Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information.
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Transcript of Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information.
Linking Health IT Systems, EHRs and Patient Portals to Reliable Health Information
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
• 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?
~1,000 drugs100 supplements
164 tutorials78 anatomy videos139 surgery videos
>40 languages>250 topics>3,300 links
~ 3,500 encyclopedia articles> 2,000 images
15-20 news stories daily
>1,200 links to ClinicalTrials.gov
921 English896 Spanish
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MedlinePlus Connect
Patient portals, EHRs, or health IT systems can deliver consumer health information related to patients’ specific diagnoses, medications, and labs
MedlinePlus Connect
Problem, medication, or lab code-based request
MedlinePlus Connect
Consumer health information targeted response
Clinical systemPatient portal
EHR/Health IT System
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
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
Web Application & Web ServiceWeb 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
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
W e s t M e d i c a l G r o u p
WMG
Depression 04/19/2008
Link to full MedlinePlus topic page
First few lines of the MedlinePlus summary for that topic
Links to additional, related information
Spanish Response for Diagnoses
Web Service
• Returns information in XML• The patient portal or EHR may select
which MedlinePlus links and information to provide within the system
Link to full MedlinePlus topic page
Full MedlinePlus summary for that topic
Links to additional, related information
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 English
NDC
Problem Code Mappings• Multiple problem codes may map to one
MedlinePlus topic
ICD-9-CM SNOMED CT493.00 Extrinsic Asthma Unspecified493.01 Ext Asthma W Status Asthmaticus493.02 Extrinsic Asthma with Exac493.10 Intrinsic Asthma Unspecified493.12 Extrinsic asthma with exacerbation493.20 Chron Obst Asthma Unspecified493.21 Chron Obst Asthma Unspecified W Status Asth493.22 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:
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
Lab Code Mappings
• Examples of LOINC codes mapped to the Glucose test – blood article
LOINC
2339-0 Glucose [Mass/volume] in Blood41653-7 Glucose [Mass/volume] in capillary blood by Glucometer32016-8 Glucose [Mass/volume] in Capillary blood2345-7 Glucose [Mass/volume] in Serum or Plasma1558-6 Glucose fasting [Mass/volume] in Serum or Plasma
• Multiple LOINC codes may map to one Lab Test article
MedlinePlus Connect for Medications
UsersOrganizations• 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
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
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 topichttp://www.nlm.nih.gov/medlineplus/xml.html