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With Moveshelf it is possible to connect movement analysis with existing clinical workflows, by integrating with your local clinical IT system(s), such as an Electronic Health Record (EHR). An integration with an EHR means there is a link between the patient in the EHR and on Moveshelf, based on standardized communication protocols for medical data called HL7 and FHIR. This section focuses on the operator workflow in case of an integration with your EHR.

Integration with an EHR system generally provides the best workflow when combined with Single Sign On, where the login credentials of your organization are used to log into both the EHR system as well as Moveshelf. This way, clinical personnel who are allowed access by your organization to view patient data on Moveshelf, will automatically be logged into Moveshelf when coming from the EHR.

Integrations with EHR systems can be designed and developed dependent on the hospital’s requirements. Exact interactions within the EHR software are in control of the wishes and capabilities of your organization and EHR provider’s capabilities. Below are examples of the currently implemented workflows. Please note that these workflows are not the only possible workflows, but merely examples.

HiX (ChipSoft)

A current implementation of a HiX integration contains the following steps for a lab operator from movement data acquisition to sharing the results in HiX, in order to provide the data and comparative overview to the treating clinical team. The steps below describe the workflow after the acquisition of movement data has been performed.

1. Create a subject on Moveshelf
2. Click the pencil next to the subject name, to add/edit subject information.
3. Enter the EHR ID of the patient in the Subject Info panel and click 'Save'. Now, this patient is coupled in HiX and Moveshelf.
4. Upload the data to Moveshelf, or import the data through a third party archive integration (e.g. with ArQive. See section Moveshelf + ArQive for more information).
5. Sort and/or adjust the presentation of data if preferred, including creating reports.
6. In HiX, open the patient's file and navigate to 'Weblinks'. Here you can click a link to Moveshelf and immediately land on this patient's home page where you see an overview of all the patient's movement analysis sessions.

You can copy additional basic patient information from HiX into the subject info panel. To do this, enter the EHR ID of the patient in the text panel on the right side 'Search in HL7 FHIR' and click search. All the information available for this patient is displayed under 'Results'. Click the copy button next to this header to input this information in Moveshelf's subject information.

EPIC

An example of an integrated workflow with EPIC is an order based workflow with multiple automated steps. The steps below provide information for a basic understanding of the integration, with a focus on the workflow of a lab operator.

1. The clinician orders a movement analysis for a patient in EPIC.
2. As a lab operator, places an extra order for gait analysis in EPIC. This order is automatically completed, and initiates a search on Moveshelf for this patient or the creation of a new patient (subject) and a new session on Moveshelf. The order type and date will automatically be added as labels to a new session on Moveshelf.
3. Open the patient on Moveshelf by navigating to the url of Moveshelf for your organization: < organization >.moveshelf.com, and in Moveshelf, search for the subject using the EHR ID from EPIC.
4. Upload the data to Moveshelf.
5. Sort and/or adjust the presentation of data if preferred, including creating reports.
6. Click 'Publish' when the session is ready to be shared with the clinician/team responsible for treatment. This action will visualize a link to the specific patient in Moveshelf in the patient file in EPIC and allow viewers access.

Opening Moveshelf through the URL in the patient file in EPIC opens the application in protected mode where you have only access as a viewer and switching to another patient on Moveshelf is not possible. As an operator, the recommended workflow is to manually navigate to your Moveshelf domain easily by saving it as a bookmark in your browser.