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.

In a joint partnership with the South East Michigan Health Information Exchange (SEMHIE), we brought our expertise on the CCD format to assist in being the first in the country to complete the Social Security Administration‘s (SSA) E-Disability CCD Exchange. In this project, we and our partners, worked with local hospitals, including Henry Ford Health System and the Beaumont Health System, to obtain a CCD Summary of Care document from each for a given patient, and then generate a single aggregated CCD to be submitted to the SSA. This endeavor was proposed to reduce the overall approval process from an average of over 450 days of obtaining and reviewing paper charts and billing statements, to approximately 6 hours of requesting and reviewing a single CCD.

Read more about it here.

Order Entry software for hospital-based and provider-based patient orders

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In 2004, we partnered with the Henry Ford Health System to rewrite their internally built electronic health record application, known as “Care Plus.”  We were at a technological point with CDR-Web, where we also wanted to do a rewrite, utilizing Microsoft’s new .Net technology.  

With this partnership, we worked with their teams plan and facilitate a zero-data-loss migration of 10 years of clinical data, as well as write a new world-class Electronic Medical Record.  The end result was known at HFHS as CPNG or “Care Plus Next Generation” and commercially as RelWare’s EXR.

EXR was Certified for “Complete EHR, Inpatient” and “Modular EHR, Ambulatory” by InfoGard Laboratories EHR Certification Body under Meaningful Use January 2011.

Read more about it here.

 A comprehensive, hospital-based computerized physician order entry (CPOE) with real time interaction checking against patients know medications and allergies

The SQL Data Model is a third-normal-form based model, with nearly all tables using large integer Identity based keys, providing performance and referential integrity.  The Data Model began with our Clinical Data Repository (CDR-Web), focusing on the primary portions of a patient record: Demographics, Procedures, Diagnoses, Lab Results and so on.  In CDR-Web’s product evolution, this expanded to include Order Entry, Medications, Pharmacy Order Entry, and Scanned Documents. 

During our partnership with HFHS for EXR/CPNG, our data model was chosen for the basis of the new product, and was enhanced to support Teams, Work Queues, Clinical Documentation, Pathways/Protocols, and much more.  At one point, out of curiosity, one of the HFHS data model team printed the entire logical model. It took up his entire wall.

We continued to expand EXR to be certified as a complete Inpatient and Outpatient EHR, and the Data Model was further enhanced to support some of the feature points, and encryption methods required for certification.

When we created Arcana, we enhanced the Data Model for all of our external sourced data tables and expanded them to fully accept any sourced data. This allows us to accept data from any combination of source systems, and be properly aggregated, preserving the original while at the same time being able to easily map it to any known Point-of-Truth (i.e. CPT, ICD and similar codesets).  With it, Arcana is able to assess patients realtime and have reaction situations for any number of use cases, including aiding in insurance reporting of HEDIS matching patients and their related data points.

In 1998, we released CDR-Web, the first commercially available web-based Clinical Data Repository, as our flagship product.  A Clinical Data Repository is a “patient-based” database that is focused on clinical healthcare data, allowing users to view patient records electronically.  In the time where every hospital in the world had people dedicated to managing and delivering large paper charts, being brought up from the Records Room to the patient’s nursing station for the physician and clinical staff to review, CDR-Web made that same information immediately available via laptops and mobile workstations, directly in the patient’s room, using a powerful SQL Database and intuitive web-based interface.

Over the next 7 years, additional modules were added to CDR-Web, each just as revolutionary as the product itself.  These included web-based document scanning, prescription order entry with real-time medication interaction screening, and a personal view or “portal” to a patient’s own record (later becoming known in the industry as a PHR, or Patient Health Record).  On top of that, CDR-Web itself had multi-tier permissions and preferences, allowing the user experience to be customized at the facility, user’s role and down to the individual user.

For over a decade, CDR-Web was installed and operated as the primary medical record for several Michigan Hospitals, including Providence Hospital of Southfield, Botsford Hospital of Farmington, and Central Michigan Community Hospital as well as Bay Medical Hospital in Florida.

To date, some still refer to CDR-Web as “the most easy-to-use and intuitive” application they have ever used.