title: Automated integration of continuous glucose monitor data in the electronic health record using consumer technology.
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.
authors.affiliation: Department of Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA Department of Clinical Informatics, Stanford Children's Health, Palo Alto, CA, USA rbkumar@stanford.edu.
authors.forename: Rajiv B
authors.initials: RB
authors.lastname: Kumar
authors.affiliation: Department of Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA.
authors.forename: Nira D
authors.initials: ND
authors.lastname: Goren
authors.affiliation: Biomedical Informatics Training Program, Stanford School of Medicine, Palo Alto, CA, USA.
authors.forename: David E
authors.initials: DE
authors.lastname: Stark
authors.affiliation: Department of Pediatrics, Stanford School of Medicine, Palo Alto, CA, USA.
authors.forename: Dennis P
authors.initials: DP
authors.lastname: Wall
authors.affiliation: Department of Biomedical Informatics, UC San Diego, La Jolla, CA, USA; formerly at 1,2,3 when work was submitted.
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Longhurst
mesh_terms: D000293:Adolescent; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation*; D002648:Child; D002675:Child, Preschool; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D000076206:Patient Generated Health Data; D018511:Systems Integration
keywords: blood glucose; clinical informatics; electronic health records; mobile applications; patient generated health data