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Review
. 2023 Mar;17(2):495-502.
doi: 10.1177/19322968211058148. Epub 2021 Nov 20.

The Need for Data Standards and Implementation Policies to Integrate CGM Data into the Electronic Health Record

Juan Espinoza  1 , Nicole Y Xu  2 , Kevin T Nguyen  2 , David C Klonoff  3
Affiliations
Review

The Need for Data Standards and Implementation Policies to Integrate CGM Data into the Electronic Health Record

Juan Espinoza et al. J Diabetes Sci Technol. 2023 Mar.

Abstract

The current lack of continuous glucose monitor (CGM) data integration into the electronic health record (EHR) is holding back the use of this wearable technology for patient-generated health data (PGHD). This failure to integrate with other healthcare data inside the EHR disrupts workflows, removes the data from critical patient context, and overall makes the CGM data less useful than it might otherwise be. Many healthcare organizations (HCOs) are either struggling with or delaying designing and implementing CGM data integrations. In this article, the current status of CGM integration is reviewed, goals for integration are proposed, and a consensus plan to engage key stakeholders to facilitate integration is presented.

Keywords: continuous glucose monitor; diabetes; electronic health record; hospital; integrate; sensor.

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Conflict of interest statement

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: JE’s efforts were supported by the Food and Drug Administration under award number P50FD006425 for The West Coast Consortium for Technology & Innovation in Pediatrics, and grants UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the US National Institutes of Health. The funding sources had no involvement in the development of this manuscript or in the decision to submit the paper for publication. The content is solely the responsibility of the authors and does not necessarily represent the official views of the FDA or the NIH. JE is a consultant for AI Health. NYX and KTN have nothing relevant to disclose. DCK is a consultant for Abbott, Dexcom, EOFlow, Integrity, Lifecare, Medtronic, Novo Nordisk, Roche Diagnostics, and Thirdwayv.

Figures

Figure 1.
Figure 1.
The iCoDE project logo. Abbreviation: Integration of Continuous Glucose Monitoring Data into the Electronic Health Record.
Figure 2.
Figure 2.
Eight critical concepts in a practical framework for continuous glucose monitor data integration into the electronic health record.
Figure 3.
Figure 3.
Categories and functions of five unique types of continuous glucose monitor data interoperability standards. Source: Adapted from HealthIT.gov.
See this image and copyright information in PMC

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