Bringing disparate systems together

While computers and the internet have provided us with new tools for exchanging data between healthcare professionals, timely access to all relevant information pertaining to a particular patient remains a challenge.

Patient history and treatment details tend to be scattered across several systems, and there is often no clear-cut path for obtaining access to the latest and most trustworthy information. 

Data sharing must be seamless across organisation and system boundaries, and access privileges must be managed across multiple groups of stakeholders including patients, general practitioners, hospitals, and further organisations in the extended healthcare delivery ecosystem.

Your organisation is part of a logistical network

MODA + MODE (Model Oriented Domain Analysis and Engineering) provide advanced techniques for semantic system integration and modular solution design.

Model Oriented Domain Analysis and Engineering offers a systematic approach for:

  • Translating the tacit knowledge, which often resides within the heads of domain experts, or which is sometimes buried in difficult-to-maintain software code, into explicit knowledge that does not decay over time.
  • Integrating the knowledge of multiple domain experts in a cross-disciplinary context, and addressing the challenges of conflicting notations and terminologies.
  • Streamlining the end-to-end new system integration process based on open standards.
  • Creating advanced automation solutions that often lead to severalfold improvements in quality, reliability, and productivity.

Integration with electronic health record systems

The low code Care Platform that powers all of our software product lines communicates with electronic health record systems via the FHIR (Fast Healthcare Interoperability Resources) and IPS (International Patient Summary) standards. This facilitates seamless information exchange between healthcare service providers, whilst respecting the limits imposed by patient controlled health data access privileges and regionally applicable data governance policies.

The IPS standard covers relevant metadata (record author, attester, data custodian) as well as essential health data (medication summary, allergies and intolerances, problem list, immunisations, history of procedures, medical devices, diagnostic results) and further optional data sets.

The Care Platform is based on a modular pure Java architecture which runs in standard web container platforms, for access by users in any modern web browser, on any smart phone, tablet or desktop. Our software services can be made available on any suitable cloud infrastructure. Our software product lines support open REST (for non-clinical data) and FHIR/REST APIs (for clinical data) for integration, with OAuth2 (2 factor authentication where needed) as the security layer.

All our software services include optional out-of-the-box integration with OpenMRS, a best-of-breed Open Source electronic health record system that is used by more than 5,500 healthcare facilities in over 40 countries to provide improved healthcare to 12.6 million patients:

  • Professional Quality of Service – We deploy OpenMRS, also a Java implementation, in a distribution with tested compatibility of modules, which similarly runs on Linux within a web container, deployed on cloud servers or on premise. The user interface is likewise available through web browsers on most device types.
  • Smart on FHIR – All integrations between S23M’s healthcare product lines and OpenMRS are done via FHIR standards, in particular Smart on FHIR. This means that the same integration code can interface with any other health IT systems, such as Cerner, Epic and other proprietary EMR systems, practice management software, laboratory systems, financial, and billing systems, among others, which also support the same FHIR resource types and APIs.

Our track record

Our team has worked with federal and state government health departments in Australia to improve the speed and accuracy of the health informatics standard specification and reference software implementation publication process.

  • Our model-based tooling revealed possible gaps between requirements, specifications and software which previously needed days or weeks of expert testing and clinical safety analysis using text-only artefacts.
  • Critical flaws in open source tooling were corrected and contributed back to the international health informatics standards community.
  • S23M was able to reveal the power of automatically generated traces between models using formal model transformations, merged with human-documented correspondences. A demonstration SaaS tool showed appropriate role-based views of the end-to-end process to management, business analysts, clinical safety experts, information modellers and specifiers, and software developers.

S23M’s Care Platform technology integrates distributed systems via the SNOMED-CT compliant interoperability standards stipulated by national and regional health authorities. This means data quality challenges can be reduced significantly, and as a result, the number of mistakes in diagnostics and patient care can be reduced correspondingly.

Furthermore all our Care Support solutions encapsulate relevant regulations around aged care, resident on-boarding, and home care delivery, including integration with the interRAI™ clinical assessment instruments.