Page History

...

The Amadeus Clinical Portal as shown in the diagram below provides a single point of access for clinicians to manage patient information. This portal integrates the CDS products mentioned above, including the Medicines and Problem List applications. All Orion Health’s CDS applications expose their data using FHIR’s RESTful APIs. The use of SNOMED CT in these products also facilitates easier translation to standard messaging formats, such as HL7 CDA or other message structures mandated by local jurisdictions.

Image Modified

Clinical Portal

...

The Global Drug Model (GDM) enables Orion’s software to be deployed worldwide. This application standardizes and normalizes data sets from many different countries into a single data model. Customers upload their local SNOMED CT edition into GDM via an application that runs inside the Orion Health Clinical Portal. GDM processes the data and then publishes it using HL7 FHIR’s RESTful APIs. The processing performed by GDM makes heavy use of the SNOMED CT defining relationships, as well as discovering data about drug classes that is present in the terminology releases. This application facilitates a number of clinical decision support functions, including duplicate therapy checking and linking to relevant drug monographs. The use of SNOMED CT concepts in the GDM is illustrated in the screenshot shown in the diagram below.

Image Modified

Global Drug Model

...

For example, when new medications are added to a patient’s medication list, they are automatically screened against the current list of medications for that patient using the CDS Duplicate Therapy API. This check ensures that the clinician is advised of existing medications with the same ingredients. Clinicians viewing medications are able to access drug monographs and any other additional information listed against a medication. The medication list is also screened using the CDS Drug Allergy API, which presents a warning if a drug allergy or intolerance to a particular medication or drug class is detected. These checks use data traversal algorithms that were developed by Orion Health for fast traversal of the SNOMED CT concept hierarchy and defining relationships. The warnings have been specifically designed to minimize alert fatigue. The Orion Health Problem List application is shown below in the diagram below with an adverse reaction alert.

Image Modified

Problem List with CDS alert functionality

...