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. 2016 May;23(3):532-7.
doi: 10.1093/jamia/ocv206. Epub 2016 Mar 27.

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

Rajiv B Kumar  1 , Nira D Goren  2 , David E Stark  3 , Dennis P Wall  2 , Christopher A Longhurst  4
Affiliations

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

Rajiv B Kumar et al. J Am Med Inform Assoc. 2016 May.

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.

Keywords: blood glucose; clinical informatics; electronic health records; mobile applications; patient generated health data.

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Figures

Figure 1
Figure 1
Overview of the CGM data communication bridge architecture.
Figure 2
Figure 2
Modal day visualization of 2 weeks of CGM data for a single participant with a custom web-service embedded in the EHR (available at https://gluvue.stanfordchildrens.org) A pattern of nocturnal hypoglycemia is readily identified.
See this image and copyright information in PMC

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