MedlinePlus Connect Sarena Burgess

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Presentation transcript:

MedlinePlus Connect Sarena Burgess National Library of Medicine, National Institutes of Health Department of Health and Human Services December 1, 2010

MedlinePlus.gov Consumer & patient health English & Spanish Coverage: Diseases and conditions Health and wellness Drugs, herbs, and supplements Latest health news Videos, interactive tutorials, and other multimedia

172 tutorials 78 anatomy videos 112 surgery videos 5 Sp surgery videos 875 English 844 Spanish ~1,000 drugs 100 supplements 15-20 stories added daily 1,445 links to ClinicalTrials.gov 15 English issues 2 bilingual issues Over 100 directories of doctors, hospitals, clinics & libraries >40 languages >250 topics >3,000 links >40 languages >250 topics 3,045 links ~ 3,500 articles > 2,000 images 2 RSS feeds 11 daily & weekly listservs

MedlinePlus Connect Overview What: A free Web application that allows electronic health record (EHR) systems to use existing code sets to link to relevant information from MedlinePlus.gov. Who: EHR companies and developers EHR customers (hospital systems, doctors’ offices, etc)

MedlinePlus Connect Process Problem code or medication code Code to topic or medication mapping MedlinePlus topic or medication results EHR, EMR, PHR, etc. MedlinePlus Connect MedlinePlus

Flexibility Coding systems: Supports HL7 Infobutton standard Problem Codes (Diagnoses) ICD-9-CM: 12,000 codes SNOMED CT® CORE Problem List Subset: 5,000 codes Medication Codes RXCUI (RxNorm Concept Unique Identifier) NDC (National Drug Code) Supports HL7 Infobutton standard

Patient View from EHR - Diagnoses

Infobutton Page for Diagnoses

Spanish Infobutton Page for Diagnoses 10

Mapping to MedlinePlus Many problem codes can map to the same MedlinePlus topic Example: Asthma ICD-9-CM SNOMED CT CORE Problem List Subset 493 Asthma 493.00 Extrinsic Asthma Unspecified 493.01 Ext Asthma W Status Asthmaticus 493.02 Extrinsic Asthma with Exac 493.10 Intrinsic Asthma Unspecified 493.12 Extrinsic asthma with exacerbation 493.20 Chron Obst Asthma Unspecified 493.21 Chron Obst Asthma Unspecified W Status Asth 493.22 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) 304527002 Acute asthma (disorder) 371088008 Reactive airways dysfunction syndrome (disorder)

Mapping to MedlinePlus 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 Fractures Ankle Injuries and Disorders SNOMED CT 15574005: Fracture of foot (disorder) Foot Injuries and Disorders

Patient View from EHR - Medications

Infobutton Page for Medications

Drug Information Retrieval Process RXCUI Text String NDC Internal search on MedlinePlus drug information Present user with appropriate drug information RxNORM API Brand Names RXCUI RxNORM API

Future Enhancements XML Web Services Lab tests English (possibly Spanish) LOINC

Advantages Provides relevant, authoritative patient information at the point of care or from home May play a role in “meaningful use” Utilizes coding systems already in place One-time change Supports the HL7 Infobutton standard Free to use, no licensing fees

http://medlineplus.gov/connect For More Information Overview (non-technical) Technical documentation for developers Demo page Email discussion list Email us via the “Contact us” link