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With the satellite system an existing custo diagnostic environment is extended with a further server - the satellite server - which is installed e.g. on a mobile equipment cart. The client installed on the trolley can either connect to the master server (network mode) or to the locally installed satellite server (satellite mode). In case evaluations are generated in satellite mode, they are transmitted to the master server. Since this is a pure server-to-server communication, neither user interaction nor direct database/file system access is required, as it was in previous versions. For synchronization it is sufficient that the satellite server can establish a network connection - operation of the custo diagnostic client is not required.  It is recommended to check in advance if a satellite functionality is necessary or a reliable WiFi network exists.

Which data is synchronized between master server and satellite server is configurable, so that a variety of application scenarios can be mapped (home visit notebook, mobile equipment cart in the clinic, branch system)

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clients

Important: If a client system is configured in the central system, it should be configured identically on the satellites, otherwise the assignments can no longer work

Szenario

Options to be set

Remarks

"Quick ECG" as a backup system (network failure) and situations where patient data is not available. 

  • Download Tenants
  • Download Users
  • Download Devices
  • Download Configuration
  • Upload Evaluations
  • Delete Evaluations after Upload

Work flow:

  • The user starts custo diagnostic in the "Quick ECG" mode, i.e. the recording of the resting ECG is started without login.
  • After recording, the user enters a free text comment that allows later assignment to a patient.
  • The recording is synchronized automatically, as soon as possible from the satellite system to the master server. 
  • In the master system, the immediate ECG is assigned to a patient/order and opened, and from then on it is processed in the usual work process.

The disadvantage is the step of "assigning" in the master system. However, the workflow is otherwise very simple, as this can be started directly, for example, via appropriate command line parameters. Furthermore, in GDT-based systems the patient may not be available in the custo diagnostic system (house call) and the result cannot be transferred back via GDT. Even in large practice groups it is often desired not to keep all patient names on a system that leaves the practice. As there is no patient data on the system, no registration is necessary. 

Workflow
"Home Visiting Laptops"

  • Download Patients
  • Upload Evaluations
  • Delete Evaluations after Upload (optional)

Configures a very simple system that only pulls patients from the central system and synchronizes the evaluations again when a connection is established.

Useful, for example, for so-called "home visit" laptops, where a family doctor typically visits patients at home, or drives to a home to measure blood pressure and perform lung function, or reads the LZ ECG directly.
When returning to the practice, these evaluations then end up in the main system and can be reported and billed.

If "Delete after upload" is activated, the laptop is also "cleaned" and no longer contains any important data.

Simple mobile workflow
"ECG recorder replacement"

  • Download Worklist Orders
  • Upload Order Status
  • Upload Evaluations
  • Delete Evaluations after Upload (optional)

Configures a system that "only" synchronizes the waiting room list entries with the patients. All evaluations and order statuses are highly synchronized.

If you activate "Delete after upload" the satellite is always clean after synchronization

In this configuration the satellite must / can be configured independently from the central system

Dummy ECG evaluations can also be generated and highly synchronized

Guided mobile workflow without clients
"Configuration via central "Guided mobile workflow without clients
"Configuration via central"workflow 

  • Download Users
  • Download Configuration (optional)
  • Download Worklist Orders
  • Upload Order Status
  • Upload Evaluations
  • Delete Evaluations after Upload (optional)


Extends the "ECG recorder replacement" to users and their configurations, so the satellites can be configured centrally and the settings are rolled out to the satellites when they synchronizeGuided mobile workflow with clients
"Configuration via central"

Complete mobile system

  • Download Tenants
  • Download Users
  • Download Patients
  • Download Configuration
  • Download Worklist Orders
  • Upload Order Status
  • Upload Evaluations
  • Delete Evaluations after Upload (optional)

Extends the workflow to

include synchronization of all patients.

The satellite then

Complete mobile system (with or without clients)

  • Download Tenants
  • Download Users
  • Download Patients
  • Download Configuration
  • Download Worklist Orders
  • Upload Order Status
  • Upload Evaluations
  • Delete Evaluations after Upload (optional)

Extends the workflow to include synchronization of all patients.

The satellite then has the complete patient database after synchronization. This means that work can be carried out with or without orders, and the assignment to the central system is retained.

Branch practice / Second practice

  • Upload Evaluations

In this mode, all evaluations are uploaded from the "store system" / "secondary practice" to the main system without the user having to worry about them.

The branch systems are independent of the main system and are not interested in their patients, users or configuration.

If findings are updated in the "Branch System", they are also synchronized and the main system has the latest status of all its branches

Replaces then the dial-up crutch and other handicraft solutions

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If you do not need all data on the satellite, but only the orders from this week on, it makes sense to enter a date not far in the past to speed up the first synchronization

Configuration of the status button 

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up the first synchronization


Configuration of the status button 



The status button then has the following states:

State

Meaning

Tooltip

There are still 7 evaluations not synchronized and the central server is not available

There are still 7 evaluations not highly synchronized, but the central server is accessible


There are no evaluations for synchronization, the central server is accessible

There are no evaluations for synchronization, the central server is not available


With version 5.5 and above the status Button is shown automatically. 

Configuration of the central print job

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