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.

The CCD is another evolution of healthcare messaging, released by the HL7 organization. It is an XML based document that was designed to contain large amounts of data about a patient (see example below), whereas the original HL7 standard focused on individual transactions (i.e. Admit a Patient, Order some Lab work, Prescribe a Medication). The default usage of a CCD is a “Summary of Care”, in which a healthcare provider describes everything known about the patient for a given visit all in a single document (i.e. Known Allergies, Performed Procedures, Medications Prescribed).

We first encountered the CCD standard with our Electronic Health Record application, EXR, being able to generate a CCD document as described above. Soon after, we partnered with SEMHIE to work on the Social Security Administration’s E-Disability CCD Exchange. We then decided to turn it around, and added the ability to ingest a CCD and its contents into our Patient Health Record software, PhysBee, which in turn, spawned the creation of our Alchemy service, and our work with MiHIN and the Medication Reconciliation service.

<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA/infrastructure/cda/CDA_SDTC.xsd" xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
  <realmCode code="US" />
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" />
  <templateId root="2.16.840.1.113883.10.20.1" />
  <templateId root="2.16.840.1.113883.3.88.11.32.1" />
  <templateId root="2.16.840.1.113883.10.20.3" />
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1" />
  <id root="6858a017-39c1-4153-bbd4-eaedac72a0e7" />
  <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOIVA" />
  <title>Continuity of Care Document</title>
  <effectiveTime value="20091206130000+1400" />
  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" />
  <languageCode code="en-US" />
  <recordTarget>
    <patientRole>
      <!--1.02 - Person ID (SSN)-->
      <id root="2.16.840.1.113883.4.1" extension="999-99-9999" />
      <!--1.03 - Person Address (Home Address)-->
      <addr use="HP">

HL7 is the defacto standard for health care inter-system messaging. It is a multi-delimited format, starting with pipe-delimited lines of data, which are then subdivided by other delimiter characters (see example below). It is used by hospitals to allow different systems to communicate with each other, including the Admission/Discharge/Transfer (ADT), Laboratory systems, Medication/Prescription systems and the like. Multiple HL7 interfaces such as those just mentioned were the primary sources of data for our application, CDR-Web, and are the messages shared in our ADT Notification System and our Lab Reporting System.

MSH|^~\&|CORNER|FRY^FRYES|RAVE|FRY^FRYES|20250915150917-0400||ADT^A17|Q11213|P|2.3||||||8859/9
EVN|A17|20250915150917-0400|||CERBUS^CORNOR^IBUS^CORONORY^^^^^xt_Id^E^^^XTID
PID|1||878711^^^LIFEMAN^MRN||VARAG^SHALMAN^MATIN^^^^C||19701110000000|M||2106-3|3877 S dallas st^^HIll tower^CO^80012^USA^HOME^^CAVA~VARAG.SHALMAN@GMAIL.COM^^^^^^EMAIL||7382902011^PRN^PH||ENG|S|NRL|3897291^^^FORTWAYNE^FIN|75471797|||N|||0
PV1|1|I|FRY 6N^7811^A^FRY North^^Bed^FRYE north|L||FRY 6N^711^A^FRYE north^^^FRYE north|967370^Hu^Jenny^T^^^MD^^prov_id^E^^^NPI|104725^Hardik^pandey^A^^^OK^^Nat_Prov_ID^E^^^NPI|118369^EDWARD^BILLER^^^^^^Nat_Prov_ID^E^^^NPI|SUR||||SELF|A5|CO|10967370^Hu^JennY^T^^^MD^^Nat_Prov_ID^E^^^NPI|IP||middle class||||||||||||||||65|||FRY north||A|||20250307184200-0400||||||||NO NPI AVAIL^Rickshaw^liz
PV2||BHAAS_Private|^55G|||||||0|||||||||||N|R
OBX|1|CE|76689-9^Sex assigned at birth^LN||M^Male^HL70001||||||F

While exhibiting in 2010 and again 2011, at the Healthcare Information Management Systems Society (HIMSS) annual convention, we had the iconic Delorean from the Back to the Future movie franchise in our booth. This was part of a fundraiser for TEAM FOX benefitting the Michael J. Fox Foundation for Parkinson’s Research.

Read more about it here.

After 10 years of being in business at Reliance Software (RelWare), we took a look back at our accomplishments to that point, and made a set of marketing slicks, as they were called, to showcase them. This was the first, focusing on the 10 years themselves.

TenYears

…

We started Reliance Microsystems as general IT consulting company, focusing on Networking, including Internet connectivity, and custom web-site design. Comprised of all of two people, we set out tackling jobs that intimidated larger companies, including a complete state-wide upgrade of an entire banking network’s computers within 30-days. Another was assisting a company after a merger had upset the original IT staff, which sabotaged the network on their way out, and we were able to restructure and regain control of everything within 2-weeks.

General Motors

As we started to gain traction, a partner software developer brought us in on a project for General Motors known as the GM Truck Town. It was an internal web application, then referred to as an Intranet Application, which had several components, each named after something automotive related. We were tasked with “The Depot”, which involved designing and building a 100% web based secure and departmentalized document sharing solution. Many would refer to this concept now as a well known website whose name rhymes with “BropDox”, however, in 1994, this was monumental.

Mercy Health Services (aka The Sisters of Mercy)

After our success with the Depot project, we were brought into another consulting project with the Mercy Health Services (also known as “The Sisters of Mercy”, a healthcare group in Farmington Hills. They had a project to turn their paper-based medical records system into a computer database, known as a Clinical Data Repository, and more importantly, to use a purely web-based user interface, again written as an Intranet Application, to be named Clinical WorkStation. Once complete, and after verifying that they had no desire to use this concept commercially, we reformed as Reliance Software Systems (RelWare) and began writing our own commercial Web-Based Clinical Data Repository, known as CDR-Web.

Read more about RelMicro