# SimulConsult

## SimulConsult

{% hint style="info" %}
Medical professionals can get a "simultaneous consult" about their patient's diagnosis using SimulConsult's diagnostic decision support software in three ways... [The database used by the software has > 6,200 diagnoses, and is most complete for genetics, neurology and increasingly pediatric rheumatology](#user-content-fn-1)[^1]. As a clinician gets advice to consider various tests, it is very helpful to get straightforward access to information about genetic testing that is available in a way that is not confusing to the clinician.[<sup>2</sup>](https://confluence.ihtsdotools.org/display/DOCCDS/SimulConsult#Footnote2)\\

For more information, please visit <http://www.simulconsult.com/>.
{% endhint %}

## Overview

SimulConsult is a developer of diagnostic decision support software based in the United States. They provide solutions which cover three main functionalities:

* **Clinical Diagnostic Decision** **Support:** Uses signs, symptoms, and clinical knowledge from a peer-reviewed database to suggest tests and present a differential diagnosis as shown in the image below.
* **Loss of** **Heterozygosity:** Supports the analysis of microarrays.
* **Genome-Phenome Analyzer:** Analyzes and reports on whole exome and genome testing.

<figure><img src="/files/bWXhiq1eMEo1uEdJahTa" alt=""><figcaption><p>Clinical findings and diseases can be represented using SNOMED CT content in SimulConsult.</p></figcaption></figure>

By using SNOMED CT in the electronic reports generated by their software, SimulConsult has been able to achieve improved interoperability with other systems and EHRs.

## Standards and Guidelines

Diseases in SimulConsult are linked to [Online Mendelian Inheritance in Man](https://www.omim.org/) (OMIM), a catalog of Human Genes and Genetic Disorders, and additional knowledge resources from the National Library of Medicine (NLM). Tests are linked to "gene test advice" , provided by the NLM . Much of the frequency-based information is based on [GeneReviews](https://www.ncbi.nlm.nih.gov/books/NBK1116/) content.[3](https://confluence.ihtsdotools.org/display/DOCCDS/SimulConsult#Footnote3) It is also possible to assess a diagnosis based on the patient’s findings, which indicates the frequency as well as the absence or presence of findings.

## Using SNOMED CT

Although SimulConsult does not use SNOMED CT codes to drive decision support logic, their solution links to SNOMED CT through mappings provided by SimulConsult's terminology partner, [Intelligent Medical Objects](https://www.e-imo.com/) (IMO). IMO assigns proprietary codes to findings and diseases, which are then mapped to SNOMED CT. SimulConsult can be configured to use SNOMED CT terms to display [<mark style="color:blue;">|</mark> clinical findings<mark style="color:blue;">|</mark>](http://snomed.info/id/404684003) and [<mark style="color:blue;">|</mark> diseases<mark style="color:blue;">|</mark>](http://snomed.info/id/64572001) in the outputs of their software, such as patient summaries or genome analysis reports.

***

| Footnotes Ref                                                                         | Notes                                                                                                                                       |
| ------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------- |
| [1](https://confluence.ihtsdotools.org/display/DOCCDS/SimulConsult#FootnoteMarker1-0) | <http://www.simulconsult.com/>                                                                                                              |
| [2](https://confluence.ihtsdotools.org/display/DOCCDS/SimulConsult#FootnoteMarker2-0) | <http://osp.od.nih.gov/sites/default/files/resources/Segal_0.pdf>                                                                           |
| [3](https://confluence.ihtsdotools.org/display/DOCCDS/SimulConsult#FootnoteMarker3-0) | [SimulConsult leverages National Library of Medicine information to improve medical diagnosis](https://www.youtube.com/watch?v=4zVquU2z53Q) |

<a href="https://docs.google.com/forms/d/e/1FAIpQLScTmbZIf0UEQwYDkY27EEWBkaiYkHSbR0_9DmFrMLXoQLyL7Q/viewform?usp=pp_url&#x26;entry.1767247133=CDS+Guide&#x26;entry.670899847=SimulConsult" class="button primary">Provide Feedback</a>

[^1]: <http://www.simulconsult.com/>


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