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

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Presentation on theme: "Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information."— Presentation transcript:

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 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?

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

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

11 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 West Medical Group WMG Depression 04/19/2008

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 Request NLM Process for Matching Codes to Patient Content MedlinePlus Content Response Languages Code Type Code System ProblemsICD-9-CM13,700 codes mapped manually Health topic pages English Spanish SNOMED CT11,800 codes mapped manually Lab TestsLOINC2,100 codes mapped manually Lab articles English Spanish DrugsRXCUIRxNorm API & search of MedlinePlus drug information Drug articles English NDC

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

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 15574005: Fracture of foot (disorder) – Foot Injuries and Disorders – Fractures

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20 Lab Code Mappings Examples of LOINC codes mapped to the Glucose test – blood article LOINC 2339-0 Glucose [Mass/volume] in Blood 41653-7 Glucose [Mass/volume] in capillary blood by Glucometer 32016-8 Glucose [Mass/volume] in Capillary blood 2345-7 Glucose [Mass/volume] in Serum or Plasma 1558-6 Glucose fasting [Mass/volume] in Serum or Plasma Multiple LOINC codes may map to one Lab Test article

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22 MedlinePlus Connect for Medications

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24 Users 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 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

25 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

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 http://www.nlm.nih.gov/medlineplus/webservices.html XML Files – Full data sets, including MedlinePlus topic names, URLs, associated terms, and summaries describing the topic http://www.nlm.nih.gov/medlineplus/xml.html

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