Web Case Viewer
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Web Case Viewer Overview
• The MPOG Web Case Viewer displays individual case data in a standardized way,
similar to an anesthesia information management system (AIMS) but not specific
to the electronic health record used by the participating site.
• All providers with an active MPOG account (i.e. receiving monthly Provider
Feedback emails) will have access to the Web Case Viewer to review their own
cases
• Access may also be granted to researchers reviewing cases for an approved PCRC
project or to external quality leaders supporting measure development.
• To request this access, please submit this form for MPOG Coordinating Center review. MPOG
may contact your site’s leadership to confirm requested access is appropriate.
Last Updated: 10/6/2026
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Access Levels for Research Projects
Access for Approved Multicenter PCRC Projects:
• Case Viewer is intended for use soon after receiving an original or revised PCRC data
pull. By signing this attestation, you confirm that you will only input multicenter case IDs
specific to this PCRC project and within the scope of the approved proposal. Any other
use must not involve multicenter case IDs from your PCRC data pull.
Access for Single-Center Research Purposes:
• Case Viewer may be used with local, single-center data obtained from DataDirect or local
institutional data, in compliance with local IRB policies and, when applicable, following
IRB approval.
Access for Quality Improvement Purposes:
• Access will be reviewed annually by the MPOG QI Coordinating Center staff. Any users
without an identified need for the Case Import feature for MPOG-wide QI purposes will
have their access removed.
Last Updated: 10/6/2026
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Navigation
Use the left panel to select and view different
sections of the record:
• Case Import
• Chart
• Record Search
• Administrative
• H&P
• Outcomes
• Labs
The active view is highlighted in a lighter blue
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Case Import Tab
From the Case Import tab, you can load multiple
cases via two methods:
1. Import an Excel or CSV File*
*Ensure the MPOG Case ID is listed in the
first column of the file.
• Select ‘Browse’
• Choose the file from your local drive
• Click ‘Import’ to load the case list
2. Paste Case IDs directly into Case List Import
window:
• Copy the MPOG Case IDs
• Paste them into the text box provided:
one case ID per line
• Select ‘Import’ to load cases
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Case Import – Import Results
• Once cases are imported, they will appear in the “Import Results” panel on the right
• Clicking on the individual case row will open the case in Chart View
• After reviewing the case, it will automatically mark the case as “reviewed”
• Users can export information that includes the case-reviewed column, enabling them to re-import
the file later and resume their work from the same point.
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Case Import – Chart View
• Once case is opened in ‘Chart’ view, a page count* will
appear at the bottom of the menu pane
• This allows the user to move through each imported
case without having to return to the ‘Case Import’ tab
• Open sections persist when switching between cases
• Ex. If the ‘Administrative’ tab is open for case #1 and the user
moves to next case, the ‘Administrative’ tab will remain open
for the next case.
*Page count only appears if multiple cases are loaded through the case import function
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Chart View – Demographics
The white header at the top of the screen provides basic demographic* information:
• MPOG Case ID
• Anesthesia Date*/Time
• Institution*
• Procedure
• Patient demographics (Age/Sex/Race)
• Height/Weight
• ASA Class
• Surgical Service
• Admission Status
• Room Name*
• Date of Death (if known)
*If accessing data from outside home institution, this information is
hidden (dates will only display year)
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Chart View – Physiologic Data
• The top of Chart View shows physiologic data in a graphical format
• A key is available to the left
• This section is ‘frozen’ meaning that as you scroll to see more data, the graph will
remain at the top
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Chart View – Navigating Graph
Hover mouse over the graph to see details
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Chart View – Timeline and Staff Sections
The top frozen section also shows
a timeline representation of key
times in the case:
• Anesthesia Start to End
• In room to out of rom
• Length of surgery
• Staff sign in/out times
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Chart View – Other Sections
The grey column to the left divides the case into the following
sections:
• Meds – separated by route (IV, IM, SQ, PO,
Transdermal, Infusion, Epidural, etc.)
• Inputs
• Outputs
• Physiologic
• Ventilator
• Flowsheet
• Labs
These sections are collapsed by default but can be expanded
by clicking on the [+].
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Chart View – Adjusting View
• Information in the chart is organized to align
with the chronological timeline displayed
across the top.
• To view additional details, use the Zoom Out/In
buttons in the upper-right corner.
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Chart View – Zoom In/Out
Click and drag left or right in the
chart to zoom in on that section
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Chart View – Changing the Timeline
To view times that fall outside the visible
graph range, hold the Shift key and
click-and-drag within the top graph to pan
left or right.
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Chart View – Notes Panel
• The side panel can help users review
notes in chronological order, providing a
layout similar to certain EHR systems.
• To reopen the notes panel at any time,
select the Notes shortcut in the
upper-right corner
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Chart View – Notes Panel (continued)
• Any of the section headers that are blue can be clicked and the
information will be expanded on the right
• The side panel can be resized by hovering over the border, and
dragging the mouse in either direction as needed
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Chart View – Notes Panel (continued)
Columns can be sorted in
ascending or descending order
by clicking on the arrows in the
corresponding column header
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Chart View – Notes Panel (continued)
• Users can expand the note by clicking the blue
text in the right-side panel.
• This opens a gray-and-white panel below
the yellow note section.
• This panel can be resized by hovering
between panels and dragging the dividing
line.
• In the yellow panel, a light red highlight
indicates which row is expanded below.
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Chart View – Notes Panel (continued)
From the expanded note view, users can see
the MPOG Concept ID and corresponding
AIMS variable*.
* This can be helpful for identifying potential incorrect
mappings.
Users can navigate through the notes by
clicking on the arrows on the top right of the
note detail box
• Go to first note
• Go to previous note in the list
• Go to parent note (disabled if not
associated with parent note)
• Go to next note in the list
• Go to final note
• Close window
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Chart View – Notes Panel (continued)
• When applicable, the note entered time
is available in the expanded note view to
compare differences between Observed
Time and Entered Time
• Observed Time = The time the
event/note happened
• Entered Time = The time the user entered
in the information into the EHR
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Chart View – Parent/Child Notes
• Bold notes are “parent” notes and have
associated “child” detail notes. Clicking on a
bolded note will provide the additional details
• The original variable as well as the value are
displayed in the note details
• Clicking on the blue text within the details will
bring the user to the values associated with
the note
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Chart View – Medication Notes
To add additional items to the side bar view, press and hold
‘Shift’ on the keyboard and select the additional items to add
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Infusion vs. Non-Infusion Administrations
• If an end time is not populated, infusion dose will continue
until the start time of the next administration for the same
medication.
• If an end time is not populated and there is not an
additional administration, the infusion will continue until
anesthesia end time.
• If the infusion start time is after anesthesia end and there is
no documented infusion end time, it will default to 5
minutes later.
Definitions:
• Infusion: If the administered unit is mapped to a concept
that is over time (i.e., mcg/kg/min).
• Bolus: If the administered unit is mapped to a concept that
is not over time (i.e., mcg)
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Chart View – Adding Sections
Sections Menu:
• Upper right-hand corner
• Add and remove sections
from the body of the chart as
needed
• See next page for MPOG
measure related sections
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Chart View – Measure Review
• Selecting an MPOG
measure-related section adds a
new chart section that includes all
relevant concepts for the selected
measure category.
• For example, the PONV section
summarizes PONV relevant
information such as anti-emetics
given, anesthetic gases used, PONV
and smoking history to assist the
user in assessing PONV risk factors.
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Chart View – Measure Review
• Selecting “View Case” from the MPOG QI Reporting Tool case list automatically launches
chart view in Web Case Viewer, showing measure details above the notes view on the
right-hand side.
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Chart View – Presets
The “Preset” menu in the upper right corner allows the user to navigate to preset views of the
chart based on time period.
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Record Search
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Record Search Tab
• Utilize ‘Record Search’ to customize a search string to locate relevant information from the chart to aide in
your research or quality measure review
• Search relevant information by MPOG Concept ID, original variable ID, or keyword
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Record Search – Tips
For help, hover mouse over “(What’s This?)” to show this information:
• Use “mpog:” in front of a keyword to only consider the MPOG concept ID or name (e.g., mpog:50002)
• Use “aims:” in front of a keyword to only consider the original variable ID or name (e.g., aims:Flo-5)
• Use “value:” in front of a keyword to only consider the value of the record (e.g., value:yes)
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Record Search – Strings
Example:
• Search for multiple terms/variables at the same time using either a comma (,) or a pipe ‘|’ symbol between
variables
• Hint: | is found on the same key as \; use to add a pipe (|)
• Ex: 50002 | 50003 | Propofol | lactated ringers
• This will pull in everything mapped to those two concept IDs and everything including the words ‘propofol’ and ‘lactated
ringers’
• CTRL + Z in the search box will undo searches in record search
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Record Search – Presets
Presets - clicking on this will show what
preset options are available.
• The preset options will auto populate the search area with
all variables that are mapped to MPOG concept IDs related
to the selected preset category.
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Record Search – Search String Examples
• Example search strings for flagged case review. Copy and paste into “Record Search.” This
information can also be found under 'Presets' in the Chart Section. Presets are updated
during the MPOG Suite Upgrades. If you are reviewing data and the preset doesn't exist,
you can reach out to the Coordinating Center for the search string to use.
• Glucose Measures:
Glucose, insulin, anesthesia start, anesthesia End, dextrose, diabetes, 10796, 10797, 3426, 3361, 3362, 3405,
5003, 5036, 10152, 10153, 10229, 10230, 10231, 10232, 10233, 10460, 10461, 10462, 10465, 10466, 10467,
10468, 10469, 10470, 10471, 10530, 10539, 10548, 10558, 10559, 10588, 10594, 10602, 10659, 10752, 50012,
50304, 6008, 50301, 50443, 50011, 50069, 50110, 50211, 10788, 50016
• Transfusion Measures:
anesthesia start | anesthesia end | HCT | hematocrit | hemoglobin | HGB | Red blood cells | Estimated blood
loss | Saline 0.9% | lactated ringers | albumin | platelets | phenylephrine | ephedrine | epinephrine| 3415 \
3435 | 3440 | 3450 | 5005 |5006 | 5038 | 5080 | 5081 | 10489 | 10490 | 10492 | 10493 | 10494 | 10496 |
10499 | 10616 | 10617 | 10618 | 10658 | 10660 | 10661 | 10017 | 10018 | 10557 | 10454 | 10456 | 10457 |
10354 | 10176 | 10326 | 10175 | 10445 | 10145 | 3502 | 3504 | 3505 | 3510
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Record Search – Changing the View
If a case is showing multiple search results from before the surgery date, click “Jump to Surgery” to
quickly scroll down to the day of the case
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Administrative
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Administrative Tab
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The Administrative view has information
regarding Demographics, Location
Mapping, and Billing.
*PHI has been removed for the purposes
of this guide.*
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Administrative – Billing
The billing sections shows all billing
codes that have been associated with
the patient, including all encounters
other than the procedure.
The Professional Fee Billing and the
Hospital Discharge Billing sections
include a description of what the
codes are.
The Case-Linked column flags the
billing codes that are linked to the
case that you are viewing.
The Diagnosis Codes Sections also
have a column that flags diagnoses
that were present on admission.
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H & P, Outcomes,
and Labs
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History and Physical Tab
• The H&P View shows perioperative assessment data.
• Each section can be expanded by clicking the drop down on the
right
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History and Physical – Note View
Similar to Chart View, any blue
value text can be clicked to show
more information in the yellow
pane on the right
MPOG
concepts
Values
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Outcomes Tab
The Outcomes view shows documented outcomes and mortality if available.
• Like other views, the blue text remains clickable to reveal more information in the yellow pane on the
right and each section can be expanded by clicking the drop down on the right
• Most cases will show ‘No Data Found’ for Registry Data. You will only see data here if the site submits
this data to MPOG and it is one of the sampled cases from that registry.
• More information can be found on our website at https://mpog.org/surgicalregistries/
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Labs Tab
• Lab view shows lab results in clinical
groupings and chronological order
• This info is also available in chart view
• Blue shading across the top shows the
day of surgery (D-Day = surgery day)
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Labs – Changing Date Range
• Use the “Jump To” drop-down to select a specific date and time.
• The table view will update to begin at the selected date and time.
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Labs – Note View
• As in other views, clicking any blue text opens a
yellow side panel with additional details for that
lab value.
• Users can also navigate through notes within the
gray panel, just as in other views.
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Labs – Value View
Clicking the blue numerical lab value
expands details for that specific result
