Working with health data

How does EMR / health data get to the data lake?

Generally a cohort of providers band together to care for patients in business cohorts such as bundling, an ACO, or post-acute support. Any provider you have such a relationship with will enter into a business relationship and be ready to send health records from patients with shared care plans. Virtual Caire PaaS provides a receiving intake address for HL7 records as a JSON stack, as DIRECT or as FHIR.

How is EMR data sent in?

Virtual Caire works with a partner vendor called who will automate the installation of a very small code deposit on your EMR server. The code creates a secure Internet tunnel using TLS to our cloud intake point. Your CIO or IT director may choose to simply dump your full patient set or to transmit specific records pertaining to shared patients. Once in place your EMR and virtual caire will exchange data automatically, including any health data produced by VC which will be pushed back to your EMR. Please consult MI7 of the latest set of EMRs they support.

What if my EMR isn't on the list?

First, MI7 is constantly expanding the list of supported EMRs so please check back often.

If you work with a partner using an non-supported EMR, please contact Aplacare. We have alternative custom support we can provide through the Mirth tool. Aplacare can provide a quote for you or we may be in progress of developing the support. Generally this approach requires an EMR supporting LLP Internet transmission of information.

How do I keep my EMR or partner EMR up to date?

Virtual Caire forms the record of truth within our data lake. We always request refresh from customers and their partner EMR to submit the most accurate data to our AI decision engine.

Unless your IT department has requested an alternate approach, any health data captured by medical professionals using our tools is always pushed back to your home EMR.

User experience

How do I access Virtual Caire?

The cloud service offers many ways to access services. Traditional approaches include: website, phone – landline and cell, voice commands and IVR, remote monitoring and other traditional. We also offer emerging home devices such as Amazon Echo and Google.

Most will opt for a smart device – iPhone or Android. In addition to the rich, automated experiences (see other questions) the smartphone will also act as a mobile sensor, providing location and telemetry information. For example an iPhone can be carried and will track operational timing for value-based care operational costing. Plus, if activated can help the care team locate you for medical decisions.

More about this below.

Speech control

Speech access is particularly helpful in the medical theater where hand can be filled and commands need to be place on the move. Virtual Caire provides a rich set of interactive utterance-based commands. We interface with device frameworks in a familiar logical way.

For example, home devices such as Amazon Echo or Google Home provide an important patient or care-giver portal. “Alexa – tell Aplacare I just took my hypertension meds” becomes an easy approach to encourage patient engagement and compliance. Or “Hey Siri, send my blood pressure reading to my doctor right away” can get a quick evaluation and dispatch help.

In a clinical setting, use of speech allows providers to ask questions or provide readings all on the go. Simple spoken confirmation against norms easily manages quality and safety concerns. Providers can combine video or photos with speech to photo a wound site and ask if there is measurable change.

Virtual Caire both increases safety and improves efficiency by its location awareness and patient personalization. For instance “please print lab results and a release discharge when I get to my office” as a Siri command makes use of “brain” knowledge much like a human assistant.

A humanized experience

Aplacare brings together a rich cognitive set for AI based user experience. For a human, if a doctor said “get the therapist for the patient” – the assistant would know that the doctor referred to the patient closest at hand. The Virtual Caire assistant will also know and is able to take immediate actions.

Aplacare uses a number of measures to become environment aware. First the smartphone device is equipped to read geofence markers and wifi telemetry to understand where the provider or patient is located in a facility. When the system is first installed, a mapping process creates the worldview. The phone device also uses haptics in modern devices to understand if the provider is walking, running, sitting or even traveling in an elevator.

Coupling the smartphone with Bluetooth audio, enables fully hands-free operation even in scrubs or an OR space-suit.