Canada Health Infoway – National Standard Terminologies
Canada Health Infoway is working with its partners at federal/provincial/territorial levels to accelerate the implementation of electronic health information systems in Canada. Development of a network of interoperable electronic health record solutions across Canada – linking clinics, hospitals, pharmacies and other points of care – will help improve Canadians' access to healthcare services, enhance the quality of care and make the healthcare system more productive. Apelon has provided terminology consulting services to Infoway projects in support of Infoway’s terminology specification development and terminology standardization needs, including the evaluation and use of SNOMED CT, ICD-10-CA and CCI in HL7 V3 message specifications and resolution of overlaps between SNOMED CT and other domain terminologies.

CareScience – Healthcare Management – Clinical Data Decision Support Database
CareScience provides online, web-based clinical decision support systems to large health systems and Integrated Delivery Networks (IDN). Its products access, analyze and apply clinical data to the management of care, including quality monitoring, practice improvement, error tracking and process efficiency. In order to provide consistent, accurate aggregation and analysis of their client’s charge-based data, CareScience needed a comprehensive terminology resource including diagnostic, laboratory, medical device, and drug information. Using Apelon’s vocabulary server technology, CareScience maps their client’s Charge Master terms to a standard clinical framework, and creates a hierarchical database of individual charge items for interactive “dicing and slicing” in support of better care management.

Centers for Disease Control (CDC) – U.S. Government – Structured Terminology Development
The Centers for Disease Control and Prevention (CDC), an Apelon customer since 1999, serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States. The CDC is also the lead federal agency for managing the public threat associated with bioterrorism. Apelon assists the CDC in these efforts with terminology tools and services, leading to the development of an agency-wide terminology resource for use by the breadth of CDC applications. Apelon tools also assist the CDC in the development of new public health terminologies augmenting industry-standard terminology content.

College of American Pathologists, SNOMED® International Division – Professional Association - Structured Terminology Development
SNOMED International, a division of the College of American Pathologists (CAP), oversees the strategic direction and scientific maintenance of the SNOMED Clinical Terminology, better known as SNOMED CT®. SNOMED CT is a concept-based clinical terminology that makes healthcare information more usable and accessible whenever and wherever it is needed. Since 1997, SNOMED International has used Apelon's Terminology Authoring tools first to develop SNOMED RT® and then to create SNOMED CT. Recently, the use of the tool kit has been extended to the creation of SNOMED CT, the collaboration between CAP and the United Kingdom's National Health Service to integrate SNOMED RT with Clinical Terms Version 3 of the NHS Thesaurus.

dbMotion - Integration Vendor - Clinical Data Standardization
dbMotion is an innovative provider of medical informatics. The dbMotion™ Solution enables healthcare organizations to securely share medical information, creating a Virtual Patient Record by logically connecting a group of care providers and organizations without data centralization or replacement of existing information systems. Healthcare organizations and Health Information Networks (HINs) and Regional Health Information Organizations (RHIOs) use the dbMotion Solution to share medical data both internally and externally with other healthcare organizations. dbMotion currently serves one of the world's largest HMOs as well as other healthcare organizations, Health Information Networks (HINs) and Regional Health Information Organizations (RHIOs). Apelon provides semantic interoperability and data mapping solutions to dbMotion and its customers to improve the quality and comparability of their clinical information.

ECRI - Non-Profit Health Services Research – Structured Terminology Development
ECRI, a nonprofit Collaborating Center of the World Health Organization (WHO), and one of the world's most trusted organizations for unbiased, reliable healthcare information, chose Apelon's Terminology Development Environment (TDE) modeling tool for ongoing development of ECRI's Universal Medical Device Nomenclature System™ (UMDNS™). UMDNS is a standardized international medical device coding and classification system which has been recommended by the Institute of Medicine as one of the core terminologies for the electronic health record. As a WHO Collaborating Center, ECRI is responsible for developing and maintaining UMDNS and promulgating it in various languages. Use of the TDE by ECRI professionals will improve the structure and consistency of UMDNS and will enhance its interconnectivity with other standard vocabularies. These additions will support the advanced clinical application of UMDNS and make the nomenclature easier to integrate with a variety of healthcare information systems.

Elsevier - iCONSULT - Publisher - Terminology Partner
Elsevier is the world's largest publisher of scientific, technical and health information. Their mission is to serve the advancement of science, technology and medicine by improving the efficiency and effectiveness of communication among researchers and professionals world-wide and by providing solutions to their information needs. Elsevier's Clinical Decision Support initiative, iConsult, integrates clinical reference content into Electronic Health Records, to help enhance the quality of clinical care. Elsevier uses Apelon DTS product to organize its clinical terminologies, and Apelon integrates Elsevier's Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) vocabularies into its terminology knowledge bases.

U.S. Food and Drug Administration - U.S. Government - Drug Insert Labeling
The US Food and Drug Administration is responsible for protecting the public health by assuring the safety, efficacy, and security of our food supply, cosmetics, drugs, biological products, and medical devices. They are also responsible for helping the public get the accurate, science-based information they need to use medicines and foods to improve their health. The FDA chose Apelon to provide terminology support for the Label Warehouse System (LWS), a drug label repository that will provide easier access to FDA product labeling information. Apelon is assisting in the analysis of the components of the drug label (a.k.a. the drug insert) and making recommendations on the reference terminologies (or code sets) to be used in representing labeling concepts.

HL7 – Standards Development Organization
Founded in 1987, Health Level Seven, Inc. is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. Apelon is an Organizational Member of HL7, actively contributing in the Vocabulary TC, Pharmacy SIG, Structured Documentation TC and CTS Specification efforts.

Hong Kong Hospital Authority – Hospital Management – Clinical Information System
Apelon was recently selected by the Hospital Authority to provide terminology products and services in support of the Authority’s delivery of comprehensive clinical care across the Hong Kong region. Apelon’s Distributed Terminology System (DTS) vocabulary server technology will be used to support concept-based indexing of clinical reference materials and to assist in the standardization of information collected by the Hospital Authority’s clinical information system for data reporting and guideline-based interventions.

Kaiser Permanente – Healthcare Provider - National Electronic Medical Record System
Kaiser Permanente is a leading integrated healthcare organization serving health care needs of 8 million members in 11 states and the District of Columbia. Apelon has worked with Kaiser since 1996 supporting terminology development and vocabulary integration into Kaiser’s ongoing clinical information system projects. Kaiser use Apelon’s Description Logic-based Terminology Development Environment (TDE) in the development and management of its standard clinical vocabulary, the Convergent Medical Terminology (CMT), an extension of Kaiser’s work with the College of American Pathologists on SNOMED RT (and subsequently CT).

Multum Information Services - Health Information Systems - Terminology Partner
Multum Information Services, a Cerner Corporation company, provides comprehensive drug information systems to the healthcare industry, bringing deep knowledge and content to critical points of care including the health system, the physician's office, and the consumer's home. Apelon partners with Multum to provide Multum drug nomenclature within Apelon's terminology knowledge bases.

NASA – U.S. Government – Astronaut Health Research
Apelon’s Distributed Terminology System (DTS) has been selected by NASA, and its contractor Wyle Laboratories, to integrate SNOMED CT within Wyle’s Longitudinal Study of Astronauts’ Health (LSAH) data environment to improve the normalization and comparability of astronaut medical data.

National Cancer Institute – U.S. Government - Cancer Research Information System
The National Cancer Institute (NCI) conducts, coordinates, and funds cancer research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer. An important part of NCI’s coordination and dissemination efforts requires a common infrastructure for cancer informatics, called caCORE. caCORE is an interconnected set of software and services, and has been used to develop scientific applications that bring together data from distinct genomic and clinical science sources. An important part of caCORE is the NCI EVS (Enterprise Vocabulary Services) Project, which is a set of services and resources that address NCI's needs for controlled vocabulary. The EVS Project is a collaborative effort of the Center for Bioinformatics and the Office of Communications at NCI. Both the NCI Thesaurus, which is a description logic-based biomedical thesaurus created specifically to meet the needs of the NCI, as well as the NCI Metathesaurus, based on NLM's UMLS Metathesaurus, supplemented with additional cancer-centric vocabulary, are produced by the EVS Project.. NCI uses many of Apelon’s products and services to develop, deploy and maintain the EVS terminologies.

National Center for Health Statistics – US Government – National Standard Terminologies
The National Center for Health Statistics (NCHS) serves as the Nation’s principal health statistics agency, compiling statistical information to guide actions and policies to improve health. NCHS is a key element of the national public health infrastructure, providing important surveillance information that helps identify and address critical health problems. NCHS also serves as the World Health Organization (WHO) Collaborating Center for the Family of International Classifications for North America and in this capacity is responsible for coordination of all official disease classification activities in the United States relating to the ICD and its use, interpretation, and periodic revision. Apelon consulting services is assisting the NCHS in the reformatting of ICD information to make it more accessible to electronic information systems.

National E-Health Transition Authority – National Standard Terminologies
The National E-Health Transition Authority (NEHTA) is a not-for-profit company established by the Australian, State and Territory governments to develop better ways of electronically collecting and securely exchanging health information. NEHTA will support the Australian health system by improving the quality of healthcare services, by streamlining multi-disciplinary care management, improving clinical and administrative efficiency, and maintaining high standards of patient privacy and information security. NEHTA has selected Apelon’s terminology creation and management tools and services for the development, maintenance, and distribution of Australian national terminologies such as the Australian Medications Terminology and Australian national SNOMED CT.

National Library of Medicine –U.S. Government - International Biomedical Thesaurus for Research
The National Library of Medicine (NLM) is the world's largest medical library. An important NLM resource is its Unified Medical Language System (UMLS), a project to develop and distribute multi-purpose, electronic knowledge sources, healthcare terminologies (including HIPAA code sets and CHI-approved standards). A central component of the UMLS is the Metathesaurus, the world’s largest integrated, concept-based biomedical thesaurus, with more than 1,100,000 unique concepts and more than 4,600,000 individual names (terms) from over 100 sources in 17 languages. From 1988 until 2006 Apelon was the NLM’s principal external contractor for the Metathesaurus, providing software and consulting services for its ongoing development and evolution. Currently Apelon works with several parties who contribute to the UMLS and processes elements of UMLS Metathesaurus updates for organizations who subscribe to Apelon’s content services.

NextGen – EMR Vendor – Clinical Information Database
NextGen Healthcare Information Systems, Inc., a wholly owned subsidiary of Quality Systems, Inc., develops and markets computer-based practice management and electronic medical records systems for medical and dental group practices. NextGen Healthcare is integrating Apelon’s Distributed Terminology System (DTS), and associated healthcare terminologies, into their EMR solution. NextGen® EMR (Electronic Medical Records) is a comprehensive solution designed to facilitate clinical workflow and manage data related to patient care outcomes.

Oracle – Commercial Healthcare Software –Healthcare Application Development Platform
For 27 years, Oracle has been helping customers manage critical information. The Oracle Healthcare Transaction Base (HTB) provides healthcare organizations, independent software vendors, and system integrators with a robust and scalable infrastructure for the development of administrative and clinical applications. Apelon provides terminology management services for the HTB coordinating the acquisition and integration of standard healthcare terminologies for the framework, including CPT, and supporting their subsequent distribution to HTB's worldwide customers.

Orion Healthcare – Integration Vendor - Clinical Data Standardization
Orion Health is a leading provider of clinical workflow and integration technology for the healthcare sector. Orion's clinical information software meets the information needs of clinical staff and healthcare managers, delivering secure, universal access to healthcare information and helping healthcare providers proactively manage and coordinate patient care across the community. Orion Health's integration and messaging products streamline the exchange of healthcare data within organizations and between business partners. Orion has licensed Apelon’s DTS terminology management solution to assist in the standardization and normalization of health information across their clinical product lines.

Philips Medical Systems – Medical Imaging Vendor – Healthcare Information Database
Philips Medical Systems is firmly established as the global number one or two player in most of its markets and businesses. Philips' portfolio includes x-ray, ultrasound, magnetic resonance, computed tomography, nuclear medicine and PET, patient monitoring, information management and resuscitation products, as well as a range of services which include asset management, training and education, business consultancy, financial services and e-care business services. Apelon and Philips Medical Systems have collaborated on the development of a structured, standardized terminology knowledge base to support future Philips product needs.

Veteran's Health Administration - U.S. Government Healthcare Provider - Healthcare Information System
The Veterans Health Administration is the nation's largest integrated health care system, providing services at 173 medical centers and numerous other facilities. In addition to its medical care mission, the VA is the nation’s largest provider of graduate medical education and one of the nation’s largest medical research organizations. A leader in the development of computerized health systems, the VA selected Apelon terminology tools and services to assist them in the development of innovative health knowledge bases, including enhancements to the VA's National Drug File (NDF) as represented by the National Drug File - Reference Terminology (NDF-RT) which has been defined as a CHI standard. Apelon has also been retained by the VHA to create a new VHA-wide standard, Integrated terminology (the Enterprise Reference Terminology - ERT) for health data within VistA, the VA's unique, highly distributed EMR (Electronic Medical Record) System. Apelon's TDE terminology modeling software will be used to create the ERT which will incorporate multiple terminologies including SNOMED CT®, ICD-9-CM, CPT, LOINC, HL7 code sets plus the VHA's new reference terminology for medications, National Drug File (NDF-RT).

Wolters Kluwer Health – Publisher – Terminology Partner
Wolters Kluwer Health is a leading provider of information for professionals and students in medicine, nursing, allied health, pharmacy and the pharmaceutical industry. Major Wolters Kluwer Health brands include traditional publishers of medical and drug reference tools and textbooks, such as Lippincott Williams & Wilkins and Facts & Comparisons; electronic information providers, such as Ovid Technologies, Medi-Span and ProVation Medical; and pharmaceutical information providers Adis International and Source®. Wolters Kluwer Health licenses Apelon’s DTS terminology management solution to integrate their definitive content with national standard terminologies and vocabularies.

Wyle Laboratories- Life Sciences Division – Astronaut Health Research
Wyle Laboratories is a diversified high tech engineering company. The company provides life sciences services, technical support services, and aerospace and commercial test services. Wyle's Life Sciences business unit has provided life sciences services and flight-related hardware to NASA at Johnson Space Center since the late 1960s, and the Wyle Corporation has supported the U.S. space program since its inception in the late 1950s. Apelon works with Wyle on improving the normalization and comparability of NASA's astronaut medical data using industry standards such as SNOMED CT.