ComPAS Freedom™ Features & Specifications
ComPAS Freedom™ is based on a classic two-tier client/server topology, connecting the client workstations to a Microsoft SQL Server, which can seamlessly share data with tens or even hundreds of users simultaneously - depending on the size of your organization. Low communications overhead means that ComPAS Freedom™ can even be used to test patients at satellite labs through a wide-area network (WAN) or using a virtual private network (VPN)
Spectacular Reports
Since the conception of ComPAS Freedom™, elegant and versatile reporting has been a priority. For interested users, a highly powerful report builder is available to allow for unlimited presentation and design. In most cases, report designs are completed by your Morgan engineer as a service provided through the ComPAS Freedom™ license. A brilliant library of report presentations come standard with ComPAS Freedom™, but your own 'dream' layout is both welcomed and easily accommodated.
Test Reports - presentations of test data really have no limit. These can include any combination of the best pre and post results with preference of numerical column order and any of the following:
- Logo and header design
- Manual entry information
- Numerous individual test graphics
- Summary of all efforts (data and graphics)
- Overlay of graphics
- Past test result history
- Serial data graphing including ability to track %Predicted changes
- Computer impression
- Physician interpretation and captured digital signature
Administrative Reports - include statistical reports of laboratory activity, physician ordering, technician proficiency, patient listing and much more.
Quality Control Reports - show details of calibration history and instrument performance. QA reports can provide a monthly record of laboratory standards.
Query Reports - show results from searches of the database for all manner of administrative or research purposes.
Data Management is a Breeze
The heart of ComPAS Freedom™ is an integration of qualified data acquisition, local or remote interpretation, and interface with hospital information systems. The versatility of the design accommodates requirements of any size activity.
ComPAS Freedom™ Task Manager™
ComPAS Freedom™ Task Manager™ was co-developed with one of America's most prestigious teaching hospitals. When tests are completed in the pulmonary lab, results can be routed to any network-connected station for physician interpretation. In cases where multiple physicians will interpret results, ComPAS Freedom™ Task Manager™ automatically routes the patient results to the appropriate physician.
Internal "Task Notes" can be attached to patient results and sent to colleagues. Tests can be routed to pulmonary fellows for preliminary review and then on to faculty members for final interpretation. If reports need to be printed and sent to referring physicians, completed tests, along with the interpretation, can be sent to the departmental secretary for printing.
In smaller practices, test results can be sent from the pulmonary lab directly to the consulting physician. At his or her desk, the interpreting physician can log into ComPAS Freedom™ Task Manager™, review a variety of customizable report formats and engage a personal template of interpretation text. The computer impression is available as a quick reference while the interpretation is being considered.
Research Query of Data
For many Morgan Scientific customers, precise pulmonary function data has been collected through the years, with some customers going back as far as 25 years. This wealth of data now resides in the ComPAS Freedom™ SQL database. For all customers, information is steadily stored and accumulated, providing a valuable resource to be leveraged for research or reporting purposes. The Query Report feature allows users to search collected data using any of the values stored in ComPAS Freedom™. The data retrieved can be directly exported to Microsoft Excel® for graphing and statistical modeling.
Example: Find the following:
- All males aged greater than or equal to 60
- with a Diagnosis of COPD
- and an FEV1 percent of predicted less than 70 and a DLCO percent of predicted less than 85
EMR Interface
RESULTS Interface:
- Transmits physician-interpreted test to your Electronic Medical Records system (EMR) in real-time.
- Full graphical reports can be transmitted – No need to scan your printed reports!
- Tests can be corrected and resubmitted if errors are found.
- Preliminary results available while test is still in progress.
ADT and HL7 ORDRS Interface:
- Patient demographics are queued up and easily recalled – eliminating data entry errors in the lab.
- Order details available to the technician at a glance – no need to keep referring back to an order slip.
Blood Gas Interface:
- Get all of the patient's recent blood work with the click of a button.
- Eliminate error-prone copying of dozens of complex values.
Billing Interface:
- Sends list of procedure codes and other details of the test to billing department
- Sends details for both Hospital and Professional billing.
The ComPAS Task Manager ties it all together:
- Using the ComPAS Task Manager, physicians view detailed reports and detailed computerized analyses of each test type.
- Physicians use the powerful commenting engine to say exactly what they mean – with minimum keystrokes.
- Once the physician approves his interpretation of the test results, it is digitally signed and transmitted to your EMR via HL7.
- Optionally, lab personnel can look over the test to ensure it meets all labeling and billing requirements before final submission.
- With ComPAS Task Manager installed onto your Citrix servers – physicians can interpret from any hospital-approved location: Satellite-office, home-office, or backyard-office.
Testing Capability
ComPAS Freedom™ works with a vast array of quality instrumentation, utilizing data acquisition techniques that are proven and verifiable. Our software specialists have over 250 collective years of respiratory testing experience. Expertise that is vital when gathering data from the very sick or very young. ComPAS Freedom™ is the quintessence of data integrity.
With ComPAS Freedom™ each clinical test is first measured with great accuracy, then reviewed by the software for testing validity. Testing is as easy as 1, 2, 3...
A simple touch on [Spacebar] begins all tests.- When maneuvers are completed, the software checks the individual effort against ATS recommended PERFORMANCE criteria. If the effort meets these test standards, a hollow check mark provides visual confirmation.
- Once the appropriate number of tests meet both PERFORMANCE and REPRODUCIBILITY criteria, solid check marks appear confirming that ATS standards have been met.
Spirometry
Dynamic Spirometry - Although the most widely utilized pulmonary test, it is commonly the most poorly administered and reported. Through clever use of interactive help and clinical monitoring, ComPAS Freedom™ provides excellence in spirometry. Flow Volume efforts can be completed in any order of breathing with full fidelity of the loop captured and stored. For reports, data is automatically selected by ATS criteria; however, the user can override both data and loop selection if desired.
Incentive Screens - For testing young children, brilliant incentive graphic animations are employed to encourage effort and response.
"Can you land the rocket on the moon?"
Static Spirometry - Measurements of Slow Vital Capacity (SVC) can be completed independent of other lung volume measurements. The tidal volume (FRC) baseline can be adjusted for accurate measure of Inspiratory Capacity (IC) and Expiratory Reserve Volume (ERV).
Maximum Voluntary Ventilation
At the best of times, the MVV can be a difficult test to assess in terms of patient effort and compliance. To help determine effort, each time an MVV is performed, the data is compared to the subject's FEV1 x 35 and FEV1 x 40.
Cough Peak Flow
In some cases of neuromuscular disease, both adults and children exhibit a weak cough; measurement of Cough Peak Flow is useful to monitor expiratory muscle weakness and bulbar involvement.
Lung Volumes
ComPAS Freedom™ employs a variety of techniques for measuring the compartments of lung volume depending upon the capability of the hardware:
Plethysmography - Volume of Thoracic Gas (VTG) can be captured during an individual quiet breathing maneuver or as an integral part of an Airways Resistance (Raw) test. The routine has been particularly groomed to facilitate simplicity and ease of use in the testing of small children.
Helium Dilution - Functional Residual Capacity (FRC) is measured with careful maintenance of oxygen levels suitable for all patients, including those requiring supplemental oxygen. The maneuver is carried-out in quiet comfort for the patient with prompts for stability and options for repeated static spirometry at the test conclusion.
Nitrogen Recovery - Total Lung Capacity (TLC) can be measured during the performance of any Single Breath Diffusion (DLCO) study. This is an excellent screening method for identifying patients requiring further lung volume study. All Medisoft instruments are equipped with the necessary oxygen sensor to enable the technique.
Single Breath Nitrogen Washout - A single breath nitrogen test (SBN2) is given to assess (1) the behavior of the dependent airways and (2) the uniformity of gas distribution in the lungs. Distribution is analyzed by measuring the change in N2 concentration during expiration of the vital capacity following a single breath of 100% O2. Measurements include: Closing Capacity, Closing Volume, Slope of Phase III and Lung Volumes.
Multiple Breath Nitrogen Washout -
Lung volumes are measured using a principle that N2 is washed out of the body by having the subject breathe 100% O2 for a period of approximately 7 minutes. Volume is collected along with initial and final alveolar N2 fractional concentrations to calculate FRC. With measurement of SVC the lung sub-divisions can be calculated and from the N2 washout curve Lung Clearance Index is obtained.
Single Breath Diffusion
Since the pioneering days when the test was first developed in England, testing of Single Breath Diffusion (DLCO) has been part of our heritage. Our excellence for DLCO testing and reproducibility comes from a studied application of measurement technique and hardware design guided by watchful software. Automated procedures for system preparation coupled with precision analysis make DLCO a test that is easy to perform and highly reproducible. Utilizing both traditional and innovative means the component parts of diffusion, Membrane Diffusion (Dm) and Capillary Blood Volume (Vc) can also be determined.
Airways Resistance
Working with the magnificent Body Plethysmography 5510, measurements of Airways Resistance (Raw) and Specific Conductance (SGaw) can be completed quickly and with ease. In routine use, a pre-test 'coaching' screen can be used to prepare the patient for testing and minimize time spent in aborted efforts. An automated routine for establishing temperature equilibrium inside the cabin ensures ideal testing conditions. When working with difficult subjects, routines that monitor each phase of the test can guide technician intervention to improve results.
Bronchial Provocation
Bronchial challenge testing is highly versatile and performed with ease in ComPAS Freedom™. Firstly, the challenge protocols can be easily designed to suit drug, exercise or cold air procedures and secondly, the test is calmly sequenced through each level with clear and straightforward displays. Never before has provocation testing been so beautifully designed and easy to accomplish!
Respiratory Muscle Strength
Maximum Inspiratory and Expiratory Pressures (MIP and MEP) can be measured from TLC or RV respectively or from FRC. The lung volume at which the pressures are measured is captured by the spirometry tracing simultaneous to the test maneuver.
Exercise Testing - Exercise test data can be imported or manually entered into ComPAS Freedom™ for inclusion in comprehensive reports. Watch for news about an exciting new on-line system coming soon.
Other ComPAS Freedom™ Features
Serial Data Trending - Past patient test results can be viewed during testing, during interpretation from the Task Manager or added to any reporting format. The data can be directly presented as actual results with predicted upper and lower limits or mean. In pediatric centers, the serial trending can be presented as percent predicted with the time axis scaled and marked with the patient's age.
Manual Entry - The manual entry screens provide opportunity to include data from many other sources in the laboratory. Blood gas, oximetry, exercise, radionuclide, and respiratory pressures are just a few of the configurable entry screens.
Cardio-Pulmonary Exercise Testing (CPET)
Coming soon to ComPAS is comprehensive capability for CPET testing. The package includes synchronized 12-lead EKG coupled with highly versatile pulmonary gas exchange measurement. Test protocols and graphics can be configured to manage an elegant simple to use cardio-pulmonary study. The full power of ComPAS allows for magnificent reporting including seamless integration with PFT data and graphics, remote interpretation, EMR interfacing and research query. Already available is extensive manual entry capability and importing of 3rd party test data. Keep watching this site for further information.
ComPAS Freedom™ Help
HTML Help is integrated within ComPAS Freedom™. Written and illustrated as a powerful resource to help customers, it also provides the basis of a laboratory procedure guide. The help includes all aspects of pulmonary physiology as well as testing instruction and instrument maintenance. For the biomedical engineer there are detailed service sections for each device complete with problem guides. ComPAS Freedom™ Help is a comprehensive manual that can be viewed from any screen; it can also be printed or exported to CD for review at home.
Knowledgeable Support
At Morgan Scientific, Inc. support is only a phone call away. No need to navigate impersonal voice mail; telephone guidance is immediate, direct and helpful. The collective pulmonary function knowledge of our staff spans considerable years and we take pride in supporting customer needs.
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