Digital library access (HL7 Infobutton API Proposal) Intermountain - - PowerPoint PPT Presentation

digital library access hl7 infobutton api proposal
SMART_READER_LITE
LIVE PREVIEW

Digital library access (HL7 Infobutton API Proposal) Intermountain - - PowerPoint PPT Presentation

Digital library access (HL7 Infobutton API Proposal) Intermountain Health Care Guilherme Del Fiol, MD, MS Roberto A. Rocha, MD, PhD Definition Infobutton is a point-of-care application that retrieves context-specific information from


slide-1
SLIDE 1

Digital library access (HL7 Infobutton API Proposal)

Intermountain Health Care Guilherme Del Fiol, MD, MS Roberto A. Rocha, MD, PhD

slide-2
SLIDE 2

Definition

Infobutton is a point-of-care application that

retrieves context-specific information from digital libraries using patient data extracted from the electronic medical record

– Implemented as a hyperlink – Query parameters embedded in the URL

slide-3
SLIDE 3

Information needs

slide-4
SLIDE 4
slide-5
SLIDE 5
slide-6
SLIDE 6

Clinical systems x Digital libraries

slide-7
SLIDE 7

Standardized APIs

slide-8
SLIDE 8

Scenario 1

Order entry system – ordering a medication

– User requests more information about the drug

Context is defined using drug (ingredient), patient age and

gender, user specialty, care setting

– Application builds the HTTP request (query)

User can have a chance to refine the query (info manager) List of links with relevant resources (options) List of predefined questions that can be answered

– User traverses one or multiple links to information

slide-9
SLIDE 9
slide-10
SLIDE 10
slide-11
SLIDE 11
slide-12
SLIDE 12
slide-13
SLIDE 13

Proposed parameters

Username & password Patient: age and gender

– Medical Record number and Accession number

User: Role and institution

– Target: patient, provider

App context: Problems, Medications, Labs, etc. Concept: Concept ^ String ^ Terminology

– If concept & terminology are blank → free-text search

Query modifier(s)

slide-14
SLIDE 14

Example (1)

http://www.knowledgesourcewebsite.com/search.cgi?

applicationContext=problems &conceptOfInterest=D018410 &SearchString=Bacterial Pneumonia &terminology=MeSH &contentTarget=provider

– Runs a search for D018410 (MeSH), on the problems section

  • f the knowledge source, and with focus on provider content
slide-15
SLIDE 15

Example (2)

http://www.knowledgesourcewebsite.com/search.cgi?

patientAge=75 &applicationContext=treatment &searchString=azythromycin &searchString=Community acquired pneumonia &contentTarget=provide

– Runs a free-text search for “azythromycin” and “bacterial

pneumonia”, for a patient with 75 years old, and with focus on provider content

slide-16
SLIDE 16

Next steps

Goal

– Flexible and simple API that can be implemented using HTTP

Clinical system → (Info manager) → Content source

Define data parameters

– HL7 data types & data elements (RIM) – Terminology standards (HL7 vocabulary)

Involvement of users and vendors Implementation technologies (SOAP?) Use of CPGA (role of CDA) Role of CCOW

Send feedback to Roberto A. Rocha (lprrocha@ihc.com)