Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information.
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Transcript of Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information.
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Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information
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MedlinePlus Connect & MedlinePlus.gov
MedlinePlus Connect Free service for patient portals, EHRs, or health IT systems to link to patient health information from MedlinePlus.gov
MedlinePlus.gov Consumer health information Web site with easy-to-understand information from reputable sources
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• Reliable, authoritative• Consumer-friendly• No ads• Updated daily• Strict quality guidelines• English and Spanish• Links to information in
>40 languages• Multimedia, news,
images, encyclopedia, tutorials and more…
Why MedlinePlus.gov?
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~1,000 drugs100 supplements
164 tutorials78 anatomy videos139 surgery videos
>40 languages>250 topics>3,300 links
~ 3,500 encyclopedia articles> 2,000 images
15-20 news stories daily
>1,200 links to ClinicalTrials.gov
921 English896 Spanish
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MedlinePlus Connect
Patient portals, EHRs, or health IT systems can deliver consumer health information related to patients’ specific diagnoses, medications, and labs
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MedlinePlus Connect
Problem, medication, or lab code-based request
MedlinePlus Connect
Consumer health information targeted response
Clinical systemPatient portal
EHR/Health IT System
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Who can implement MedlinePlus Connect?
• Health IT companies and/or developers can activate it in their patient portal, EHR or other systems
• Hospital systems, doctors’ offices, clinics, and health IT purchasers may be able to implement it directly
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How easy is it to implement?• Free. No registration or licensing • Integrates into existing health IT systems• HL7 Context-Aware Knowledge Retrieval
(Infobutton) Standard• Available as Web application and Web service • Can be implemented by:
– Health IT companies – Health IT purchasers
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Web Application & Web ServiceWeb application: • Responds with an on-demand, formatted
MedlinePlus Connect Web page
Web service: • Returns information in XML• The patient portal or EHR may select
which MedlinePlus links and information to provide within the system
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Hello, Jane Smith
Health Summary
Appointments
Test Results
Medications
Messages
Date
Your Health Summary – Conditions
Issue
Asthma
Acute Sinusitis
05/02/2011
09/10/2009
Insurance
Log Out
W e s t M e d i c a l G r o u p
WMG
Depression 04/19/2008
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Link to full MedlinePlus topic page
First few lines of the MedlinePlus summary for that topic
Links to additional, related information
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Spanish Response for Diagnoses
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Web Service
• Returns information in XML• The patient portal or EHR may select
which MedlinePlus links and information to provide within the system
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Link to full MedlinePlus topic page
Full MedlinePlus summary for that topic
Links to additional, related information
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Request NLM Process for Matching Codes to Patient Content
MedlinePlus Content
Response Languages
Code Type Code System
Problems ICD-9-CM 13,700 codes mapped manually
Health topic pages
English Spanish
SNOMED CT 11,800 codes mapped manually
Lab Tests LOINC 2,100 codes mapped manually
Lab articles English Spanish
Drugs RXCUI RxNorm API & search of MedlinePlus drug information
Drug articles English
NDC
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Problem Code Mappings• Multiple problem codes may map to one
MedlinePlus topic
ICD-9-CM SNOMED CT493.00 Extrinsic Asthma Unspecified493.01 Ext Asthma W Status Asthmaticus493.02 Extrinsic Asthma with Exac493.10 Intrinsic Asthma Unspecified493.12 Extrinsic asthma with exacerbation493.20 Chron Obst Asthma Unspecified493.21 Chron Obst Asthma Unspecified W Status Asth493.22 Chronic obst asthma with exacerbation
31387002 Exercise-induced asthma (disorder)55570000 Asthma without status asthmaticus (disorder)57546000 Asthma with status asthmaticus (disorder)195967001 Asthma (disorder)266361008 Non-allergic asthma (disorder)281239006 Exacerbation of asthma (disorder)
• Examples of problem codes mapped to Asthma topic:
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One problem code can map to up to 3 MedlinePlus topics
ICD-9-CM• 003.0: Salmonella enteritis
– Foodborne Illness– Salmonella Infections– Gastroenteritis
• 824: Fracture of ankle– Ankle Injuries and Disorders– Fractures
SNOMED CT Core Problem List Subset• 15574005: Fracture of foot (disorder)
– Foot Injuries and Disorders– Fractures
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Lab Code Mappings
• Examples of LOINC codes mapped to the Glucose test – blood article
LOINC
2339-0 Glucose [Mass/volume] in Blood41653-7 Glucose [Mass/volume] in capillary blood by Glucometer32016-8 Glucose [Mass/volume] in Capillary blood2345-7 Glucose [Mass/volume] in Serum or Plasma1558-6 Glucose fasting [Mass/volume] in Serum or Plasma
• Multiple LOINC codes may map to one Lab Test article
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MedlinePlus Connect for Medications
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UsersOrganizations• Buffalo Medical Group• Cleveland Clinic• Halifax Regional Medical
Center• Indian Health Service• Institute for Family Health• New York-Presbyterian
Hospital/Columbia University Medical Center
• Texas Health Resources• University of Utah
Health IT Systems• Aetna’s case management system• AlphaFlexCMS 1.0 • ChiroSuite EHR• ComChart EMR• Dexter Solutions eZDocs• Epic MyChart• MedSoft Patient Portal and
Record 5.0.6• Procentive • Resource and Patient
Management System (RPMS) HER• Rise Health Patient Relationship
Manager• SmartPHR
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http://medlineplus.gov/connect
• Technical how to’s • Sample list of users• Demonstration pages• Email list – please join!http://www.nlm.nih.gov/medlineplus/connect/emaillist.html
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Other MedlinePlus Resources for Patient Health Content
• MedlinePlus Web Service – Accepts keyword query requests and returns relevant health topics and associated data in XML format http://www.nlm.nih.gov/medlineplus/webservices.html
• XML Files – Full data sets, including MedlinePlus topic names, URLs, associated terms, and summaries describing the topichttp://www.nlm.nih.gov/medlineplus/xml.html
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