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Welcome to the NoMoreClipboard.com developer pages

NoMoreClipboard.com is an online, patient-controlled personal health record management system designed to consolidate medical information in one convenient and secure location for easy retrieval and updates. For provider, insurance, and vendor organizations NoMoreClipboard.com offers a set of tools and services to integrate electronic transactions into legacy systems. The NoMoreClipboard.com solution is comprised of three components: a Branded Portal, an Interface Engine, and a comparison tool which can be deployed together or individually.

Most hospital and practice information systems are not capable of handling patient data entered by patients. Usually, interfaces between applications like patient registration, pharmacy, lab, and EMR assume a complete and authoritative message between the applications. Meanwhile, data entered from a portal by patients may not be trustworthy, may be incomplete, and/or might never be needed. The promise of increased efficiency because of reduced data entry by staff is real, but the workflow is very different. Getting the data verified, getting it compared to existing data and then into legacy systems is not trivial.

Branded Portal

The popularity of the Internet has driven patients to the web to look for medical information. The Google Health Service will allow patients to get customized search results based on an anonymous medical profile. The Google Health profile will be interoperable with providers, but it requires the provider to have a patient facing web portal that can:

  • receive the profile using a secured CCRg Atom feed,
  • associate the anonymous data with a specific identity, and
  • collect visit-specific information.

NoMoreClipboard.com’s Branded Portal is a web solution which is private-labeled to the provider’s brand identity and is interoperable with Google Health. The site takes minutes to set up by providing HTML header and footer code. The portal comes with over 200 patient intake questionnaires to choose from, and customized questionnaires can be developed in XML. Furthermore, data widgets can be turned on or off to perform co-pay collection, bill-pay, refill requests, and e-visits.

Single Sign on: LDAP, OpenID, SAML

Interface Engine

It would not be desirable to have information entered by patients from a web-portal to be directly imported into patient registration and EMR systems. For example, someone may want to make sure a new patient shows up for their appointment before assigning a medical record number. Existing patients who enter “updates” may need to be reviewed before accepting to make sure they are acceptable changes. Garbage records entered in error or by vandals can clutter up databases. The NoMoreClipboard.com Data Tank is a web-based interface engine that holds information temporarily until reviewed and accepted by staff. By logging into the interface engine’s web-based interface, a staff person can query by multiple criteria to find a patient’s visit information and then review (see Comparison Tool below). By accepting it, it will trigger the interface engine to send the information out via a variety of interfaces simultaneously. The engine supports many transports: MLLP/TLS/TCP/IP, HTTP/SSL, SOAP, FTP/SFTP, and DICOM/TLS. Patient data can be delivered in a variety of formats: HL7 v2.x, CDA, CCD, CCR, DICOM. Nomenclature and identifiers can be translated between a variety of sources: SNOMED-CT, LOINC, ICD9, CPT, RxNorm, First Data Bank, NDC, NLM MetaThesaurus, NPI, UPIN, and custom translation maintained through the web interface. The engine also allows for information to be selectively sent back out to the patient portal and/or the Google Scrapbook.

Logins to the interface engine can be maintained by LDAP to an ActiveDirectory or other directory service. The solution can be hosted in NoMoreClipboard.com’s datacenters or provided as a rack mountable appliance placed in the provider’s datacenter. The administration is completely web-based.

Clinical Comparison Tool – FroozHIE

Froo
Importing new patient data is a much easier problem than maintaining updates over the course of care. Even on paper, trying to compare changes to clinical and administrative data is a chore. Medications change, intolerances are discovered, demographics and payment information shift and for the most part it is a manual process to detect and make updates. FroozHIE (pronounced frōōz-shēē) is a clinical comparison tool, named because it assists a clinician who may be comparing data from an incoming source to data already in their system, and in most cases it is like trying to compare apples and oranges in a Health Information Exchange (HIE). The user interface is a web page that depicts a patient in a split screen with information already known on the right, and on the left incoming data that needs to be merged. The tool is smart enough to know about brand vs. generic drugs and will highlight differences. Problem list items are compared intelligently using SNOMED-CT hierarchical codes and translated to the local coding system. A clinician can also choose not to import a record, and instead “add” a record on the fly. For example, if the patient enters “little white pill” that record may need to be ignored, and with sufficient questioning, the right medication added. For more information, visit the FroozHIE page.

NoMoreClipboard.com Mobile - Cell Phone Interface

Cell
NoMoreClipboard.com interfaces to cell phones to allow patients to keep up with their health while on the move. Compliance data collection, reminders, and basic communications can be done inexpensively using SMS (text messaging). NoMoreClipboard.com Mobile is a mobile application that uses SMS messages to communicate to the patient portal. A patient at lunch can flip open their phone, key in their carbohydrate intake and glucose measurements, and then they are done. No messing around with keeping a log and re-entering them in a computer later, or fussing with cords to upload results. Convenience means compliance.


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