Paula Braun EntrepreneurinResidence CDCs National Center for Health Statistics ITdotHealth SMART Decisions Panel on Getting Data and Services to the Point of Care at Harvard Medical School ID: 718216
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“The Death Worm”: A SMART-on-FHIR, Clinical Decision Support Tool for Mortality Reporting
Paula BraunEntrepreneur-in-ResidenceCDC’s National Center for Health Statistics
ITdotHealth: SMART Decisions Panel on Getting Data and Services to the Point of Care at Harvard Medical SchoolJune 25, 2017Slide2
Slide3
Mortality SurveillanceSlide4
Leverage SMART-on-FHIR to Help Physicians Determine Chain of Events that Led to Death
REST API
State’s
Electronic Death Registration System
+
Integrate Into Physicians’ Workflow
:
Certify Deaths
in the EHR &
Send Electronically
to State
+
Save Time
:
Provide
Medical History
&
Pre-Populate
Demographic/Basic Health Information
+
Improve Accuracy
: Use
Advanced Computing
to Help Determine
Cause-of-Death Sequence
+
Advance Medical Research & Improve Care
:
Send Coded Data
Back to EHRSlide5
Tool
Provides History &
Probable Causal LinksRupture of Cardiac Wall
Time:
6/25/17
02:05
Time to death: D−
13 m
Basic
patient information, to give
context. Seamless return to EHR for more info.
Salient plan-text history, with final progress note if available
Scroll-able, scale-able
timeline
for comprehensive view
Familiar chain-of-events
layout,
allowing changes if
needed
Clicking on a proposed timeline
pre-populates
the chain of
events
Hover over events for more details
Validate Data Before Sending to StateSlide6
Demo
https://www.youtube.com/watch?v=PIBoRspEzbA Slide7
“Let conversation
cease, let laughter
flee, for this is the place
where death delights to help the
living."
Giovanni Morgagni (translated from Latin)
Inscribed on the wall of the NYC Medical Examiner’s Office
Slide8
Questions?
Paula A. Braun
Phone:
404-498-6809
pax1@cdc.gov