Report reference guide. mmol/l. One. solution EMR. No fuss

Transcription

1 Report reference guide mmol/l One solution No fuss EMR

2 About diasend. Plug Transmitter into your outlet diasend is a standalone system for easy uploading of information from most glucose meters, insulin pumps and CGMs. diasend System With the diasend System data will be consolidated and presented at - without requiring any software installation. All you have to do is plug Transmitter into an electrical outlet and you are ready to upload data. The data is presented in a clear and structured way on a secure website through graphs, tables and statistics and the information can be viewed on any computer with Internet access. Data is divided over 5 main areas (tabs) including Glucose, CGM, Insulin, Comparison and Compilation.. Connect the device to Transmitter Use the appropriate USB cable, bluetooth or infrared eye. Instantly uploaded to diasend.com. Cloud based Patients and care providers see the same data, which can be viewed on any computer connected to the Internet.. Log in at diasend.com View tables and graphs and send to your Electronic Medical Record (EMR).

3 Consolidated reports to your EMR One report for all devices Consolidates data from multiple glucose meters, CGMs and insulin pumps into one single report, irrespective of device brand Send data to EMR Seamless integration from diasend to your clinic s Electronic Medical Record (EMR).

4 Contents You can find a selection of our reports in this reference guide. In addition to these you can find the following reports in our system: Glucose Logbook/table Glucose Day by day Glucose Meter alarms CGM Trend CGM Day by day Insulin Trend Insulin Day by day Insulin Pump alarms Glucose 7. Glucose Standard day Patterns of high and low glucose readings over a customized period 8. Glucose Trend Glucose readings plotted in a graph 9. Glucose Meter settings 0. Before and after meal settings How to set meal times for individual patients CGM. CGM Standard day CGM data displayed in a box plot graph. CGM Statistics Detailed CGM statistics over a hour period Insulin. Insulin Week Shows daily and weekly basal and bolus distribution 5. Insulin Bolus doses Daily bolus doses displayed in a graph 6. Insulin Pump settings 7. Insulin Pump settings - Compare pump settings View and compare pump settings from the latest uploads 8. Insulin Bolus adherence Log of when pump recommended boluses have been overridden Comparison 9. Comparison Logbook/table Consolidated data from insulin pumps, glucose meters and CGMs in a logbook view 0. Comparison Day by day Consolidated data from insulin pumps, glucose meters and CGMs displayed in tables and graphs. You can also view a PDF report with two weeks of data on one page Compilation. Compilation report A summary of aggregated data from glucose meters, insulin pump and CGMs PDF Wizard. PDF reports Choose any variety of the above reports and create a PDF to view on paper. PDF Wizard How to set up a favourite PDF report profile Information: diasend is indicated for use by individuals or healthcare professionals in the home or health care facilities for transmitting data from home monitoring devices such as glucose meters and insulin pumps to a server database to support diabetes management. The device is in dicated for professional use and over-the-counter sales. At diasend.com data is displayed in graphs, tables and statistics. The following pages will display some of these reports and graphs you can view in diasend. Please note that this is a general over view of the available reports in diasend. All features and type of devices are not available in all countries and may therefore affect what you can view at diasend.com. Please visit for current update regarding features, FDA cleared and compatible devices in your specific country.

5 Viewing data Improve communication with patients and maximize clinic appointments by seeing the same data - available even before the clinic appointment starts. Care providers and patients see the same information The reports, tables, graphs and statistics are presented in the same way whether used by the clinic or patient. It is also possible to customize and generate PDF reports which you can print and/or save. Free Patient uploads from home Patients can upload their data at home for their care provider. The data will be ready to view when the appointment starts, reducing time spent on uploads and maximizing valuable clinical face time. 5

6 Report information diasend gives you increased accessibility to glucose readings, insulin doses and CGM data. This gives the user the ability to become more involved in their diabetes management and care. diasend is easily customized, giving the individual patient and HCP only the data they are looking for. Our customization ultimately allows for a more effective conversation between the patient and the HCP. Compilation Report Allows the user to get an overall picture of the data uploaded for that time period. Glucose Standard Day Report This report can be used to identify patients who are not testing regularly and/or look at different time periods to identify problems. CGM Reports These reports will clearly display data to help assist the HCP in identifying problem areas and/or times for each patient. You can use the CGM Standard Day report to identi fy the range of CGM readings by the time of day or look at the CGM statistics to check SD and averages by the hour. Day to Day Report Displays data so that the HCP can easily compare different hours of the day, or weekdays against weekends. This may help the patients identify activities or events that have influenced their values. Insulin Bolus Dose Report This report will help the HCP check for patterns of how the patient is bolusing. This will help identify when the patient is doing well and where they need to improve. Bolus Adherence Report Will help the HCP to easily see what the pump has calculated for the patient s bolus against what the patient actually delivered. Insulin Pump Settings Report Allows you to view historical data to easily compare and contrast pump settings from different time periods. The Comparison Logbook/table Report This report gives the HCP insight into glucose measurement, carb intake and cannula fills, as well as boluses, priming, and suspend events, which assists in evaluating events by time and day (and may aid in identifying patterns). This report view also displays ketones if this is saved in the meter. Settings Tab The HCP can easily change the default blood glucose target range for the clinic and also individual patients as well as setting up custom ized PDF reports. 6

7 Glucose Standard day An overview of glucose readings plotted by time during a standard hour day. You can select a midnight-to-midnight or noon-to-noon view over the selected date range. You can choose to show lines to connect the values relating to each day of the week in different colors. View the mean value by clicking on this link. Statistics can be found at the bottom of each report. 7

8 Glucose Trend This displays a trend overview of glucose readings by date. This view also offers the possibility to look at values during specific time periods such as before or after meals. Click here to Show lines. 8

9 Glucose Meter settings This shows the settings for meters that have advanced settings activated. Meter settings data is displayed in different formats depending on the device that is uploaded. Example of the meter settings from the Freestyle InsuLinx. Example of the meter settings from the Aviva Combo. 9

10 Before and after meal settings You can choose if you want to display time intervals, or you can set it to show before and after meal times. You will see this in the Compilation (page ) and Glucose Trend (page 8) reports. Click on the Patient profile tab. Expand the registration form to set the meal times for the patient. Click on permanent intervals. Set the meal times. 5 Click to save the information. 5 0

11 CGM Standard day This shows the CGM curve in a box plot diagram over a hour standard day allowing to view the range of CGM readings by the time of day as well as the active basal profile. Box plot shows the distribution of values per hour of the day, spanning over multiple days. The whiskers represent the highest (5%) and lowest (5%) values available in that hour. The ends of the whiskers represent the minimum and maximum value. The white box represents the middle 50% of the values available in that hour. The median is the value in the middle of the value series. The average of the series is also shown. You can click on this link to see the Modal view.

12 CGM Statistics This table includes detailed CGM statistics over the time period selected by hour of the day. Statistics from a particular hour of the day is highlighted.

13 Insulin Week Daily and weekly basal and bolus distribution. Daily basal-bolus numbers can be viewed in the bar graph. You can view the insulin distribution for the week in the pie chart.

14 Since installing diasend in our department, use of data in the consultation process has changed from an occasional labour intensive process into a routine simple part of nearly all our consultations. Dr. Iain Cranston Consultant Physician

15 Insulin Bolus doses Bolus doses displayed in graph format to easily view daily bolus activity by time of day. This graph gives you a general overview of the bolus doses over a period of time. For example you can see gaps of missed boluses. A combo bolus may be used for higher fat meals providing a percentage of the dose immediately and then a slow infusion of insulin spread out over a set amount of time. 5

16 Insulin Pump settings This provides the information of the current and historical settings in the pump to easily review, compare and adjust as necessary. You have the option of selecting and viewing the pump settings from every upload. You can choose to print a comparison of the latest available pump settings (see page 7), or select to print the currently selected pump settings in an expanded version, or in a minimized version where all pump settings are compressed onto page (see page for an example). All reports are generated as PDF files. You can view the Bolus, Basal, General and CGM settings. In this report you can also view I:C ratio, ISF and glucose target ranges. 6

17 Compare pump settings BASAL Max Basal 5 U/h 5 U/h 5 U/h 5 U/h 5 U/h 5 U/h 5 U/h 5 U/h Max Total Daily Dose 00 U 50 U 50 U 50 U 00 U 50 U 50 U 50 U Basal profiles - Program: ISF programs Active basal program Upload date Upload date GENERAL 9/8/0 0/0/0 9/8/0 0/0/0 Language Interval Selection Index Start Rate English Interval Start English Rate English English Start English [mmol/l] English Start English [mmol/l] English Last Keypress to display 00:00:00 timeout 0, :00: , :00: :00:00 60,5 60 Auto-Off Enable 0:00:00 0,55 Disabled 0:00:00 Disabled 0,55 Disabled Disabled 05:00:00 Disabled Disabled 05:00:00 Disabled Disabled Auto-Off Timeout 08:00:00 0,875 h 08:00:00 h 0,575 h h :00:00 h,5 h :00:00 h h Max -Hr limit :00:00 0,7 50 U :00:00 50 U 0,65 50 U 50 U 6:00:00 50 U 50 U 6:00:00 50 U 50 U 5 5:00:00 0,6 5 5:00:00 0,6 5 9:00:00 5 9:00:00 Occlusion Sensitivity Level 6 9:00:00 0,675 Low 6 Low 9:00:00 Low 0,675 Low Low Low Low Low Insulin-On-Board 7 :00:00 0,6 Enabled 7 Enabled :00:00 0,6 Enabled Enabled Enabled Enabled Enabled Enabled Insulin-On-Board 8 Duration h 8 h h h h h h h Sick days, 9 BG over limit mmol/l 9 mmol/l mmol/l mmol/l mmol/l mmol/l mmol/l mmol/l Sick days, check ketones h h h h h h h h Sick days, check BG h h h h h h h h Low Cartridge Warning Level 0 U 0 U 0 U 0 U 0 U 0 U 0 U 0 U Time format h h h h h h h h BG unit mmol/l mmol/l mmol/l mmol/l mmol/l mmol/l mmol/l mmol/l Page of 5 Patient: Tim Smith Date interval: 09/08/0 to 06/08/0 Patient ID: Number of days: 7 Print date: 06/0/0 Glucose meters: - Insulin pump: Combination device: - Insulin pens: - Insulin: Compare pump settings Insulin pump settings for serial number The report compare the latest 8 uploads from pump. Changes are marked. Uploading date: 9/8/0 0/0/0 //0 //0 /5/0 /8/0 //0 6/8/0 BOLUS Audio Bolus Enable Disabled Disabled Disabled Disabled Disabled Disabled Disabled Disabled Audio Bolus Stepsize per program keypress.0 U.0 U.0 U.0 U.0 U.0 U.0 U.0 U Advanced Bolus Options enable Enabled Enabled Enabled Enabled Enabled Enabled Enabled Enabled Bolus Reminder Options enable Enabled Disabled Disabled Disabled Enabled Disabled Disabled Disabled Bolus Delivery Speed Normal Normal Normal Normal Normal Normal Normal Normal Max Bolus 6 U 8 U 6 U 6 U 6 U 8 U 6 U 6 U This report shows the pump settings from the latest uploads. You can easily compare changes between uploads. The date of the upload is indicated in the top row. For ease of reference all changes, compared to the latest uploads to diasend, are highlighted in the report. 7

18 Insulin Bolus adherence Log of when bolus overrides have occurred. This displays: Insulin actually delivered. Calculated units of insulin. 5 Bolus Type. You can view the pre-bolus BG reading. 5 You can view the post-bolus BG following a bolus override. 8

19 Comparison Logbook/table 5 Comparison: Logbook/table Sat 5/7 Sun 6/7 Mon 7/7 Tue 8/7 Wed 9/7 00:00 0:00 0:00 0:00 0:00 05:00 06:00 07:00 08:00 09:00 0:00 :00 :00 :00 :00 5:00 6:00 7:00 8:00 9:00 0:00 :00 :00 : g g 5g 7.75U.5U.6U.65U m g g 5g 5.65U.5U 9.U.75U g 0g.5U.U.U.5U g 7g.65U 5.5U 7.6U.5U g 5g 9g.7U 6.6U 5.5U.95U :00 0:00 0:00 0:00 0:00 05:00 06:00 07:00 08:00 09:00 0:00 :00 :00 :00 :00 5:00 6:00 7:00 8:00 9:00 0:00 :00 :00 :00 < mmol/l > 0 mmol/l m tagged values were typed in manually by the patient Suspend Resume Temp. basal Pump alarm Fill Cannula Prime Consolidated data from insulin pump and glucose meters in a logbook view. The free standing numbers are glucose readings. g stands for grams of carbohydrates. U stands for units of insulin. You can see what the basal rate was changed to and the arrow indicates whether this was an increase or decrease. Statistics Number of values: 9 Values above goal (0 mmol/l): 5 Highest value (mmol/l): 9.6 Values per day: 7.8 Values within goal (-0 mmol/l): 0 Lowest value (mmol/l):. Period average (mmol/l): 8. Values below goal ( mmol/l): Standard deviation: 5. 5 You can view pump events. 9

20 Comparison Day by day This displays day by day view of consolidated data from insulin pumps, glucose meters and CGMs in table and graphs. Click on this link to see a week overview on one page (see page for a sample) Details of events and alarms can be seen if you hover over the icons above the graph. The bolus and basal graph will display insulin data which includes basal rate, temporary basal rate, boluses doses, combination boluses, and doses of basal (long-acting) insulin. 5 You can view the daily total basal and bolus insulin distribution which is displayed in a separate pie chart. You can view the carbs in this view as well as the CGM curve and calibrations if CGM has been uploaded

21 Compilation report A summary of aggregated data from glucose meters, insulin pumps and CGMs. View average BG and SD by time of day. View detailed CGM data such as average by time of day and AUC. View detailed insulin pump and carb information such as average days between cannula fills.

22 PDF reports All reports in diasend can also easily and quickly be exported and printed in PDF by setting up the PDF Wizard. Please see page for information on personalization/customization of PDF reports. Note: All PDF reports display the devices serial numbers. Patient: Pierre Lafage Date interval: 5/08/0 to 07/09/0 Patient ID: Number of days: Print date: 0//0 Patient: Pierre Lafage Date interval: 5/08/0 to 07/09/0 Patient ID: - Insulin Number of days: Glucose meters: pump: Combination device: - 0//0 Print date: Glucose meters: - Insulin pump: Combination device: - Insulin: Pump settings Insulin pump settings for Serial number: Upload date: 07/09/0 07:5 (US/Pacific) Bolus Glucose General Patient: Demo CGM Animas Vibe with I:C ratio CGMsettings Insulin ISF programs Date interval: BG target Carbs range settings 0//0 to 7//0 Setting Value Setting Value Average Patient ID: Average Start U: Average [g] daily dose Start ISF [mmol/l] Number Average of days: Start carbs / BG day target [mmol/l] Range [mmol/l] Audio Bolus Enable Enabled 9. Print Language date: Selection Index 9/07/ :00: U 00:00: :00:00 0 g 6.7 +/-.7 mmol/l mmol/l SD = 9 # days = SD = 0 # = 5 Audio Bolus Stepsize per program keypress.0 U Last Keypress to display timeout 60 SD =.9 Glucose # = 7 meters: SD =. # = 0 05:00: Insulin 0:00:00 pump: Combination device: - Avg # bolus doses/day = 6.6 Avg # / day =.6 Advanced Bolus Options enable Enabled Avg # / day Auto-Off = 5. Enable Avg # Disabled / day = 6 :00:00 9 0:00:00. Bolus Reminder Options enable Bolus Delivery Speed Max Bolus Basal Max Basal Setting Max Total Daily Dose Active basal program Value 5 U/h 60 U Compilation Disabled Auto-Off Timeout h 6:00:00 8 :00:00. Glucose (mmol/l) Slow Max -Hr limit 50 U 5 0:00:00.8 summary Occlusion Sensitivity Level Interval Low Avg BG # BG SD Comparison : Day by day overview Insulin-On-Board9. 00:00-06:00 Enabled :00-08:00 5 Insulin-On-Board Wednesday Comparison Duration / h Thursday 5/ : Day Friday 6/by day Saturday overview 7/ Sunday 8/ Monday 9/ Tuesday 0/ :00-0: U Glucose values Average (mmol/l) Median (mmol/l) Highest value (mmol/l) Sick days, BG over limit. mmol/l 0:00-:00.6 Lowest value (mmol/l). 0.9 Sick days, check.9 ketones :00-:00 h Standard deviation (SD) 6..9 Sick days, check Wednesday 5. BG :00-6:00 h / 8. Thursday 5/ Friday 6/ Saturday 7/ Values per day 6 6:00-8: Number of values 7 Low Cartridge Warning Level 0 U mmol/l) 6 8:00-0: Values above goal (0 Time format h 0:00-:00 Values within goal (.9-0 mmol/l) Values below goal (.9 mmol/l) BG unit 0 Patient: Demo Animas Vibe with CGM Date interval: 0// Patient ID: Number of days: Print date: 9/07/0 Glucose meters: - Insulin pump: :00-:00 mg/dl 9.7. Basal profiles Program: Start Rate 00:00: :00: :00: :00: :00: :00: :00: :00: :00: :00:00.50 :00:00.50 :00: Sum:.600 U CGM (mmol/l) CGM Settings Setting Value CGM readings summary Interval Avg # SD Program: Program: Program: Transmitter Sound Level Vibration Average (mmol/l) 8. 00:00-06: Start Rate Start Rate Start Rate Median (mmol/l) 8. Other 98 Sound.5Level 06:00-08:00 6. Vibration 00:00: :00: :00: :00-0:00 AUC high > 0 mmol/l Sum: U Sum: U Sum: U Glucose High Alert Limit. mmol/l AUC low <.9 mmol/l 0. 0:00-: Glucose Low Alert Limit. mmol/l Highest value (mmol/l) 8.7 :00-: Glucose 0 Rise.6Alert Limit 0. mmol/l Lowest value (mmol/l). :00-6: :00-8:00 9. Standard deviation (SD). Glucose 66 Fall.Alert Limit 0. mmol/l Values per day 6 8:00-0: Glucose Low Alert Snooze Time 60 min Number of values 0 0:00-: Glucose High Alert Snooze Time 60 min Values above goal (0 mmol/l) 0 :00-: Values within goal (.9-0 mmol/ Transmitter Out of Range Alert Snooze Time 0 min 960 L) Glucose Low Enable Enabled Values below goal (.9 mmol/l) 0 Wednesday / Thursday / Glucose High Enable Friday / Saturday / Sunday 5/ Monday 6/ Tuesday 7/ Enabled Average daily CGM sensor 9:0 duration Glucose Rise Enable Enabled days Total CGM sensor duration Glucose Fall Enable Enabled :0 Transmitter Out of Range Enabled Insulin Insulin doses summary Average daily insulin (U) 67.5 Standard deviation (SD) 9. Average daily basal (U).9 Average daily bolus (U).6 Average bolus doses/day 6.6 Average days between cannula fills.8 Average days between primes.8 Carb summary Avg # carbs/day 0 g Standard deviation (SD) 0 Bolus calculation summary Avg # ezbg Boluses/day.5 (%) Avg # ezcarb Boluses/day.7 (57%) Avg # Combo Boluses/day 0 (0%) Avg # Normal Boluses/day. (%) Bolus overrides/total boluses 0% Avg # bolus overrides/day 0.6 Avg # bolus ezbg overrides/day 0. Avg # bolus ezcarb overrides/day 0. Avg # carbs/ezcarb Bolus 55 g Avg # Insulin Units/ezCarb Bolus 7 Wednesday / Thursday / Friday / Saturday / Want this report in your EMR? Contact Diasend today! emr@diasend.com Page Want this report in your EMR? Contact Diasend today! emr@diasend.com Page

23 PDF Wizard Allows customization and manage ment of report preferences consolidated into one PDF file. This includes the ability to add favorite profiles per user. Fill in name. Set time period. The PDF Wizard allows HCPs in the same clinic to set up their own favorite reports. In the patient list you can click on the PDF icon to create a compiled PDF re port or click on the downward pointing arrow to select the pre-set profile you wish to view/print.

24 diasend is distributed in Australia by: P E diabetes@amsl.com.au W diasend is indicated for use by individuals or healthcare professionals in the home or health care facilities for transmitting data from home monitoring devices such as glucose meters and insulin pumps to a server database to support diabetes management. The device is indicated for professional use and over-the-counter sales. M00C_0--0.