Category Archives: Startup


You can empower  patient to do certain things. This helps us to keep information accurate and lesson the burden on medical practices. One such piece of information which can be tracked by patient is their pharmacy. We provide a user friendly way to pick their pharmacy.


In our patient portal, patients can search for pharmacies based on city,state and zip. They just click on the markers on the map to select a given pharmacy.


pharmacies on map

More information about cancer platform is available at


Agent (drug) billing is reasonably complex. When you administer drugs to patient, your have to submit a claim. This claim should have appropriate HCPCS code information.

If you have a system which provides all this information, you can have a more efficient billing process. Our oncology content management system covers both clinical and financial aspects.


The following screen shot shows how you manage agent information in our oncology content management system.

agent list


Every drug has different billing unit formation and determines what HCPCS code should be reported in your claim. If you have this information easily accessible. The following screen shot shows how you can capture detailed billing information and used in your billing process. Note that, Aloxi billing information is taken from internet for demonstration purposes only.

In addition to this description information, our system helps to manage the mapping of appropriate HCPCS code to help creating a very powerful super bills. This super bill will cover drugs and associated CPT codes used for chemotherapy administration.

aloxi agent billing information


With a powerful content management systems like ours, you can accomplish many things more efficiently.



Cancer patients under chemotherapy and radiotherapy experience many side effects. How does your software (EMR and Patient Portal) helps the providers and patients to capture side effect and its grade.

There are many ways by which you can enhance the UX (user experience). What I like about our side effect capturing piece is how we show grade information. Severity of all the side effects is graded using a number 1 through 5. If you just show a number, it means very little to the end user. Also, these grades mean different things based on what kind of side effect we are talking about.



Why did we go to this extent?

Patient engagement and patient navigation is very important in the cancer world. If you let patients record this information (via oncology specific patient portal), you can take appropriate actions based on the grade. It is important to guide the patient to select an appropriate grade. This helps the navigation team to act accordingly.

Every bit of extra attention you pay while building software helps. In this particular case, just by helping patients to select an appropriate grade, you can take timely action (if needed) so that patient does not end up going to ER.



When oncologists have to pick a suitable regimen at the point of care, it is important to have access to as much information as possible. There are three major solutions (including our ‘Pandith’ in Piiker platform) in the oncology industry. Eviti and Clear Value Plus (McKesson) are the other two solutions.


Clear Value Plus

This is a product offered by McKesson. You can find more information about this product at McKesson’s Clear Value Plus


Eviti is now part of NantHealth. This tool helps physicians to pick a suitable regimen at the point of care. More information about this product can be found here.

Pandith (Piiker Cancer Platform)

This is a new kid in the block. This is part of our Piiker platform. This software aims to provide unprecedented information while making the regimen selection at the point of care. You can search for regimens based on various clinical criteria.


Just by expanding a row (by clicking the gray arrow), provider will have access to very useful clinical information which will aid in the decision making process. In this screen shot, you can see that all the side effects caused by this regimen are easily available to the provider. Beauty of the solution is how information is made available in a most user friendly manner.


You can search for regimens based on various clinical aspects. The following screen shot shows a scenario where you can drill down to ICD codes of a given cancer type (in this case, user has selected breast cancer)



Comparing regimens side by side. The following screen shot will demonstrate the kind of user experience we are providing while working with such a complex set of information. In this screen shot you can see that, provider has selected two regimens and wants to compare various details of the regimen.

pandith-checkbox selection


pandith - compare

Our solution has many advantages. It is nicely integrated with pieces of the puzzle to provide a complete solution while not compromising the UX (user experience).

Our goal is to provide the best possible tools help providers and patients in the cancer treatment process. As you can tell from these screen shots, we pay attention to every small details to make that difference.

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Telemedicine value proposition in undeniable. We wanted to take advantage of this technology to help everyone involved in the cancer care. Our Piiker cancer platform supports telemedicine from ground up. While making appointments, there is an option to specify weather you want a face-to-face or telemedicine session.

There are many reasons why sometimes cancer patients cannot make it to physician’s office. Even if they do, there is lot of pain, inconvenience and cost involved. I thought, telemedicine in this scenario is very useful for everyone involved. In this blog I will briefly describe how our platform supports telemedicine from ground up.

Patient has to communicate with various treatment team members.


In our oncology specific EMR, we have option to start the telemedicine session (if that appointment was setup to be a remote session). The following screen shot shows how that interface looks in our EMR. Appropriate resource from the provider’s office will start the telemedicine session.

start teleconference

Patient can login into our oncology specific patient portal from their location and join this telemedicine session. The following screen shot shows how it is done in our patient portal. In this particular scenario, patient ‘Jane Doe’ is signed into her patient portal. She can look at list of her appointments and has an option to join the telemedicine session.

Join teleconference

As I mentioned in my earlier blogs, we have the concept of creating virtual office for counselors and nutritionists in our platform. Even counselors and nutritionists can interact with patients remotely using our telemedicine support in our platform.

The following screen shot shows scheduling feature with in counselor’s virtual office. You can see that, there is an option to setup either a face-to-face or telemedicine sessions.

counselling appt 01


Piiker platform offers everything you need in the cancer treatment process in one place. Every piece of the puzzle is nicely integrated to provide best experience and value. We want to make a very positive impact in the world of cancer treatment.

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Logic will get you from A to B. Imagination will take you everywhere.

Albert Einstein


Back in the early 1980’s, if you did any “design” or “drafting” work, you were most likely working on a physical drawing board and tracing your ideas out on Vellum, Paper, or Mylar sheets using various kinds of mechanical pencil materials or maybe a Rapidograph ink applicator.  Maybe you used templates and lettering guides, or shape tracers or flexible curves.In the mid-1980’s came the first real significant influx of computerized design technologies.They were collectively termed “CAD” for Computer Aided Design.  If they were connected to manufacturing machinery, they were called “CAD/CAM” for CAD + “Computer Aided Manufacturing”. They were magical for their time. These technologies changed the landscape of designing and manufacturing.

Let us talk about oncology. Cancer is one of the major diseases of our times. Regimen used to treat this disease are very complex in nature. For some unknown reasons, there is no easy way to “design” a chemotherapy regimen (protocol). Four years ago, I told myself, “this has to change”. Here we are, after four years (so many ups and downs) we have one of the world’s finest regimen designer. We want to make a difference in the world of cancer treatment. We want to provide better tools to fight this disease.

What started as a small creative imagination four years ago is becoming a reality.

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“I’m convinced that about half of what separates successful entrepreneurs from the non-successful ones is pure perseverance.” – Steve Jobs


I was working for a fortune 25 company, had a decent position/responsibilities. It was closer to home. More than four years ago, decided to quit to pursue a product idea. Idea was to create a very comprehensive cancer solution. It was very clear in my head, I wanted this solution to cover “Design to Delivery”. I wanted to start from “regimen design” and provide everything needed to “deliver chemotherapy”. Also, more than 50% of the cancer cases involves combination therapies. Most of the existing tools treat chemo, radiation and surgery as three different silos.

I executed the plan very well & fairly quickly. Demonstrated the solution to few players in the industry. Everybody who looked at liked the idea/product but nothing happened. I had many excuses to simply abandon the idea and take up a fulltime position somewhere. But, I strongly believed in the vision and what this product could do in the cancer treatment process.

After more than four long years, I am seeing some light at the end of the tunnel. One of the well know oncologists has seen the value in this vision/product. We have identified few clearly defined use cases.

It was not an easy journey. Perseverance is a virtue. Tried so many things in between, but never took my eye off the final target.This product WILL go into beta soon. I want to make an impact in the cancer treatment space and I am not too far from it….


Unlike before, we have access to better technology to build better solutions. Our oncology solution brings everything (Regimen Designer, EMR, User Management, Administration, Analytics and chemotherapy administration) together.

In this blog I am writing about staging. When clinician is staging, some information has to be made readily available.


Sometime ago, I wrote about how our regimen designer provides an easy and powerful way of configuring stages for different cancers.

In this blog, I am writing about how clinician uses that information in EMR while staging patient’s disease.


If Clinician wants to see more details, he just has to expand the appropriate sections. See the screenshot below. Clinician can easily look at tumor sizes, Biopsy reports, Imaging reports and blood tests.



Staging is an important aspect in cancer diagnosis & treatment. It drives the treatment options. How do you take this complex information and visualize in a user friendly way?

All stages are not created equal. For example, Stage II of breast cancer may not mean the same combination of TNM as that of colon cancer Stage II. In our software, we provide a very user friendly way to configure these staging information for a given type of cancer.

I am attaching one of the screen shots from our software below. At Palisha, we are trying to build one of the very best oncology solutions. The following diagram is the showing various stages of Breast cancer.

cancer site staging group

Besides this friendly UI, our platform lets you control who can make these changes. This UI looks just like this on all the major browsers (including the ones on iPad, Android and Surface).


In our cancer solution we are trying to visualize the cancer details in a meaningful way to aid the treatment process. Following is one of the screens where we want to present the tumor response details to the user (clinician).

Along with the Tumor response information, I am deciding to show the tumor size (those orange bars at the top represent the tumor size over a period of time. Tumor size is represented in centimeters)