Biogora

Consolidated
lab tests results :

your most important health asset.

graph bio 5


What is this all about ?


Hopi Medical has patented a groundbreaking process, Biogora, to decode patient’s health data from any laboratory, aggregate the results over time, and then compare, graph and analyze the data. For the first time, labwork is combined on a time line to see trends, compare ranges and values in a single source that removes extraneous nomenclatures and quirks for a true, complete picture.

Read more

Biogora was developed by a transplant surgeon who saw a huge gap in health records. A team of physicians and nurses in charge of organ transplantation and specializing in chronic disease such as diabetes and other ailments affecting the liver, heart and kidneys undertook the Beta test of Biogora. The results revolutionized patient monitoring, especially in connecting efficiently the hospital with the referral physicians.

Previously, a patient’s lab work done close to the his/her home, most of the time did not become part of the hospital’s master file or was not not compatible with it. Using Biogora, all reports are collected and consolidated in a central and unique file that can be accessed electronically from anywhere.

Medical decisions depend upon clinical data, imaging and biology (lab work) for case diagnosis and treatment purposes. Tremendous medical advances have been made in genomics, imaging and many other fields. One area has been left behind : basic patient lab tests. The days of a physician holding all the objective (testing) and subjective (clinical observations) are gone. Objective tools such as lab tests and diagnostic imaging have evolved through sophisticated high tech equipment. So why does a physician still have to place a paper copy of one lab test and flip back through his file to compare it to the last test (and that doesn’t even factor in other tests he may not be aware you have taken from another source) ?

After all, lab work is:
– The earliest objective sign to forewarn of changes to the patient;
– An excellent indicator that correlates or anticipates other advanced diagnostic tools;
– The most frequently performed exam and the least expensive;
– The adequate tool to confirm a diagnosis or to monitor a treatment






How it works ?


Let’s take an example to demonstrate the issues at hand.

Ernst W., 55 year-old white male, has early stage compensated renal failure related to type I diabetes. He alternates his quarterly exams between his local physician in Columbus, Texas and at the West Methodist Hospital, in Katy. His chemistry (glucose–HbA1C and kidney function profile) and hematology (hematocrit, RBC count) are done alternatively in Columbus and to the in-hospital facility at Methodist in Katy.

Two different labs: two different hard copy results for his files. Those two tests may interpret the results using different measures and standards :

  • Terminology:  red blood cell is called Erythrocyte in on lab 1, RBC (red blood Cell) in lab 2
  • Volume:  mm3 in lab 1, liter in lab 2
  • Units:  for creatinine lab 1 uses mg, lab 2 mmoles
  • Normal range values:  for lab 1, RBC aka erythrocyte is [ 4.5-5.8 ], for lab 2 it is [4.9-6.5] (which means that 4.7 is in the normal range for lab 1 and an abnormal low value for lab 2)

                                                                                                                          Read more

Equally confounding, their results cannot be easily aggregated together on one single spreadsheet or graph, since encoding Lab 1’s results is in ASTM and HLA 2.3 format in Lab 2.  Biogora’s patented process takes the raw data, transforms it by appropriate informatics coding, translates it using LOINC (or any other) classification, then aggregates it into a single file.

eHC

 

 

 

 

 

 

From there, the end user, whether the patient or the care provider can collect automatically all the data and view the resulting spreadsheet or graph on any device: computer, tablet, smartphone.

BIO

BIO2

One cumulative format of data from different labs, with Biogora

BIO3

Biogora graph examples




Why does it matter ?


  1. Biogora standardizes the data producing fully compatible, comparable reporting eliminating differences in terminologies, sample volumes, units, range of normal values, information system coding protocol, etc.
  2. Biogora removes the loss of files either through the archiving of non-digitized reports or simple lack of sharing lab work between different physicians.
  3. Biogora allows the professional to see the whole history, chart trends, etc to make the best diagnosis and recommendations.
  4. Biogora offers the highest level of encryption and then forwards the data through secure medical messaging systems on/from dedicated, protected servers.

 Read more

Consistency of technical choices

Biogora is based on the the HL7® consortium (namely, we refer to CDA aka Clinical Document Architecture in its whole 2.x and 3.x versions). Biogora is also in full compliance with the “Green CDA” susbstantiated in the “Meaningful use” advocated by the US Federal administration.
As far as ontologic classification is concerned, Biogora is based on LOINC® classification, produced by the Regenstrief Institute but is also compliant with SNOMEd® and other ancillary coding systems.



Biogora Case Study


suivi

Going on vacation 23 days after  a transplant