NxOpinion is  a uniquely innovative and integrated medical diagnostic, reference and case management tool, combining an intuitive interface and an efficient data management design into a product so compelling that the busy clinician will quickly find it indispensable in daily medical management and decision-making.  Built upon a framework of inference designed to mimic skilled clinical reasoning, NxOpinion is a proven diagnostic assistant and medical training tool.  NxOpinion is the product of a uniquely collaborative and ongoing development process between our medical content team and our software development partners, resulting in a flexible, powerful and fully integratible software solution.

NxOpinion is scalable geographically, vertically and horizontally, and key features are summarized here:

    In Emerging Markets, NxOpinion

• Provides a guided diagnostic and treatment capability for non-physicians, and rapid diagnostic and reference support to physicians. 
• Provides an integrated Electronic Health Record (EHR) and a fully interactive medical reference guide.
• Provides modules for managing and tracking national health initiatives, such as tuberculosis eradication, HIV treatment, and childhood vaccination programs, enhancing adherence to the WHO Millennial Development Goals.
• Provides the capability of real-time trend tracking, informing resource utilization and epidemiological strategies
• Provides a powerful medical resource readily translatable both conceptually and linguistically

    In Mature Markets, NxOpinion

• Provides integration with existing EHR systems through our HL7 partnership
• Diagnoses common and rare diseases quickly and accurately, eclipsing every other diagnostic program available
• Evaluates disease and symptom links in a uniquely informative fashion
• Guides the consumer or inexperienced user through the diagnostic process interactively and intuitively

NxOpinion will result in cost savings through efficient use of medical technologies and services, and provide education at all levels of healthcare delivery through its powerful prediction engine.  Users will be able to evaluate the impact of tests or procedures on diagnostic certainty prior to ordering them, and thereby design the most efficient path to diagnosis and treatment at the point of care.

N_xOpinion will also enhance the ability of physician-extenders to interact with experienced clinicians, greatly improving the practice of distance medicine.  Experienced clinicians and consultants will be able to review patient data, screen  cases,  and follow clinical decision-making remotely, greatly improving both patient care and resource utilization.

NxOpinion will provide the consumer with a portable and accurate EHR, allowing them to record and review their data in an ordered and non-threatening environment. Consumers will be able to learn about their medical conditions, explore alternative therapies or obtain a second opinion.  With the addition of the wellness module consumers can also interact with NxOpinion to determine their best opportunities for success with various behavioral medicine modalities.

NxOpinion is designed to function as a robust stand-alone medical decision support product, or to incorporate with larger medical informatics systems and practice infrastructures.  Even as a stand-alone application, it is fully updatable and queriable via telephone, data transfer devices, internet or though media swap methods.   This active data gathering allows continuous quality improvement of the database, and rapid response to user needs.

In summary, NxOpinion integrates the best of medical informatics  with a cutting edge approach to medical decision modeling and health care delivery.  Widely used, NxOpinion will improve individual medical care and cost-effective resource utilization, gather data for enhanced public health planning and implementation, and provide accessible medical information and education to a broad range of consumers and providers. 

Technical Summary

NxOpinion is .Net windows client application written in C#.  It uses SQL 2005 Express for to store local database and also supports remote connections to SQL Server databases to enable multi-user clinical usages.  Business logic including the diagnostics engine is architected into a business layer and designed for reuse and integration.