Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of...
-
date post
21-Dec-2015 -
Category
Documents
-
view
216 -
download
1
Transcript of Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of...
![Page 1: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/1.jpg)
Integration of Information Resources at the Point of Need
James J. Cimino, M.D.
Departments of Medicine and Medical Informatics
Columbia University
![Page 2: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/2.jpg)
Information at the Point of Need
• Physicians have information needs
• Information needs go unmet
• Computer-based data contributes to the problem
![Page 3: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/3.jpg)
One-Stop Information Shopping?
World Wide Web(The Hyperdocument)
InformationResources
Biblio-graphic
Database
Textbook
ExpertSystem
CommunityPractitioner
![Page 4: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/4.jpg)
One-Touch Information Shopping
InformationResources
World Wide Web(The Facilitator)
Biblio-graphic
Database
Textbook
ExpertSystem
CommunityPractitioner
![Page 5: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/5.jpg)
Infobutton: Automating the Process
• Questions can be anticipated
• Match information source to question
• Automate the retrieval
• Query can use patient information
![Page 6: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/6.jpg)
Information for Decision-Making
![Page 7: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/7.jpg)
Information for Decision-Making
![Page 8: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/8.jpg)
?MRSA
Information for Decision-Making
![Page 9: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/9.jpg)
Intelligent Decision Support
![Page 10: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/10.jpg)
Intelligent Decision Support
![Page 11: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/11.jpg)
Query
MRSA
Intelligent Decision Support
?
Result
!
![Page 12: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/12.jpg)
MRSA
Intelligent Decision Support
![Page 13: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/13.jpg)
Obstacles
MRSA
![Page 14: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/14.jpg)
Obstacles
UnderstandInformation
Needs
1MRSA
![Page 15: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/15.jpg)
Obstacles
Get InformationFrom EMR
UnderstandInformation
Needs
1
2
MRSA
![Page 16: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/16.jpg)
Obstacles
Get InformationFrom EMR
ResourceSelection
UnderstandInformation
Needs
1
2
3
MRSA
![Page 17: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/17.jpg)
Obstacles
Get InformationFrom EMR
ResourceSelection
ResourceTerminology
UnderstandInformation
Needs
1
24
3
MRSA
![Page 18: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/18.jpg)
Obstacles
Get InformationFrom EMR
ResourceSelection
ResourceTerminology
UnderstandInformation
Needs
AutomatedTranslation
1
254
3
MRSA
![Page 19: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/19.jpg)
Obstacles
Get InformationFrom EMR
ResourceSelection
ResourceTerminology
QueryingUnderstandInformation
Needs
AutomatedTranslation
1
254
6
3
MRSA
![Page 20: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/20.jpg)
Obstacles
Get InformationFrom EMR
ResourceSelection
ResourceTerminology
Querying
Presentation
UnderstandInformation
Needs
AutomatedTranslation
1
254
6
3
7
MRSA
![Page 21: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/21.jpg)
![Page 22: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/22.jpg)
![Page 23: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/23.jpg)
![Page 24: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/24.jpg)
![Page 25: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/25.jpg)
![Page 26: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/26.jpg)
![Page 27: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/27.jpg)
![Page 28: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/28.jpg)
![Page 29: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/29.jpg)
![Page 30: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/30.jpg)
![Page 31: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/31.jpg)
![Page 32: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/32.jpg)
![Page 33: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/33.jpg)
![Page 34: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/34.jpg)
![Page 35: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/35.jpg)
![Page 36: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/36.jpg)
![Page 37: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/37.jpg)
![Page 38: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/38.jpg)
![Page 39: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/39.jpg)
![Page 40: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/40.jpg)
![Page 41: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/41.jpg)
![Page 42: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/42.jpg)
![Page 43: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/43.jpg)
![Page 44: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/44.jpg)
![Page 45: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/45.jpg)
![Page 46: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/46.jpg)
![Page 47: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/47.jpg)
![Page 48: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/48.jpg)
Integration of Resources
• Drug orders: to Micromedex, Medline
• Culture results: to Medline
• Sensitivities: to Micromedex, Medline
• X-rays to: to X-rays, Medline, U. of Utah
• Lab results: to DXplain
• EMR: to cholesterol guideline, mammography guideline
![Page 49: Integration of Information Resources at the Point of Need James J. Cimino, M.D. Departments of Medicine and Medical Informatics Columbia University.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649d6b5503460f94a4b0de/html5/thumbnails/49.jpg)
Summary
• On-line information sources exist• Automated retrievals are possible• Linking the patient-specific record to
patient-relevant medical knowledge• Further study needed:
– how to anticipate questions– how to find the right resources– how to compose search strategies– how to present results