Automated integration of continuous glucose monitor data in the electronic health record using consumer technology

Author:

Kumar Rajiv B12,Goren Nira D1,Stark David E3,Wall Dennis P1,Longhurst Christopher A4

Affiliation:

1. Department of Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA

2. Department of Clinical Informatics, Stanford Children’s Health, Palo Alto, CA, USA

3. Biomedical Informatics Training Program, Stanford School of Medicine, Palo Alto, CA, USA

4. Department of Biomedical Informatics, UC San Diego, La Jolla, CA, USA; formerly at 1,2,3 when work was submitted

Abstract

The diabetes healthcare provider plays a key role in interpreting blood glucose trends, but few institutions have successfully integrated patient home glucose data in the electronic health record (EHR). Published implementations to date have required custom interfaces, which limit wide-scale replication. We piloted automated integration of continuous glucose monitor data in the EHR using widely available consumer technology for 10 pediatric patients with insulin-dependent diabetes. Establishment of a passive data communication bridge via a patient’s/parent’s smartphone enabled automated integration and analytics of patient device data within the EHR between scheduled clinic visits. It is feasible to utilize available consumer technology to assess and triage home diabetes device data within the EHR, and to engage patients/parents and improve healthcare provider workflow.

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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