Development of Сlinical Guidelines

To eliminate medical errors in decision-making and standardize clinical guidelines we developed a framework for collaboration between clinicians.

Objective

IBM’s Emerging Internet Technologies Group develops prototypes and solutions to bring innovative technologies to customers around the world.

Our objective was to improve the effectiveness and quality of available treatments for various types of cancer.

Solution

In collaboration with IBM and the the US Cancer Network, Axmor specialists designed a unique system for the development of clinical guidelines in the treatment of cancer patients. When creating a guideline, a range of factors are considered: the patient’s indications, the symptoms of a particular disease, the stage of the disease, and many more besides. The web application consists of two interconnected parts which enable clinicians and other health care decision-makers to create and approve a set of clinical guidelines, as well as to create subsequent prescription templates.

Integration
Integration with medical data sources
The system that Axmor developed is integrated with popular medical resources such as PubMed, BioPortal and RxNorm. Users have instant access to reference books and scientific publications, which allows them to generate recommendations that meet all current requirements.

Integration with external systems
The application our team created meets HL7 FHIR standards. This has enabled other organizations working to improve the effectiveness of cancer treatments to integrate with our system. Integration with Adobe InDesign Tight integration with Adobe InDesign facilitates the simple export of treatment algorithms and corresponding prescriptions in PDF format.
Technology
ASP.NET
C#
TypeScript/JavaScript
Microsoft ASP.NET
MSnbsp;SQL Server
Angular2
Twitter Bootstrap
KnockoutJS
HL7 FHIR
PubMed
BioPortal
RxNorm
Main Features
1
Data Visualization

The application enables the creation of workflow diagrams which illustrate the development process of clinical guidelines. The diagrams reflect the treatment algorithms for specific groups of patients, applying the latest strategies for cancer care.

2
Collaboration between Users

Axmor developed a framework for collaboration between clinicians, who discuss, comment, and approve treatment algorithms collectively. This procedure is designed to eliminate medical errors in decision-making and works to standardize clinical guidelines.

3
Advanced Search

Axmor developed a query builder that allows filters to be created and saved for a given list of parameters via the use of logical operators. The queries created in this way are used to search for treatment algorithms. The list of parameters includes phase, type, disease, as well as other characteristics.

4
Prescription Template Creation

The application produces prescription templates using the generated treatment algorithms and lists of recommended medications. The templates include information on dosage, interactions, side effects, indications, and many other essential prescription elements.

Provided Value
  • The system saves the history of changes made to documents, allowing users to return to earlier versions and keep track of their status.
  • The system that Axmor developed has eliminated the need for paper documents and created a single space for the storing and processing of medical data.
  • We have developed a system that meets the necessary standards for the exchange, management and integration of electronic medical information.
  • By using Kanban’s methodology, our team was able to respond quickly to changes in requirements during the course of the project achieving maximum operational efficiency.
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