1. Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information

2. 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

3. Why MedlinePlus.gov? 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…

4. 921 English 896 Spanish 164 tutorials 78 anatomy videos
139 surgery videos
921 English
896 Spanish
15-20 news stories daily
~1,000 drugs
100 supplements
>1,200 links to ClinicalTrials.gov
>40 languages
>250 topics
>3,300 links
~ 3,500 encyclopedia articles
> 2,000 images

6. MedlinePlus Connect
Patient portals, EHRs, or health IT systems can deliver consumer health information related to patients’ specific diagnoses, medications, and labs

7. MedlinePlus Connect EHR/Health IT System MedlinePlus Connect
Problem, medication, or lab code-based request
EHR/Health IT System
MedlinePlus Connect
Consumer health information targeted response
Patient portal
Clinical system

8. 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

9. 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

10. Web Application & Web Service
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

11. Your Health Summary – Conditions
WMG
Log Out
West Medical Group
Hello, Jane Smith
Health Summary
Your Health Summary – Conditions
Appointments
Issue
Date
Asthma
05/02/2011
Medications
Acute Sinusitis
09/10/2009
Test Results
Depression
04/19/2008
Messages
Insurance

12. Link to full MedlinePlus topic page
First few lines of the MedlinePlus summary for that topic
Links to additional, related information

13. Spanish Response for Diagnoses

14. Web Service Returns information in XML
The patient portal or EHR may select which MedlinePlus links and information to provide within the system

15. Link to full MedlinePlus topic page
Full MedlinePlus summary for that topic
Links to additional, related information

16. NLM Process for Matching Codes to Patient Content MedlinePlus Content
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
NDC

17. Problem Code Mappings
Multiple problem codes may map to one MedlinePlus topic
Examples of problem codes mapped to Asthma topic:
ICD-9-CM
SNOMED CT
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)

18. 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
: Fracture of foot (disorder)
Foot Injuries and Disorders

20. Lab Code Mappings Multiple LOINC codes may map to one Lab Test article
Examples of LOINC codes mapped to the Glucose test – blood article
LOINC
Glucose [Mass/volume] in Blood
Glucose [Mass/volume] in capillary blood by Glucometer
Glucose [Mass/volume] in Capillary blood
Glucose [Mass/volume] in Serum or Plasma
Glucose fasting [Mass/volume] in Serum or Plasma

22. MedlinePlus Connect for Medications

24. Users Health IT Systems Organizations Buffalo Medical Group
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
Organizations
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

25. http://medlineplus.gov/connect Technical how to’s Sample list of users
Demonstration pages
list – please join!

26. 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
XML Files – Full data sets, including MedlinePlus topic names, URLs, associated terms, and summaries describing the topic