We Believe the Possibilities. Eclair

We Believe the Possibilities. Eclair The hub of the electronic medical record. 1

Why ECLAIR? Proven in the market 15+ year track record A single, secure source of the truth Communicates with external information systems Provides the most complete record you ll ever get User-friendly presentation of data Easy to navigate, so information is quickly found Graphs and tables provide comparative information Saves clinicians time and reduces their stress Provides information on the move, through Eclair Touch Enables cost and time savings through complete service order management (CPOE) 2 Sysmex Software Solutions. Shaping the advancement of healthcare l Eclair

Dispensed medications Clinical documents Laboratory and pathology results Patient admission status Eclair Patient record Radiology reports Patient Health status, alerts, allergies Current order requests Discharge summaries Eclair is an advanced clinical information system and an essential building-block of the electronic medical record. Key Features Centralised, secure data repository (RDBMS) that stores and retrieves all clinical information Sophisticated search and reporting capabilities Seamless, patient-centric view of clinical data, images and documents Integrates with primary care, shared care and secondary care portals Customisable workflow modules suit multiple situations Intelligent service order management module (CPOE) Security and patient privacy assured Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair 3

Eclair explained A single, secure, user-friendly place for all your patient s records. Developed in partnership with leading healthcare facilities in New Zealand, the USA and Asia, Eclair is a leading-edge electronic patient record system with its own central data repository and advanced interfaces. It securely communicates with external information systems, to ensure each and every relevant patient report or event is kept patient-centrically in the repository, building the most complete patient record possible. Eclair has an essential role in the patient journey. It is very helpful to be able to view a graph of the patient case results. It provides a picture of how a disease is responding to treatment and is useful to share with patients. Dr David Simpson, Waitemata DHB What s inside Eclair? 1. Laboratory and pathology results It s a widely-reported fact that laboratory results contribute to 70% of the diagnosis in clinical decision making. Eclair s ability to display laboratory results and related data and images from different public and private pathology providers is outstanding. Enhanced by trend tracking, graphing and advanced cumulative result presentation with results status indicators, the data is displayed and organised in a clear, logical manner for rapid result interpretation. 2. Clinical documents and discharge summaries Clinical documents and discharge summary information in all common formats (PDF, MS Word, MS Excel and RTF) are securely stored and viewed in Eclair. 3. Radiology reports Eclair receives and presents all radiology reports, including CT scans, MRIs, x-rays and ultrasounds. Text reports include links to the diagnostic images, which are stored in a separate imaging system, i.e. a PACS database. The image that is associated with the radiology report displays and includes tools to zoom and view the image. 1 4 Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair

5 4. Dispensed medications Sysmex are committed to finding solutions to improved medication safety. Adding medication data to the clinical information system is a key step. When a patient receives a prescription and has it filled at a pharmacy, the medications are given to the patient and a dispensing message is sent from the pharmacy system to Eclair. Eclair displays a summary of all dispensed medication in an easy-to-view table. Details include date dispensed, generic and brand names, strength, form, quantity and any instructions, full pharmacy name and prescriber details. 5. Current order requests Eclair s orders module allows clinical staff to create and send electronic orders for radiology, laboratory and transfusion medicine services. The status of each scheduled collection or procedure and order request in progress is listed for easy review on the patient record. Clinicians can get an immediate picture of work that s already underway, which prevents unnecessary re-requests. 6. Patient admission status Eclair interfaces to the hospital information system (HIS) and receives all related information feeds, so that it can display key pieces of relevant information. Patient admission information includes location, bed number, care providers, and admission date and time. 7. Patient health status For each patient, Eclair displays: Problem lists Diagnoses Patient alerts and allergies Additional medical information Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair 5

Eclair Day-to-Day Easy access to a complete electronic health record for each patient. Eclair integrates health-related information from a range of sources to build a comprehensive patient record. Sysmex have built workflow tools into Eclair to better-manage the viewing and management of patient reports during day-to-day hospital life. Sysmex have built workflow tools into Eclair to better-manage the viewing, management and ordering of diagnostic services throughout the patient journey, during day-to-day hospital life. With a complex case, a patient may have thousands of reports, but in Eclair I can rapidly get a picture across the lifetime of the patient. The categories view shows me specific gems that are clinically relevant for a pre-anaesthetic workup and saves a lot of time.. Dr Charles Bradfield, Consultant Anaesthetist, Auckland City Hospital How does Eclair assist Clinicians with the patient journey? Create My Patients group Eclair s My Patients feature allows the clinician to create groups from their patient lists, allowing faster access to reports and test request management for patients under their care. Get the picture, quickly When a clinician looks up a patient, they can rapidly see a history of all types of diagnostic investigations and reports. Grouped into categories, a quick glance provides an overview. Further detail in a flash A summary of the patient s status adds further value. A snapshot of allergies, medical alerts, problem lists, diagnoses, current pathology and radiology requests provides an instant picture of the patient record. The clinician can also see the patient s admission status. Order Procedures Streamlined ordering of lab tests, radiology procedures and blood products. Add notes and access online reference Intuitive tools allow clinicians and nursing staff to add notes and observations to a patient s record. Eclair also provides instant access to online reference information. Share case lists and collaborate The clinician can save interesting patient cases, to share with colleagues or for future follow-up. When a second opinion is required, reports can be sent to colleagues. An inbox shows all reports sent or copied, which saves time searching for reports. Easy, traceable electronic sign off Eclair lists reports assigned to the clinician for review and electronic sign-off. All actions are recorded by Eclair for full treaceability of patient report access and responsibility. Reassignment if response is delayed The Automated Escalation feature of Eclair reassigns report responsibility if the assigned clinician is absent or there is an unacceptable delay in report viewing. 6 Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair

Create Discharge Summary My Patients /Ward Lists Enquire patient View patient summary, status Refer reports, share cases Eclair through the patient journey Review patient history records and results Review and sign off new reports Addtional notes and data Order diagnostic procedures and tests Sysmex Software Solutions. Shaping the advancement of healthcare l Eclair 7

I have worked in a number of hospitals around the world and the Eclair clinical information system is ahead in both user friendliness and completeness of the record. I haven t seen anything that matches it closely. Dr David Simpson, Waitemata DHB 8 Sysmex Software Solutions. Shaping the advancement of healthcare l Eclair

Eclair Service Order Management (CPOE) A complete solution to manage the request -> test -> report cycle. Completing the electronic loop successfully is not just about sending electronic HL7 orders. To truly add value and realise the benefits of e-orders, Eclair offers a total solution. Eclair supports ordering for a range of services including: E-Labs laboratory and radiology requests E-Radiology radiology and imaging procedures E-Bloods prescribing of transfusion medicine and blood products Accurate detail capture Eclair captures the right details at the outset - ordering doctors, copy-to doctors, clinical details, and accurate test codes. The receiving system benefits too. Reduced data entry steps, highly accurate, faster turnaround times all equating to the perfect order. One view saves time Eclair is unique because both the order and result are stored in the repository. When clinicians order tests, they can see if there are results available or orders processing from the Order form. There is no need to leave the order workflow and look up the patient results. There are also embedded rules in the Order form, so the tests to be requested are highlighted if they fall within minimum re-order interval alerts assisting with demand management. Better management for lab requests Lab requests require management of the specimen collection process. We ve worked with specialist laboratory providers to ensure total management of all collection requirements is covered in the Eclair Orders solution. Collection and specimen requirements defined Phlebotomy lists for wards and collection centres Support for partial collects Better information for radiology and imaging requests Clinical information is required for the radiologist to determine the procedure to be performed. Eclair makes this easy with a single click text-selection to choose the right clinical details. Patient results for current diagnostic tests which assist when booking radiology procedures, are automatically added to the request. Better prescribing of blood products Blood products are a precious resource and minimisation of wastage is extremely important. When prescribing blood products, Eclair extracts relevant results from the patient record e.g. haemoglobin, to assist in determining the clinical necessity of the request. The clinician can also view a list of all blood products currently requested on their patient and the status of the progress in filling these orders. Easy customisation Eclair order forms can be customised to include order sets. Clinicians appreciate the added ability to customise their favourite order forms. Easier on the patients and resources Eclair Orders reduce unnecessary test demand or over-ordering, which reduces waste, cost and minimises burden on the patient. I wouldn t be able to practice medicine the way I do without Eclair. Dr Ross Henderson, Waitemata DHB Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair 9

Eclair Clinical Forms Use our templates or build your own clinical forms. Eclair includes an application that lets you build customised clinical forms, or you can use standardised forms that have been designed in collaboration with clinicians. Standardised forms We provide the option to use Standardised Forms/Templates, for example electronic growth charts. Growth charts are based on the standardised algorithms from the World Health Organisation (WHO). Clinical teams use this tool to capture patient growth data - height, weight, head circumference - and compare it against recognised standards on a chart. A platform for innovation Our customers have used the capability of Eclair Clinical Forms to benefit their clinical workflow. They have used the development capabilities of Eclair Clinical Forms to create: CVD risk calculators Diabetes risk calculators BMI calculators Nutritional assessments Growth chart data and graphing DVT/ PE risk calculators Clinical assessment and prioritisation for surgery forms Post-surgery wound care follow-up forms Build your own Forms are easily designed within the Eclair CIS application. They use combination of: voice recording, image and document files, results from the patient record, free text, drop-down/radio button selection and numerical values. Algorithms can be applied to values captured in the fields to apply clinical calculations. Length/Height for Age Growth - Boys 0 to 24 months : SINCLAIR,Peter A 22-Apr-2013 Growth - Boys 0 to 24 months : SINCLAIR,Peter A 22-Apr-2013 Weight for Age Eclair Clinical Forms and decision support Clinical teams select the form they need to use directly from the patient record. Data is entered and decision support calculations are applied before the forms are uploaded to the clinical record, where they can be accessed and amended anytime. As with other clinical reports, they can be referred or signed off. Forms can be linked to e-orders. For example, if a DVT risk calculation indicated that a D-Dimer should be requested, the two workflows seamlessly connect. 10 Page 3 Page 2 Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair

Sysmex Software Solutions. Shaping the advancement of healthcare l Eclair 11

Eclair on the move A mobile clinician is a productive clinician. Eclair Touch is the mobile extension of the Eclair clinical workstation. It has been developed to meet all the information needs of clinicians on the move. Multiple platforms Eclair Touch runs on Apple and Android smartphones.* Summaries set the scene Clinicians can get up to speed quickly with inpatient summaries that include date of admission, assigned ward and bed, card-of doctors and more. User-friendly diagnostic reports Clinicians can view diagnostic reports, including cumulative results and diagnostic images. Reconcile meds at the bedside It s easy to reconcile meds during a patient check and clinicians can view all dispensed medications. Easy acknowledgment and sign off The Eclair Touch app provides full report acknowledgement (signoff) capabilities, so clinicians can accept patient reports on the move. Medication lists in Eclair give your health care providers, pharmacists, nurses and doctors good information and assist with the assessment of patient compliance and safety. Test requests at the point of care Creating an electronic order for labs, rads and blood products can now be done on at the patient bedside, removing the need for paper request forms. *Eclair Touch is compatible with Safari and Chrome on any Smart Device running ios 4.3 or higher, or Android 2.2 or higher. Paula Gazzard, Clinical Pharmacist, Auckland City Hospital 12 Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair

Eclair Library Instant, relevant clinical reference source. Built into the Eclair CIS is a comprehensive knowledge source reference tool the Eclair Library. The advantage of our library over other reference tools is its one-click linking from the point-of query. When viewing reports or requesting tests, a clinician can seamlessly access the right reference information without searching. Healthcare providers say this tool offers real clinical value and assists with decision support. The Eclair Library can be pre-populated with imported reference documents. Alternatively, a full document management system is provided. Sysmex Software Solutions. Shaping the advancement of healthcare l Eclair 13

Eclair Security Complete patient confidentiality and data security. Patient confidentiality and data security are as important to us as they are to healthcare facilities. We ve approached this challenge at multiple levels, which are summarised here: Secure Communications Authentication Access Control, Audit trails and confidentiality Data Security Eclair uses Secure Socket Layering (SSL), working seamlessly between the site and a visitor s web browser. SSL security protocols provide data encryption, message integrity and optional client authentications. 128 Bit encryption prevents users from eavesdropping or tampering with Eclair data. All Eclair users require a unique user code and password. Minimum password length and alphanumeric combination. Logon attempts can be monitored and workstations disabled by the Administrator. Automatic password expiry after a specified time frame (according to relevant business rules). Account/Workstation lockout available for additional security. Eclair can be integrated with third party applications to enhance security and provide single sign-on solutions. All actions are logged, creating a full audit trail of every transaction and who has viewed or acted on a patient report Access can be restricted to sections of the CDR Access can be allocated per staff group(s) or individual user Privileges can be granted or revoked to control access to module functionality. There are two methods for making observation reports confidential in Eclair: a) Patients can request their reports be kept confidential. These reports can be completely confidential, visible to no one through Eclair; b) Rules can be set up in Eclair to make specific observation result types to be confidential. Such reports will only be available to specified users. Eclair Touch No patient information is stored on the device except a temporary cache. User access is authenticated in the same way as it is to the core Eclair web system. A full audit trail of all access and actions is also recorded. Eclair utilises full security features within IIS, Windows and SQL Server/Oracle Systems. Server access from a network can be restricted through devices such as a firewall, router or a proxy server. 14 Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair

Eclair Architecture Clinical Workstation Eclair Database Standards Web Server Applications/ Interface Server Eclair Clients The Eclair database, also known as clinical data repository (CDR), handles and stores all the clinical information received. An Archive Management service is available for data offloading, for maximum capacity and operating efficiency. SQL Server and Oracle are the preferred choice of RDBMS implemented for Eclair. LOINC, HL7, HPI, NHI, XML, CDA. Eclair runs on Microsoft Internet Information Service. Web pages are built on C#, ASP and.net The Applications/Interface Server runs components that connect to external systems using the HL7 interface, handle printing services and run various background services. Eclair is compliant with all HISO [10008] pathology and radiology HL7 standards. Eclair readily supports ORU, OML, ORM and ADT message types. All users of Eclair require a workstation with Internet Explorer 7.0 or above. Firefox, Safari and Google Chrome also supported. Clinical Forms Patient record Clinical Data Repository Orders For complete system requirements, please contact Sysmex. Eclair Admin Iris Message Integration Ser vice Eclair administrators can securely and seamlessly access all key admin functions of Eclair for easy management of system settings, users, patients and dictionaries. The administrator module provides intuitive tools for customisation of forms, reports and all site-specific needs for full flexibility. Ancillary Services Sysmex Software Solutions. Shaping the advancement of healthcare. l Eclair 15

If clinicians don t have access to Eclair, come to our hospital and see how we use it in clinical practice. You will be impressed at what a great system this is and what a good tool it can be for you to help you with patient care. Dr Ross Henderson, Waitemata DHB Sysmex Software Solutions Contact us to learn more about Sysmex's Clinical Information System Eclair and how it can complement or integrate with existing solutions in your healthcare organisation. Sysmex Australia Pty Ltd info@sysmex.com.au www.sysmex.com.au Sysmex New Zealand Limited info@sysmex.co.nz www.sysmex.co.nz We Believe the Possibilities. 2016 Sysmex Corporation. All rights reserved. **Eclair is not a medical device as it does not have a therapeutic purpose.** Ref: 160125ECLS01