{"id":2,"date":"2021-09-03T16:33:30","date_gmt":"2021-09-03T16:33:30","guid":{"rendered":"https:\/\/scholarblogs.emory.edu\/emoryrta\/?page_id=2"},"modified":"2021-10-01T12:41:39","modified_gmt":"2021-10-01T12:41:39","slug":"rta-covid-19-application","status":"publish","type":"page","link":"https:\/\/scholarblogs.emory.edu\/emoryrta\/","title":{"rendered":"RTA COVID-19 APPLICATION"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">TRANSLATIONAL DIGITAL MEDICINE<\/h3>\n\n\n\n<p class=\"has-text-align-left\">The RTA team has been engaged in rapid development of applications to serve the Emory clinical community.&nbsp;These applications and dashboards have brought out the power of medical informatics and Real Time Analytics to&nbsp;<strong><em>provide&nbsp;interactive&nbsp;support to clinicians and streamline caregiving<\/em><\/strong>.&nbsp;The RTA system has also been used to improve clinical trials recruitment, particularly&nbsp;to&nbsp;<strong>screen for&nbsp;COVID-19&nbsp;patients eligible for monoclonal antibodies<\/strong>&nbsp;where identifying the&nbsp;<em>right patient at the right time is of paramount importance<\/em>.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The&nbsp;successes have spurred the RTA team to propose the development of an enhanced and re-engineered Covid-19 application&nbsp;with the following goals:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Present critical data on Covid-19 patients.&nbsp;<\/li><li>Create \u2018Power User\u2019 role which will be assigned to&nbsp;clinicians in charge of&nbsp;care-giving.&nbsp;<\/li><li>Enable clinical annotations to be entered and saved by&nbsp;power users of the application.&nbsp;<\/li><li>Allow power users to designate events of interest\/concern for&nbsp;patients.&nbsp;<\/li><li>Enable messaging in the form of email alerts when events of interest&nbsp;occur.&nbsp;<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>CURRENT STATE OF&nbsp;THE COVID-19 APPLICATION<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image.png\" alt=\"\" class=\"wp-image-13\" width=\"840\" height=\"235\" srcset=\"https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image.png 1008w, https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-300x84.png 300w, https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-768x216.png 768w\" sizes=\"auto, (max-width: 840px) 100vw, 840px\" \/><figcaption>Figure 1<\/figcaption><\/figure><\/div>\n\n\n\n<p>Patients who have been tested for Covid along with their test&nbsp;results&nbsp;and vitals&nbsp;are retrieved from the Cerner V500 database at 10-minute intervals. This data is presented in the form of&nbsp;charts and tables. Users can view the breakdown of&nbsp;the counts of&nbsp;positive, negative and persons under investigation by&nbsp;facility.&nbsp;In addition, MEWS data for patients with a MEWS score&nbsp;greater than 4 and ICU patients at risk for CRRT are displayed as tables.&nbsp;Ventilator monitoring charts are shown for each patient in the ICU.&nbsp;Time series charts in the application provide patient counts over time for the past 6 months.&nbsp;The current application is read-only, providing information to users in real&nbsp;time.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>PROPOSED&nbsp;ENHANCED COVID-19 APPLICATION<\/strong>&nbsp;<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"337\" src=\"https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-1-1024x337.png\" alt=\"\" class=\"wp-image-14\" srcset=\"https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-1-1024x337.png 1024w, https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-1-300x99.png 300w, https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-1-768x253.png 768w, https:\/\/scholarblogs.emory.edu\/emoryrta\/files\/2021\/09\/image-1.png 1117w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figure 2<\/figcaption><\/figure><\/div>\n\n\n\n<p>We propose to build a&nbsp;secure and robust application that will enable us to provide annotation capabilities to power users&nbsp;(<strong><em>Figure 2<\/em><\/strong>).&nbsp;Authorized users will be able to&nbsp;not just view the charts and tables but will also be&nbsp;enabled&nbsp;to annotate individual charts and patients, save the annotations and set up alerts when certain conditions\/events transpire.&nbsp;This will make the application more useful, alerting the power users to changes in the conditions that they are interested in monitoring.&nbsp;We aim to develop this infrastructure such that we can deploy this system&nbsp;with data coming in from Cerner or Epic in the future.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TRANSLATIONAL DIGITAL MEDICINE The RTA team has been engaged in rapid development of applications to serve the Emory clinical community.&nbsp;These applications and dashboards have brought out the power of medical informatics and Real Time Analytics to&nbsp;provide&nbsp;interactive&nbsp;support to clinicians and streamline caregiving.&nbsp;The RTA system has also been used to improve clinical trials recruitment, particularly&nbsp;to&nbsp;screen for&nbsp;COVID-19&nbsp;patients eligible&#8230;<\/p>\n","protected":false},"author":7517,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/users\/7517"}],"replies":[{"embeddable":true,"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":5,"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":209,"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/pages\/2\/revisions\/209"}],"wp:attachment":[{"href":"https:\/\/scholarblogs.emory.edu\/emoryrta\/wp-json\/wp\/v2\/media?parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}