Cardiology
A cardiologist already reads the cath lab, the medication list, the pressures and the lipid panel out of the patient's chart. This adds the arithmetic and the structure those numbers were missing, without moving any of them somewhere else.
Enterprise, on request
What it adds to the chart.
A separate extension, granted to your organization on request. It writes to the same patient record as the rest of the module, so nothing is migrated and there is never a second answer about one patient.
The ejection fraction nothing had ever written
The heart failure care gap looks for a coded ejection fraction and never found one, because the number lived in the free text of a report. Recording a study now writes the fraction under that code, which is what closes the gap. A fraction cannot be saved without the method that produced it: a visual estimate and a Simpson's biplane trace on the same ventricle differ by about the width of the mildly reduced band.
Wall motion is seventeen segments or none
A segment that was not seen is left empty rather than recorded as normal. The segments that go unimaged are the hardest to image, and therefore the likeliest to be abnormal.
The QT, checked rather than trusted
Nearly every cart prints a corrected QT without saying which correction produced it, so a reader has a number and no way to check it. All four are computed beside the printed value: matching one identifies the correction the machine used, and matching none says the inputs disagree with each other. An unlabelled value is never assumed to be Bazett, however usual Bazett is.
The dose that stops moving
Most patients with a reduced ejection fraction never reach target dose, and the reason is rarely that somebody decided they should not. Guideline pillars are tracked by ejection fraction band, four for a reduced fraction and two for a preserved one, and before each increase the same four numbers are judged separately for each pillar. An unmeasured value is never read as a normal one.
Two scores that are not the same score
The 2024 European guidance moved to CHA2DS2-VA; the American guidance still uses CHA2DS2-VASc. A woman aged 65 to 74 with no other risk factor scores one on the first and two on the second, which under most thresholds is the difference between being offered anticoagulation and not. Both are shown and both are named.
Four device numbers that are not what they look like
A capture margin cannot be divided across two different pulse widths, so it is refused with both of them named. Ventricular pacing at 96% is a problem in a pacemaker and a success in a CRT device, so the percentage is not interpreted without the device type. MRI conditionality belongs to the whole implanted system rather than the generator. A lead impedance is read against that lead's own history first.
Readings that get filed as reassurance
A negative stress test that never reached target is uninformative rather than reassuring, so adequacy is shown above the conclusion. An ambulatory blood pressure mean is never read against a clinic threshold, because 138 over 86 is normal by one and hypertensive by the other. A calcium score of zero is not the absence of disease, because the scan cannot see the plaque that ruptures in younger patients.
In the pickers you already use
An echocardiogram and a pacemaker or ICD device check in the note picker, a chest pain workup in the order list, and the TIMI score, the NYHA class and the CCS angina class in the calculator drawer.
Where it stops
Nothing reads a waveform or calls a rhythm, because software that interprets an ECG trace is a regulated medical device. The ten-year risk equations ship without their published coefficients and stay dormant until an organization loads them.
See it on a real chart.
Tell us how many clinicians you run and which module you use today, and we will show you the tab rather than a slide about it.