The Future is Now - AMIA · The Future is Here: An Open Architecture Resource to Support...
Transcript of The Future is Now - AMIA · The Future is Here: An Open Architecture Resource to Support...
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The Future is Here:An Open Architecture Resource
to Support Infobuttons
James J. CiminoNIH Clinical Center and
National Library of Medicine
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Infobuttons
• Context-aware links between systems
• Typically: connection from clinical information system to on-line knowledge source
• The Web lowered many barriers
• HL7 Standard is lowering more
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Infobuttons vs. Infobutton Manager
Pageof
Hyperlinks
InfobuttonClinical System Resource
InfobuttonManager
ContextQuery
KnowledgeBase
s
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www.infobuttons.com
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www.infobuttons.org
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Open Infobutton
• Hl7-compliant Infobutton Manager
• Supports access to HL7 and non-HL7 resources
• Housed at University of Utah (Guilerhme Del Fiol)
• Free for use
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www.openinfobuttons.org
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Institution Customization Tasks
i
Clinical Applicationwith Infobutton Link
User (Physician,Nurse, etc.)
Patient (with ageand gender)
Institution
InfobuttonManager
Page of Links
Infobutton ManagerKnowledge Base
Institutional Librarian(or other LITE users)
The Librarian InfobuttonTailoring Environment
(LITE)
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Librarian Infobutton Tailoring Environment
• Co-developed by NLM and U of Utah
• Infobutton Manager knowledge engineering tool
• Librarian-friendly user interface– Define resources– Select resources for specific user contexts
• “Publishes” to Open Infobutton
• Currently in development, beta release Q1 2012
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lite.bmi.utah.edu
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Clinical Data Capture and Infobuttons
• Clinical data determine context of information need
• Controlled terms may need transformation for information needs
• Clinical data used to seed retrieval process
• Controlled terms may need translation for resources
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Other Translations for Infobuttons
InjectableGentamicin
Gentamicn Sensitivity
Test
SerumGentamicin
Level
GentamicinToxicity
Gentamicin DecisionRule
ExpertSystem
DrugInformation
Clinical Data
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Pushing the Envelope
HealthRecord
DischargeDiagnoses
MedicationLists
RadiologyReports
PhysicalExams
DischargeSummaries
PatientHistories
UniversallyCoded
LocallyCoded
UncodedStructured
UncodedUnstructured
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Pushing the Envelope
HealthRecord
DischargeDiagnoses
MedicationLists
RadiologyReports
PhysicalExams
DischargeSummaries
PatientHistories
UniversallyCoded
LocallyCoded
UncodedStructured
UncodedUnstructured
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Pushing the Envelope
Cimino JJ: Data Storage and Knowledge Representation for Clinical Workstations. International Journal of Bio-Medical Computing, 1994; 34:185-194
HealthRecord
DischargeDiagnoses
MedicationLists
RadiologyReports
PhysicalExams
DischargeSummaries
PatientHistories
UniversallyCoded
LocallyCoded
UncodedStructured
UncodedUnstructured
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Cimino JJ: Data Storage and Knowledge Representation for Clinical Workstations. International Journal of Bio-Medical Computing, 1994; 34:185-194
HealthRecord
DischargeDiagnoses
MedicationLists
RadiologyReports
PhysicalExams
DischargeSummaries
PatientHistories
UniversallyCoded
LocallyCoded
UncodedStructured
UncodedUnstructured
Pushing the Envelope
Cimino JJ: Data Storage and Knowledge Representation for Clinical Workstations. International Journal of Bio-Medical Computing, 1994; 34:185-194
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Conclusions
• Decision support is more than alerts and reminders
• Infobuttons require actionable clinical data
• Infrastructure is near to allow everyone to play
• Free!
• Infobuttons = Meaningful Use
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