Transcript Allen Pavilion Medicine Grand Rounds

Infobuttons and Cancer Center Protocols
May 17, 2004
Automated Decision Support
MRSA
Automated Decision Support
MRSA
1
Understand
Information
Needs
Automated Decision Support
2
Get Information
From EMR
MRSA
1
Understand
Information
Needs
Automated Decision Support
2
Get Information
From EMR
MRSA
1
Understand
Information
Needs
3
Resource
Selection
Automated Decision Support
4
2
Get Information
From EMR
Resource
Terminology
MRSA
1
Understand
Information
Needs
3
Resource
Selection
Automated Decision Support
4
Resource
Terminology
5
2
Automated
Translation
Get Information
From EMR
MRSA
1
Understand
Information
Needs
3
Resource
Selection
Automated Decision Support
4
Resource
Terminology
6
5
2
Automated
Translation
Get Information
From EMR
MRSA
1
Querying
Understand
Information
Needs
3
Resource
Selection
Automated Decision Support
4
Resource
Terminology
5
2
Automated
Translation
Get Information
From EMR
6
MRSA
1
Querying
Understand
Information
Needs
3
Resource
Selection
7
Presentation
Translation for Decision Support
Clinical Data
Injectable
Gentamicin
Serum
Gentamicin
Level
Gentamicin
Gentamicn
Sensitivity
Test
Decision
Rule
Gentamicin
Toxicity
Drug
Information
Expert
System
Infobutton Manager Manager
• Maintains list of generic questions and links
• Maintains list of criteria for matching questions
• Placeholders are “fill in the blanks” (Madlibs)
The Coumadin Story
• Joe Tennenbaum wants link to Coumadin protocol
• First, I have to find the guidelines
The Coumadin Story
• Joe Tennenbaum wants link to Coumadin protocol
• First, I have to find the guidelines
• Then I have to add the question to the IM table
The Coumadin Story
•
•
•
•
Joe Tennenbaum 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
The Coumadin Story
•
•
•
•
•
Joe Tennenbaum 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
Voilá!
Infobuttons for Cancer Center Protocols
• Identify test classes relevant to cancers (PSA,
CEA, CA-125…)
• Create questions in the Infobutton Manager
(“What trials are available for patients with
cancer of the ….”)
• Link questions in Infobutton Manager to test
classes
Next Steps
• Identify test classes relevant to cancers (PSA,
CEA, CA-125…)
• Need “Get” method for calling protocol search
engine (current method is “Post”)