VHA CHIO Innovation project "Enhanced Clinical Decision Support for CPRS

(Innovation ID# 209)"

This project is part of the 2010 cycle of the Veterans Health Administration (VHA) Greenfield Incubation initiative. 

Status at a Glance

Last updated 1/4/12
IMPORTANT: Please refer to information posted on project meeting to be held in conjunction with HL7 Work Group Meeting in San Antonio.
Currently under way:
  • Work to get Exams (V EXAM) into the AViVA extract.
  • Establishing a link to the video of the application demonstration posted on the Medical Objects wiki and getting a copy to the VA Innovation repository.
  • (Stalled) Obtaining RxNorm codes for medications from MDWS
  • (Stalled) Obtaining LOINC codes for lab tests from MDWS [Resolved?]
In place:
  • Bluecoat access and Windows credentials have been established for all who need it.
  • CPRS client has been installed, shortcut available on the client desktop.
  • Single VistA instance has been installed using Cache on Windows server.
  • VistA instance accessible via telnet either from user PC or via client desktop VM.
  • Medexter/Arden authoring environment installed, shortcut available on the client desktop.
  • Latest version of VeHU database with most recent MDWS/NwHIN RPCs and augmented 'avivapatient' data.
  • Latest version of MDWS2 middleware (with GetNHIN service)
  • Finalized approach to storing encrypted items (password-protected zip files)
  • Clinician (Dr. Kathryn Corrigan / Tampa VA) recruited to do more robust 'reminders' for "Tidbits from the Computer"
  • Installed source code version control and created a repository
  • Medexter Arden Syntax server: latest version installed on the intended server
  • MLM template and Hepaxpert information uploaded
  • VA ICD9-SNOMED mappings - Abandoned, none available.
  • VA LOINC code - term mappings - Received
  • MEDEXTER server - Running both IDE and execution engine.
  • Medical Objects - Running GELLO compiler and MDWS interface.
  • Connector between Arden execution server and GELLO server.
  • Health Factors from MDWS
  • Conversion of GELLO data types to Arden data types. (Medexter / Medical Objects)
  • Preparation of a "Guide to Arden Syntax" presentation
  • Enable Arden Syntax Server to retrieve patient-ids from MDWS
  • Mockup clinical reminder application
  • Hepaxpert Tidbits MLMs rewritten with GELLO expressions
  • Developed a tidbits application which runs the adjusted Hepaxpert MLMs and presents the results
  • Mockup patient report card application
  • Develop clinical reminder application + requested changes by Clayton
  • Develop patient report card application
  • Screenshots of reminder and report card application uploaded
  • MLMs for reminder uploaded
Guidelines to serve as contract deliverables:
(Selected by Stephan Gaehde)
  • Lipid management
  • Hypertension
Clinical reminders to serve as contract deliverables:
(Selected by Stephan Gaehde and Clayton Curtis)


Project updates

  • Project Deliverable Review Meeting 12/13/2011 The Project Deliverable Review Meeting is scheduled for Tuesday morning 12/13/2011 @ 8am US Eastern Standard Time (GMT-5).  There will be two demonstrations, one by Medical-Objects and ...
    Posted Dec 7, 2011, 1:40 PM by Clayton Curtis
  • Changes to site - 2011-11-08 Page created to store information related to transition of project environment to VA Sandbox.
    Posted Nov 8, 2011, 7:12 AM by Clayton Curtis
  • Hepaxpert Knowledge Base Added information about the expected input values for the Hepaxpert MLMs to the ARDEN Knowledge Base.Uploaded the MLMs of this Knowledge Base.
    Posted May 6, 2011, 9:49 AM by Karsten Fehre
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