Care Orchestrator
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You must have Clinical User, Clinical Assistant, Patient Viewer, or Physician permissions to perform this task.
You must have Administrator permissions to share templates with the organization.

This help topic describes functionality that may not be part of the feature set in use at your company.

 

View Therapy Data

Therapy data transfers into Care Orchestrator each time the application connects to a therapy device using a Modem or Bluetooth-enabled device. When Care Orchestrator establishes a connection using one of these supported communication interfaces, therapy data is available and displayed to the patient’s Patient Detail screen.

Note: Equipment, prescriptions, therapy data, and patient activity log entries will be displayed in Care Orchestrator for unsupported devices.

Therapy data can also transfer to Care Orchestrator using removable media through Data Card Utilities. In order for data to transfer to Care Orchestrator using removable media (e.g. SD card), assign therapy devices to your patient’s Care Orchestrator account. When Care Orchestrator establishes a connection using removable media through Data Card Utilities, therapy data that matches the serial number of the devices assigned to your patient is available and displayed on their Patient Detail screen. Patient detail information updates to match the current device settings received from the upload of data.

Note: Trilogy reports and displays are enhanced within Care Orchestrator. See Trilogy Support for more information about additional features for Trilogy devices.

Note: A therapy device must be assigned to a patient in Care Orchestrator for data to be received successfully from a modem.

Users are able to view therapy data about patients by selecting a desired report template, the time frame of therapy they wish to view, and the number of days they want to have displayed on the generated report.

Users can add new therapy data reports to Care Orchestrator by creating their own customized report templates. Custom Template reports are created by adding new System Template reports and customizing them.

Note: Data will not appear in therapy reports when multiple devices record data during the same time period. This overlapping data is displayed on screen, but it will not appear in generated reports.

For more information on report templates, see the Manage Templates section.

Note:  If no therapy data is available for a specified date, a message displays indicating no data available and a report is not generated.  However, If no usage is recorded for a specified day, a report will be generated but will list the message ''no usage'' for the date.

Warning: The data provided in reports is only one of several elements to consider when evaluating the effectiveness of the therapy. This data should not be used in the diagnosis of a patient's condition.

To view Therapy Data for the patient:

  1. Click the Patients tab.
    The Patient search and a list of all patients displays.

  2. Select whether to search by the patient's Name, External ID, Patient reference or Device serial number.

Note:  Once the category to search by is selected, that option will remain the default search option for the remainder of the user's login.  It will return to the system-wide default upon the next login. 

  1. When either the Search by Name, External ID or Patient reference are selected as the main search criteria, expanded search options are available.  Click the More options link located beneath the Search field.

The Date of birth, Postal code and Phone number search fields are displayed, which allows for more detailed searching.  

  1. Enter the main search item in the upper Search field and, if desired, enter the expanded search information in the respective Search field, then click the Search button.

Based on entered information, relevant patients display.

Note:  When searching by Date of birth, the entered date cannot be in the future and must be in the correct date format as displayed beneath the field.

Note:  When searching by Postal code, the entry must be an exact match for the data entered into the Search field.

Note:  When searching by Phone number, only numeric text is allowed in the Search field and the entry must be an exact match for the entered data in order to be displayed in the Patients list.

Note:  The Search button is disabled until valid search criteria is entered into one or more of the additional search fields.

  1. Click the desired patient name to open the Patient window.

Patient information displays.

  1. Click the Therapy Data tab.

Therapy Data information displays.

Note: The list of available templates will include only templates that are associated with the listed devices. For example, only Trilogy Detail can be used to view Trilogy data, and Oxygen Detail can be used to view data from an EverFlo oxygen concentrator.

Note: The list of avaliable templates now includes a Create Custom Template option in the dropdown . This option provides the ability to create a custom report template from the Therapy Data Reports page. 

Note:  The default system Sleep Oximetry report template  has been renamed to Sleep Accessory. Existing report templates will not automatically be renamed.

Note: For Sleep Detail Therapy Data, available graphs include, but are not limited to:

Note: For Trilogy Detail Therapy Data, available graphs include, but are not limited to:

Note:  SpO2, Pulse Rate, and tcCO2 data are provided in the Trilogy Detail Therapy Data via an accessory recording this data, and connected to the Trilogy device. This data is also available in the Trilogy Accessory Report.

Note: See Trilogy Support and Trilogy Detail Report Terms and Definitions for more information.

Note: Trilogy Detail Reports, Trilogy Summary Reports and Trilogy Custom Reports can include reports filtered by device or accessory. To filter Trilogy reports by device, click the pull-down located directly above the Trilogy Report. Select All Devices or an individual Trilogy device, then click Print or Save to generate a new report. To filter by accessory, select an individual accessory from the pull-down.

Note: Oxygen Detail Reports, Oxygen Summary Reports and Oxygen Custom Reports can include reports filtered by device. To filter Oxygen reports by device, click the pull-down located directly above the Oxygen Report. Select All Devices or an individual Oxygen device, then click Print or Save to generate a new report.

Note: An alarm event will be graphed when its duration is available within a download. If an alarm event is still processing on your Trilogy device while a therapy report is created, the alarm will be absent on the therapy report.

Note  : Patterns of Use can also be viewed by clicking the Summary tab. Hours of Usage and Oxygen Purity Trend data is not available on the Therapy Report's Summary tab for an EverFlo Oxygen Concentrator device.

Note: Care Orchestrator enables connectivity with the EverFlo Connect Module. Data is transmitted via Bluetooth. To view therapy data related to an EverFlo Oxygen Concentrator, choose the Oxygen Detail report template and click Create Report. The oxygen report shows Hours of Usage and Oxygen Purity Trend data. To generate Device Flow Settings data, click on a day with Hours of Usage or Oxygen Purity Trend data. Device Flow Settings appear underneath the graph.

Note: If waveform data is available, a Waveform tab is available in the patient's therapy data display.  When a waveform report is available for that day, a Waveform icon displays in all of the daily detail graphs. This icon links to that day’s waveform report.

 

Waveform data features:

24-hour data reports. Click on the Date Picker icon to select a full day of waveform data. Dates shown in blue contain waveform data.

Zoom and scroll functions: Click the zoom icons to optimize waveform data viewing. Click on the arrows     to scroll through waveform data. You can also scroll your mouse or use the Page Up and Page Down keys to scroll through waveform data.

Toggle and rearrange channels. Click a channel name (Pressure, Flow, Tidal Volume, SpO2, Pulse Rate, tcCO2, etc) to display and hide waveform data. Drag and drop a channel to reorder it within the waveform data screen.

Usage view. The top portion of the waveform tab displays the entire 24-hour period containing waveform data, while the blue bar represents the current view placement in time.

Inspiratory color-coding. The inspiratory phase of the waveform data is color-coded to match waveforms on the Trilogy device.  Blue indicates a patient-initiated breath, orange indicates a ventilator-initiated breath, and green indicates low saturation line for the Pressure / Flow / IE Trans waveforms.

Note:  If all data are above 88 percent on the SpO2 graph, the low saturation line does not display.

Print and Save Screen options. Click the print button to print the waveform data. Click the Save Screen button to save the waveform date. Both options print / save screen what's currently shown on the screen, not the entire report.

Accessory Statistics:  The accessory statistics, displayed on the waveform view, show the full-day average, minimum, and maximum values for the Pulse Rate (BPM), SpO2 (%), and tcCO2 (mmHg) (avg and max only) channels for the device data being viewed.

Note: If oximetry data is available, an Accessory icon ( ) displays . Clicking the icon generates and displays accessory data components in the Detail report (when accessory data is present) for the selected day. 

Note:  The Compliance Summary Report Template shows therapy statistics and device settings from associated devices, along with patient customized compliance summary.

Warning: The data provided in reports is only one of several elements to consider when evaluating the effectiveness of the therapy. This data should not be used in the diagnosis of a patient's condition.

  1. Once the Therapy Data is displayed, users have the option to Print or Save the report. If any attributes are changed with the Therapy Data (template, days, date range, etc.), click Create Report to show the updated Therapy Data.

 

Download Therapy Data

To download therapy data, see the Download PDF Report section.

 

System Templates

To view a system template from the Therapy Data tab:

  1. Choose a report template in the system templates drop-down menu.  The displayed template name will be the displayed template.

  2. Choose the desired template and click the View button.

  3. Click the Ok button in the Detail window to verify the template and close the window.

To create a new customized report based on a system template from the Therapy Data tab:

  1. Choose the desired report in the system template drop-down menu and click the Add button.

  2. Add a Template Name and choose whether to share it with the organization.

    Note: You must have Administrator permissions to share templates with the organization. If you do not, this option does not appear.

    Note: Make sure to give your customized Template a name that describes its content well, especially if you share it with the organization.

  3. Determine what information appears in the report by moving items from the Available Components sections along the left to the Selected Components sections on the right. To remove items from the report components, use the left arrow to move items from the Selected Components sections along the right to the Available Components sections on the left. Once satisfied with the report's components, click the Save button.

    Once you have added a customized report, it will appear in the Custom Templates section in Therapy Data.

Custom Templates

To view a Custom Template from the Therapy Data tab:

  1. Choose a report template in the Custom Templates drop-down menu.

    Note: If custom templates have not been created, the Custom Templates drop-down menu will not be active.
  2. Choose the desired report and click the button.
  3. Click the Ok button in the Detail window to verify the template and close the window.

To create a new custom report based on a Custom Template from the Therapy Data tab:

  1. Choose the desired report in the Custom Template section and click the button.
  2. Add a Template Name and choose whether to share it with the location.

    Note: You must have Administrator permissions to share templates with the location. If you do not, this option does not appear.

    Note: Make sure to give your customized Template a name that describes its content well, especially if you share it with the location.
  1. Determine what information appears in the report by moving items from the Available Components sections along the left to the Selected Components sections on the right. To remove items from the report components, use the left arrow to move items from the Selected Components sections along the right to the Available Components sections on the left. Once satisfied with the report's components, click the Save button.

    Once you have added a customized report, it will appear in the Custom Templates section in Therapy Data.

To edit an existing report based on a Custom Template from the Therapy Data tab:

  1. Choose the desired report in the Custom Template section and click the button.
  2. Choose whether to share the template with the organization, but note that the Template Name cannot be updated here.

    Note: You must have Administrator permissions to share templates with the organization. If you do not, this option does not appear.
  1. Determine what information appears in the report by moving items from the Available Components sections along the left to the Selected Components sections on the right. To remove items from the report components, use the left arrow to move items from the Selected Components sections along the right to the Available Components sections on the left. Once satisfied with the report's components, click the Save button.

After Selecting Report Template

  1. Select a report time frame by selecting a From date and a To date or by selecting a report day range of 7 days, 14 days, 30 days or 90 days.

    Note: Choosing 7, 14, 30 or 90 days will display the most recent 7, 14, 30 or 90 days of therapy, including today if data is available.

  2. Click the Refresh button to display therapy data based on your selections.
    Therapy Data information displayed, based on the selected report template, selected report template components, and the date range.

  3. (Optional) Click the Print button to print the selected report. Follow the on-screen instructions to print the report.
    Selected report is printed.

Warning: The data provided in reports is only one of several elements to consider when evaluating the effectiveness of the therapy. This data should not be used in the diagnosis of a patient's condition.

Note: The printed therapy report will display the most recent 7, 14, 30 or 90 days, based on your selection. For example, if you select 7 days, the printed therapy report will show the last 7 days of therapy data.

Note: While your report may contain data from multiple therapy devices, the therapy device name and corresponding serial number displayed in the report header represents the therapy device which last reported data in the report.

Note: All users should be aware of personal data displayed on Care Orchestrator screens, forms, and reports.

  1. (Optional) Click the Save button to save the selected report. Saved reports are available under the Documents tab in Patient information.
    See View Documents for more information.
    A Request was completed pop up displays indicating the report was saved to the Documents tab. 

Warning: The data provided in reports is only one of several elements to consider when evaluating the effectiveness of the therapy. This data should not be used in the diagnosis of a patient's condition.

Note: While your report may contain data from multiple therapy devices, the therapy device name and corresponding serial number displayed in the report header represents the therapy device which last reported data in the report.

Note: All users should be aware of personal data displayed on Care Orchestrator screens, forms, and reports.

Compliance Evaluation

Users can evaluation therapy compliance across a given date range using the available report templates. For non-Trilogy devices, Care Orchestrator allows users to select a Best Compliance Days option, which displays complaint therapy days in a Therapy Data report with a Summary Report template. 

To view Therapy Data for the patient:

  1. Click the Patients tab.
    The Patient search and a list of all patients displays.

  2. Select whether to search by the patient's Name, External ID, Patient reference or Device serial number. When either the Search by Name, External ID or Patient reference are selected as the main search criteria, expanded search options are available.  Click the More options link located beneath the Search field.

The Date of birth, Postal code and Phone number search fields are displayed, which allows for more detailed searching.  

  1. Enter the main search item in the upper Search field and, if desired, enter the expanded search information in the respective Search field, then click the Search button.
    Based on entered information, relevant patients display.

Note:  When searching by Date of birth, the entered date cannot be in the future and must be in the correct date format as displayed beneath the field.

Note:  When searching by Postal code, the entry must be an exact match for the data entered into the Search field.

Note:  When searching by Phone number, only numeric text is allowed in the Search field and the entry must be an exact match for the entered data in order to be displayed in the Patients list.

Note:  The Search button is disabled until valid search criteria is entered into one or more of the additional search fields.

  1. Double-click the desired patient name to open the Patient window.
    Patient information displays.

  1. Click the Therapy Data tab.
    Therapy Data information displays.

  2. Choose the Summary Report Template for patient's non-Trilogy device.

  3. Select a report time frame by selecting a From date and a To date or by selecting a report day range of 7 days, 14 days, 30 days or 90 days.

  4. Click the radio button to activate the Best Compliance Days option and enter the desired number of best compliance days to display. To show blower time use statistics, select the Blower Time Only option.

  5. Click Create Report. Best compliance days and blower time usage (if selected) are shown in the Therapy Report.

Note: The best compliance days within a given range do not have to be consecutive.

Warning: The data provided in reports is only one of several elements to consider when evaluating the effectiveness of the therapy. This data should not be used in the diagnosis of a patient's condition.

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