Utilizing RxNorm to Support Practical Computing Applications: Capturing Medication History in Live Electronic Health Records

RxNorm was utilized as the basis for direct-capture of medication history data in a live EHR system deployed in a large, multi-state outpatient behavioral healthcare provider in the United States serving over 75,000 distinct patients each year across 130 clinical locations. This tool incorporated auto-complete search functionality for medications and proper dosage identification assistance. The overarching goal was to understand if and how standardized terminologies like RxNorm can be used to support practical computing applications in live EHR systems. We describe the stages of implementation, approaches used to adapt RxNorm's data structure for the intended EHR application, and the challenges faced. We evaluate the implementation using a four-factor framework addressing flexibility, speed, data integrity, and medication coverage. RxNorm proved to be functional for the intended application, given appropriate adaptations to address high-speed input/output (I/O) requirements of a live EHR and the flexibility required for data entry in multiple potential clinical scenarios. Future research around search optimization for medication entry, user profiling, and linking RxNorm to drug classification schemes holds great potential for improving the user experience and utility of medication data in EHRs.Comment: Appendix (including SQL/DDL Code) available by author request. Keywords: RxNorm; Electronic Health Record; Medication History; Interoperability; Unified Medical Language System; Search Optimizatio

Urban geo big data

The paper deals with the general presentation of the Urban GEO BIG DATA, a collaborative acentric and distributed Free and Open Source (FOS) platform consisting of several components: local data nodes for data and related service Web deploy; a visualization node for data fruition; a catalog node for data discovery; a CityGML modeler; data-rich viewers based on virtual globes; an INSPIRE metadata management system enriched with quality indicators for each dataset.Three use cases in five Italian cities (Turin, Milan, Padua, Rome, and Naples) are examined: 1) urban mobility; 2) land cover and soil consumption at different resolutions; 3) displacement time series. Besides the case studies, the architecture of the system and its components will be presented