Chemotherapy Ordering Management System (COMS 20355)

The proof of concept Chemotherapy Order Management System (COMS) was developed with funding from the VA Center for Innovation (VACI) in the 2010 employee Innovations competition. The COMS application supports oncology healthcare teams in ordering, preparing, and documenting the administration throught five (5) clinical modules and read/write interoperability with Veterans Health Information Systems and Technology Architecture (VistA).

The COMS application satisfies the unique needs of chemotherapy ordering and standardizes capabilities to meet direct entry of chemotherapy order consistent with oncology practice. COMS interfaces and interacts with existing applicable Veterans Health Administration (VHA) health care systems, modules, and processes with Computerized Patient Record System (CPRS) and VistA databases. As an open source, systems agnostic solution, COMS is a user-facing, patient-centric solution not restrained by Commercial-off-the-Shelf (COTS) product limitations. It is a Web-based application consisting of Hypertext Precursor (PHP), Java Script, Simple Object Access Protocol (SOAP), and Representational state transfer (RESTful) Web services.

This project will build upon the innovation success by enhancing the proof of concept COMS application; deploying the prototype COMS to two (2) pilot sites staffed with seasonal VA oncology leaders and innovation champions; and providing technical input for security documentation.

For more information on our project and our project team, please navigate through the following pages:

Key Contacts

Contact Info
Dr. Michael Kelley Business Sponsor/Lead Innovator
Dr. Daniel Wu Key Clinical Stakeholder
Devin Harrison Innovation Coordinator/VA Project Manager
Lou Ferrucci Jr. (CACI) Development Project Manager


You can acess more information via the COMS Pipeline Entry. (**This site had restricted access and is for internal VA network)

If you have any additional questions or would like ot request additional information, please feel free to reach out to the VA Innovation Coordinator - Devin Harrison (, or the Development Team Project Lead - Lou Ferrucci (