Future of Clinical Data Capture New Product Announcement: mTuitive Authoring Environment Framework

Problem Definition Evidenced based medicine will never realize its potential benefit until the problem of “noisy text”, a term coined to describe unstructured data, is solved. Dictation, written notes and verbal orders are all forms of noisy text. It is the major deterrent to achieving the goals of many healthcare IT initiatives. Clinical computer applications typically focus on specific tasks or functions which yield pieces of evidence. The patient record stores patient evidence across disciplines. Due to noisy text, comparative findings are typically limited to the memory of the clinician. There is little organization to aggregate diagnostic data that can be reviewed as evidence to improve and create standard practice protocols. Quality, structured data is required to drive decision support applications and cross disciplinary management of disease. It is the link between specific patient conditions and the global universe of medical evidence. Authoring Environment Framework was created solely to solve the problems created by noisy text. Structured data is captured and validated based on standard protocols at the point of decision. Organized data from findings are reviewed and protocols are updated and delivered to practicing clinicians. Establishes common data requirements Captures structured data as a byproduct of completing a task, as opposed to adding additional steps to the workflow Provides real-time decision assistance and prevents errors to capitalize on the power of structured data Automatically stores structured metadata, improving the data mining process Sends structured data to specialized clinical systems to link evidence and derive inferences Provides the framework to manage the entire process


mTuitive, Inc. 508-771-5800 www.mtuitive.com

Future of Clinical Data Capture
Structured data provides the link between specific cases and the wealth of global evidence that is available and expanding exponentially. The use of standard, structured data elements in clinical reports enables real time contextual search for reference materials, best practices and protocols. Clinicians can be continually educated while they practice. Data they record on patients helps to improve the evidence that develops into new knowledge and standards. Vision Utilizing xPert for Pathology as a proof-of-concept, the objective is to extend the use of the mTuitive Authoring Environment Framework to other clinical disciples and diseases. The more diagnostic data that is captured and can be used for research, the more evidence will be available to improve the protocols in place.

Product Components
Agile Author Starting with existing protocols, best practices and checklists, the Agile Author creates electronic versions, called templates. Behavioral logic for decision support, data validation, error checking, and inclusion of dynamic reference material is added through visual commands. User: Knowledge Engineer. This is the person who sets the standards for a defined group of users. Task: Protocol and data requirement standards development xPert Client Clinicians use the best practice templates (see Agile Author) to follow protocol. The xPert Client’s easy-to-use user interface utilizes a true expert system to guide the decision, following rules established in the template. Structured data is captured as a byproduct. In turn, the structured data enables dynamic access to global evidence, records the results and makes the data available to other disciplines to drive future decision support. User: Physician or data input person Task: Structured data capture and decision support Data Repository & Multiple Report Viewer All data captured via xPert Applications (see xPert Client) is sent to a centralized repository. The data is available for data mining, searching and research for improving best practices. User: Researcher or evidence based medicine expert Task: Store report results and metadata (i.e. codes, ontologies) Knowledge Server software and Administrator toolset Administrator functions provide for maintenance and management of all users’ rights to xPert Client and templates developed with the Agile Author. A centralized template management system allows the administrator to assign new templates or groups of templates to a user without ever touching a user’s computer. User: Administrator Task: Centralized management and delivery of templates and reference material Integration Services Data can be viewed by other systems through a variety of integration options, preferably web services. User: Integration manager

mTuitive, Inc. 508-771-5800 www.mtuitive.com