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Systems engineering that helps people go the distance

Healthier, more independent lives depend on health information that arrives complete, correct and on time.

Every stride is a signal

A heart rate from a wearable. A lab result. A prescription, a claim, a public-health report. One person's health is written across dozens of systems.

The work starts with the person

We follow their information across every system that serves them, and engineer the connections in between.

Synthetic patients

Testing without real patients

People

Engineers at CDC and Georgia Tech preparing for FHIR Connectathons.

Problem

Real patient records can’t be used for testing.

Work

A synthetic patient generator wired to the MELD Sandbox.

Result

Realistic test populations, exported as Bulk FHIR.

Impact

Complex tested software with no patient risk.

CDC & GTRI · FHIR R4/R5 · US Core 6.1.0

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NOMALIX
Synthetic Patient GeneratorFHIR R4/R5US Core 6.1.0
Patient · syn-0042F · 64ObservationConditionMedicationRequest✓
Patient · syn-0043M · 51EncounterObservationImmunization✓
Patient · syn-0044F · 37ConditionProcedureObservation✓
Patient · syn-0045M · 72MedicationRequestObservation✓
Bulk FHIR export · NDJSONMELD Sandbox · connectedTerminology checks · passed

Data standards

One version of the truth

People

CDC programs submitting data elements to ONC.

Problem

Old and disjointed systems.

Work

One Dynamics 365 workspace for USCDI and USCDI+.

Result

Mapped data elements, each with an owner, status and history.

Impact

Traceable and standard decisions.

CDC · Dynamics 365 · USCDI · USCDI+

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Data Element WorkspaceUSCDIUSCDI+
ElementData classVersionStatus
Date of BirthPatient Demographicsv3ScatteredIn reviewApproved
Laboratory Result ValueLaboratoryv3ScatteredIn reviewApproved
Immunization CodeImmunizationsv2ScatteredIn reviewApproved
Encounter DiagnosisEncounter Informationv3ScatteredIn reviewApproved
Specimen TypeLaboratoryv4ScatteredIn reviewApproved
Problem StatusProblemsv3ScatteredIn reviewApproved
Owned, versioned and reviewable
0%

Live reporting

Today’s numbers, not last quarter’s

People

CDC leadership and the Data Modernization teams.

Problem

Quarterly slide decks, out of date on arrival.

Work

An embedded Power BI dashboard on live data.

Result

Updated numbers for decision making.

Impact

Decisions made on today’s numbers.

CDC · Power BI · Dataverse

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NOMALIX
USCDI Tracking DashboardLive
Data elements0
USCDI0
USCDI+ (2024)0
Elements by data class
Patient Demographics
Laboratory
Medications
Clinical Notes
Encounter Information
Immunizations
Problems
Procedures
Use casesPublic comments
Q3 status deck · out of date

Accountable automation

Automation a person answers for

People

Integration teams.

Problem

Uninspected and failed automations.

Work

Agents proposed mapping, human approval.

Result

Visible, reproducible and reversible actions.

Impact

Faster integration with accountability intact.

NOMALIX Lab · FHIR · LOINC

Try it in the Lab ↗
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Integration Agent · Lab feedSynthetic data
Incoming recordObservationcode: "GLU"value: 104 mg/dL
Agent proposalMap local codeGLU → LOINC 2345-7confidence 0.97
Human decisionApprove mapping?ApproveApproved · data steward
Trace

09:41:02 record received · lab-feed

09:41:03 agent proposed GLU → 2345-7

09:41:19 awaiting human approval

09:41:27 approved · mapping applied · logged

Unlogged automated change · no owner

We have solved problems like yours before

✳ Data Element Registry
All elementsNeeds reviewApprovedSearch elements…
ElementFHIR pathStandardVersionStatus
Patient date of birthPatient.birthDateLOINC 21112-8v3Approved
Primary languagePatient.communicationUSCDI v3v2In review
Lab test resultObservation.valueLOINC 2345-7v4Approved
Immunization codeImmunization.vaccineCodeCVXv1Draft
DiagnosisCondition.codeSNOMED CTv2Approved
Full case study · Data standardsWhich version of this field is current?50%faster data reviewOne source of truth for every data elementOpen the case file →

Every standard, every system

FHIR R4/R5US CoreUSCDILOINCSNOMED CTDynamics 365Power BIRxNormICD-10Bulk FHIRDataversePythonFHIR R4/R5US CoreUSCDILOINCSNOMED CTDynamics 365Power BIRxNormICD-10Bulk FHIRDataversePython