Holberg EEG - SCORE EEG Premium Edition

SCORE EEG® Premium Edition

Holberg EEG and the SCORE EEG® Premium Edition software replaces free text EEG reporting, and introduces systematic computer based classification

SCORE EEG®Premium Edition

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Easy to use annotation tool that guides the user to a standardized EEG report in just a few clicks.

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Offers quality enhancements through standardized EEG interpretations and transparent communication of the results to the referral physician.

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Building on its database and multi-lingual support, SCORE EEG Premium Edition offers great possibilities for international sharing of results, research and education.

This is the first software available building on the new international endorsed terminology for reporting of EEG, called SCORE (Standardised Computer based Organised Reporting of EEG).

SCORE EEG supports linkage to the EEG reader software and your Electronic Health Record system (EHR). This allow for a seamless efficient workflow and generates a clean standardised EEG report.

THE CHALLENGE The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features has traditionally been achieved by visual inspection of the recordings and reports designed in free text format.

Free text in medical reporting is challenging as it induces variation in the descriptions and two physicians might describe the exact same finding in different wording and with personal style. This can create a barrier between the expert, referring physician and patients.

In addition, free text reporting makes information inaccessible for statistical analysis which would be of great interest for research and educational purposes.

With these challenges in mind the IFCN (International Federation of Clinical Neurophysiology) established a SCORE taskforce with the support of ILAE (International League Against Epilepsy) aiming to standardise EEG reporting.

SCORE STANDARD The SCORE consortium is an IFCN official taskforce and consists of 41 experts and key opinion leaders in various fields of EEG, covering Europe, US, Canada and Asia.

The target for the consortium has been to establish a computer based system for EEG reporting and classification, where the physician can construct the report based on predefined terms and elements for each EEG feature as well as clinical phenomena.

IFCN supports a global SCORE consensus to be published in Clinical Neurophysiology in the autumn of 2016 and a chapter on SCORE has been submitted for the next edition of Niedermeyer’s Electroencephalography, the leading educational and reference book on EEG. IFCN will also include SCORE in the revised EEG guidelines as well as their updated glossary.

SCORE Publication: www.ncbi.nlm.nih.gov/pubmed/23506075

THE SOLUTION SCORE EEGÂŽPremium Edition is the first software application building on the new medical standard, SCORE. It offers quality enhancements in your EEG reporting, improves the overall clinical workflow, and strengthens your educationaland research opportunities.

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QUALITY DESCRIBE YOUR EEG AS THE EXPERTS The SCORE standard has been endorced by IFCN and ILAE. Reporting and classification is based on standardiced terminology determined by the leading EEG expert. Now you can describe your EEGs like the experts.

GUIDED REPORTING SCORE EEG Premium Edition guides the user to create an EEG report while still having full control on the findings. An implemented logic will only present you with the relevant options and features, and leave out irrelevant information.

STRUCTURED REPORTING SCORE EEG generates a clean and clear report, based on predefined terms and classifications, which includes visualization on a head model.

This will provide the referring physicians with a better understanding of the final report that can be communicated to the patient.

TRANSPARENT REPORTING The implemented bookmark functionality lets you connect your EEG descriptions in the SCORE EEG application with the corresponding examples in the EEG. This is a unique feature that validates the assessment and lets you document your decisions.

RESEARCH GET ACCESS TO YOUR EEG DATA EEG reports will be stored locally in a hospital database. The data is easy accessible, both for hospital quality measures, administrative overview, educational presentations, and research by using the integrated search tool.

COLLABORATE AND SHARE Multi language supports will provide opportunities for collaborations and research previously not possible.

EEG reports are translated by a single mouse-click.

FUTURE OPPORTUNITIES The database structure and the systematic reporting in SCORE EEG allows for anonymized data to be shared in national- and international EEG databases.

Wouldn’t it be great to export your anonymized data to other statistical programs as STATA and SPSS? These future features are just some of the possibilities that lies ahead when we all start SCOREing EEGs.

EDUCATION

EEG SUPERVISION The bookmark feature in SCORE EEG will come useful in educational situations where transparent reporting and documentation is important.

It will ease the communication between technicians and physicians and junior physicians and supervising physician, since all findings and descriptions are linked to the corresponding EEG which underlines the decisions.

NIEDERMAYER’S EEG TEXT BOOK The SCORE standard and nomenclature will have a dedicated chapter in the new 2017 edition of the leading EEG educational textbook, bringing SCORE to the new generation EEG’ers.

EDUCATIONAL PLATFORM Together with the new edition of the Niedermeyer’s EEG textbook, Holberg EEG will release a ground breaking web based educational platform!

Login, SCORE an EEG and compare your classification and report with a report from the expert.

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WORKFLOW In order to SCORE your EEGs time efficiently and optimized for your clinical workflow, Holberg EEG recommend setting up a direct integration between SCORE EEG and your Electronic Health Record system (EHR).

Once a senior physician has signed off the EEG report, the comprehensive report is automatically transferred and immediately accessible in the EHR. The integration is based on a HL7 interface and can be provided by Holberg as a separate module.

Internal Workflow

Electronic Health Record (EHR)

EEG Reader linkage

SCORE EEG® Premium Edition

The Linkage between the EEG reader and the SCORE EEG application allows for: • • • • •

Automated transfer of patient demographics and EEG modulators.

Automated detection of Events listed in the EEG reader.

Create bookmark of findings in the EEG with the description in the SCORE EEG application.

Improved overview of findings and descriptions.

Improves educational aspect as descriptions are linked to your EEG recordings.

ROLES AND ADMINISTRATION Assign separate roles and level of administration so that the leading physicians can have full overview of the EEG reporting in the department.

WORKLISTS Create your own worklists based on multiple criteria, and view i.e. all reports ready for review and final sign-off, or all EEGs not attended.

MULTIPLE SITE SETUP Install multiple databases from different satellite sites. You can then report everything at the main site and you’ll have a clear overview of where the EEGs are recorded with individual worklists.

FREE TEXT In order to preserve some of the autonomy in the reporting, the application allows for free text entries, but only in addition to the SCORE terminology, and not instead of. The free text will be stored in the database.

MULTI LANGUAGE SUPPORT Collaborate globally with the multi language support. Translate the report by a single click.

Languages available are: AZ, CN, DK, NE, NL, GB, GE, DE, IL, IT, LT, ID, NO, PT, RO, RU, TR, ES, SE, UA

The referring physicians gave much positive feedback about the structure of the report, especially the graphic representation of the abnormalities on the “head-model” (Sándor Beniczky, Danish Epilepsy Centre)

CORE FUNCTIONALITY GENERAL EEG Description of General routine EEGs. LONG TERM MONITORING (LTM) The LTM study can last for several days, and the EEG system often split the recordings into several files. SCORE EEG can handle multiple recordings for each study and merge them into one study so that the user will not have to keep track on the separate files where specific findings occur. Findings for all recordings are summarized in one report.

(Available shortly).

INTENSIVE CARE UNIT EEG (ICU) Offers the same advantage as for LTM monitoring but with even one more abstraction level where the user can report independent on recordings but rather within a certain time period.

Includes the new terminology for ICU reporting based on the Hirsh terminology (Rhythmic and periodic patterns in critical ill patients).

(Available shortly).

NEONATAL EEG Includes the new SCORE terminology synchronized with the “ACNS Standardized EEG Terminology and Categorization for the Description of Continuous EEG Monitoring in Neonates “.

(Available shortly).

ADD ON FUNCTIONALITY MEDICATION TRADE NAME AND CLASSIFICATION The SCORE EEG application allows for medication search based on the ATC index and synonyms for a generic medication name.

ADVANCED SEARCH An advanced search and export module is under planning and will provide the opportunity to search your database and export anonymous data.

(Available shortly).

ABOUT US Holberg EEG AS is a Norwegian based eHealth company with products for standardised structural interpretation, reporting and sharing of advanced diagnostic data, and is currently focused in the field of Electroencephalography (EEG).

EEG measures electrical brain activity and is mostly used in the diagnosis and follow-up of patients with epilepsy, coma and dementia. The company is owned by Televenture/ Norsk Innovasjonskapital IV AS, the founders and a set of local investors as well as company employees.

The founders of Holberg EEG Dr. Harald Aurlien and Dr. Jan Brøgger are both consultants in clinical neurophysiology at Haukeland University Hospital.

As of 1998, Dr. Harald Aurlien developed the first published systematic computer based program for reporting of EEG. (Aurlien H et al, 1999. A new way of building a database of EEG findings. Clin Neurophysiol 110:986–995).

Dr. Aurlien’s PhD thesis in 2008 was based on the development and use of this system, which has been a model for the development of the SCORE system.

TRY BEFORE YOU BUY! Please contact Holberg EEG in order to receive a trial version of the SCORE EEG Premium Edition.

Choose between a web based trial or a local installation in your department. www.holbereeg.com info@holbergeeg.com Phone: + 47 21 51 91 11

Holberg EEG Møllendalsveien 65 C 5009 BERGEN, Norway E-mail: info@holbergeeg.com Phone: +47 21 51 91 11

The SCORE EEG Premium software is not intended for use as a diagnostic aid or a clinical decision tool. The SCORE EEG software does not suggest a diagnosis or suggest a certain course of action.

The SCORE EEG software does not measure, calculate represent or modify raw EEG data originating from the EEG reader software.

For a detailed description of the intended use of SCORE EEG Premium Ed. Please refer to the Instruction for Use. SCORE EEG ® is a registered trademark by Holberg EEG in EU, Norway, China, USA and Canada.

The software is not available for sales in the US.

www.holbergeeg.com