 years of experience: listening to the

requirements in the eye care field,

understanding the mechanics of an eye

care environment, the delivery of eye

care services with software

20 years of eye care software

development, engineering, consulting

and sales

70 employees dedicated to taking the eye

care business challenges

7,500 eye care professionals (ocular

surgeons, retina and glaucoma

specialists, general ophthalmologists,

technicians and administrators) using the

ifa medical records product every day

180,000,000 patient visits are

documented every day in ifa EcMR


Connecting you to the future with software solutions

Electronic medical records have gained monumental importance in just the last few years. Every day

new advances are made, new standards and expectations are set for record keeping, tracking and

sharing information.

Sooner or later you will have to computerize your practice/your eye clinic industry standards,

insurance companies and government regulations will soon demand it. Wouldn't you benefit from

being prepared for the future? Your partners

ifa systems AG Augustinusstr. 11b 50226 Frechen, Germany fon: +49 2234 93367-0 fax: +49 2234 93367-30

ifa united i-tech Inc. 1850 SE 17th St. Ste. 107 Ft. Lauderdale, FL 33316 USA fon: +1-888-4432367

ifa systems AG Schillerstr. 3 13158 Berlin, Germany fon: +49 30 916077-0 fax: +49 30 916077-20

ifa systems iberia S.L. Cami de Can Manuel 24 07120 Son Espanyol, Espana fon: +34-971-438555

ifa systems informationssysteme für augenärzte GmbH Ziegelfeld 21 3071 Untergrafendorf Austria fon: +43 1-5480048 fax: +43 1-5480048-10


The Patient Manager utilizes browser technology

The “Patient Manager” utilizes the newest Windows browser technology. Designed for the future, the

new “Patient Manager” provides access to every part of the electronic medical record from the

Navigator menu screen. Whether you would like to review notes, prescriptions, letters, visual fields,

images or drawings, you can navigate the entire record from this screen. The “Patient Manager” also

uses ifa’s “SmartScreen”, a trademarked user interfaces technology. All data is entered to the record

through the “Patient Manager” using “SmartScreen” input windows. This concept allows for rapid

concise data entry using your own customized menu routines.

The screen below is the opening menu screen. The center window displays a summary of all stored

events for the patient. This viewer uses HTML technology. Any area underlined is automatically linked

to another document or display.

In this example you can click on a date and review the contents of that day’s examination, phone call,

post-op visit, etc. immediately.

Different default views can be displayed upon opening a patient record

The Form Generator develops comprehensive documentation


The ifa form generator takes any paper examination and transforms it to an active HTML document.

These forms are created in a similar order to your paper records. This helps minimize the learning

curve and reduces the intimidation of the electronic medical record. Data entry is faster. Exam forms

are designed depending on the examination routine you will use.

The form generator lets you design any individual

patient record.

Complete histories are captured quickly; default

values (normals) may be preset.

Past information can be copied forward into today’s

examination and event.

If you need to change forms, simply call up a

different one and the information will automatically

copy into the new form.

The form generator allows each examination to have all

appropriate data fields for a particular level of service.

Design examination forms for post-ops, follow-ups, sub-

specialty routines, etc.

Custom designed forms have designated SmartScreen templates attached to them.

Data entry for routine exams is fast and accurate. The custom forms enhance navigation of data input

and help monitor good practice patterns, all data entry follows your practice’s guidelines.


SmartScreen – the user interface

ifa systems’ unique SmartScreen user interface ensures fast and simple data entry. Data entry is done

intuitively by selecting a “button” on the SmartScreen menu corresponding to a data field in the form.

Buttons are logically linked to the defined fields in the form to prevent errors and to provide random

entry of data. All data such as history, findings, refractions, visual acuity, physician impressions,

treatment plans, and more are quickly entered, captured and displayed using user-defined

SmartScreens and forms.

A complete “Pre-Op LASIK Evaluation” is shown with the three SmartScreens corresponding to the

entire examination form.

Unlimited user defined forms can be created, each with their own specific SmartScreen menus.

There is no limit to the number of SmartScreens per form. However, the goal is to make them as brief

and concise as possible in order to further minimize data input navigation.

Exam forms can be preset with normative data by using “macro” keys. To change an entry, click the

data field and the corresponding SmartScreen buttons will appear with your choices.

You can also copy forward information from a previous visit. The program allows you to copy all data

or select individual sections from the previous exam.

Free text can be entered in every data field area.


Drawings are critical for documentation A drawing program must provide basic features for very quick and simple documentation of graphical

findings. It should also have the ability to provide very detailed information when required. The ifa

medical record employs two complimentary programs. One method uses quick scratchpad graphics

for simple work. The other employs the full features of the ifaImage program. All drawings are

displayed in HTML review windows with the textual findings of the exam note. Drawings can

automatically be merged into referral letters, patient letters or any other hardcopy correspondence

you may require.

Scratchpad

From a Smart-Screen button

simply click your mouse and

the correct “scratch-pad” will

pop up. Use a mouse or a pen

mouse and draw your

findings.

ifaEyeDraw

For a more detailed drawing click “Special Tests” in

the left-hand menu. This opens ifaEyeDraw.

Choose a template (like the one to the right) and

drag & drop retinal symbols or draw freehand.

ifaEyeDraw also allows you to make

drawings on stored pictures. For longitudinal picture

comparisons there is a unique “save as” feature.

You can look at multiple graphical impressions

created from one template or one picture over time.


Trend graphs

The ifa electronic medical record browser automatically generates a graphic trend report of intra-

ocular readings with recorded glaucoma medications. It can also trend visual acuity measurements for

different categories, such as pre-op, post-op, IOL and more.

Simply click the menu choice on the left-hand navigation menu option “visual acuity” or “tonometry”

and choose “graphics” and it will display your results.

IOP trend graph with the corresponding record information

This is an effective graphical tool for patient education and to follow a patient’s progress over time.

This information can be incorporated into a referral letter in WORD for ifa or transmitted in an HTML

document over the internet for co-management purposes.


Digital imaging

The ifa system has the capability of storing any type of image. Your photo slit lamp, fundus camera and

your A/B scan can become an input device to the medical record when combined with a CCD camera

or a flash sync device. These images can be called to the screen, printed or even merged into a referral

letter. Your complex retinal drawings can be combined with FA pictures or fundus pictures. All external

practice documents (letters, tests, insurance cards, etc.) are easily scanned directly into the patient’s

electronic record via a standard scanner.

All kind of images systems can be connected. .

Patient data may be combined with the corresponding OCT files.

More than 400 interfaces are connected to the ifa system.


Special Tests – PeriData a visual field management program The ifa browser and Navigator can be integrated to other applications. The database connects to

various image applications and PeriData for Windows. The program links these foreign applications

making all of the clinical results from the visual field systems (all Humphrey and Octopus perimeters)

available in the examination lane. As soon as the visual field is completed, the results can be sent to

the database and it is ready for your review and management.

PeriData supports all Humphrey instruments and field test strategies. You can have your SITA and

FASTPAC analysis done in the exam lane when you see your patients.

Imagine how efficient this will make the process of performing a field, analyzing the results, making

disease management decisions and documenting your interpretations.


Here is what an electronically recorded exam looks like (Example #1)

Refractive Preoperative Evaluation

Patient.: James Goldfinger Date: 12/22/99 Age: 43 Sex: M

Indication for Surgery: patient has worn glasses for 20 years patient unhappy wearing glasses, no visual complaint patient's vision unchanged, patient cannot see alarm clock Allergies: Past Ocular History: patient has no known allergies no history of eye problems dominant eye OD Eye Medications: Medical Hx: no current eye medications history of asthma Systemic Medications: Family Hx: Proventil (Ventolin, Albuterol) no family systemic or eye illness Social Hx: patient active socially, patient works, patient's occupation is software engineer Current Glasses: Type: single vision since 1998 OD Sph -6.75 Cyl +0.50 Axis 101 OS Sph -8.25 Cyl +2.25 Axis 92 Visual Acuity: DvaOD sc 20/200 cc 20/20 NvaOD sc J11 cc J1 DvaOS sc 20/200 cc 20/20 NvaOS sc J10 cc J1 Manifest Refraction: OD Sph -6.25Cyl Va 20/20 OS Sph -7.50Cyl +1.50 Axis 96 Va 20/20 Cycloplegic refraction OD Sph -6.25Cyl Va 20/20 OS Sph -7.25Cyl +1.50 Axis 96Va 20/20 IOP: Goldmann 09:12a OD 12 mmHg OS 13 mmHg


Slit Lamp Exam: Fundus Exam: round pupils both eyes fundus appears normal both eyes confront. field full to finger counting both eyes full versions both eyes Surgical Plan: normal lids and adnexae both eyes schedule LASIK refractive sx both eyes conjunctiva clear both eyes financial options discussed with patient cornea clear both eyes patient given refractive sx pamphlet normal iris both eyes discussed risks/benefits/alternatives anterior chamber is deep and clear both eyes outcomes & results of surgery explained normal capsule, cortex and nucleus both eyes

The presenting of findings and codes depends on the country and language. Versions are available for USA and Canada, Germany, Austria, Switzerland, the Netherlands, Belgium, Luxemburg, Italy, Spain, the UK.


Here is what an electronically recorded exam looks like (Example #2)

Patient Name: Dirk Shawmut Page 1 DOB: 05/28/1949 ID #: 42950.0

Referral: Dr. Gupta Visit type: follow-up Glaucoma

Chief Complaint:

fluctuating vision started 2 weeks ago right eye itching of eye and/or lid started 2 days ago right eye pain and discomfort in the eye symptom began: 2 weeks ago; symptoms are constant

Ocular Medications:

Xalatan .005% drops (Latanoprost) BID both eyes Timoptic 0.5% (Timolol) discontinue 1 year ago both eyes

Past Medical History:

no past hx of any significant illness appendectomy May 1970

Current Medications:

Prednisone (Deltazone,Sterapred) BID 50mg Allergies:

allergic to Penicillin since 2 years type of reaction; rash

Social History:

patient is married patient lives with spouse does not smoke drinks alcohol moderately

Family History:

glaucoma Grandfather Father diabetes maternal side Aunt high blood pressure Mother

Systems Review:

patient oriented to time, place & person all systems negative


Eye Examination: Visual Acuity:

(DistOD) cc 20/40 +2 sc 20/40 -1 ph 20/30 +2 (DistOS) cIOL cc 20/20 -1 sc 20/20 -2

Tonometry:

Goldmann @ 12:50p OD 18 mmHg OS 21 mmHg Glaucoma Med: Xalatan BID : OU : @6:15 am

Glasses:

Type: bifocal Had since? 1993 OD Sph -1.50 Cyl -0.50 Axis 79Add 2.00Pr Pr OS Sph -1.00 Cyl -0.50 Axis 78 Add 2.00 Pr Pr

Manifest Refraction:

OD Sph -2.00 Cyl -1.25 Axis 95 Add 2.50 Pr Pr Vis 20/40 OS Sph -1.75 Cyl -1.00 Axis 78 Add 2.25 Pr Pr Vis 20/20 no improvement in OD with new refraction, RX not given

Slit Lamp Exam:

normal adnexae both eyes normal eyelids both eyes normal bulbar,palpebral,episcleral/scler both eyes tear film/stroma/epithelium/endothelium were examined both eyes anterior chamber deep and quiet both eyes no chg w/confront. VF since last visit both eyes full versions both eyes ortho near & far both eyes pupils equal both eyes no afferent pupillary defect both eyes nuclear sclerosis 2+ right eye posterior chamber IOL in good position left eye posterior capsule haze 2+ both eyes vitreous floaters 1+ both eyes

FUNDUS EXAM:

dilated with Hyoscine .25% both eyes Dilation time: 11 :30 am by Judy Burger cup to disc ratio is .7 right eye absent disc rim superior(ly) nasal(ly) right eye notching appears to be worsening, no significant change in VF cup to disc ratio is .6 left eye normal macular, vessels and periphery both eyes no holes,tears or retinal detachment both eyes


Diagnoses: angle closure glaucoma, chronic 36523, both eyes condition is stable, not vision threatening, good patient compliance some additional notching in optic nerve, no change in VF Nuclear sclerosis cataract 366.16, right eye condition getting worse, condition would improve w/surgery Posterior subcapsular polar catar. 36602, both eyes condition getting worse, not affecting vision, will cont. to monitor

Impression/Report/Plan: return in three months to see Dr. Donley follow-up & monitor intraocular pressure both eyes recommend phacoemulsification w/IOL right eye discussed risks/benefits/alternatives patient prefers no treatment patient traveling abroad for next few months, will address the need for surgery on the next routine Glaucoma follow-up in 3 months continue current meds, script(s) given Xalatan .005% drop (Latanoprost) BID both eyes

Patient Name: Dirk Shawmut DOB: 05/28/1949

ID #: 42950.0


Automatic letter writing ifa’s automatic letter writing function will do 90 % of your correspondence. Exam findings, diagnoses,

pictures and more can be set to merge automatically with any number of pre-stored letters which can

be printed, faxed or even e-mailed. Of course, the digital letter remains part of your documentation in

the patient’s file. You can also store consent forms and pre-op screening forms that have been

completed “electronically” by the patient. All of the written correspondence or forms you presently

photocopy over and over again can be part of the “Word for ifa” module.

The new “WORD for ifa” application interface lets you enjoy the full word processing features of

WORD and combines it with your entire medical record database. Using standard Windows tools also

allows the user to incorporate WinFax, an Internet browser or other tools in order to communicate

clinical data and results to the outside world.

Above are the examination results “merged” into a referral letter form.


Surgery paperwork and forms The ifa system can be used to create and store the documentation required for legal purposes. The

automated digital forms system simplifies the creation of surgery documentation. Important data

(diagnoses, acuity, allergies, medical history, etc.) can be merged from the patient’s medical record

into the surgery documentation. (*Some experience with Microsoft WORD is required to work with

these forms since it utilizes the “auto text” features of WORD.).

All the information for the reports can be generated with these formats even if the data field does not

exist in the ifa database. For example, blood pressure measurements can be typed into the form

and/or auto text boxes are utilized. Dictation of this information may still be required. However, it can

be transcribed directly to the form, which then becomes part of the patient’s electronic medical

record.

Above is an example of an ASC surgery report in WORD for ifa

*Note: A combination of “merged data” from the ifa database, “auto text drop down” windows and

“auto text boxes” is incorporated into this form to complete the data entry. You need to have a basic

understanding of Microsoft WORD to use these functions.


Integration with diagnostic instruments The ifa systems electronic medical record is the only system currently on the market with more than

400 different interfaces to diagnostic instrumentation. This integration creates productivity through

rapid data transfer of information directly into the record. There will be no more transcription, no

more mistakes and no more lost slips of paper. The only way to create a paperless environment is by

processing all alphanumeric data directly with ifa.

Here is an example of the companies whose instruments are currently interfaced with ifa software.

The list is changing constantly so do not hesitate to contact us if your equipment is not listed.

auto-refractometers, kerato-refractometers and fundus cameras

video slit lamps, Perimeter

imaging systems

lens analyzers, auto phoropters, autorefractors, keratome-ters, NCT, ultrasound

autorefractors, auto phoropters, lens analyzers, video slit lamps

all diagnosis systems

OCT

ultrasound systems, autorefractors, keratometers, lens analyzers, corneal topographers

autorefractors, auto phoropters, lens analyzers, imaging systems, retinal cameras, OCT, video slit lamps

autorefractors, keratometers, lensmeters and perimeters, imaging systems OCTs, video slit lamps, fundus cameras, IOL-Master

The leading software

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