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

2. 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

3. 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

4. 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)

5. 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

6. 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

7. Patient View from EHR - Diagnoses

8. Infobutton Page for Diagnoses

10. Spanish Infobutton Page for Diagnoses10

11. 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 Extrinsic Asthma Unspecified Ext Asthma W Status Asthmaticus Extrinsic Asthma with Exac Intrinsic Asthma Unspecified Extrinsic asthma with exacerbation Chron Obst Asthma Unspecified Chron Obst Asthma Unspecified W Status Asth Chronic obst asthma with exacerbation
Exercise-induced asthma (disorder)
Asthma without status asthmaticus (disorder)
Asthma with status asthmaticus (disorder)
Asthma (disorder)
Non-allergic asthma (disorder)
Exacerbation of asthma (disorder)
Acute asthma (disorder)
Reactive airways dysfunction syndrome (disorder)

12. 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
: Fracture of foot (disorder)
Foot Injuries and Disorders

13. Patient View from EHR - Medications

14. Infobutton Page for Medications

16. 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

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

18. 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

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