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Net Medical's Telemed for COVID-19 Wireless Data

Net Medical is a leading specialty telemedicine provider in the U.S.  We have already extended our platform, Telemed, to collect, harmonize, and transmit all COVID-19 test data to local, state,  and federal authorities for CLIA waived testing.  This presentation discusses how Telemed provides a rapid development path forward for the adoption of Bluetooth Low Energy as a data capture option for non-laboratory testing scenarios.

5 min Video of Capstone Project

Elevator Pitch

Net Medical's Telemed is the right platform for building the next generation of COVID-19 testing data solutions.

Challenge Goals

Our project seeks to address all the goals of the challenge by extending our proven and secure telemedicine platform with a Bluetooth Low Energy open standard for test result delivery.  Telemed is already HL7 2.5.1 ELR compliant and has already implemented the data flows required for COVID-19 harmonization and reporting.

Feasibility

An MVP for data harmonization and delivery of testing data from a manually reported home test would be online in the first 2 weeks of development.  Testing and deployment of the wireless protocol would depend on the schedule of IVD products in development.  However, protocol design and finalization can run in parallel with IVD developers work.

Design

The Telemed platform was built by doctors and developers to create an easy to use online system for doing Telemedicine consults.  We've already done the heavy lifting to support COVID-19 data collection and harmonization through our Questionnaires, Order, and Diagnostic forms.  We have also already implemented the HL7 2.5.1 interface for export.  We are confident that extending Telemed to handle wireless data capture provides a robust way to meet the design goals of the Design-A-Thon.  By applying what we learned when we were 510K software developers, we've applied all applicable industry standards for risk analysis and management, user interface design, and HIPAA/HITECH compliance. 

Innovation

Our document driven development model and flexible schemas give us  proven yet rapid development cycles.  By treating COVID-19 test data capture as a Telemedicine problem, we can apply our industry proven methods for delivering a modern, sustainable, and flexible solution quickly.  By adopting standards like HTML5 and the Web Bluetooth API, we can harness the widespread availability of these technologies while providing a path forward for native app development if required.

Flexibility & Scalability

Standards compliance is a core competency for us as we apply HTML5, DICOM, HL7, IPSec, SSL, and other industry standards to extend our reach to all users and platforms. Telemed already runs in SOC2 datacenters with cloud scalability built into the design and is ready to grow into the demands of a COVID-19 test enabled public.

Sustainability & Extensibility

The Telemed platform was built with flexibility and futureproofing in mind.  We are ready to work with at home paper strip antigen test developers to get results from their tests online quickly and reliably. We are also already looking into COVID-19 detection via machine learning based cough analysis and smartwatch heart rate data analysis.  Telemed has been running in production for 6 years and is ready to handle new challenges such as COVID-19 test reporting.

Team & Collaboration

The core team at Net Medical Xpress Solutions, Inc consists is:

Richard Govatski - CEO

Rafael M. Rubio - President

Stephenie Wilson - Director of Project Management

Miguel Williams - Director of Operations

Learn more at https://netmedical.com

 

Additional Comments

Thank you for the opportunity to tell our story.  We are hoping to see a wave of knowledge and new tests next year that can help control the spread of the virus and we are excited to be a part of the solution.

What Team(s) contributed to this Capstone Project?

Net Medical

If you are using patient data, are you using real patient data or mock data? Please use MOCK patient data only

MOCK data

edited on Nov 28, 2020 by Rafael Rubio
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Sophia B Liu Dec 8, 2020

This idea has been advanced to the current phase

People's Choice Voting Extended

Reply 0

Sophia B Liu Dec 8, 2020

This idea has been advanced to the next phase

People's Choice Voting Extended

Reply 0

Andrea Pitkus Dec 14, 2020

Trying to understand if there are preconditions met by other software. (In general) 1. How to collect AOEs, from ordering provider/patient/specimen collector 2. Integrate into app/LIS or other information source for patient to be married to results of IVD test device/system 3. All transmitted to public health (ELR) 4. All transmitted to HHS (may be met by 3).

Will your approach support all 4 or only portions of above for "tracking lab results"? (Looks like you are familiar with 1, 3 and 4, and CLIA requirements)

Looks like you support LIS based reporting of ELR in HL7 v2.51 (per the MU IG)? For patient performed results are they routed to the physician who is required to report via electronic Case Reporting (eCR) by law? How would your approach support LISs or labs that don't have API functionality?

Are LOINC, SNOMED CT and other codes systems supported at the point of origin or downstream as in your diagram to meet requirements? How are the UDIs for different devices/platforms/reagent kits collected and transmitted. Are these codes applied at point of origin before transmission?


How would your approach record patient performed results like in the Lucira EUA? How would these reported to provider and public health?

Interesting approach!

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