HealthExpress system Innovative screening without complication
In the complexity of modern medicine, diagnosis and technology there is an increasing challenge to professionals to engage with patients that enable effective screening and lifestyle changes before clinical intervention
Manufacturer:Medical Computer Systems
Zelenograd, Moscow, 124460 Russiawww.mks.ru, [email protected]
tel.: +7 495 913 31 94
The HEALTH EXPRESS HSS is used in the system of preventative and school medicine in all Russian regions, with over 28 million patients undergone the screening examination with application of this system.
Registered as the medical device in the Russian Federation:
Health Express HSS - RU No.ФСР 2010/07742
Registered as the medical device in EU countries:
healthExpress - CE 574163
Registered as the medical device in the Republic of Kazakhstan:
Health Express HSS - RK-MT-5No.015012
IMPLEMENTATION
The final declaration of the First World Ministerial Conference for
Healthy Lifestyle and Noncontagious Diseases Control (Moscow 2011), WHO’s
experts noted that special focus should be placed on identification of disease at
the earliest stage, as well as the on the primary and secondary prevention by
means of thorough screening of populations to identify persons with the high
CNCD development risk factor values. The conference participants highly
evaluated the experience of the Russian Federation for organization of the
health care innovation structure - the system of Health Centers
founded in 2009-2010.
The HEALTH EXPRESS Hardware-software system (HSS) was developed
for Health Centers. The system is used by more than 1,000 adult and children
health centers, including mobile centers involving buses, small buses,
cross-country vehicles. Over 28 million Russian citizens underwent examination
at Health Centers as of the beginning of 2018.
The HEALTH EXPRESS HSS is widely applied for screening and control of
treatment at preventative treatment polyclinics, private clinics, health points,
diagnostic centers, medical offices of sports school and Sports Medicine Centers
of FMBA, in the Urgent Psychological Help Center of the Ministry for Civil
Defence, Emergencies and Disaster Response (Emergencies Ministry).
Over 1,200 educational institutions in the RF and EEU states
are equipped with various versions of HEALTH-EXPRESS HSS for school
medical offices.
The HEALTH-EXPRESS HSS are supplied to the European Union States.
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SCORE
Stress level control system (SLCS)
Spirometery Statistics
Ankle-brachial index
Health-express Acuity of vision
Luscher test
ECG-12
STRESS-TEST
AUDIT questionnaire
Hospital Anxiety and Depression Score (HADS)
Nicotine addiction level
Anthropometry
CNCD risk factor assessment
Express blood test
Smokerlyzer
HEALTH EXPRESS has been developed based on the modular concept, which
allows selecting the system’s components
taking into account specific tasks.
HEALTH-EXPRESS units are additional programs or hardware-software solutions,
connected to the patients’ data base. The data base ensures organization and
storage of data about patients and results of their examination, as well as unit
communication, on the one hand, and external medical informational systems
(MIS), on the other hand.
- Base module system
- Optional module system
SimpleReport
For non-medical personnel or self-use by patients - this report displays aggregated examination data in easy to understand visual format.
GeneralReport
Aimed at the Family Physician, Paramedical and Allied personnel - this report displays basic quantitative data, graphics and conclusions;
ExpertReport
SG
Ex For Internists and Cardiologists - this report contains all quantitative and graphical data.
HealthExpress uses two methods: HeartVUE for measuring ECG microalternations andHeart Rate Variability analysis for determination of its functional state.
Three types of report are generated automatically:
HealthExpress is a ‘simple to use’ device
utilizing 4 limb electrodes to deliver a highly effective heart health screening solution. Simple computer interpretation provides for increased patient-doctor interaction with the results delivered in just 3 minutes without the need to remove clothing. Compact and fully portable, the device requires only minimal training for ease of interpretation using the visualization.
Advanced Analysis and Interpretation
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Method 2: Heart rate variability for determination of the functional state
Heart rate variability (HRV) analysis is a standard science-based prenosological tool that
measures change in the time intervals between adjacent heartbeats and is directly related to
the body's interdependent regulatory systems. An optimal level of HRV within reflects
healthy function, an inherent self-regulatory capacity, adaptability and resilience.
To measure HRV requires a 3 or 5-minute ECG recording. The time and frequency parameters
are recorded and the functional state is expressed as an Activity Index of Regulatory
Systems (IRSA).
Highly accurate with Sensitivity 84%
with Specificity 73% for Myocardium index.
Testing results – PTB ECG database from
National Metrology Institute of Germany.
Physiological normalThe subject is well adapted.
Prenosological stateFor maintaining the homeostasis, specific functional resources have to be mobilized and the regulatory systems are strained.
Premorbid stateUnsatisfactory adaptation.
Premorbid stateHomeostasis is disturbed. Specific pathological changes develop at functional and system level.
Method 1: HeartVUE for measuring ECG microalternations
HeartVUE selects 30 seconds segments from a 3 or 5 minutes ECG record and analyzes the
low-amplitude oscillations in ECG-signals automatically - microalternations analysis. This is a
fundamental difference from a standard ECG contour analysis. The analysis is shown
in the Myocardium index and another 9 indices,
which detail the changes in heart zones.
Microalternations are sensitive indicators
of the mechanisms of regulation of heart.
The system reacts to small metabolic changes.
IRSA 1-3
IRSA 4-5
IRSA 6-7
IRSA 8-10
IRSA steps
M Integrated index Myocardium
0% ...14% - Norm 15% ...18% - Borderline state 19% ... 23% - Significant deviation 24% ...100% - Pronounced deviation Detalling: 0-1-0-0-5-0-0-0-0
PARSE (IRSA) Activity index of regulatory systems
1 ... 3 step - Physiological norm 4 ... 5 step - Prenosological state 6 ... 7 step - Premorbid state 8 ...10 step - Failure of adaptation
IntegralMyocardium index
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Medicine department # 2
03.08.2018 15:50Date of research Pa�ent Doctor
по записи ЭКГ длительностью 3 мин
Анализ вариабельности сердечного ритма
Общее
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Basic report exampleof Health - express unit
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PARSE (IRSA) 4 deviat. Pulse rate (HR), bpm 71,7 normMxDMn, ms 195 norm SDNN, ms 36,3 normCV, % 4,3 norm Mode amplitude (AMo), % 50,2 normStress index (SI) 156,2 norm IC 5,2 normPower VLF,% 45,9 deviat. Power LF,% 38 normGeneral conclusion: 4 points: Your state is characterized by moderate voltage of regulatory systems where for adapta�on to
the environment body needs extra func�onal reserves. Such states arise in the process of adapta�on tolabor ac�vity, under emo�onal stress or effect of environmental factors.
years
on ECG record 3 min
Analysis of microaltera�ons HeartVueMiocard, % 14 norm Rhythm,% 8 normPulse, bpm 72 norm Detaliza�on L-0-0-S-0-0-0-S-0 normFunc. reserve, % 81 norm
General conclusion: No significant DISPERSIVE devia�ons.
Anthropometry unit
The unit is aimed at measuring:
• body height and weight,• arterial pressure
• wrist strength (dynamometry), • chest, shoulder and head circumference, • skin and fat folds thickness (calipometry)
Based on the measurement values:
• the bode mass index (BMI) is calculated, centile gender and age weight and height assessment is carried out• the somatotype for patients below 18 years old is determined• the trophological status for patients above 18 years old is determined• the nutrition condition interpretation is made• the body component composition is assessed• the strength index is determined
Comes with the auxiliary equipment:
PC-based scales, height meter, dynamometer,
centimeter tape, digital thermometer,
PC-based automated tonometer.
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Contact-free height determination
Height measurement without manipulations with the movable bar is carried out automatedly. Three optic units calculate the accurate height and do not react to strange objects. At the same time, the patient is weights and the Body mass index (BMI) is calculated. The results are instantly entered into the computer system. USB or wireless BLE connection is used.
Our scales with the height meter unit MKS-VEM-R-200 determine the height within the range of 100...200 cm and the body weight within the range of 20...200 kg.
89.6
182.526.9
кг
см
2кг/м
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CNCD risk factor assessment unit
The “CNCD risk factor assessment” unit is used to carry
out the poll (questionnaire survey) of citizens during
standard medical examination of adult population for
identification of chronic non-contagious diseases,
factors of risk of their development and consumption
of narcotic and psychotropic substances without
doctor’s prescription. The opinion based on the data obtained regarding the
necessity of further examination and consultations is generated automatedly.
SCORE unit
“SCORE” unit is aimed at the assessment of the
aggregate risk of cardio-vascular diseases based on the
patient’s risk factors entered into the system. The
opinion with recommendations for correction of
CNCD risk factors is generated automatedly.
Stress level control system (SLCS) unit
“SLCS” Unit is used to carry out the
psycho-physiological examination including
presentation of visual cues, assessment of the visual
and motor reaction speed and identification of the
organism’s functional preparedness.
Comes with:
FirstSync psycho-physiological
diagnostics control.
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Express blood test unit
The “Express blood test” unit helps to obtain automatedly,
assess and store the blood express examination data.
Comes with:
blood express tester
KardioCheck PA (to be purchased additionally).
Smokerlyzer unit
The “Smokerlyzer” unit carries out the
function of automated obtainment,
assessment and storage of the exhaled
air gas analysis data with determination
of the СО and
carboxyhaemoglobin level.
Comes with:
MicroCO
Spirometery unit
The “Spirometry” unit carries out the function of
automated obtainment, assessment and storage of
the spirometry data for comprehensive evaluation
of the respiratory system.
Comes with:
SpiroUSB spirometer
(to be purchased additionally).
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Ankle-brachial index unit
The “Ankle-brachial index” Unit is used to measure and
calculate the ankle-brachial index and realizes the
screening method for early diagnostics of peripheral
arteries diseases.
Comes with:
ABI Systems 100, angiological screening systems
with automated calculation
or BPI MD MESI (to be purchased additionally).
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* «Ankle-brachial index» Unit screen example
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Acuity of vision unit
The “Acuity of vision” unit applies
the method of the vision
acuity screening method using
the personal computer.
The unit measures the vision acuity within the range of 0,1 to 1,0.
Luscher test unit
The “Luscher test” unit is used
to carry out the color
and psychological test for:
• self-diagnostics and correction of own psychological state; • analysis of family conflicts and causes, which prevent from arrangement of the human being’s personal life; • control over the person’s will and emotions dynamics; • selection of candidates into psychotherapeutic groups for more adequate selection of psychotherapeutic exposure.
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*«Luscher test» unit screen example
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Choose the colour you LIKE
ECG-12 unit
“ECG-12” unit as a part of the system is used to
record electrocardiograms in 6 and 12 standard
leads with the duration of 10, 30 and 60 seconds.
Carries out automated measurements (testing
according to GOST RMEK 60601-2-25) and
generates ECG description. Distinguishes the
rhythm artificial driver’s impulses.
Comes with:
cardio-amplifier EC12C-01-CARDi2
with the set of chest and limb electrodes.
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electrodescardio-ampli�er
rack
cardio-ampli�er
a PC with the installed ECG-12 Unit
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PQ QRS
QT
BPM 49Angle QRS 36°PQ = 0.24 s P = 0.15 s QRS = 0.10 s QT = 0.50 s
- Junctional ST depression, probably normal.- Long QT interval.- Long PQ interval. Possible first-degreeatrioventricular block- Ectopic atrial rhythm.- Normal QRS axis.
00:00 00:01 00:02 00:03 00:04 00:05 00:06 00:07
I
II
III
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
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“ECG-12” unit report page example
instant pulse value
automated measurements markers
automated measurements and ECG description
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Medicine department #1 -
10/23/2018 11:56 40 yearsDate of registration ECG Patient Doctor
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STRESS-TEST unit
“Stress Test” is aimed at carrying out a simple load
test under the ECG-control in almost healthy
people with the risk factors, in sportsmen at the
sports specialization stage or at the stage of the
sports qualification improvement.
Testing of work efficiency and tolerance to the physical load using bicycle
ergometry (PWC170 tests, RAMP protocol) or using the Harvard step test. Bicycle
ergometry may be performed with the sum-maximum or the maximum loads till
stop. for cyclical sports and sport games, combat sports, for speed and strength
and complex coordinating sports. The maximum oxygen consumption (MOC) is
measure automatedly and compared to the standard values based on the sports
specialization.
*«Stress-test» unit load test
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4-electrode ECG in 6 standard leads is registered with EC6Ц-02-CARDi2/4
cardio-amplifier, which is a part of the HEALTH-EXPRESS HSS.GCЦ-02-CARDi2/4
The special belt allows placing the cardio-amplifier at the belt and minimizing
disturbances from the cable movement. The load is controlled automatedly at the
bicycle ergometer or set up by the computer rhythmometer during the step-test.
The unit maintains available KETTLER bicycle ergometers. Recommended for use
in SPORTS MEDICINE OFFICES equipped with according to Order No.134n of the
Ministry of Health Care of the Russian Federation, dated March 1, 2016.
AUDIT Test unit
“AUDIT Test” unit is used to identify alcoholic
addiction and its degree. The test has been
developed by the World Healthcare Organization
and widely used for over 30 years to identify
violations related to the alcohol consumption. The
opinion is generated automatically.
HADS Test unit
The hospital anxiety and depression score HADS
has been developed for primary identification of
depression and anxiety under the conditions of the
general medical practice. The HADS is used to
determine the level of anxiety and depression and
results in no obstacles for a patient or requires long
time for filling-out. The opinion is generated automatically.
Nicotine addiction level unit
The unit has been developed on the basis of
Fagestrem’s Test to identify the nicotine addiction
level and its degree, as well as on the basis of the
questionnaire of D. Khornu for identification of
this addiction type.
The opinion is generated automatically.
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Statistics unit
The “Statistics” unit is aimed at processing of
patients’ data bases with the automated selection
of patients groups by predetermined parameters.
«Express-Health STAND» Execution
A specially designed Express-Health Stand allows for generating up-to-date and compact
work environment and refuse from auxiliary equipment.
The stand contains checked computer components, a large touch screen for quick control
and a set of up-to-date network interfaces. The set up version of Windows OS for built-in
systems and industrial application ensures high reliability.
The whole range of HEALTH-EXPRESS HSS may be connected to the stand, and the
cardio-analyzer may be placed in a separate box cable and ECG electrodes put outside.
Built-in RFID optional unit allows identifying the patient by its personal medical record of the
CITIZEN OF MOSCOW/ SOCIAL CARD/ STUDENT’S CARD. This is a significant advantage for
conduction of examinations at educational institutions and at facilities. TEMPORARY CARDS
issued to the patient for identification during the comprehensive examination at various offices
can be also used.
One or several stands may be installed at various workplaces and combined with the single
data base of patients. Stands can be installed in public paces, e.g., in Health Centers’ halls.
In this case, patients may fill-out their medical records themselves, significantly unloading
medical offices.
17Round diagrams example
Micro-somatotype (slowed-down age development growth)Macro-somatotype (55)
(accelerated age development growth)
Мезомикросоматотип(номально-замедленные темпы возрастногоразвития)
Meso-macro-somatotype (37) (standard-accelerated age development growth)
Normal range (19)
Adaptation interruption (6)
Prenosological (52)condition
Premorbid (46)condition
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Statistics unit
The “Statistics” unit is aimed at processing of
patients’ data bases with the automated selection
of patients groups by predetermined parameters.
«Express-Health STAND» Execution
A specially designed Express-Health Stand allows for generating up-to-date and compact
work environment and refuse from auxiliary equipment.
The stand contains checked computer components, a large touch screen for quick control
and a set of up-to-date network interfaces. The set up version of Windows OS for built-in
systems and industrial application ensures high reliability.
The whole range of HEALTH-EXPRESS HSS may be connected to the stand, and the
cardio-analyzer may be placed in a separate box cable and ECG electrodes put outside.
Built-in RFID optional unit allows identifying the patient by its personal medical record of the
CITIZEN OF MOSCOW/ SOCIAL CARD/ STUDENT’S CARD. This is a significant advantage for
conduction of examinations at educational institutions and at facilities. TEMPORARY CARDS
issued to the patient for identification during the comprehensive examination at various offices
can be also used.
One or several stands may be installed at various workplaces and combined with the single
data base of patients. Stands can be installed in public paces, e.g., in Health Centers’ halls.
In this case, patients may fill-out their medical records themselves, significantly unloading
medical offices.
your institution name
built-in computer
multi touch screen
patient’s card reading area
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weight55 kg
Manufacturer:
Medical Computer Systems, LLCMoscow, 124460, Russia,4922, 4-2 Passage, ZelenogradTel.: +7 495 913 31 94E-mail: [email protected]
Our official representative: