Implementing EMR in Clinical Practice for Patients Receiving CAR T-Cell Therapy

Dylan Essner explains how Epic, an electronic medical record, can be used by nurses and oncology providers who are treating patients with chimeric antigen receptor T-cell therapy.

Dylan Essner, an Epic Beacon Analyst at Washington University in St. Louis, explains how Epic, an electronic medical record (EMR), can be used by nurses and oncology providers who are treating patients with chimeric antigen receptor (CAR) T-cell therapy.

Essner describes the CAR T cell section of the Epic system and how the documentation tools for the cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and immune-effector cell-associated encephalopathy (ICE) flowsheets. These 3 are all together in a flowsheet template for providers and nurses to document their patients.

ICANS and ICE have a formula built into the flowsheets, according to Essner, which allows the system to auto-populate the grade and score of the document. Medical professionals only need to input the different data points for each flowsheet; the grade for the patient will be calculated automatically. For patients with CRS, there is an informational chart to grade with. After the information has been added to a flowsheet, smart links will pull the data into the progress notes of the patient, which will make documentation easier for nurses and physicians.

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