Medcin alternative under development

I just purchased a lot of horsepower from CompUSA. I'm going build a SNOMED SDK server based on the Linux Apache Server better than MEDCIN's. By the way I used to be the Head of Research and Development of Medicomp and designed and authored all of the MEDCIN runtime products from my keyboard. See http://www.medcin.net for my resume. I'm ready to kick ass!

Sorry Medcin Fans you're under attack, I'm unemployed, I need money! for what, I don't know! I will do this product alone or sponsored. But I am diagnosing the issues now, kind of scary but fun... following the brilliant people whom fathered this thingy... and the hundreds of million dollars from IBM and Kaiser for seemingly pizza and beer and short skirts I think I can turn the complexity into simplicity, I am working on it NOW! at home, any helpers? Comments? Direction? Sponsors?, are very welcome. just remember don't let the skinny guy make your lunch.

Wow. Impressive resume. Beats mine, hands down. I mean, I could state it backwards..."Wow."

wow upside down is MOM. I love my mom too but not enough to get a tatoo

Thanks for the complement.. I want to hear what's not working with SNOMED. I'll try to fix it. nothing else to do.

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Originally posted by kirbytrump

I just purchased a lot of horsepower from CompUSA. I'm going build a SNOMED SDK server based on the Linux Apache Server better than MEDCIN's. By the way I used to be the Head of Research and Development of Medicomp and designed and authored all of the MEDCIN runtime products from my keyboard. See http://www.medcin.net for my resume. I'm ready to kick ass!

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Hi Kirby,

What prompted your departure? While at Medicomp did you sign a non-compete or are you concerned that Medicomp might have legal remedies to prevent you from developing the SnoMed look alike? Also, isn't the value in Medcin really more the links between diseases and attributes and treatments than any descriptive vocabulary? Wouldn't that be more of a clinical development effort than a programmatic one?

I'm just a man with a god given talent and also legally free to do anything I want too.. I need Christopher Columbus to discover where I put that Ethernet cable. I will need some MD contributions to my project. I'm still learning, It's fun!

EMR.Observer fired me cause I told him that I didn't think he was smart enough to find his way home.

Dr. Winn,

I agree, I think that the development that went into this product is very high and not easily replaced.

That being said the real value is in the clinical content and constant maintenance of said content.

Kirby, do you think that it is moreover the development effort that made this happen or the content?

Both for sure! I can easily do it again. I will need MD help though. This time around I'll more than 2%.

Bad containers have a tendency to leak. That begin said I think the real power is the framework and engine behind the content.

John

Medcin's diagnostic engine and narrative generation engine are covered by United States patent numbers 5,823,949 and 5,802,495, issued on 10/20/98 and 9/1/98. These patents are held by Peter S. Goltra, the founder and CEO of Medicomp Systems, who began development of the content and algorithms in 1978. The diagnostic content was developed with the input of 15 clinicians primarily affiliated with the Cornell, Harvard and Johns Hopkins medical institutions. The narrative engine was primarily the work of Mr. Roy Soltoff, the head of application development at Medicomp. Kirby Trump is a C programmer who worked for Medicomp for several years. Any work developed which is essentially similar to, or based on the Medicomp structure, could have intellectual property issues due to the existing patents held by Peter Goltra.

What SNOMED needs from the user interface perspective is to be intuitive. That's why medcin user interfaces were apparently more succesful. As you drill down the concept you reveal only relevant stuff and you know what...it even looked better because it was strongly based/linked to ICD9 and suitable as top vocabulary that could be used for billing through it's links to well... decrepidated, obsolete... nomenclature. But you know that better... Maybe that's something where you can start... Improve mapping to both ICD9 and ICD10...

UIs based on Snomed never fully achieved this intuitivity and still look clumsy.... That's another idea... try thinking outside the box... First of all today's point and click tree based UIs are obsolete for health use (I know Bill G. would disagree) Can you think of something more integrated and intelligently adoptive to user clinical data input that is not so heavily Windows (Microsoft) widget based? Is there a new UI component out there that might lend itself to healthcare? One possibility is natural language processing. Remember Palm Grafitti approach... Instead of trying to decipher what you are writing how about teaching users "how to write"...so maybe structured voice recognition might be a solution to clinical voice recognition tied to clinical vocabulary....
Good luck.... and don't forget you need a clinician beside you if you want to pull this off...

EMR OBServer (Name Please, I hate talking to Generics).

It is obvious then that Kirby is a programmer no longer with your company. As suspected the real value is in the content of the engine, not the structure. As noted by many it is being stated that the content is not constantly updated, is this true? and if so, how do you plan on rectifing this to not loose your value proposition?

As to the structure and design, I am sure that any company who offers a SDK based on Clinical Content and DSS similar to Medcin's will not fall under the patent infringement category.

This was well established in Lotus vs. VisiCalc. In this case the theft was absolute and did not even change the command syntax. In reality programs of similar architecture and function can be designed without loss in a suit, due to the common business requirement rule. Medcin, although unique in its approach surely is not meeting an uncommon business requirement.

All that being said Kirby, what value would you bring to a company looking to move forward with what took Medcin over 20 years to develop?

Medcin, my question would be, why so much for your tool kit and can it be bought in a COOP basis so many of the fine vendors on this site could afford it?

Regards,
Brendon

Kirby,

I think what we (vendors) want to in-license is an acurate engine based on SNOMED, maybe more acurate than medcin. I thought to have our own developed. It would save our time if you come up with a search engine that we can use.
I am not sure if you can improve the cross mapping for SNOMED. But sure we would like to know your experience in tuning the performance. How much have you impoved the performance of medcin engine?


NeoEMR
www.neoemr.com

My new ideas are way more advanced than Medicomp's technology. I should know I did they're whole nine yards from own keyboard. They can keep their old US patents. I'm making my own! When a new baby is born you hear crying. I'm hearing that from Medicomp.

I need a cray supercompter and a lot of chili dogs, Magellan systems is my chosen one!