The Medication Reconciliation module of PhysBeeMD (MedRec) application supports the State-wide Medication Reconciliation Service. The MedRec Service converts CCD/CDA/C-CDA documents and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

Immunization Registry Service

A Data Model defines layout and structure of how all data is represented and perceived.  Our Data Model, known as the “Parsed Data Block” is a well-defined XML based structure, that allows us to map any known data point for a given patient message (i.e. CCD/CDA, HL7, FHIR, CSV) to a specific spot in the Data Model (see example below).

For instance, when looking at a message with our Parsed Data Block, the name of a patient will always be found at the XML Path: /Document/Patient/Name and having possible attributes like first, middle, last and so on, regardless of what type of message was given.  Paths like this exist for each and every possible piece of patient data.

After years of working with the various healthcare standards, we have mapped most every data source type into and back out of our Canonical Model. We have packaged these libraries and several tools into our Alchemy system, “turning your healthcare data into gold.”

This allows us to immediately convert ANY source data from its original state INTO our model, perform any work we want on it, and send it back out either as the original format, or even as a different one. 

The beauty of this design is that once it is in the Canonical Model, any developer that understands basic XML can then work with the data, and either build triggers, modifiers, or analysis tools.  That’s why partners like MiHIN and Clinical Architecture chose Alchemy.

<Document source="CCD/CDA" title="Continuity of Care Document" effective="12/06/2009 13:00:00">
  <id root="6858a017-39c1-4153-bbd4-eaedac72a0e7" />
  <Code code="34133-9" name="Summarization of episode note"/>
  <Patient>
    <id root="2.16.840.1.113883.4.1" ext="999-99-9999" />
    <DateOfBirth precision="DAY">11/01/1972 00:00:00</DateOfBirth>
    <Name first="Charles" middle="A" last="Test" />
    <Gender code="M" name="Male" coding-system="HL7 AdministrativeGenderCode" />
    <MaritalStatus code="M" name="Married" coding-system="HL7 MaritalStatus" />
    <Religion code="1072" name="Full Gospel" coding-system-code="2.16.840.1.113883.5.1076" />

Our take on a Universal Health Record (UHR), or more popularly as a Patient Health Record (PHR).

Based on 20 year fortified CDR-Web base data model

Facebook like user-interface for ease-of-access and entry

PhysBee is an all-encompassing patient managed medical record. While Physbee can be tied to Populous and other EHRs, it also accepts patient input of their clinical record, regardless of location.

With Physbee a part of your suite of clinical applications, you enable your patients and give them command of their clinical data. Physbee is useful for many reasons, but most needed in emergency situations.

Let’s see how PhysBee helped Mary Smith. (Mary Smith is not her real name)

Mary lives in Michigan and has managed her Physbee patient record for three years. Her patient record has her providers’ details and contact information, discharge summaries, the 5 medications she takes, lab and radiology results and more. Mary’s A1C was being monitored. However, she has seen her physician less frequently lately. She is unaware that she has developed diabetes. Mary travels to Florida. There, she faints and falls. At Urgent Care, Mary confidentially shares her Physbee patient record, saving providers valuable time in their diagnosis. Mary is well taken care of and her case is quickly resolved.

The ADT Notification module of PhysBeeMD (PAN) application supports the State-wide ADT Notification Service, as well as any entity which has access to one or more hospital ADT feeds. The PAN converts ADT events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

The Lab Reporting module of PhysBeeMD (LRS) application supports the State-wide Lab Reporting Service, as well as any entity which has access to one or more Lab feeds. The LRS converts HL7 Lab events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

TPA began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification, Lab Notification and Medication Reconciliation via the SouthEast Michigan Health Information Exchange (SEMHIE).

This relationship continued as we then provided additional custom services. Soon after, we found that their existing Population Registry would not accept CCD/CDA as a source input. We described how Alchemy was able to accept this and any other format that they required, and store it all in Arcana. Arcana became their new Reporting source, being considered an Electronic Health Record, a requirement by their partners, as well as a Registry for monitoring Physician Metrics and Outcomes.

MNO began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification via the SouthEast Michigan Health Information Exchange (SEMHIE).

We were then approached to perform a system review and analysis, at which point we recommended some automated systems to alleviate their then manual-and-buggy process. We continued providing custom software and architecture consulting services. This included a full web-based rewrite of a custom proprietary coding application, which still operates today.

Metro Detroit’s 101 Best and Brightest Companies to Work For
Issued by 101 Best and Brightest Companies to Work For
Jan 2010

For a second year, RelWare was honored as an organization that displays a commitment to excellence in their human resource practices and employee enrichment.For a second year, RelWare was honored as an organization that displays a commitment to excellence in their human resource practices and employee enrichment.

Inc. 5,000 Fastest Growing Companies in America
Issued by Inc. Magazine
Jan 2009

RelWare was acknowledged for a third year as one of America’s 5,000 Fastest Growing Companies.RelWare was acknowledged for a third year as one of America’s 5,000 Fastest Growing Companies.

Metro Detroit’s 101 Best and Brightest Companies to Work For
Issued by 101 Best and Brightest Companies to Work For
Jan 2009

RelWare was honored as an organization that displays a commitment to excellence in their human resource practices and employee enrichment.RelWare was honored as an organization that displays a commitment to excellence in their human resource practices and employee enrichment.

Inc. 5,000 Fastest Growing Companies in America
Issued by Inc. Magazine
Jan 2008

For a second year, RelWare was acknowledged as one of the Fastest Growing Companies in America.

Inc. 5,000 Fastest Growing Companies in America
Issued by Inc. Magazine
Jan 2007

RelWare was selected as one of the Fastest Growing Companies in America by Inc. Magazine.RelWare was selected as one of the Fastest Growing Companies in America by Inc. Magazine.

Michigan Top 50 Companies to Watch
Issued by Michigan Celebrates Small Business
Jan 2007

Michigan 50 Companies to Watch is an awards program that discovers and celebrates the second-stage companies that make an impact in their markets, in their communities and in the state. They award companies known for their marketplace performance, innovation, philanthropy and corporate culture.

When moving from the hospital-focused solutions that we created as Reliance Software Systems, we re-branded as openAirWare and expanded our focus. We continued developing healthcare software solutions, but also wanted to be able to assist other communities. A year later, in 2012, we created a “Vision Diagram” (see below) to plan out where and how our services could be utilized. In 2016, we updated it, having everything being the same as it originally had been, but now with actual product and service offerings behind them. We have since started to enter our third decade of software solutions for healthcare, we decided to go back to our roots, unifying our solutions and services from both Reliance and openAirWare to a single brand, RelWare.

Read more about our history here.