“The Death Worm”: A SMART-on-FHIR, Clinical Decision Support Tool for Mortality Reporting Paula Braun Entrepreneur-in-Residence CDC’s National Center for Health Statistics ITdotHealth: SMART Decisions Panel on Getting Data and Services to the Point of Care at Harvard Medical School June 25, 2017

 

Mortality Surveillance

Electronic Death Registration System Leverage SMART-on-FHIR to Help Physicians Determine Chain of Events that Led to Death + 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 EHR REST API State’s Electronic Death Registration System

Tool Provides History & Probable Causal Links Salient plan-text history, with final progress note if available Basic patient information, to give context. Seamless return to EHR for more info. Hover over events for more details Scroll-able, scale-able timeline for comprehensive view Rupture of Cardiac Wall Time: 6/25/17 02:05 Time to death: D−13 m Clicking on a proposed timeline pre-populates the chain of events Familiar chain-of-events layout, allowing changes if needed Validate Data Before Sending to State

Demo https://www.youtube.com/watch?v=PIBoRspEzbA

flee, for this is the place where death delights to help the living." “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

Questions? Paula A. Braun Phone: 404-498-6809 pax1@cdc.gov