Cognitive Medical Systems, a specialist in standards-based clinical decision support software and healthcare IT infrastructure, announced today that it has teamed with Halfaker and Associates on the Department of Veterans Affairs’ Transformation Twenty-One Total Technology (T4) Next Generation (NG) program, an indefinite delivery, indefinite quantity (IDIQ), multiple-award contract with a ceiling value of $22.3 billion.

Cognitive will help the Halfaker team to provide clinical informatics and clinical decision support services to the VA under the T4NG program, which is anticipated to be the preferred method for the VA to purchase IT solutions during its 10-year duration.

“We are excited to work with Halfaker, who share our commitment to innovation in Federal healthcare,” says Douglas W. Burke, Cognitive Medical Systems President & Co-founder. “We have partnered with the VA since our company’s founding and we look forward to extending our work with them through the T4NG contract.”

About Halfaker

Halfaker and Associates ( creates innovative and practical technology solutions in the areas of Advanced Analytics, Software Engineering, IT Infrastructure and Cyber Security within health, intelligence, defense, and security sectors to help government organizations perform their critical missions. We are proud to be a service-disabled veteran-owned, woman-owned, 8(a), small business. To learn more about Halfaker, please visit

About Cognitive Medical Systems, Inc.

Cognitive Medical Systems is a fast growing company helping public and private organizations make the most of clinical decision support tools. They come to us because we’re able to draw from decades of operational experience in on-the-ground health delivery, informatics, and enterprise software. And we combine that with technical prowess in complex infrastructure, workflows and CDS systems integrations.