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About Pogosh CDS

Pogosh CDS is a REST API that delivers chart-aware clinical decision support by analyzing comprehensive patient records, including clinical notes, laboratory results, imaging reports, procedures, and active conditions. It processes this data to generate structured, coded recommendations such as prioritized orders with standardized LOINC and RadLex codes, specialty routing guidance, and escalation criteria that align with the patient’s current clinical state. The system avoids redundant or irrelevant suggestions by tailoring outputs to the patient’s specific context, reducing cognitive load for clinicians. In addition to decision support, Pogosh CDS drafts clinical notes grounded in encounter data, which can be reviewed, edited, and signed within existing workflows. It includes an emergency safety check feature designed to flag time-critical conditions for immediate attention. The API is built for seamless integration with any EHR system capable of making HTTPS requests, including custom-built platforms, and is available as a module for OpenEMR. Designed with healthcare compliance in mind, Pogosh CDS supports HIPAA requirements and offers a Business Associate Agreement to ensure data protection. Its outputs are structured for easy integration into existing clinical workflows, enabling efficient adoption without disrupting established processes.

Key features

  • Chart-aware decision support that accounts for prior procedures and studies
  • Structured output with LOINC, RadLex, and ICD-10 codes
  • Prioritized orders and routing recommendations with clinical reasoning
  • Drafted clinical notes grounded in encounter data
  • Emergency safety backstop for time-sensitive conditions
  • HIPAA BAA available for PHI handling
  • OpenEMR module and REST API deployment options
  • Self-serve evaluation key for testing

Use cases

  • Generating patient-specific orders and consult recommendations within an EHR
  • Drafting clinical notes that reflect prior chart history and current findings
  • Training medical students and residents through interactive case-based learning

Pros

  • Reads and interprets full patient charts including imaging, procedures, and labs
  • Returns structured, coded orders and routing recommendations with reasoning
  • Drafts clinical notes grounded in encounter data without fabricated information
  • Available as a REST API for any EHR or as an OpenEMR module
  • Includes emergency safety checks for time-critical conditions

Cons

  • No free tier or self-service trial beyond synthetic data evaluation
  • Limited to English-language clinical contexts
  • Requires HTTPS request capability from the EHR system
  • No native support for non-HTTP-based EHR integrations

Frequently asked questions about Pogosh CDS

What does Pogosh CDS do?

Pogosh CDS is a REST API that provides chart-aware clinical decision support by analyzing patient records—including notes, labs, imaging, procedures, and conditions—before generating structured, coded recommendations such as prioritized orders with LOINC and RadLex codes, specialty routing guidance, and escalation criteria tailored to the patient’s current state.

Who is Pogosh CDS designed for?

Pogosh CDS is designed for independent practices, small teams, and EHR platforms that need to integrate clinical decision support without disrupting existing workflows. It supports custom-built EHRs, OpenEMR, and FHIR-based systems.

How does Pogosh CDS integrate with EHR systems?

Pogosh CDS integrates via a documented REST API endpoint. Users can send patient data such as notes or structured conditions and receive back JSON-formatted recommendations, including orders, routing, and drafted clinical notes.

Does Pogosh CDS support HIPAA compliance?

Yes, Pogosh CDS supports HIPAA compliance with a Business Associate Agreement (BAA) available for handling protected health information (PHI). Evaluation and integration can first be done on synthetic or de-identified data.

Can Pogosh CDS generate clinical notes?

Yes, Pogosh CDS drafts clinical notes grounded in encounter data, which can be edited and signed by clinicians. The notes are based on the patient’s actual record and avoid fabricated information.

What is the emergency safety check feature in Pogosh CDS?

Pogosh CDS includes a separate emergency safety check that surfaces time-critical conditions such as dissection, cord compression, or cholangitis, ensuring urgent cases are not missed even if the primary match is less critical.

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