Cognitive Medical Systems

Cognitive Medical Systems is a healthcare IT software company specializing in clinical decision support. It was founded in 2010 by Mary Lacroix, Douglas W. Burke, Emory A. Fry, MD, and Rick Pope in San Diego, California. The company was “bootstrapped” by its founders and increased its revenue by 3,499% between 2011 and 2014, earning it the 95th spot on the 2015 Inc. 5000 list. In the same year, the company was also named the #1 fastest growing private company in San Diego and a Best Place to Work by the San Diego Business Journal.
It’s biggest customers for software engineering services are the U.S. Department of Veterans Affairs (75%) and U.S. Department of Defense (25%). Cognitive Medical Systems helps government agencies achieve interoperability between electronic health information systems (primarily electronic health records ), most notably between the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD), through standardization of terminology. After the VA and DoD abandoned efforts to create a joint electronic patient records system in favor of developing independent EHRs, Congress mandated in the 2014 National Defense Authorization Act that they achieve full interoperability by December 31, 2016. Cognitive Medical Systems also subcontracts to Health Net Federal Services on its contract to address the VA's appointment backlog under the Choice Program, as mandated by the Veterans Access, Choice, and Accountability Act of 2014.
Cognitive Medical Systems is a part of the Leidos Partnership for Defense Health team, which won the Defense Healthcare Management Systems Modernization (DHMSM) contract to replace the DoD's current EHR; the contract is worth $4.3 billion in its first two years.
Cognitive Medical Systems has authored three electronic health information standards through Health Level 7 (HL7): Event Publish & Subscribe Service Interface, Ordering Service Interface, and Unified Communications Service Interface. It also championed a Healthcare Ordering Service implementation specification through the Object Management Group as part of the HL7 standard balloting process.

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