Patient chart updates with recent labs and vitals

Purpose

1. Automate patient chart updates by integrating recent laboratory results and vital signs directly into the Electronic Health Record (EHR) for pediatric endocrinologists, automating the reduction of manual data entry, improving accuracy, ensuring timeliness, and enabling better monitoring of growth, glucose, and hormone profiles.

2. Automate clinical workflow optimization for healthcare providers, streamlining information flow from labs/devices to patient charts, and automating notifications for abnormal results.

3. Automate support for compliance and documentation needs by centralizing all periodic pediatric labs (HbA1c, TSH, Free T4, etc.) and longitudinal vitals.

Trigger Conditions

1. New lab results received (e.g., via HL7, FHIR feed, EHR inbound message).

2. Latest vitals uploaded from medical devices or bedside input.

3. Scheduled or ad hoc updates requested by provider.

4. Abnormal results requiring urgent chart entry and flagging.

5. Detection of incomplete chart after patient encounter.

Platform Variants

1. Epic (EHR)

• Feature/Setting: Use Epic's open.epic FHIR API—/Observation, /Patient, & /Encounter—to automate posting of lab data and vitals into patient charts.
  

2. Cerner Millennium

• Feature/Setting: Configure Cerner Ignite APIs (FHIR/HL7)—automate extraction and mapping of Observations to the PowerChart module.
  

3. athenahealth

• Feature/Setting: Athenahealth API—Patient Chart API and Clinical Data Endpoint; automate integration point for laboratory/vitals update.
  

4. Allscripts

• Feature/Setting: FHIR/Unity API—automatedly aggregate and update patient chart records with Observation resources.
  

5. Meditech

• Feature/Setting: Meditech Expanse RESTful API—automate Observations push for recent labs and vitals by patient MRN.
  

6. Salesforce Health Cloud

• Feature/Setting: Health Cloud FHIR API and Data Model; utilize automated flows to populate custom chart fields.
  

7. Google Cloud Healthcare API

• Feature/Setting: FHIR Store; automate import and merge logic for Observation and Patient resources.
  

8. Microsoft Azure Health Data Services

• Feature/Setting: FHIR API integration; set up automated pipelines for vitals/labs into Clinical Data Lake.
  

9. Amazon HealthLake

• Feature/Setting: BatchImport API; automate ingestion mapping for pediatric endocrinology-specific labs/vitals.
  

10. Redox Engine

• Feature/Setting: Data Model—Observation, PatientUpdate feed; create automator to sync real-time results into EMR.
  

11. HL7 Interface Engine (NextGen Connect/Mirth)

• Feature/Setting: Automate routes for ORU^R01 lab messages and vital updates into EHR destination.
  

12. InterSystems HealthShare

• Feature/Setting: Orchestrate transformations using automated FHIR/HL7 routing for Observations in pediatric modules.
  

13. 1upHealth

• Feature/Setting: FHIR Data Platform; automate periodic resource syncs for Observations updates into client systems.
  

14. Health Gorilla

• Feature/Setting: Orders and Results API; automatedly pull lab reports and push to EHR charting module.
  

15. LabCorp

• Feature/Setting: LabCorp Lab Data API; automate scheduled pulls of results for direct chart population.
  

16. Quest Diagnostics

• Feature/Setting: Quest Lab Data Connect API—automate batch imports into patient charts via EHR bridge.
  

17. Apple HealthKit

• Feature/Setting: Automated HealthKit data transfer for vitals via FHIR export into patient records.
  

18. Philips IntelliSpace

• Feature/Setting: Enterprise Patient Data Management API; automate integration for real-time vitals/labs.
  

19. Teladoc Health

• Feature/Setting: Clinical Data API; automate sync of remote labs/vitals into patient profile charts.
  

20. Onemedical

• Feature/Setting: FHIR API integration for automated clinic-to-home vitals/lab updates in EHR.
  

21. Medplum

• Feature/Setting: Automatedly process FHIR Observations for chart updates in Pediatric Endocrinology context.
  

22. Smartsheet

• Feature/Setting: Automate row/record update from lab system export to patient chart tracker.
  

23. Slack

• Feature/Setting: Workflow Builder; automate notifications on chart updates for care teams.
  

Benefits

1. Automate improved clinical decision speed—latest labs and vitals automatically available in chart.

2. Reduce charting errors and omissions by automating data entry.

3. Automates compliance—date/time-stamped comprehensive records.

4. Automator reduces manual workload for clinicians, freeing more patient-facing time.

5. Automatable, scalable solution fits solo and large group pediatric endocrinology practices.

6. Automating cross-platform and multisource integration supports telemedicine and remote monitoring seamlessly.

7. Automation supports real-time alerts for abnormal trends in lab results or vital signs.

8. Automated audit trails support medicolegal and quality improvement efforts.

9. Automatedly maintains up-to-date records for insurance, referrals, and quality reporting.

10. Enables continuous optimization of the clinical workflow through data-driven improvements using automation.