Leasfprout's Digital Health Suite (or DHS) captures, stores and presents
Electronic Health Records coming from many different sources within an enterprise or across enterprises, e.g., LISs, HISs, EMRs, scanned content, etc.
We make that clinical information available to third-party systems that are best suited to process and present it in the most clinically-relevant fashion to its community of users.
Here is how we go about it:
We decouple clinical content (patient data) from the applications used to present it (your EMR).
We use industry-standard data archiving formats (e.g., CDA, CCD, and yes, even unstructured PDF) for storing clinical content. These data archiving formats
are independent of the flavor-of-the-month protocols used to exchange them and databases/filsystems used to store them.
We provide our own web-based viewer for all clinical content we manage (see docBrowser). This is one way to look at the records.
We can also feed all clinical content managed within DHS to your favourite charting/presentation tool (e.g., your local EMR), as our viewer is not meant to replace an EMR. This "feed" can be performed as a one time ingestion of records when a
new EMR is being rolled out; or it can also be performed as a real-time link to our clinical repositories, e.g., via URL-based integration, FHIR, or XDS/XCA.
We classify all managed content with a configurable set of clinical and administrative codes. The former allows us to partition the content based on its clinical characteristics, e.g.,
lab results vs. cardiology reports with critical findings. The latter allow us to partition the content based on its administrative characteristics, e.g., confidentiality level (VIP or not),
facility type (community hospital or specialty clinic), retention period, etc.
Our offerings relevant to Health Records:
CortexArchive is a clinical content archive for storage and management
of data from many specialties. Cortex consists of a vendor neutral clinical content archive (which is also used for imaging content) combined with a document
management system (XDS), master patient index (MPI), and web-based viewer to facilitate management, distribution and sharing of patient records.
Also included is an Audit Repository (ATNA) to keep track of who accessed what patient records, from where, and when.
At a minimum, two copies of encrypted data - with a customer-specific encryption key - are always kept in two different locations. For additional resiliency, and/or piece of mind,
a copy of data can optionally be sent to a customer-controlled object storage system (e.g., customer's AWS Glacier account).
Your data always belongs to you. If ever we part ways, we will return - at no cost - all your patient records on a storage device in standard format (e.g., CDA, PDF, etc),
grouped by MRN.
CortexArchive for Health Records runs in the cloud and is offered on a per-patient basis. It has its own website that can be accessed here.
Depending on the particular needs of your enterprise, a mix of the following imaging-oriented products can be deployed:
- Master Patient Index - when patient has multiple MRNs, a complete imaging record of the patient can be reliably assembled if those MRNs can be cross-referenced (see patientRegistry).
- Clinical Content Indexer - a Content Registry used to keep track of the health record for all patients. It also maintains metadata (various codes associated with each indexed piece of record, e.g., CDA document)
- Clinical Content Storage - a Content Repository used to securely store clinical content (see: docVault)
- Clinicial and Patient Portal - a web-based Health Record Viewer (see docBrowser).
- Clinical Results Distribution Engine - to distribute results of interest to the relevant parties, e.g., immediate distribution of pathology reports report with critical findings to a predefined set of recipients (see docDispatcher).
- Remote Site Connector - a compression and encryption appliance used to connect remote sites (see cloudLink).
- Single Enterprise:
- Have the freedom of replacing your EMR vendor without fear of losing prior data or paying for expensive data migrations.
- Integrated Healthcare System with Many Enterprises (or a Large Enterprise):
- Embrace diversity of clinical charting tools (EMRs) in your environment. No need to force all enterprises to use the same EMR. Attain a complete view of patient's record
by having a grip on your data rather than your EMR vendor.
- Attaining a complete view of your patients' health records does not have to cost a fortune!