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Integration of Information Resources at the Point of Need

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Integration of Information Resources at the Point of Need. James J. Cimino, M.D. ... Integration of Resources. Drug orders: to Micromedex, Medline. Culture ... – PowerPoint PPT presentation

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Title: Integration of Information Resources at the Point of Need


1
Integration of Information Resources at the Point
of Need
  • James J. Cimino, M.D.
  • Departments of Medicine and Medical Informatics
  • Columbia University

2
Information at the Point of Need
  • Physicians have information needs
  • Information needs go unmet
  • Computer-based data contributes to the problem

3
One-Stop Information Shopping?
4
One-Touch Information Shopping
World Wide Web (The Facilitator)
Information Resources
Community Practitioner
Biblio- graphic Database
Textbook
Expert System
5
Infobutton Automating the Process
  • Questions can be anticipated
  • Match information source to question
  • Automate the retrieval
  • Query can use patient information

6
Information for Decision-Making
7
Information for Decision-Making
8
Information for Decision-Making
?
MRSA
9
Intelligent Decision Support
10
Intelligent Decision Support
11
Intelligent Decision Support
!
?
MRSA
12
Intelligent Decision Support
MRSA
13
Obstacles
MRSA
14
Obstacles
1
MRSA
Understand Information Needs
15
Obstacles
2
Get Information From EMR
1
MRSA
Understand Information Needs
16
Obstacles
2
Get Information From EMR
1
MRSA
Understand Information Needs
3
Resource Selection
17
Obstacles
2
4
Get Information From EMR
Resource Terminology
1
MRSA
Understand Information Needs
3
Resource Selection
18
Obstacles
2
5
4
Get Information From EMR
Automated Translation
Resource Terminology
1
MRSA
Understand Information Needs
3
Resource Selection
19
Obstacles
2
5
4
Get Information From EMR
Automated Translation
Resource Terminology
6
1
MRSA
Querying
Understand Information Needs
3
Resource Selection
20
Obstacles
2
5
4
Get Information From EMR
Automated Translation
Resource Terminology
6
1
MRSA
Querying
Understand Information Needs
3
7
Resource Selection
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Integration of Resources
  • Drug orders to Micromedex, Medline
  • Culture results to Medline
  • Sensitivities to Micromedex, Medline
  • X-rays to to X-rays, Medline, U. of Utah
  • Lab results to DXplain
  • EMR to cholesterol guideline, mammography
    guideline

49
Summary
  • On-line information sources exist
  • Automated retrievals are possible
  • Linking the patient-specific record to
    patient-relevant medical knowledge
  • Further study needed
  • how to anticipate questions
  • how to find the right resources
  • how to compose search strategies
  • how to present results
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