Pogosh CDS
Summary
The alert fires, the physician dismisses it, and the CT gets ordered again — because the alert never looked at the chart to see the CT was done yesterday. Pogosh CDS is a REST API built to stop that loop before it starts.
Pogosh reads the existing chart — notes, conditions, labs, prior imaging — before returning anything, so its recommendations account for what has already been done rather than repeating it. Responses come back as structured, coded orders: LOINC codes for labs, RadLex codes for imaging, ranked by what actually changes clinical management. A drafted note comes with them, grounded in the encounter data rather than invented. The emergency backstop runs a separate check for time-critical presentations — dissection, cord compression, cholangitis — and stays quiet unless the defining findings are present, which is the only reason clinicians won't learn to dismiss it too. Where it breaks: single-shot request-response only, so workflows that need multi-step reasoning or mid-encounter agent loops require a different architecture.
Bottom line: The right fit is a small or independent practice embedding chart-aware order generation inside OpenEMR or a custom EHR; the wrong fit is a team that needs an autonomous agent running across multiple chart review steps, because Pogosh does not do that.
Pricing Plans
Subscription- Price
- $149/month
Clinic
Full condition coverage, REST API access, OpenEMR module, note generation, email support
- Full condition coverage
- REST API access
- OpenEMR module
- Note generation
Practice
Everything in Clinic plus higher rate limits, multiple providers, integration support, priority response
- Higher rate limits
- Multiple providers
- Integration support
- Priority response
Enterprise
HIPAA BAA, volume pricing, EHR platform licensing, dedicated onboarding, clinical validation program
- HIPAA BAA
- Volume pricing
- EHR platform licensing
- Dedicated onboarding
View full pricing on pogosh.com →
Pricing may have changed since last verified. Check the official site for current plans.
Community Performance Report Card
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Pros
Sign in to edit- Chart-aware order generation accounts for prior imaging and labs before returning recommendations, so the CT that was done yesterday does not appear in today's orders — which is what prevents the duplicate-study pattern that trains clinicians to ignore alerts.
- Orders return with LOINC and RadLex codes attached, so the output drops directly into structured EHR fields rather than requiring a manual translation from prose to orders — the step where omissions happen.
- A parallel emergency safety check targets time-critical presentations and fires only when the defining findings are present, which means it stays specific enough that clinicians do not learn to dismiss it.
- Provider-agnostic REST API with an OpenEMR module available, so practices on OpenEMR get a packaged integration and teams on custom-built EHRs can call the same endpoint with an HTTPS request.
- HIPAA BAA is available, so the tool can legally operate against real patient chart data without requiring a separate compliance architecture around it.
Cons
Sign in to edit- Pogosh is a one-shot request-response API — you send chart context and receive structured output. There is no multi-step loop, no ability to query the chart iteratively, and no branching based on intermediate results. Teams building workflows that need the model to ask a follow-up question or take a second pass based on what the first pass returned will hit this ceiling on the first complex use case and will need a different tool.
- Self-hosted deployment is not available, which means chart data must leave the local environment to reach the API. For health systems or enterprise practices with strict data residency requirements that prohibit any external API call with PHI — even under a BAA — this is a hard stop, not a configuration issue.
- The clinical reasoning engine is opaque: the API returns ranked recommendations with stated reasons, but the vendor page does not describe any mechanism for physicians to audit or contest the ranking logic. In institutions where clinical governance requires explainability at the model level, that absence forces a manual review layer that negates much of the time savings.
About
- Platforms
- REST API, OpenEMR module
- API Available
- Yes
- Self-Hosted
- No
- Last Updated
- 2026-08-16T14:52:57.192Z
Best For
Who it's for
- Independent practices and small clinics using OpenEMR or custom EHRs
- Physicians needing structured, coded recommendations without leaving the chart
- Teams requiring HIPAA-compliant integration with BAA
What it does well
- Embedding CDS directly inside EHR note workflows
- Generating patient-specific orders and consult routing
- Drafting clinical notes grounded in existing chart data
- Reducing duplicate tests by accounting for prior studies
Integrations
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Sign Up to ContributeFrequently Asked Questions
- Is Pogosh CDS free?
- Pogosh CDS is a paid tool ($149/month). No permanent free tier is offered.
- Is Pogosh CDS open source?
- No — Pogosh CDS is a closed-source tool. Source code is not publicly available.
- Does Pogosh CDS have an API?
- Yes. Pogosh CDS exposes a developer API. See the official documentation at https://pogosh.com for details.
- What platforms does Pogosh CDS support?
- Pogosh CDS is available on: REST API, OpenEMR module.
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The duplicate order loop
The alert fires, the physician dismisses it, and the CT gets ordered again because the alert never looked at the chart to see the CT was done yesterday. Pogosh CDS is a REST API built to stop that loop before it starts.
How it works
Pogosh reads the existing chart—notes, conditions, labs, prior imaging—before returning anything, so its recommendations account for what has already been done rather than repeating it. Responses come back as structured, coded orders: LOINC codes for labs, RadLex codes for imaging, ranked by what actually changes clinical management. A drafted note comes with them, grounded in the encounter data rather than invented. The emergency backstop runs a separate check for time-critical presentations such as dissection, cord compression, and cholangitis and stays quiet unless the defining findings are present.
Integration and pricing
It is offered as a REST API and OpenEMR module at $149 per month on a subscription basis. It works with any EHR via HTTPS and with FHIR-compatible systems.
Who it is for / who should skip it
It suits independent practices and small clinics using OpenEMR or custom EHRs, plus physicians who need structured coded recommendations without leaving the chart and teams that require HIPAA-compliant integration with a BAA. Teams that need multi-step loops, iterative chart queries, or self-hosted deployment should skip it because Pogosh is strictly one-shot request-response and chart data must leave the local environment.