We began working with Clinical Architecture on the Social Security Administration E-Disability project. Soon after, we established a closer working relationship, leveraging our Alchemy product’s ability to ingest and output multiple different data formats (HL7, CCD, etc.) and their ability to map between multiple data dictionaries (ICD-9, CPT-4, etc.). We quickly realized that a combined solution would solve many interoperability hurdles faced by healthcare today, causing launch of PIVOT. We have since assisted in furthering their PIQI Framework by creating a PIQI document from any PIVOT (aka Alchemy) source.