MedlinePlus Connect

Sarena BurgessNational Library of Medicine, National Institutes of HealthDepartment of Health and Human ServicesDecember 1, 2010

MedlinePlus.gov

Consumer & patient healthEnglish & SpanishCoverage:

Diseases and conditionsHealth and wellnessDrugs, herbs, and supplementsLatest health newsVideos, interactive tutorials, and other multimedia

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>40 languages>250 topics3,045 links

2 RSS feeds11 daily & weekly listservs

875 English

844 Spanish

~1,000 drugs100 supplements

172 tutorials78 anatomy videos112 surgery videos5 Sp surgery videos

15 English issues2 bilingual issues

>40 languages>250 topics>3,000 links

Over 100 directories of doctors, hospitals, clinics & libraries

~ 3,500 articles> 2,000 images

15-20 stories added daily

1,445 links to ClinicalTrials.gov

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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)

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MedlinePlus Connect Process

Problem code or medication

code

Code to topic or medication mapping

MedlinePlus topic or

medication results

EHR, EMR, PHR, etc.

MedlinePlusConnect

MedlinePlus

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Flexibility Coding systems:

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

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Patient View from EHR - Diagnoses

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Infobutton Page for Diagnoses

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Spanish Infobutton Page for Diagnoses

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Mapping to MedlinePlus

493 Asthma493.00 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

Many problem codes can map to the same MedlinePlus topicExample: Asthma

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)304527002 Acute asthma (disorder)371088008 Reactive airways dysfunction syndrome (disorder)

ICD-9-CM SNOMED CT CORE Problem List Subset

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Mapping to MedlinePlusOne 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 15574005: Fracture of foot (disorder)

Fractures Foot Injuries and Disorders

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Patient View from EHR - Medications

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Infobutton Page for Medications

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RXCUI

Text String

NDCRxNORM API

RXCUI

RxNORM API

Brand Names

Internal search on MedlinePlus drug information

Present user with appropriate drug information

Drug Information Retrieval Process

Future Enhancements

XML Web ServicesLab tests

English (possibly Spanish) LOINC

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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 placeOne-time change Supports the HL7 Infobutton standardFree to use, no licensing fees

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For More Information

http://medlineplus.gov/connect

Overview (non-technical) Technical documentation for developers Demo page Email discussion list Email us via the “Contact us” link

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