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Medical-Objects Pty Ltd has used reasonable measures to ensure that the information contained in this publication was correct at the time it was created. Medical-Objects reserves the right to at any time make changes to the information contained herein as it deems appropriate without prior notice. Medical-Objects takes no responsibility for the accuracy or the completeness of this publication.

Introduction

This project is a part of the Veterans Health Administration (VHA) Greenfield Incubation initiative. Its official name is “Enhanced Clinical Decision Support for CPRS” (initiative number 209).

Project submitted by Dr. Clayton Curtis (Boston VAMC and CHIO). Development work was contracted to HP Enterprise Services, with subcontracts to Medexter and Medical Objects.

The Purpose (Mission)

Improvement of patient care through greater and more effective clinical decision support at the point of care.

Benefits to VA/VHA:

This proposal would be a first of its kind effort to enable VA’s Electronic Health Record (EHR) to use a standards-based Clinical Decision Support (CDS) framework to support complex decision support needs of clinicians at the point of care.
In 3 meetings in 2008, senior clinicians from VHA met to develop a set of guiding principles and desired characteristics for the EHR. In the summary report (available on the VHA intranet), the term decision support appears multiple times.
VA is better positioned than almost any other health care organization to take advantage of CDS. VA goals for quality, safety, and efficiency are tightly linked to decisions clinicians make while sitting at computers.
Beyond the direct impact on quality, safety, and efficiency, this proof of concept sets the stage for more sophisticated use of CDS in the future.

Objectives

The over-all objective of the project is to successfully link a standards-based decision support framework to VHA’s CPRS/VistA, with replication of the current clinical reminder capability and generation of a patient “report card” as initial applications demonstrating the technical innovation. Because the framework will include rules with both “logic” and “action” components (unlike the current clinical reminder system), it will also be possible to demonstrate other forms of integration with CPRS, such as recommending additions to the problem list based on data, chaining screening and evaluation reminders, etc. In addition, it will be possible to demonstrate uses of the framework for non-traditional applications, such as a patient report card. The major technical components of this project are the introduction of the ARDEN standard for encoding clinical logic in Medical Logic Modules (MLM) and development of an interface to Medical Domain Web Services (MDWS) for data services: the virtual Medical Record (vMR) interface to be accessed by HL7 GELLO interface.

For more information on the Project please visit the following link:
https://sites.google.com/site/enhancedcprscds/project-definition

The vMR is a simplified view of the HL7 V3 RIM (Reference Information Model).GELLO cannot alter a medical record but can perform complex logic in order to make a decision about a patients care. It can be used to provide standards based data access for other advanced decision support applications.

Medical-Objects produced the first GELLO compiler in clinical use and uses GELLO for Guidelines (using GLIF or Guideline Interchange Format) and for constraints, validation and calculated fields in Archetyped data entry.

It is also used to create complex data series for graphing or statistical analysis.In our initial deployment the GELLO engine can abstract HL7 V2 data to produce a vMR that is RIM compliant. It can be integrated into any system that can provide structured data through the abstract vMR interface. It integrates seemlessly with the HL7 based Medical-Objects EHR servers and has full support for SNOMED-CT expressions using canonical forms to compare different SNOMED-CT pre and post co-ordinated concepts. It also has LOINC and ICD-10 support.Medical-Objects use of GELLO v.1 and development of Revision 2 represents the cutting edge of Clinical Decision support capabilities using a standards based, cross platform, high performance GELLO engine.

To read more click here.

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Medical-Objects is moving premises as of 29th November 2010,  to a new location at:

Suite 10, 102 Wises Road,
Maroochydore,
Queensland, 4558

If you intend on calling our support helpdesk during the day of our move please be aware there may be some delays.

Brisbane

Medical-Objects have opened a new office in the suburb of West End in Brisbane.

Contact our helpdesk on (07) 5456 6000 for more info.

Medical-Objects assists in the creation of medical reports and referrals and their secure transmission. Notes, referrals and reports can be accessed by the GP, Specialist, or Allied Health user within seconds of the completion of the procedure or consultation.

While we may be best known for our messaging Medical-Objects has a suite of eHealth related software that might help with your next project. We have an active R&D program and are passionate about advancing Healthcare through the application of innovative software solutions. The reason our messaging succeeds where others fail is related to the depth of our software framework and detailed HL7 knowledge.