Nicole Y Xu, Kevin T Nguyen, Ashley Y DuBord, David C Klonoff, Julian M Goldman, Shahid N Shah, Elias K Spanakis, Charisse Madlock-Brown, Siavash Sarlati, Azhar Rafiq, Axel Wirth, David Kerr, Raman Khanna, Scott Weinstein, Juan Espinoza
Author Information
Nicole Y Xu: Diabetes Technology Society, Burlingame, CA, USA. ORCID
Kevin T Nguyen: Diabetes Technology Society, Burlingame, CA, USA. ORCID
Ashley Y DuBord: University of California, San Francisco, San Francisco, CA, USA. ORCID
David C Klonoff: University of California, San Francisco, San Francisco, CA, USA. ORCID
Julian M Goldman: Massachusetts General Hospital, Boston, MA, USA. ORCID
Shahid N Shah: Netspective Communications LLC, Silver Spring, MD, USA. ORCID
Elias K Spanakis: Baltimore VA Medical Center, Baltimore, MD, USA. ORCID
Charisse Madlock-Brown: The University of Tennessee Health Science Center, Memphis, TN, USA. ORCID
Siavash Sarlati: University of California, San Francisco, San Francisco, CA, USA. ORCID
Azhar Rafiq: National Aeronautics and Space Administration, Washington, DC, USA. ORCID
Raman Khanna: University of California, San Francisco, San Francisco, CA, USA. ORCID
Scott Weinstein: McDermott Will & Emery, Washington, DC, USA. ORCID
Juan Espinoza: Division of General Pediatrics, Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, USA. ORCID
INTRODUCTION: The first meeting of the Integration of Continuous Glucose Monitor Data into the Electronic Health Record (iCoDE) project, organized by Diabetes Technology Society, took place virtually on January 27, 2022. METHODS: Clinicians, government officials, data aggregators, attorneys, and standards experts spoke in panels and breakout groups. Three themes were covered: 1) why digital health data integration into the electronic health record (EHR) is needed, 2) what integrated continuously monitored glucose data will look like, and 3) how this process can be achieved in a way that will satisfy clinicians, healthcare organizations, and regulatory experts. RESULTS: The meeting themes were addressed within eight sessions: 1) What Do Inpatient Clinicians Want to See With Integration of CGM Data into the EHR?, 2) What Do Outpatient Clinicians Want to See With Integration of CGM Data into the EHR?, 3) Why Are Data Standards and Guidances Useful?, 4) What Value Can Data Integration Services Add?, 5) What Are Examples of Successful Integration?, 6) Which Privacy, Security, and Regulatory Issues Must Be Addressed to Integrate CGM Data into the EHR?, 7) Breakout Group Discussions, and 8) Presentation of Breakout Group Ideas. CONCLUSIONS: Creation of data standards and workflow guidance are necessary components of the Integration of Continuous Glucose Monitor Data into the Electronic Health Record (iCoDE) standard project. This meeting, which launched iCoDE, will be followed by a set of working group meetings intended to create the needed standard.
