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Clinical decision making is hampered by not being able to see trend data for a given observation metric (i.e. there are not enough data points across a period of time to make an informed decision);
Observations captured within a clinical setting may not be as representative as those that are captured in a home setting (due to patient nervousness/anxiety, other situational factors - e.g. patient may have had to exert themselves prior to observation).
Regular measurements throughout the day - trend data
Home observations more representative compared to those taken in a clinical setting
Proposed Solution
Provide a user interface in the Helm Person Held Record that allows patient/citizen users to record information relating to observation measurements they have captured in a home setting.
Observed measurements to include:
Blood pressure
Peak flow meter measurements (time, free text comments)
Weight
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Settings and roles
Summary Flow
To do - Visualisation of data from capture to presentation. [image links inline]
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Patient capture of an observation using tools in the home.
Patient entry of observation data into Helm.
FHIR mapping in SoS
UI presentation in Helm with historical data.
UI presentation in YHCR Care Portal (based on Helm panel above) - with additional functionality for clinician views
Clinician roles and workflows
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Systems Development
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Develop interface (based on both technical and functional requirements) to display the answers to WMTM questions in Helm (Person Held Record) that have been authored by professionals in other settings and subsequently shared via YHCR / SoS.
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Helm
User interface to allow patient capture of observation measurements (measure, unit, value, date, subject, notes).
User interface to display historical measurements (including metadata).
YHCR Care Portal
Develop interface to display patient-recorded observations shared via YHCR / SoS. This will be based on work completed in Helm as it shares the same architecture.
Support the development of the user interface within the Leeds Care Record (LCR) in order to present WMTM answers derived via YHCR / SoS.
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