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The Librarian Infobutton Tailoring Environment (LITE)

The Librarian Infobutton Tailoring Environment (LITE). James J. Cimino National Institutes of Health and Columbia University. Today’s Topics. Clinician Information Needs Infobuttons Infobutton Managers The Coumadin Story Institution-Specific Requirements

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The Librarian Infobutton Tailoring Environment (LITE)

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  1. The Librarian Infobutton Tailoring Environment(LITE) James J. Cimino National Institutes of Health and Columbia University

  2. Today’s Topics • Clinician Information Needs • Infobuttons • Infobutton Managers • The Coumadin Story • Institution-Specific Requirements • Infobutton Manager Customization Tasks • Librarian Infobutton Tailoring Environment • Research plan • Initial efforts • Getting involved

  3. Health Knowledge for Decision Support

  4. Infobuttons Anticipate Need and Provide Queries i

  5. Information Needs of CIS Users • Common tasks may have common needs • System knows: • Who the user is • Who the patient is • What the user is doing • What information the user is looking at • We can predict the specific need • User is sitting at a computer! • We can automate information retrieval

  6. First Attempt: The Medline Button • CIS on mainframe • BRS/Colleague (Medline) on same mainframe • Get them to talk to each other • Search using diagnoses and procedures

  7. First Attempt: The Medline Button • CIS on mainframe • BRS/Colleague (Medline) on same mainframe • Get them to talk to each other • Search using diagnoses and procedures • Technical success • Practical failure

  8. Education at the Moment of Need MRSA

  9. Education at the Moment of Need 1 MRSA Understand Information Needs

  10. Education at the Moment of Need 2 Get Information From EMR 1 MRSA Understand Information Needs

  11. Education at the Moment of Need 2 Get Information From EMR 1 MRSA Understand Information Needs 3 Resource Selection

  12. Education at the Moment of Need 4 2 Get Information From EMR Resource Terminology 1 MRSA Understand Information Needs 3 Resource Selection

  13. Education at the Moment of Need 4 5 2 Automated Translation Get Information From EMR Resource Terminology 1 MRSA Understand Information Needs 3 Resource Selection

  14. Education at the Moment of Need 4 5 2 Automated Translation Get Information From EMR Resource Terminology 6 1 MRSA Querying Understand Information Needs 3 Resource Selection

  15. Education at the Moment of Need 4 5 2 Automated Translation Get Information From EMR Resource Terminology 6 1 MRSA Querying Understand Information Needs 3 7 Resource Selection Presentation

  16. Research Issues • What are the information needs? • Which context information is important? • What resources can satisfy needs? • How can retrieval be automated? • What context data are used? • How are the data translated?

  17. Infobuttons vs. Infobutton Manager Resource s Clinical System Infobutton Context Query Knowledge Base Infobutton Manager Page of Hyperlinks

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

  19. 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

  20. 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

  21. 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 • Voilá!

  22. Usage in Lab Contexts

  23. Usage in In-Patient Drug Contexts

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