1. Global Medical Resources
High quality medical information summaries, extracted from ZIMS medical records entered by member institutions
Funded by IMLS award #: MG

2. ZIMS Updates! This PowerPoint is up-to-date as of: November 12th 2018
ZIMS is developed in an “agile” method
This means that it is updated every two weeks, sometimes with additional releases in between!
Use the link below to see if there have been any updates to this topic since the date above:

3. Medical Resources
These resources provide the same type of information that could be obtained by contacting a colleague and asking about their experience with a vaccine, their preferred anesthetic drug combination or the most common medical problems within a specific taxonomic group. It is just done here on a larger scale, with these resources summarizing information from millions of medical records, about thousands of different species, that were submitted by hundreds of colleagues.

4. Resources are Global
The information presented in Medical Resources is extracted from records entered by our international membership
All resource output is designed to be anonymous, protecting the privacy of medical information recorded by our member institutions

5. Resources are Global
The Resource outputs are manually validated, but with millions of medical records in ZIMS, a full review of all the resources is not possible. Please read the disclaimer in the header of each resource to properly interpret the data.
The total number of records and the total number of animals represented are indicated in that statistics page for each resource.

6. Resource Access
Access to the medical resources is controlled by your ZIMS Role. Permission to search and view these features will be granted by your local or medical administrator. If you do not have access to the resources, contact your local or medical admin or

7. Resource Access The Medical Resources are accessed from the Start Menu
Start > Medical > Medical Resources
Or Start > Global Resources > Medical Resources

8. Sources of the Data Anesthesia Summaries Drug Usage Extracts
Anesthesia records in ZIMS (see 2007)
Drug Usage Extracts
Prescription records in ZIMS (see 2004)
Test Results
Samples, Tests & Results records in ZIMS (see 2006)
Search by Test
Expected Test Results
Mortality and Morbidity Analysis
Most Common Clinical Issues
Diagnosis records in ZIMS (see 2003)
Relevant Death Information analysis
Husbandry death records
Search by Diagnosis

9. Anesthesia Summaries Extracted from ZIMS anesthesia records
A species level summary of the injectable drug combinations and dosages (mg/kg) used by member institutions to anesthetize collection animals
Displays up to 5 different drug protocols (drug combinations) for each species, that are ranked using a combination of total usage and recent usage
Provides frequency of reported anesthetic complications and recovery information to assist with risk assessment for each protocol

10. Anesthesia Summaries Search/Filter options:
Taxonomy (includes taxonomy below)
Drug Used (only display protocols containing the specified drug)

11. Anesthesia Summaries Additional Search/Filter options:
The overall summary protocols displayed for a species can be refined by selecting additional filter options within the “Filter Anesthesia Summaries” panel above the report (panel may be collapsed)
Protocols will be recalculated based on specific filter options selected by the user (e.g., use only anesthesia events rated as good or excellent)

12. Anesthesia Summaries Report options:
Underlined data and histogram icons indicates that additional information is available when you ‘hover over’ the item
Reports can be exported to Excel and PDF

13. Drug Usage Extracts
A genus or species level summary of drug and vaccine usage information that has been extracted from ZIMS prescription records
This is anecdotal data, not pharmacokinetic data
Not a drug or vaccine recommendation!!!
Not an indication of treatment effectiveness!!!
But still valuable for clinical reference.

14. Drug Usage Extracts Search/Filter options:
Taxonomy (including taxonomy below)
Drug Category (e.g., antibiotics)
Drug Name (e.g., Enrofloxacin)

15. Drug Usage Extracts
Drug usage data are grouped by taxonomy, active ingredient, route of administration and frequency of dosing
Report options:
Underlined data and histogram icons indicate that additional data is available when you ‘hover over’ the item
Reports can be exported to Excel and PDF
Provided within each drug usage grouping are dosage, treatment duration, adverse reaction and early termination information

16. Test Results
Until now, the only test result information available to users was in the form of the Global Reference Intervals. The strict criteria required to calculate a valid reference interval meant that most of the test results in ZIMS were unavailable to users
This new, anonymous reporting function allows users access to some of the other results in ZIMS
Multiple filters to allow selection of specific data sets
Can search by a specific Test or review all Expected Test Results for a taxonomy.

17. Test Results – Search by Test
Example: Need to know the serum copper levels found in Addra Gazelle? This reporting tool will show you the existing global results in ZIMS (9 values as of 1 Jan 2018)
Can export the report to various formats
Use “Export for raw Excel” button to get the result values in a format that makes additional manipulation and calculation much easier

18. Test Results – Search by Test
There are multiple filters available
Scope of the search can be changed
There is the ability to view in graph form

19. Test Results – Expected Test Results
Reference calculations from 10 million test results on healthy patients in over 1000 species
global reference intervals
basic statistics for small data sets
If Test field is left blank the results will display all the expected tests results calculated from the ZIMS database for the species

20. Test Results – Expected Test Results
You have the ability to further filter and refine your results
There are tabs for Hematology, Chemistry/Fluid Analysis and Endocrinology/ Reproduction

21. Mortality and Morbidity Analysis
This Resource has three independent tools:
Most common clinical issues
Relevant death information analysis
Search by Diagnosis

22. Most Common Clinical Issues
Each page in the resource is a grid listing the most common clinical issues for a species, along with duration data for each clinical issue
The number of historical (resolved) cases and active cases (as of the date the resource was calculated) are shown
Based on information extracted from the diagnosis records entered by member institutions.
Search by taxonomy only

23. Most Common Clinical Issues
Report options:
Underlined data and histogram icons indicates that additional information is available when you ‘hover over’ the item
Reports can be exported to Excel and PDF
Both a Grid View (default) and a Graphical View are available
Graphical View
Grid View

24. Relevant Death Information
Performs real-time analysis on the Relevant Death Information associated with the husbandry death records
Data scope filters include:
Taxonomy: group data at any taxonomic level
Geography: Global, Continent or User’s Institution
Accessioned Types (Individual, Group, etc.)
Date range
Example: RDI analysis for Mammalia at My institution over the last 10 years

25. Relevant Death Information
Analysis output is an interactive bar graph that starts at the highest analysis level (lowest data resolution)

26. Relevant Death Information
If the label for a bar is underlined, then clicking on the label or the bar opens a new graph showing the finer resolution data that was used to create the previous bar. Each level has a “back” button to return to the previous analysis level

27. Search by Diagnosis
Medical Resources>Morbidity & Mortality Analysis>Search by diagnosis
This report searches for local diagnoses that contain specific medical terms
Your data set can be filtered by Taxonomy, Diagnosis type (clinical or pathology), Confidence level and Onset date.
Multiple medical terms can be placed in the same search field and they are joined by implicit ‘OR’ logic
Multiple search fields are joined by ‘AND’ logic

28. Search by Diagnosis This search request will be interpreted as:
search for diagnoses containing the medical term “wound” or “bite injury” or “Wound (laceration)” or “puncture wound”
search for diagnoses containing any one of the terms in the first search field
AND
any one of the terms in the second search field
Producing this list of diagnoses that match the search criteria

29. Search by Diagnosis Using Term Groups to make searching easier
Term groups are lists of related, but separate, medical terms
Example: a term group could be the list of all the types of neoplasia (cancer) in the medical term dictionary
Term groups are created through the Term Dictionary
When you type into the search field, the list produced will including matching Term Groups; these groups are indicated by a count of terms included
Neoplasia (group of 162 terms) is Term Group created by Species360 that contains a list of terms for specific types of neoplasia
Neoplasia is a single global medical term for the generic disease process
Searching using a Term Group is exactly the same as typing in each term in the list into the search field, but it is easier to choose just the term group
Example: to search your entire collection for every diagnosis specifying a type of neoplasia, use the existing Species360 term group Neoplasia combined with Taxonomy = Animalia

30. THANK YOU! Institute of Museum and Library Services (IMLS)
Thanks to a grant from IMLS, Species360 was able to generate these Medical Resources, providing unique metrics on medical care for thousands of exotic species to our member institutions.