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PRK Pre-Op Decision Protocol (Clinical Decision Support Service)

A white-label clinical triage service where ophthalmology practices submit de-identified patient cases (corneal topography, refraction, medical history) via secure portal. A network of fellowship-trained refractive surgeons reviews each case within 48 hours and returns a structured decision memo: 'PRK-ready', 'requires prior cross-linking', 'requires prior surface ablation', or 'refer to specialist', with evidence citations and patient-friendly explanation text the practice can use immediately.

SERVICE

24 weeks • 70% confidence

Value Proposition

Eliminates guesswork and fragmented literature review; practices get defensible, documented decisions in 48 hours; patients get clear answers without multiple consultations; surgeons avoid safety risks and revision cases from wrong sequencing

Target Audience

Ophthalmology practices (especially mid-size groups and ASCs without in-house refractive specialists); practices in underserved areas; practices wanting liability protection via documented specialist review

Key Features

  • Secure HIPAA-compliant case submission portal with topography/imaging upload
  • Structured decision template (PRK-ready / needs preliminary procedure / refer out) with evidence basis
  • Patient-ready explanation letter auto-generated for each decision
  • And more, with full implementation detail...

Tech Stack

HIPAA-compliant hosting (AWS with BAA, or Aptible) Secure portal framework (React + Node.js, or Bubble for faster MVP) DICOM viewer library (Cornerstone.js or Orthanc) HL7 integration library (HL7 v2.x parser, or third-party like Zapier/Integromat for CSV)
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Original Problem

Patients lack clear pre-operative guidance on whether they need preliminary corneal surgery before PRK eye surgery

Patients considering PRK (photorefractive keratectomy) surgery struggle to understand if they need prior corneal procedures, leading to confusion, delayed treatment decisions, and potential safety risks. Ophthalmologists and patients cannot easily find evidence-based criteria for determining surgical sequencing, forcing them to rely on fragmented medical literature or trial-and-error consultations. Current medical resources don't provide accessible, consolidated decision-making frameworks for this specific pre-operative assessment.

Score: 17.5%