1. Kickoff call is scheduled after quote signature to set expectations and schedule training
2. CSG and Hardware (if necessary, usually for visual fields) is shipped to location
3. Time is scheduled with lead technician to “get into” devices and install virtual printer software then test connections
4. Clinical Specialist trains staff on-site (takes approximately 1 hour, but CS will stay full day to ensure staff is comfortable)

The customer is responsible for providing a PC or server with adequate storage to hold all of the data. Once this has been identified, the entire folder structured is moved there along with the SQL database. Another option is the DICOM migration utility which will perform a mass export of all images and reports as OP DICOM files. This will not include OCT’s (OPT DICOM).

This depends on the device, but the image is usually exported to a folder location, the patient demographics are extracted from the file, and then sent together with the image into Harmony.

As long as the device can save images on a network drive, images can be uploaded manually to Harmony. If the device has no network adapter port, we will provide a tablet and adapter cable that will transmit printer files to the CSG.

Harmony is accessed via weblink, which can be a separate button inside the patient’s chart or hidden behind any existing button they are currently using to access images. We provide the customer instructions for using weblink with EMR template. It will be encrypted and embedded with the patient ID which takes user directly from chart to patient in Harmony, automatically logging them in.

Harmony interfaces with the customer’s practice management system and obtains the patient master list via HL7 ADT message.

Order is placed in EMR, which communicates to Harmony via HL7 ORM message, patient demographic data is pushed to device via DICOM, then result is transmitted to Harmony via DICOM, then Harmony sends result back to EMR via HL7 ORU message. Assists with meaningful use stage 2: Orders and Results. Mirth connect grabs patient info ADT message, sends to Harmony to create record, there is a check to validate that patient is coming from EMR.

At least 6MB of bandwidth upload and download (can be tested by going to speedtest.net), no T1 line or VPN required. Note: this could be different from Forum because it takes the OCT’s database off the machine and places it on the LAN server so a lot of bandwidth is required to pull images back and forth.

If ASP, only a CSG is required on-site (Topcon can supply), if LAN, the customer will need a CSG and application server.

Yes, when you export a single image you can chose from JPG or original format. If you select multiple images for export, they are exported as JPG in a zip file.