Technical Aspects of the Infobutton Manager

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Technical Aspects of the Infobutton Manager

• James J. Cimino
• Columbia University

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Overview

• History (Medline Button and Infobuttons
• Architectural Overview of the Infobutton Manager
• Demo (WebCIS and Eclipsys)
• How Infobutton Manager links work
• Terminology Issues
• Integrating with clinical systems
• How can I play?

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Infobutton Manager Architecture
C o n t e x t
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Resolving Clinician Information Needs
Infobutton Manager
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Demonstrations

• WebCIS
• Eclipsys XA

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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• Match concept of interest to class(es)
• Identify context based on class(es)
• Retrieve question(s) for context
• Sort by priority
• Return HTML page of links (URLs)

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

• Question has hardcoded URL
• e.g. www.columbia.edu/potassium.pdf

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

• Translate concept of interest to controlled term
• Find controlled term in data dictionary
• Obtain term attribute for constructing URL from
  data dictionary
• Construct URL, e.g.
• www.columbia.edu/lab/ltgt.html
• cl001900
  .
• www.columbia.edu/lab/cl001900.html

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

Insert concept of interest into CGI function call
as a parameter e.g. www.Uptodate.com/search.c
gi?termltgt POTASSIUM
. www.Uptodate.com/search.c
gi?termPOTASSIUM
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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

• Translate concept of interest to controlled term
• Obtain term translation from data dictionary
• Insert translated term into CGI function call as
  a parameter
• e.g.
• pubmed.gov/search.cgi?termltgtMeSHTerms
• Potassium
  .
• pubmed.gov/search.cgi?termPotassiumMeSH Terms

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

• Resource is not a simple document or search CGI
• Log-on, navigation or other interaction required
• Multiple context parameters used
• Agent
• parses context parameters
• interacts with resource
• parses results
• presents summary
• may modify links

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

• No resource available
• Interaction too complex
• Create self-contained agent
• parses context parameters
• constructs Web page
• presents results
• may have Infobuttons of its own

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How Infobutton Manager Links Work

• Simple link
• Concept-based link
• Simple search
• Concept-based search
• Intelligent agent
• Calculator

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The Coumadin Story

• Chair of Medicine wants link to Coumadin protocol
• First, I have to find the guidelines

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The Coumadin Story

• Chair of Medicine wants link to Coumadin protocol
• First, I have to find the guidelines

• Then I have to add the question to the IM table

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The Coumadin Story

• Chair of Medicine wants link to Coumadin protocol
• First, I have to find the guidelines
• Then I have to add the question to the IM table

• Finally, I link the question to the context

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The Coumadin Story

• Chair of Medicine wants link to Coumadin protocol
• First, I have to find the guidelines
• Then I have to add the question to the IM table
• Finally, I link the question to the context

• and Im done - about 15 minutes.

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How can I play?

• Can your system evoke a Web browser?
• Can you customize the URL?

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How can I play?

• Can your system evoke a Web browser?
• Can you customize the URL?

• Decide what information needs you have
• Decide how you want to address the needs

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GET Method lta hrefflux.cpmc.columbia.edu/webc
isdev13/wc_infomanage.cgi? Info_instituteCPMCinf
o_med1560info_contextLabDetailgt ltimg
info.gif\"gtlt/agt - OR - POST Method ltform
method"POST" TARGET"INFO" NAME"INFO"
action"flux.cpmc.columbia.edu/webcisdev13/wc_info
manage.cgi"gt ltinput type"HIDDEN"
name"info_institute" value"CPMC"gt ltinput
type"HIDDEN" name"info_med" value"1560"gt ltinput
type"HIDDEN" name"info_context"
value"LabDetail"gt ltinput type"HIDDEN"
nameDOB" value"1951-05-26"gt ltinput
type"HIDDEN" nameinfo_age" value52"gt ltinput
type"HIDDEN" nameinfo_sex" value"F"gt ltinput
type"HIDDEN" nameinfo_usertype"
valueMD"gt ltinput type"HIDDEN" nameinfo_mrn"
value"3131313"gt ltinput type"HIDDEN"
nameinfo_user" value"ciminoj"gt ltinput
type"HIDDEN" name"info_other"
value"15606.810.0-20.0mg/l155929.720.0-40.0
mg/l"gt lt/formgt Note that 1560 is the MED
Code for Serum Phenytoin Test. Other acceptable
values for info_med include 14877-5 (the LOINC
Code) and PHENYTOIN.
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How can I play?

• Can your system evoke a Web browser?
• Can you customize the URL?
• Decide what information needs you have
• Decide how you want to address the needs

• Address the terminology issue

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Automated Retrieval with Clinical Data
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How can I play?

• Can your system evoke a Web browser?
• Can you customize the URL?
• Decide what information needs you have
• Decide how you want to address the needs
• Address the terminology issue

• Coordinate with me

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lta href"Javascriptget_info('35702')"gtltimg
src"info.gif"gtlt/agt
function get_info(mc) var infowin
window.open("","INFO") infowin.focus()
document.INFO.info_med.valuemc
document.INFO.submit()
ltform method"POST" nameINFO
action"wc_infomanage.cgi"gt ltinput type"HIDDEN"
name"info_med" value""gt ltinput type"HIDDEN"
name"info_context" value"LabDetail"gt ltinput
type"HIDDEN" name"info_institute"
value"CPMC"gt ltinput type"HIDDEN" name"DOB"
value"1951-05-26"gt ltinput type"HIDDEN"
name"SEX" value"F"gt ltinput type"HIDDEN"
name"USER" value"ciminoj"gt lt/formgt
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Acknowledgments

• National Library of Medicine research grant
• National Library of Medicine training grant
• National Institute of Nursing Research
• jjc7_at_columbia.edu
• www.dmi.columbia.edu/homepages/ciminoj/Infobuttons
  .html