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ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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 can connect you to the internet and to the
future.
Let us show you the information technology world for eye care.
ifa 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
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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 AGAugustinusstr. 11b50226 Frechen, Germanyfon: +49 2234 93367-0fax: +49 2234 93367-30
ifa united i-tech Inc.1850 SE 17th St. Ste. CFt. Lauderdale, FL 33316fon: +1 954 7131476
ifa systems AGSchillerstr. 313158 Berlin, Germanyfon: +49 30 916077-0fax: +49 30 916077-20
ifa united i-tech Inc.5960 Fairview Ave.Charlotte, NC 28210fon: +1 704 3454811
ifa systemsinformationssysteme füraugenärzte GmbHZentagasse 40-421050 Vienna, Austriafon: +43 1 –5480048fax: +43 1 –5480048-10
ifa systems AGCalle Manuel Herrera 139Santiago de SurcoLima – Peru
DMS/ifa USA9201 Sunset Blvd. Suite 709Los Angeles, CA 90069USAFon: +1 866 4600593
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
SmartScreen – the user interface
Ifa’s 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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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 beconnected.
.
Patient data may be combined withthe corresponding OCT files.
More than 400 interfaces areconnected to the ifa system.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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 yearspatient unhappy wearing glasses, no visual complaintpatient'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 1998OD Sph -6.75 Cyl +0.50 Axis 101OS Sph -8.25 Cyl +2.25 Axis 92
Visual Acuity:DvaOD sc 20/200 cc 20/20 NvaOD sc J11 cc J1DvaOS sc 20/200 cc 20/20 NvaOS sc J10 cc J1
Manifest Refraction:OD Sph -6.25Cyl Va 20/20OS Sph -7.50Cyl +1.50 Axis 96 Va 20/20Cycloplegic refractionOD Sph -6.25Cyl Va 20/20OS Sph -7.25Cyl +1.50 Axis 96Va 20/20
IOP:Goldmann 09:12a OD 12 mmHg OS 13 mmHg
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
Slit Lamp Exam: Fundus Exam:round pupils both eyes fundus appears normal both eyesconfront. field full to finger counting both eyesfull versions both eyes Surgical Plan:normal lids and adnexae both eyes schedule LASIK refractive sx both eyesconjunctiva clear both eyes financial options discussed with patientcornea clear both eyes patient given refractive sx pamphletnormal iris both eyes discussed risks/benefits/alternativesanterior chamber is deep and clear both eyes outcomes & results of surgeryexplainednormal capsule, cortex and nucleus both eyes
The presenting of findings and codes depends on the country and language. Versions are availablefor USA and Canada, Germany, Austria, Switzerland, the Netherlands, Belgium, Luxemburg, Italy,Spain, the UK.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
Here is what an electronically recorded exam looks like (Example #2)
Patient Name: Dirk Shawmut Page 1DOB: 05/28/1949ID #: 42950.0
Referral: Dr. Gupta Visit type: follow-up Glaucoma
Chief Complaint:fluctuating vision started 2 weeks ago right eyeitching of eye and/or lid started 2 days ago right eyepain and discomfort in the eyesymptom began: 2 weeks ago; symptoms are constant
Ocular Medications:Xalatan .005% drops (Latanoprost) BID both eyesTimoptic 0.5% (Timolol) discontinue 1 year ago both eyes
Past Medical History:no past hx of any significant illnessappendectomy May 1970
Current Medications:Prednisone (Deltazone,Sterapred) BID 50mg
Allergies:allergic to Penicillin since 2 yearstype of reaction; rash
Social History:patient is marriedpatient lives with spousedoes not smokedrinks alcohol moderately
Family History:glaucoma Grandfather Fatherdiabetes maternal side Aunthigh blood pressure Mother
Systems Review:patient oriented to time, place & personall systems negative
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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 mmHgGlaucoma Med: Xalatan BID : OU : @6:15 am
Glasses:Type:bifocal Had since? 1993OD Sph-1.50 Cyl-0.50 Axis 79 Add2.00 Pr PrOS Sph-1.00 Cyl-0.50 Axis 78 Add2.00 Pr Pr
Manifest Refraction:OD Sph-2.00 Cyl-1.25 Axis 95 Add2.50 Pr Pr Vis 20/40OS Sph-1.75 Cyl-1.00 Axis 78 Add2.25 Pr Pr Vis 20/20no improvement in OD with new refraction, RX not given
Slit Lamp Exam:normal adnexae both eyesnormal eyelids both eyesnormal bulbar,palpebral,episcleral/scler both eyestear film/stroma/epithelium/endothelium were examined both eyesanterior chamber deep and quiet both eyesno chg w/confront. VF since last visit both eyesfull versions both eyesortho near & far both eyespupils equal both eyesno afferent pupillary defect both eyesnuclear sclerosis 2+ right eyeposterior chamber IOL in good position left eyeposterior capsule haze 2+ both eyesvitreous floaters 1+ both eyes
FUNDUS EXAM:dilated with Hyoscine .25% both eyesDilation time: 11 :30 am by Judy Burgercup to disc ratio is .7 right eyeabsent disc rim superior(ly) nasal(ly) right eyenotching appears to be worsening, no significant change in VFcup to disc ratio is .6 left eyenormal macular, vessels and periphery both eyesno holes,tears or retinal detachment both eyes
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
Diagnoses:angle closure glaucoma, chronic 36523, both eyescondition is stable, not vision threatening, good patient compliancesome additional notching in optic nerve, no change in VFNuclear sclerosis cataract 366.16, right eyecondition getting worse, condition would improve w/surgeryPosterior subcapsular polar catar. 36602, both eyescondition getting worse, not affecting vision, will cont. to monitor
Impression/Report/Plan:return in three months to see Dr. Donleyfollow-up & monitor intraocular pressure both eyesrecommend phacoemulsification w/IOL right eyediscussed risks/benefits/alternativespatient prefers no treatmentpatient traveling abroad for next few months, will address theneed for surgery on the next routine Glaucoma follow-up in 3 monthscontinue current meds, script(s) givenXalatan .005% drop (Latanoprost) BID both eyes
Patient Name: Dirk ShawmutDOB: 05/28/1949ID #: 42950.0
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 b
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.
ifa united i-tech Inc. ifa united i-tech Inc. ifa systems AG1850 SE 17th St. Ste. C 5960 Fairview Ave. Augustinusstr. 11 bFt. Lauderdale, FL 33316 Charlotte, NC 28210 50226 Frechen, Germanyphone: +1-954-7131476 phone: +1-704-3454811 phone: +800-43222557www.ifa4emr.com www.ifa4emr.com www.ifasystems.de
Integration with diagnostic instruments
The ifa 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 funduscameras
video slit lamps, Perimeter
imaging systems
lens analyzers, auto phoropters, autorefractors, keratome-ters, NCT, ultrasound
autorefractors, auto phoropters, lens analyzers, video slitlamps
all diagnosis systems
OCT
ultrasound systems, autorefractors, keratometers, lensanalyzers, corneal topographers
autorefractors, auto phoropters, lens analyzers, imagingsystems, retinal cameras, OCT, video slit lamps
autorefractors, keratometers, lensmeters and perimeters,imaging systemsOCTs, video slit lamps, fundus cameras, IOL-Master