A system includes a plurality of RFID chips affixed to a medical item, a device reader such as a data collection engine device, and a server device. The data collection engine wirelessly transmits power to an RFID chips and receives first medical data from the RFID chip while the RFID chip is activated by the power receiver. The data collection engine generates a first message indicative of the first medical data to be sent to the server device. The server device can determine aspects of the medical item such as position and risk states based upon the first medical data.