Optic replaces Epic’s fragmented procedural specialty modules — Bones for orthopedics, Kaleidoscope for ophthalmology, and Lumens for GI — with a unified procedural specialty platform. Each discipline retains its unique clinical workflows: joint injection documentation, ophthalmic exam templates with visual acuity and tonometry, and endoscopic procedure reporting with polyp tracking. But all three share a single patient record, a single integration layer through Clarion Conduit, and a single Sentinel AI layer for clinical decision support.
Epic offers Bones, Kaleidoscope, and Lumens as dedicated specialty modules, but many health systems never implement them due to cost and complexity. Instead, orthopedists, ophthalmologists, and gastroenterologists are forced to document in generic EpicCare Ambulatory templates that lack the procedure-specific data elements their specialties require. An orthopedist documenting a joint injection needs anatomic diagrams and laterality tracking. An ophthalmologist needs structured visual acuity fields, IOP measurements, and slit-lamp findings. A gastroenterologist needs polyp location mapping and adenoma detection rate tracking. Generic templates cannot provide these.
Optic provides orthopedic-specific documentation with anatomic body diagrams for point-of-injury documentation, structured fracture classification (AO/OTA), joint-specific examination templates for every major joint, range-of-motion measurement with goniometric input, implant tracking with UDI capture for the National Implant Registry, and surgical planning integration with templating for total joint arthroplasty. Post-operative outcome measurement uses validated instruments (PROMIS, DASH, KOOS) with longitudinal trending.
The ophthalmology module provides structured examination templates for comprehensive and subspecialty eye exams: visual acuity (Snellen, logMAR), refraction, tonometry (Goldmann, iCare), slit-lamp biomicroscopy with standardized grading scales, gonioscopy, dilated fundus examination, and visual field testing. Diagnostic imaging integration captures OCT scans, fundus photographs, corneal topography, and fluorescein angiography directly into the patient record. Surgical documentation covers cataract (phacoemulsification with IOL specification), glaucoma procedures, retinal surgery, and refractive surgery with structured operative templates.
Gastroenterology requires procedure-specific documentation that generic templates cannot provide. Optic includes structured endoscopic procedure reporting with anatomic location mapping for polyps, biopsies, and lesions on a visual colon diagram. The Paris classification for polyp morphology, size measurement, and removal technique (cold snare, hot snare, EMR) are captured in structured fields. Adenoma detection rate (ADR) — the most important quality metric in colonoscopy — is calculated in real time across each endoscopist’s case volume. Pathology results from Clarion Assay are correlated with the endoscopic findings to create a complete lesion-to-diagnosis record.
Orthopedic and ophthalmologic imaging requires specialty-specific measurement and annotation tools that general PACS viewers do not provide. Optic integrates with Clarion Lumen to deliver specialty imaging workflows: templated radiographic measurements for fracture angulation, joint space width, and limb alignment; corneal topography overlay and OCT layer thickness analysis for ophthalmology; and endoscopic image capture and annotation for GI. Imaging studies are linked directly to the procedural documentation, creating a single visual-clinical record.
Procedural specialties have unique scheduling requirements: orthopedic cases need implant vendor confirmation, ophthalmology needs equipment-specific procedure rooms (laser suite, minor procedure room, OR), and GI needs endoscopy suite scheduling with anesthesia coordination. Optic integrates with Clarion Tempo to provide specialty-aware scheduling that accounts for equipment requirements, room capabilities, and estimated procedure duration based on historical case times for each proceduralist.
Each procedural specialty has its own quality registries and reporting requirements. Orthopedics reports to the American Joint Replacement Registry (AJRR) for total joint outcomes. Ophthalmology reports to the Intelligent Research in Sight (IRIS) Registry for quality measures. Gastroenterology reports to GIQuIC for endoscopy quality benchmarking, including adenoma detection rate, cecal intubation rate, and withdrawal time. Optic automates registry data submission from clinical documentation, eliminating manual abstraction and ensuring 100% reporting compliance.
A multi-specialty practice with 120 orthopedists, 80 ophthalmologists, and 140 gastroenterologists deployed Optic to replace a combination of generic EpicCare Ambulatory templates and paper-based specialty forms. Ophthalmology eliminated 92% of paper exam forms within three months. GI endoscopists achieved a 23% improvement in adenoma detection rate through structured quality tracking. Orthopedic implant tracking reached 100% UDI capture for the first time, enabling participation in the AJRR national joint replacement outcomes database.
I am a retinal surgeon. For fifteen years I documented my exams on paper forms that a medical assistant later scanned into the chart. The EHR templates available to me were designed for primary care — they had no fields for visual acuity, no IOP trending, no OCT integration. Optic gave me an exam template that understands what an ophthalmologist needs. My OCT images are in the chart. My visual acuity trends over time. My surgical notes have structured IOL specifications. I have not touched a paper form in six months.
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