When you first log into OpenEyes you will see a list of messages from other clinicians. Messaging is a popular feature in OpenEyes allowing communication about a single patient with the comments stored in the patient record. It works like email but is secure and linked to the patient history.

OpenEyes will import clinic work lists from your PAS system. This allows direct patient selection and shows a patient has arrived in clinic.

When a patient is selected from a work list or patient search- you will first see the patient overview which summarises medications, past treatments, diagnoses, management plans and appointments. Everything in one place - instantly.

A similar patient summary is always avaliable as a popup from the patient name banner- this can be viewed in any event so that you are aware of all relevant patient data.

The examination event is one of many different events that can be used to document a patient examination, investigation or procedure. It can be customised by the selection of one of many elements that are displayed on the left hand side of the screen.

When eyedraw features are included and saved, the view mode of the examination event is compact and highly informative, allowing a concise summary of an examination.

OpenEyes provides a rich graphical set of tools (Eyedraw) to document the appearance of the eye. These serve as visual metaphors for the eye examination. The drawing objects are called doodles which can be used to make an automatic diagnosis. The anterior segment eyedraw links en face and side views to document anterior chamber pathology, in this case, thinning of the cornea.

OpenEyes has over 150 doodles that can be used to describe complex pathologies. In this example the patient has multiple retinal pathologies which include extensive laser photocoagulation to the left retina. All doodles are selected with a single mouse click which automatically generates text to be included in the examination.

We have developed a novel method for the entry of data which reduces the number of mouse clicks to enter information by up to 50%. In the majority of examination elements you will see green buttons (popup buttons)- clicking one of these buttons brings up a panel from which data can be selected with a further click. In this example from the history element you can select from a range of customisable text snippets.

We have also minimised the need to move the mouse on the screen. For example, in the recording of intraocular pressure (IOP) we list 2 number columns. IOP values can be generated by combining numbers form the two columns. This considerably speeds number entry by removing the need to scroll long lists of numbers.

The operation notes supports the rapid entry of information for a range of operations. Many fields are pre-populated- for cataract surgery the IOL biometry details and IOL selection are pulled from the biometry event.

As with examination events, the operation notes are supported by the eyedraw graphical tools. These allow, for example, the annotation of suture locations and peripheral iridotomies in a trabeculectomy.

OpenEyes supports prescribing and the maintenance of an agreed formulary. Medication combinations can be specified to speed prescription.

Prescribed medication can be viewed in summary form in the patient summary popup

OpenEyes has a complete correspondence package that will pull information from a recent event and auto-populate a templated letter. You can customise the templates for your clinic or service. The letter format is PDF, allowing easy storage and viewing in other hospital based archives.

The letters can be saved in draft or final form and sent by paper or electronic to primary care providers with a copy also provided for the patient. OpenEyes allows letters to be tagged to events as part of a discharge summary.

In a busy clinic it is all too easy to lose track of patients- particularly when they are being dilated and sent for further investigations. The hotlist address this issue by keeping a list that can be viewed at any time of patients who are still under examination or having a procedure. The list is user specific and allows you to switch rapidly between patients.

You can add notes to the hotlist to indicate where a patient is in the clinic or if they have special requirements. A patient search option is also present at the top of the hotlist so that other patients can be found and viewed.

OpenEyes supports the viewing of documents at video refresh rates using the Lightning viewer. This allows you to view a stack of OCT images as fast as you might flick through a stack of cards. The lightning viewer supports this feature for all documents or images in OpenEyes.

You can also review all previous examinations- again at video refresh rates.

OpenEyes now comes with OEscape which provides a summary time related plot for any patient. The plots display subspecialty specific data. For glaucoma this would, for example, be visual acuity and IOP. For Medical retina, this would be visual acuity and central retinal thickness- with an indication of when intravitreal injections have been made. These views are scaleable to match the monitor size.

The OEscape plots can be linked to the display of imaging or visual field data. For example, in medical retina- as the cursor is moved along the visual acuity/ retinal thickness timeline, the OCT scan that matches a selected time point is displayed. The OCT scan refresh rate easily matches the speed of the cursor movement to provide both you and your patient a dynamic view of treatment progress.

OpenEyes is built to provide real time data - audit is not a term that is commonly used with modern EPR platforms to monitor day to day activity. We really need to know what is happening to our patients and our services as it happen. OpenEyes comes with an analytics package to support data collection and display on large numbers of patients. OpenEyes fully supports the NOD audit and generates a NOD compliant analysis of risks and complications associated with cataract surgery.

For the NOD analysis you can also see your complication profile and drill down on patients in any particular category. OpenEyes will also indicate the level of NOD audit completion. Data can then be submitted to the NOD directly from OpenEyes.

OpenEyes now supports real time analysis of patient waiting times - either as new or follow up patients. This allows you to spot patients who are lost to follow up or past their appointment dates.

You can click on each bar in the histogram to see the underlying patients and review their clinical status. If you click on any of the patient in the drill down - you can then see their overview summary and clinical history. Super fast.

Using an EPR is quite different from entering audit data a few hours a week. We realise that the view has to be comfortable and match the light levels in the clinic. That is why we have changed the colour palette for OE3 to a darker overall appearance that is better matched to the ambient light levels in most eye clinics. However, we appreciate that this could be disconcerting if you are coming from a Windows environment where the interfaces are generally light grey. To help in the adjustment, OE3 provide a theme choice- as standard dark mode.

Or as grey mode. The choice is yours and will be fixed to your user settings. The change can be made with a single click allowing you to flip between themes during an examination.

OpenEyes will display key data for a selected operation on a whiteboard- this is usually a large digital display in the operating theatre that can be seen by all staff. It supports activity around the WHO checks and ensures that everyone knows the case, side, procedure and, for cataract surgery, the lens type and power. It also displays systemic and ocular risk factors relevant to the case.

The whiteboard can be toggled to display underlying data- the biometry data is pulled from the biometry record but you can also see the standard output from the device as required. As biometric formulas and their reports get more complex- particularly for the management of post LASIK patients this is a popular safety feature.

Virtual review is a key function supported by OpenEyes. It has a rich set of tools to create a virtual review work list and annotate comments. You can customise your check lists and automate prescriptions and correspondence. In the work list view you can also see the steps in the review process and even undo steps if further review is needed.

OpenEyes provides a virtual review tool palette that sits above the examination event and can be used to capture review comments, create correspondence and prescriptions and formulate a management plan. A floating scratch pad allows notes to be taken during a virtual review that can be pasted into the virtual review outcome summary.