Selected Tolven Clients
Amaji Health Information Systems
Why Clients Select Tolven
Tolven has unique characteristics that are leading to its emerging prominence in the marketplace, including:
- The Tolven platform supports Health Information Exchange (HIE) as well as rapid application development
- The Tolven platform is broader and more flexible than other options available in the global market, enabling support for:
- Clinical Health Record development and deployment across many domains, from primary care to specialty solutions (e.g., oncology, ophthalmology, etc.)
- Clinical Research application development and deployment, including multi-center collaborative efforts
- Personal Health Record development and deployment that incorporates the ability to exchange information with clinicians and with HIE organizations
- Real-time analyitics to meet the ARRA Meaningful Use requirements
Tolven’s value propositions of highly scalable, standards-based technical implementations and open architecture, rapid extensibility, adherence to informatics standards, affordability and lack of vendor lock-in uniquely differentiate the Tolven offerings.
The characteristics referenced above have led to the deployment of Tolven in a wide variety of disparate settings (e.g., traditional healthcare applications, personal health record solutions, clinical trials data management, ambulatory care clinics and HIE environments). A few examples follow.

Amaji Health Information Systems
Amaji is a unique electronic medical record/clinical documentation system that leverages the power of medical transcription to enhance physician productivity. Amaji’s internet-based software is extremely affordable, easy to implement, and accessible to any physician practice.
Amaji partnered with Tolven to create Health IT Factory, providing a complete hosting
environment for out-of-the-box and customized Tolven solutions available to third party
organizations. Amaji has been a Tolven solutions provider since early 2008.
Amaji’s software has been built to be deployed as plugins to Tolven, sold directly to customers,
as well as through a reseller network. Amaji’s workflow-based electronic health record components can also be rebranded for distribution by appropriate channel partners, including:
- Advanced clinical documentation
- ePrescribe
- Billing
- HL-7 interface engine
The Amaji electronic iDoc’s and paper iDoc’s are easily populated with relevant information from prior encounters to speed documentation. The system provides rapid document access and synchronization of paper worksheets with electronic documents using bar coding technology.

Bravura offers technological, computer-based solutions that help improve efficiencies, reduce overhead and enhance bottom line performance. Bravura’s first client for the Tolven implementation is Novia Care Clinics. Novia is a fast-growing employer-based clinic manager offering primary care services to employees and their dependents. Novia hired Bravura Systems in February 2008 to perform due diligence on commercially available EMR systems. This process identified Tolven as the most advanced and viable open source EMR platform available.
In May 2008, Bravura began to implement Tolven and extend it with LifeRay (to provide a portal platform for extended applications such as scheduling/appointments, drug inventory management, reporting, etc..) and Pentaho (for business intelligence and analytics). In January 2009 the platform went in production and now supports 22 primary care clinics in four states.

Cyrus-XP LLC's mission is to harness collective knowledge, creativity and skills to advance the management and delivery of healthcare. Cyrus-XP is developing LTCHIE (Long Term Care Health Information Exchange, which is pronounced Lychee), a Health Information Technology service for the Long Term Care market.
LTCHIE leverages Tolven, to create a standards-based, low cost, low risk platform for the storage and dissemination of clinical information. The service will allow for meaningful collaboration between caregivers (clinicians, family and friends) and consumers. The company hopes that this will result in increased consumer wellness, consumer safety and regulatory compliance. Cyrus-XP also provides full-portfolio services in information technology and project management. The company is promoting the adoption of health information technology and healthcare interoperability standards, specifically HL7.

Healthsolve was incorporated to offer innovative products and services to the healthcare industry, concentrating on low cost, high added value platform solutions.
The Healthsolve platform approach allows for modular plug and play functionality to be delivered on open source and licensed IP products. The combination enables Healthsolve clients to deliver lower cost solutions, on more flexible, standards-based components that are easier, cheaper and far most cost effective to install.
Healthsolve leverages the Tolven architecture to deliver fast, accurate solutions.
Medsphere is the leading provider of open source healthcare enterprise solutions that enable operational and financial improvement through clinical transformation. Medsphere bolsters the patient care process for hospitals via rapid deployment and support of OpenVista, the first commercially implemented open source application for management of the clinical care cycle.
With development roots in the U.S. Department of Veterans Affairs (VA) VistA solution, OpenVista is a responsible re-application to commercial healthcare of the federal government’s $8.5 billion investment in the creation of an efficient and paperless clinical environment.
Medsphere is incorporating the Tolven platform, applications and analytic framework into their solution portfolio to support the American Recovery and Reinvestment Act (ARRA) "Meaningful Use" requirements for healthcare improvements. Using the existing OpenVista - Continuity of Care Record gateway, Medsphere is populating the Tolven clinical data repository with adminsitrative and clinical data for real-time clinical decision support and for analysis of mandated processes, such as identifying patients in specific registries with results outside of range, monitoring of clinical processes and trending.
Medsphere and Tolven established a partnership in February 2008 to provide OpenVista a technology independent tool. Tolven gives Medsphere the versatility necessary to interact with any number of valuable applications and technologies. With Tolven, Medsphere's Open Source EHR will incorporate affordable scalability, a web-based architecture for application service provider (ASP) or software as a service (SaaS) implementation, technology refresh capabilities, technology independence, greater mobility, and a foundation for further Supplement and Renew development efforts.

PatientMD is dedicated to improving the quality of healthcare by providing a connection between patients and their physicians that allows the secure and private sharing and exchange of complete patient health records through the development of a Health Information Exchange and a Health Record Bank.
PatientMD empowers patients and their family in the management of their healthcare. Patients voluntarily participate in the creation of their own Personal Health Record, allowing them to control who has access to their information, when they have access and what they can do with it while connected with their doctors. PatientMD moves healthcare from a paper-intensive, fragmented system to a streamlined digital record system that allows physicians, under patient authorization, to effectively share and exchange patient information and provide the highest quality of care to their patients while connected with their patients and colleagues.
PatientMD is a patient-centered grassroots physician-driven organization focused on modernizing our health care delivery system. PatientMD leverage Tolven in order to use information technology that effectively and efficiently provides all pertinent patient information to patients and their doctors at the point of care, while preserving the patient?s privacy, trust and security of all their information.

Patients Know Best (PKB) provides a HIPAA-compliant personal health record platform that uses Tolven technology to allow patients to:
- Send and receive messages securely with their clinicians, e.g., to ask questions about the use of insulin
- Send data to their clinicians, e.g., daily blood sugar results
- Access the medical notes from their clinicians, e.g., three-monthly HbA1c levels for long-term sugar control
Patients Know Best’s first customers are the National Institute of Allergy and Infection Diseases (NIAID), Addenbrooke’s Hospital (the University of Cambridge’s hospital), Great Ormond Street Hospital (the UK’s largest children’s hospital) and Bupa (the UK’s largest health insurance company. Patients Know Best is already integrated into the National Health Service (NHS), approved by the Royal National Institute of Blind People (RNIB), and it is built for security and patient-controlled privacy.
The founder and CEO of PHK, Mohammad Al-Ubaydli, M.D., is a physician and programmer from the University of Cambridge who has written six books about the use of IT in healthcare. PKB’s Chairman is Richard Smith, M.D., former editor of the British Medical Journal.
Foundation RijnmondNet focuses on the interests of healthcare institutions and citizens in the Rijnmond region of the Netherlands. The Rijnmond region is made up of 18 municipalities, with more than 1.2 million inhabitants. RijnmondNet is implementing a health portal that will consist of personal and clinician health records developed with Tolven technology and applications. The health portal will be used for medical information exchange between patients and caregivers, as well as among caregivers.




