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MedlinePlus Connect

MedlinePlus Connect. Sarena Burgess National Library of Medicine, National Institutes of Health Department of Health and Human Services December 1, 2010. MedlinePlus.gov. Consumer & patient health English & Spanish Coverage: Diseases and conditions Health and wellness

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MedlinePlus Connect

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  1. MedlinePlus Connect Sarena Burgess National Library of Medicine, National Institutes of Health Department of Health and Human Services December 1, 2010

  2. MedlinePlus.gov • Consumer & patient health • English & Spanish • Coverage: • Diseases and conditions • Health and wellness • Drugs, herbs, and supplements • Latest health news • Videos, interactive tutorials, and other multimedia

  3. 172 tutorials 78 anatomy videos 112 surgery videos 5 Sp surgery videos 875 English 844 Spanish ~1,000 drugs 100 supplements 15-20 stories added daily 1,445 links to ClinicalTrials.gov 15 English issues 2 bilingual issues Over 100 directories of doctors, hospitals, clinics & libraries >40 languages >250 topics >3,000 links >40 languages >250 topics 3,045 links ~ 3,500 articles > 2,000 images 2 RSS feeds 11 daily & weekly listservs

  4. 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)

  5. MedlinePlus Connect Process MedlinePlus Connect MedlinePlus EHR, EMR, PHR, etc.

  6. 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

  7. Patient View from EHR - Diagnoses

  8. Infobutton Page for Diagnoses

  9. Spanish Infobutton Page for Diagnoses 10

  10. Mapping to MedlinePlus Many problem codes can map to the same MedlinePlus topic Example: Asthma 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 exacerbation493.20ChronObst Asthma Unspecified493.21ChronObst Asthma Unspecified W Status Asth493.22 Chronic obst asthma with exacerbation ICD-9-CM SNOMED CT CORE Problem List Subset 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)

  11. Mapping to MedlinePlus 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 • Fractures • Ankle Injuries and Disorders SNOMED CT • 15574005: Fracture of foot (disorder) • Fractures • Foot Injuries and Disorders

  12. Patient View from EHR - Medications

  13. Infobutton Page for Medications

  14. Drug Information Retrieval Process • RXCUI Present user with appropriate drug information Internal search on MedlinePlus drug information RxNORM API • Brand Names RxNORM API

  15. Future Enhancements • XML Web Services • Lab tests • English (possibly Spanish) • LOINC

  16. 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 place • One-time change • Supports the HL7 Infobutton standard • Free to use, no licensing fees

  17. 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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