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The Columbia University Experience: Infobuttons and the Infobutton Manager

The Columbia University Experience: Infobuttons and the Infobutton Manager. James J. Cimino, M.D. Department of Biomedical Informatics Columbia University College of Physicians and Surgeons jjc7@columbia.edu. Columbia Experience. Medline Button Translated ICD9-CM to MeSH to search Medline

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The Columbia University Experience: Infobuttons and the Infobutton Manager

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  1. The Columbia University Experience: Infobuttons and the Infobutton Manager James J. Cimino, M.D. Department of Biomedical Informatics Columbia University College of Physicians and Surgeons jjc7@columbia.edu

  2. Columbia Experience • Medline Button • Translated ICD9-CM to MeSH to search Medline • Hard to build • Did not satisfy users’ needs • Medline Button • Translated ICD9-CM to MeSH to search Medline • Hard to build • Did not satisfy users’ needs • Infobuttons • Web-based • Easy to build • Require custom programming • Used preferentially in some settings

  3. Columbia Experience • Medline Button • Translated ICD9-CM to MeSH to search Medline • Hard to build • Did not satisfy users’ needs • Infobuttons • Web-based • Easy to build • Used preferentially in some settings • Require custom programming • Infobutton Manager • Standard set of context variables • Matches context to frequently-asked questions • Each question has corresponding solution • Table-driven • Infobuttons • Web-based • Easy to build • Used preferentially in some settings • Require custom programming

  4. Infobutton Manager Context Table Institute Age Sex User Task Concept Infobutton NYPH Adult Any Any InPatientDrugs Drug Level 33 NYPH Child Any Any InPatientDrugs Drug Level 34 Infobutton Table Infobutton URL Question 33 http://www.crlonline.com/crlsql/leaflets-english/… Give me patient information for… 34 http://www.crlonline.com/crlsql/pleaflets/… Give me pediatric information for… <a href=“flux.cpmc.columbia.edu/webcisdev13/ wc_infomanage.cgi?9info_institute=NYPH& info_age=5& info_sex=F&info_usertype=MD& info_med=28743&info_context=InPatientDrugs”> <img info.gif\"> </a>

  5. Columbia Experience to Date • Questions determined by empiric observation • Resources found to answer questions • Infobutton Manager links added to WebCIS

  6. Columbia Experience – Next Steps • Currently carrying out heuristic evaluation • Usability study is next • Roll-out to 4000 WebCIS users planned • Follow-up observational study to determine: • Usefulness • Impact

  7. Institution-Independent Solutions • Contexts are common across institutions • Information needs may be common • Infobutton Manager is institution-independent • “Institute” is a parameter • Questions can be customized by institution • Resources can differ by institution • Questions and resources can be shared • Terminology is the limiting factor www.dmi.columbia.edu/homepages/ciminoj/Infobuttons.html

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