MedlinePlus & Go Local Update at NLM Sunrise Seminar, MLA 2010

MedlinePlus & Go Local Update at NLM Sunrise Seminar, MLA 2010

MedlinePlus Connect Sarena Burgess National Library of Medicine, National Institutes of Health Department of Health and Human Services December 1, 2010 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 2 172 172 tutorials tutorials 78 78 anatomy anatomy videos videos 112 surgery videos 112 surgery videos 55 Sp

Sp surgery surgery videos videos 875 875 English English 844 844 Spanish Spanish ~1,000 ~1,000 drugs drugs 100 100 supplements

supplements 15-20 15-20 stories stories added added daily daily 1,445 1,445 links links to to 15

15 English English issues issues 22 bilingual bilingual issues issues Over Over 100 100 directories directories of of doctors, doctors, hospitals, hospitals, clinics

clinics & & libraries libraries >40 >40 languages languages >250 >250 topics topics >3,000 >3,000 links links >40 languages >250 topics 3,045 links

2 RSS feeds 11 daily & weekly listservs ~~ 3,500 3,500 articles articles >> 2,000 2,000 images images 3 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 Who: EHR companies and developers EHR customers (hospital systems, doctors offices, etc) 4 MedlinePlus Connect Process EHR, EMR, PHR, etc. Problem code or medication code

MedlinePlus Connect Code to topic or medication mapping MedlinePlus MedlinePlus topic or medication results 5 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 6 Patient View from EHR - Diagnoses

7 Infobutton Page for Diagnoses 8 9 Spanish Infobutton Page for Diagnoses 10 Mapping to MedlinePlus Many problem codes can map to the same MedlinePlus topic Example: Asthma ICD-9-CM

493 Asthma 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 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 15 Drug Information Retrieval Process RXCUI

RxNOR M API NDC RxNORM API Brand Names Internal search on MedlinePlus drug information

Present user with appropriate drug information RXCUI Text String 16 Future Enhancements XML Web Services Lab tests

English (possibly Spanish) LOINC 17 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 18

For More Information Overview (non-technical) Technical documentation for developers Demo page Email discussion list Email us via the Contact us link 19

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